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Home My WebLink AboutPermit House Move 1989-11-8 _ CITY OF SPRINGFIELD 225 North 5th Street INSPECTIONS 726-3769 eq ~ 00 'rv\0\.1'" BUSINESS 726-3753 EJil-rq?_ NEW ADDRESS (Furnished by Building Di v. ) BUILDING MOVING PERl-lIT/BUILDING DIVISION OLD ADDRESS l.(/S'j. J ~''''''' Legal Description ~~w...o FOv\. z.IU, Building Owner "'\<^.LO \\'-' ~Ioving Firm C\-",,-.., So-\"""-f' '6".\&..., Move~ Description Of Inten~ Use Address C"'-Gl....... Addre's~ 7<;5. LV,"Z.-f, Description of Route IJl b\- ~'-<o...J.., 1\ ~- S4.-. A-, .,.. 41.1 ~ ~~- ~-\ \t.><-.,~ ,,~....___ ~.,w "',.\\.........~ Descriptt~ of Building _Square Foot~g7-4/00 jloving Length Number Of Sections Being ~Ioved 2.. L'g,1 OmdpHo, ~ V . Phone Lics # Exp. Phone t..~. 3L..o~ l/-7...~-'77J 1\j'i-!i'1S33 \j;ITY DESIGNATED JOB NUMBER ..........;\\ SeAL A,.L, -\D ~> o~ ~ I';' ~ Ii tin I Moving Width J., /7.." Height On Dolly Type Of Construction \14.\-...\ VALUATION It;; I NOTIF ICATION OF MOVE: The Building Division will route copies of this application to all appropriate divisions, departments and Agen- cies. 'HOI'IEVER, 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 out- side the City of Springfield. SEWER CAP: Buildings moved from "i thin the City limits shall have the sewer capped at the property line and inspected one "orking 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 receiv- ing a permit to move a building to property "ithin the City, the applicant or his/her authorized representative must: I, Submit 2 copies of site or plot plan for ne" si te. 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 appll- cable. SEPTIC TANK REQUIREMENTS: Prior to moving, owner shall 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 77 O'cloc~pm on /1- 12-Ir') and ,;ill be completed by >< o'clock@/pm on 11-12-ff'~ , and that no changes in the route will be made without contacting the Building Division. I also certify that I have been informed that NO PERlHT 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 Exemptio~: NAl-IE 0' \ rnf.:l' " SIGNATURE c............. 0'/..(,.-) I t) DATE -L1- 8' - 5l:7 Zone Flood FOR OFFICE USE ONLY Occ!lpancy Group ~q/ Plain ~ tJ . , Type of Construction e5 \\N) VALUE Stbri'es Living !Jnits Square Footage Application fee $18,00 Date Paid Receipt Number Permit fee $60.00 -- Date Paid Receipt Number Number of Blocks over 6 a .60~ .{.DIOO Am~ - $ 3/ ,00 Sewer Cap $10.00 + 4% State Surcharge -- Date Paid '(\ \Cl-) :;police Department ;Willamalane Park and Recreatio~ ~Rainbow Water / ~ Fire Department -V-Pacific NW Bell Group W Cable ~Northwest Gas ~Lane Transit District =Z=Lanc County A, & T OTHER -- specify ...~ . ~ . PERMI; VALIDATION BUILDING MOVIN~RMIT 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!. Applicant to contact property owners .if trees involved, and secure authorizations from other jurisdictions as necessary. III. A site or plot plan, and foundation plan must be submitted 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 application 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 '_c,BO I I \ 5:S\ 1 d~ ' I ! '/j PERMIT CLE ; / .:. BUILDING DIVISION REPORT: , f) .J2/l~~ -1/1 ' .01\ Pk- L..ft ;t; ~ /LPL~ ~~.... zf~~. /' , , Bv f~r Date/l-<f-~ TRAFFIC DIVISION REPORT: t'J. K. - .Pe?E,..v7/~ ~;e '77ZP ,/~ (')/\/ SotJ-rH '/I' 5-r J'2-t?pf/~ FfZ/JN7 &'r2E6/,/j'j '5t7H7;; 1li7//w/Ij/ '7>1 V "'- Bv ~/t?J Date /I-~-E9 ENGINEERING DIVISION REPORT: . I ~ A .. .. ,. dd ___~I~ ~ ,~ ,n........::;'- ~c.~ ,(,<.,,~t ~.1/tIl..~ tI"'/. ~ ,.--. -~ ~ I . ... 0 I ,. .,./. ). '"_.J~,,,--q,L.) ~ .~~~~ ~ v /" ,. d' ~ .,'.-.. J ;::t;;-, ,'''' J - " ADDITIONAL PROJECT INFORMATION: Bv 1~ ~-Date 11/; kj I I / By , Date