HomeMy WebLinkAboutPermit House Move 1993-6-4
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INSPfCTIQUS 726-3769-
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.ITY Or SPRINCf-lELD
225 North 5th Street
BUSINESS 726-3753
BUILDINC MOVING PERM['I'/BUII.IlING DIVISION
Lega I Description
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OLD ADDRESS
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Legai "Description
-1!1()~33 21 DllOJ._
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31-
Building Owner 1
~C ~ c.ro:S6 ''"(
M~ng Firm .
. L/(,;(j -S ~CI(W
Description Of. Intended Use
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Description of
~1 ftI (\J
Route
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by Building Div.)
NI'IV ADDRESS Crurnished
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CITY
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Oescription of Bui1dinR
:Square Footage ,=C9 Moving Length <fa Moving Width 20' Height On Dolly Ol.:z I
Number Of Sections Being ~Ioved I Type Of Construction ~_ VALUATION
NOTIrICATION OF MOVE: The Building Division
will route copi~s of this application to all
appropriate divisions; departments and Agen-
cies. HOWEVER, the applicant must contact
property ownel's if trees are involved in the
proposed move. IN ADDITION, the applicant
must secu~e the approval of all appropriate
municipal', county and state authorities
should the move originate or terminate out-
side the City of Springfield.
SEWER CAP: Buildings moved from within the
City limits shall have the sewer capped at
the property line and inspected one working
day prior to the move. If. the inspection
indicates that the sewer has not been prop-
erly capped, the moving permit will be
revoked.
PLANS, FEES, AND CHARGES: Prior to recei v-
ing a permit to move a building to property
within the City, the applicant or his/her
authorized representative must:
1. S'~mit 2 copies of site or plot plan
for new site.
2. Submit 2 copies of foundation plan for
the relocated building.
3. Obtain a permit covering the new founda-
tion, as well as all plumbing/mechanical
and electrical work relating to the re-
located building.
4. Pay Systems Development Charge if appli-
cable.
. SEPT! C TANK REQUIREMENTS: Prior to moving,
owner sha 11 have all sludge from the septic
tank, seepage pit or cesspool removed by a
person holding a sewage dispoa1 service li-
cense, and shall fill same with clean bar-
run gravel or other material approved by the
Director or his authorized representative.
.'
I CERTIFY THAT the above information is true and correct, that all required contacts have
been made and authorizations obtained, that the move will begin at ..S':fY),'c10ck(aill'tpm
on... \,1\\1 \'=\ \QC\':2., and will be completed by ~;tY)>'c10ck@/p~\2f)~ ~\C{:l-<.,
and that no changes "in the route will be made without contacting the Building Divisihn. -g
also certify that I have been informed that NO PERMIT. WILL BE ISSUED BEFORE 5 WORKING DAYS
HAVE ELASPED. I further certify that my registration with the Builder's Board is in full
force and effect as required by ORS 701.055 and 701.070, and that if exempt the basis is
noted hereon. Basis for Builder's Board Exemption:_
NANE 61Z\~ 0~i':(':) SIGNATURE (jjv~l- \s> DATf9~ (-(tS
Zone \ f)~ Flood Plain
FOR OFFICE USE ONLY
Type of Const ruction V f\)
Square rootage \MD
Stories
r ' Living Uni ts
l
Occupancy Group ~~
VALUE.
Application fee $18.00 Date Paid tel \JJCL; Receipt Number ...o:r8<j
Permit fee $60.00 -- Date Paid 0- \t ).q~ Rece);,c,t_Number ~C\q
Number of Blocks ovy,. 6 @ .60~ -l~L\~+rI:ol2 Am~t'$ ~~.~,
Sewer Cap $~;11lP1 ~OState Surcharge -- Date Paid,- ~ ~I \ Qr0D f> \Y\1 r\ D\\ ,'---;-\fl":tQ[)
~Police Department _Wi 1~ama1ane. Park and Recreat:io~,~ XRalnbdw" Water / ~r;)j ia=<.
~F1re Department, 1'-6€'i'-.__ :,:. u:H Group W Cable "\.--I
_Northwest Gas . ;)(Lane ,Transit District ~Lane County A & T
_OTllER 'n 5[ledf~'( ....1'\~ ~ ~ It... 7 .
. . BUILDING MOVING PERMIT
I. Applicant to furnish (except as indicated)
A. Old address for building
B. Legal Description
C. New address for' building
(Building Div. will furnish)
D. Legal Description
E. Name, etc. of building owner
F, Name, etc. of moving firm
G. A description of intended use
H. A description of proposed route
I. A description of the building
I I. App 1 i cant to contact property owners if trees
involved, and secure authorizations from
other jurisdictions as necessary.
UI. A site or plot plan, and foundation plan must
be submHted for the new site (2 sets)
. IV. Plans must also be submitted for any other
work relating to the relocated building.
V. Fees & Charges:
A. Application fee due and payable at time
of appl ication
B. Moving permit fees due and payable upon
permit issuance
C.' FEES & CHARGES TO BE CALCULATED BY
BUILDING DIVISION STAFF
VI. FOR OFFICE USE ONLY
A. Plan check data collected
B. Copies of application to appropriate
divisions, departments and agencies
BUILDING DIVISION REPORT:
PERMIT VALIDATION
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PERMIT CLERK ~\nt~
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TRAFFIC DIVISION REPORT:
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ENGINEERING DIVISION REPORT:
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OWNe:es
: ADDITIONAL PROJECT I FORMATION: :----n
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By 1':' "\Au.IsTJ"'~ate <&/3/93
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Date
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ACIAl TRANSPORTATION _RMIT
FOR HOUSE MOVES
PERMIT NO.
o..."on'~dT..,......""
-~I;'HWAV OIVISION 1r
jl-'CHMIt Il:.e NAMl::.
Chris Scho~p Bldg. Movers
rU~~";' W. 27th
IC'~~'~:'~:'~ OR 97405
ItjU~L~~3H;UI~ I HA IIUN NUMI:il:.H.
t'l::.HMII IN~I-'l:.(; IIUN Ul:..-u::ilt
000589
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6/7 /93
COMMODITY
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8.~0
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2 LANE: 0 NONE
4 LANE: 0 NONE
36'0" 30'0"
1 1
2 2
3 3
de.I.:i,l'lJ'iIl'lu I'\LlL.lHt:~
iD FRONT [jlREAR
iDFRONT QREAR 5759 E. Main
22'0"
75'0"
1
2
3
Wood Frame
NO. OF SECTIONS
1
2
3
....Il.U'IIt:Mrvl.C
REQUIREMENTS
Ut;::i I IN'" IIUN AUUHl:::>::i
48th Street, Springfield
Ifl::.;;~N; M;~;~ I;;UUIt"Ml::.NI
STREET I HIGHWAY
IUNU. t"Ul;NU. LII,.;t:N::it:NO.
N17606 YCPJ631
ROUTE
FROM MP TO MP
5759 E. Main 6.05 48th S t. 5.29
CUM". NU.
Ar.ENCY
McKenzie Highway
HIGHWAY
TYPE OF
PAVEMENT
WIDTH OF
PAVEMENT USABLE ROADWAY
lOWEST
OVERHEAD STRUCTURE
IHAUL"~;7H~~";~:~;'~y 7:00 a.m.
IH~~~~U;~::;tHI;;~I~~~l:U ~~, 1993
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*SEE REVERSE S/DE OF TH/S PERMIT FOR SPECIAL PROVlS/ONS *
THE PERMIITEE SHALL NOTIFY THE DISTRICT MANAGER. OR THEIR REPRESENTATIVE, OF THE MOVE AT LEAST 24
HOURS PRIOR TO COMMENCEMENT OF THE MOVE.
I 'meH;~"6_2552'
734.2006 7.00)
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