City of Tomball, 501 James Street, Tomball, Texas 77375 Phone: 281-290-1402 www.tomballtx.gov
Revised: 1/20/2020
City of Tomball
BUILDING PERMIT (MOVING)
APPLICATION
501 James St.
Tomball, TX 77375
Phone: 281-290-1402
Fax: 281-351-4735
PLEASE FILL OUT COMPLETELY EXCEPT FOR SHADED AREAS
JOB ADDRESS
PERMIT NUMBER
LEGAL DESCRIPTION
LOT NO.
BLOCK
TRACT
OWNER
MAILING
ADDRESS
PHONE
CONTRACTOR
MAILING
ADDERSS
PHONE
USE OF BUILDING
CLASS OF WORK
DESCRIBE CONSTRUCTION WORK
CITY COMMENTS
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilation or air conditioning. This permit
becomes null and void if work or construction authorized is not commenced within 6 months, or if
construction or work is abandoned for a period of 6 months at any time after work is commenced. All
provisions of laws and ordinances governing this type of work will be complied with whether
specified herein
or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
other state or local law relating to construction, nor does it give authorization or approval to encroach on any
easement or property or violate any deed restrictions. The City of Tomball shall never be liable
for any
damage or loss by reason of the issuance hereof. Each holder and other persons acting under authority of this
permit are personally responsible for compliance with all the above provisions and assume the
entire risks
incidental to the work being permitted.
I hereby certify that I have read and examined this application and know the same to be true and
correct.
TOTAL PROJECT VALUATION
$
PLAN CHECH FEE
BUILDING PERMIT FEE
TAP FEES
OCCUAPNCY CLASS
FIRE SPRINKLER
YES
NO
PARKING SPACES
NUMBER OF STORIES
TOTAL PAVING
TYPE OF CONSTRUCTION
TOTAL BUILDING AREA (SF)
OCCUPANT LOAD
THERE SHALL BE NO REFUND OF FEES
PLEASE NOTE:
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
-CONSTRUCTION DEBRIS WILL NOT BE COLLECTED
WITH THE REGULAR TRASH SERVICE.
-ALL ROLL-OFFS MUST BE ORDERD DIRECTLY
THROUGH WCA AT (281) 368-8397 OR
CSHOUSTON@WCAMERICA.COM
SIGNATURE OF BUILDING OFFICIAL DATE
City of Tomball, 501 James Street, Tomball, Texas 77375 Phone: 281-290-1402 www.tomballtx.gov
Revised: 1/20/2020
MOVING
911T -Moving building(s) within the city
TYPE OF WORK
(Please check
box)
MISCELLANEOUS INFORMATION
DESCRIBE THE TYPE AND KIND
OF BUILDING TO BE MOVED
ORIGINAL COST
OF BUILDING
EXTREME LENGTH
DIMENSIONS
EXTREME HEIGHT
DIMENSIONS
EXTREME WIDTH
DIMENSIONS
PRESENT LOCATION OF BUILDING
PROPOSED LOCATION OF BUILDING
STREET NUMBER
STREET NAME
STREET NUMBER
STREET NAME
SUBDIVISION NAME
SUBDIVISION NAME
LOT NUMBER
BLOCK NUMBER
TRACT NUMBER
LOT NUMBER
BLOCK NUMBER
TRACT NUMBER
PRESENT USE OF STRUCTURE
PROPOSED USE OF STRUCTURE
ENTITIES AFFECTED BY MOVING ROUTE THAT ARE TO BE NOTIFIED
Fire Department
Telephone Company
Electric Company
Property Owners (Please provide list)
The time that the building will be upon the streets (from start to finish) and the contemplated route of
the move must be submitted for approval upon application of this permit.
OTHER PERMITS REQUIRED
Building
Electric
Mechanical
Plumbing
CONNECTIONS NEEDED
Electric
Gas
Sewer
Water
PUBLIC SAFETY REQUIREMENTS
Every building which occupies any portion of public property after sundown shall have sufficient lights
continuo
usly burning between
sunset and sunrise for the protection of the public. There shall be a minimum of five red lights placed on each street side of the
building. Such red lights shall be attached to the building in such a fashion as to indicate extreme width, height, and size. In addition
to the red lights on the building, flares shall be placed at regular intervals for a distance of 200 ft. (61 m) up the street on each side of
the building. When more that 50% of the street, measured between curbs, is occupied at night by the building, or when in the opinion
of the building official, flagmen are necessary to divert or caution traffic, the owner or person moving such building shall employ at
their expense, two flagmen, one at each street intersection beyond the building. Such flagmen shall remain at these intersections
diverting or cautioning traffic from sunset to sunrise. Red lights shall be employed in flagging traffic at night. Any
buil
ding being
moved for which permit was granted shall not be allowed to remain in or on the streets for more than 48 hours.
Payment of permit fees does not guarantee approval of this application. Should the permit application be denied, and there is no
violation of any code or law of the City of Tomball, the fees will be refunded via the Citys Accounts Payable Department.
By signing the front of this form I agree to follow the Code of Ordinances for the City of Tomball and any associated laws
ap
plicable
in the City of Tomball, Harris County and the State of Texas. I also understand that any structure being moved into the city limits
must be accompanied by an application for a building permit with complete plans and specifications, bearing the
Engineer/Arch
itect
seal, showing the changes or conditions of said structure. A Certificate of Occupancy must be issued before moving into the
structure for which this permit is issued. Permits expire after 180 days.
**Contractor must provide Liability Insurance with a minimum of $500,000 of combined single limit coverage Equal to or Greater than the
contract amount, whichever is greater. The City of Tomball must be listed as the “Certificate Holder” on the policy.
**Property Owner or Authorized Agent must sign the Moving Application form.