HomeMy WebLinkAboutPermit House Move 1997-8-15
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225 FIFTH STREET
SPRINGFIELD. OR 97477
(541) 726.3753
COMMUNITY SERVICES DIVISION FAX (541) 726.3689
CITY ASSIGNED JOB NUMBER:C\f")o--y\ 1 ,
Structure Being Moved From: (.,'B"'IC:; ""&.d...:l S. City: C;;f'I::>--1oV<qFl6LC
Lane County Reference Number: \'1rG.~ Tax Lot Number~ 0 ~ o'd..tf ~
Structure Being Moved To: ...h v "" ~...;, ..--.1-7. <\t1lfJ \ ~().l 1\\ \ )t~
Lane County Reference Number: \""'\ O'J ~~4~;.;__~. Tax Lot Num~r: 4300
BUILDING MOVING PERMIT
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Building Owner:
t\(1rJ"".~~
4l;.:lP, CNMr:::::f.L. ~
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State:
Phone Number: -V~, . Gt-l ( I
Cell Phone Number: J-JA.,
Zip: q f 3r -Zfl
Mailing Address:
,City: ~~F'~
CJ(i!-
Moving Contractor:
rtl~. [a...
I \4qq(j
117GA-
Phone Number: ?t-0 'Io~DCj
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Expires: 7/3 1'1. <==J
Cell Phone Number: 744- .9f-:::l76
O~ Zip: C(14-4o
Construction Contractors Registration Number:
Mailing Address: V O. ~
City:
F-L J'4B..:\E.
State:
Plumbing Contractor:
Phone Number:
. Construction Contractors Registration Number:
Expires:
Description of Building to be Moved:
Height on Dolly:
1.0S~
/9' h"
57"
# of Sections Being Moved: I Type of Constr: ll.:l::VO
Living Units: Value of Structure(s): ~ C::;;, ~
?J /7 Jq7
<t)/7/q7
Moving Length:
C'l.ut ~ ~.Je- /
Moving Width: 3 ~
Square Footage:
~\G
Square Footage:
Proposed Date of Move:
Beginning at: 5.' 30
am/pm
Completion Date of Move:
Ending at:
/2:00
am/pm
Description of Proposed Route (Please attach map with route outlined with directional arrows):
~ 'Z;r 'lh A--::,t-=lD A-~t02 ~ Pb.d<;:;:,"",-/ .."JlA.-tc...7j Tn I~...-
0~ ~(\-l~aa~lA\t[J)'.a) (k.~. ~ ~~n)'
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NOTIFICA TION OF ~E: The Community Services Division will route copies of this application to all appropriate divisions,
departments and agencies. However, the applicant must contact property owners if trees are involved in the proposed move. In
addition, the applicant must secure the approval of all appropriate municipal, county and state authorities should the move originate or
terminate outside the City of Springfield, or along any street owned by the state or the county within the Citys boundaries.
PLANS, FEES, AND CHARGES: Prior to receiving a permit to move a building into the City of Springfield, the applicant or their
representative shall:
.. Submit two (2) copies of site or plot plan for new site.
. Submit two (2) copies of the foundation plan for the relocated building
. All applicable permit and system development fees shall be paid prior to any moved
. Any applicable permits and inspections for sanitary sewer cap or septic pump and fill
By my signature below, 1 certify that the above information is true and correct, that all required contacts have been made and
authorizations obtained. I also understand that the minimum time to process this permit, because of the number of agencies notified
by the City O~pringfield, is seven (7) working da~s. ~ .
Signature/-J'?1 ~~ =- Date: -b I Cj (~7
.
.
.-
~n\f\rt p\ ~~
Foundation/Site Plan Stibmittef
Moving Permit Approved By:~
Engineering Division Report: Owner(s) AND Contractor(s) are both responsible for any damages to private or public property.
Moving Permit Approved By:
i1~n .~
Date:
8- 7- '17
Traffic Division Report: Contractor is responsible for a safe, efficient relocation operation. All signal systems shall be monitored to
ensure they are functioning properly. Any damage to or malfunctions of the traffic signal system shall be reported immediately to
Gary Weck, Signal Technician, at 343-4902 or Gene Butterfield, Maintenance Supervisor, at 998-3667.
Moving Permit Approved By:
JJ)/__,F6J ~
~
Date:
8/8/17
/ I
. Historical Report:
, Moving Permit Approved By:
Date:
Required Inspections: An inspection of the property is required at the following indicated stages of this project.
_ Septic Tank Pumped and Filled ~nitary Sewer Capped V-;;;;al Move
A Certificate from a bonded! Capped within five (5) To be made once structure has been
registered contractor will meet of the property line with moved from site and all debris has been
this inspection requirement. approved materials. removed.
To request an inspection, please call 726-3769. Inspections called in before 7 am will be made the same working day, inspections
called in after 7 am will be made the following working day. Please leave your City designated job number, job address, type of
inspection and when you will be ready for inspection.
I
FOR OFFICE USE ONLY
Zone:
Flood Plain:
Type of Constr:
Occy Group:
Application fee
Moving Permit
Sanitary Sewer CaplSeptic Pump and Fill
5% State Surcharge
I~ &J 3% Administrative Fee
-~'\)\~ ~ Total.Blocks. $.60perblock
$ 18.00
$ 60.00
$ 15.00
.75
.45
$ 94.20
$ \<\- .~D
$-
$-
TOTAL $1tf6..uO
(if property does no~ed the.~itary sewer capped or te ::Bf~p-~. peed and 9lle~d~duf~P
Date Paid: ~.~, ') C\ \ Receipt Numb~ \ \.~.~ BV:mJ..;..
Subtotal
"
01 ~
'1 CO uJ
A"g-~'13-97 03: lOP MAR.ROT CONSTRUCTION
,
5.687-4701
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or, ... IIt'Dt
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SPECIAL TRANSPORTATION PERMIT
FOR HOUSE MOVES
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MARQUARDT, Ken
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PO Box '1764
r.iT'{.-STATE71~
Eugene, OR 97440
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11490
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COMMODITY
Wood frame
NO. OF SECTIONS 2
1
2
,3
1"I'm-,jLliILLL
i.U...llJlliL~'CNI:; :! LANC" 0 NONe: ![lFnONT []nFhR
4 I ^NF' 0 NONE ~FRONT !J REAR
~~ 1974'0 K~~~~;~h 1 o~~g2T~3~rFl a flied
H_(~INr,;lr.I~.' Ji J......~:-;
,a.:..: I....A I 1(1.... A''''''l..:-.s
69th St & Hwy 15
"r~.~aOI ~~~
ROUTE
MP
Hwy 222 and Daisy St
" . 1'" l4., Or-
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.-.*--- ---. .--
$:tRE~.lL!:ilGHWAY
FROM
T~_
McKewnzie Hwy (15) 69th & McKenzie HWj 7.56
08/13/97
.-.. -- .... --.'--ovrn...L.::~mrr::;----
49'
.~Z'-______
,
2
3
MP___ _.i\!3J;I'l~G.L.
Sprfld-Creswell Hwy
(222) and Daisy 0.28
ROUTE: Enter Hwy 15 at HP 7.56 to Jet (f Hwy 15 "nd Hwy 222, MP 0.00.
Hwy 222 to Daisy Street at MP 0,28.
HIGHWAY
TYPE OF
PAVEMENT
WIDTH OF
PAVEMENT USABLE ROADWAY
1".U5'~joUAM""":"'8'~OOV AM. Hustbe off
Hwv no later than 8:00 AM.
rAU'S~~d~yt,5rA~~~~t 17~ 1997
LOWEST
OVERHEAD STB.l!CTU.F1E__
t-.......,HA..ONOAE...
08117/97
* SEE REVERSE SIDE OF THIS PERMIT FOR SPECIAL PROVISIONS *
THF PERMIlTEE .SHALl NOTIFY THF DISTRICT MANAGER. OR THEIR REPRESENTATIVE, OF THE MOVE AT LEAST 2a
~OUHS PRIOR TO COMMeNCEMeNT OF THE MOVE.
r" 7"5'41) 726-2552 IN''''''Terry R. Thames OHM IUISr,lll'I"A.....~~~ .
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