HomeMy WebLinkAboutPermit Board of Appeals 2006-12-22Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/C ombination Permit
639PERMIT NO: COM2006-01ISSUED: 1212212006APPLIED: 1212212006EXPIRES: 0612212007
VALUE:ru
SITE ADDRESS: 1462 VERA DR Springfield TYPE OF WORK: Electrical Work Only
ASSESSOR'S PARCEL NO.: 1703243200307
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: Separate bedroom and bathroom and add outdoor receptacle.
Owner:
Address:
Contractor Type
Electrical
WEST GREGORY ROBERTS TE
1462 VERA DR
SPRINGFIELD OR 97477
Contractor
LR BRABHAM
License
8699
Expiration Date
t2n8t20t0
Phone
s4t-747-6638
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Type of Construction
Pase I of 2
Value Date Calculated
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Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
C
Building/Combination Permit
PERMIT NO: COM2006-01639ISSUED: 1212212006
APPLIEDz 1212212006
EXPIRESz 0612212007
VALUE:
Amount Paid
Total Value of Project
Date PaidFee Description
+ l0oh Administrative Fee
+ 5%o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
$4.60
$2.30
$3.68
$43.00
$3.00
12t22t06
t2t22t06
12t22t06
12t22t06
12t22t06
Receipt Number
2200600000000001736
2200600000000001736
2200600000000001736
2200600000000001736
2200600000000001736
$s6.s8
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Reorr
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Paee 2 of 2
Date
J
F ees rard
City of Springfield
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within ono business day,
with instructions on how to schodule your inspection'
NOTE: This Authodzation To Begin Work expires within 180
days if a permit is not obtainod.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances'
plectrical Authorization To Begin Work
E-mailed To: bhalada@quixnet.net
Check on status of permit:
Contact ; http ://www.ci.sprin gfi eld.or. us/dsd/Buildin g/index. htm
Receint # 8C507245
1212112006 4:23:36 PM
Admin Fee; 5%
T New construction ftl Addition/alteration/replacement
[ 1 or 2 family dwelling f tvtulti-family I Commercial / Industrial
Job no.t 6224 Jobaddress: 1462 VERADR
City /StatelZlPz SPRINGFIELD, OR 97 477 -1633
Suite/bldg./apt.no.r
Project name: GREGWEST
Cross streeUdirections to job site:
Subdivision:Lot no.:
Tax map/parcel no; 1703243200307
Name: GRECWEST
SEPARATE BEDROOM &
RECEPTACLE
FaxPhone: (541) 736-9525
El. lic. no.: 20-87C
Email:
CCB lic.no.: 8699
Business Name: LR BRABHAM INC
Contact: LARRY BRABHAM, JR
Address:68WQST
City/State/ZIP: SPRINGFIELD OR 97 477 -21 42
Fatc 5417477157Phone:5417476638
Email: bhalada@quixnet.net
City lic no.:Metro lic no.:
Supervising electrician's lic. no.: 49445
Supervising electrician's name: LARRY R BRABHAM, JR
Qty.Ea.
1,000 sq. ft. or less
Description
Ea. addl 500 sq. ft. or portion
- Limited energy, residential
(with above sq. ft.)
ntlon.-;;,,1
- Limited energy, multifamity
200 amps or less
residential with above
-
alteration, A
201 amps to 400 amps
401 amps to 599 amps
200 amps or less
201 amps to 400 amps
401 amps to 599 amps
ffi
*rapp$;6,fSuits,' NES, altnralio
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit.
"."".","..,:,:".":.l:'_r,0R*xtus
$43.00B. Fee for branch circuits
without service or feeder fee,
first branch circuit:
$43.00
each addl branch circuit
Service reconnect only
$3.00 $3.00
.tt.i . "
Each manufactured or modular
dwelling, sewice and/or feeder
Pump or irrrgation circle
Sign or outline lighting
energy panel, alteration, or
extension.
Subtotal $46.00
circui(s) or limited-
$45.00Minimum Fee
$3 68of
$6,90City Of Springfield fees *
TOTALPERMIT FEE
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
OF
Al'lD
OF
' COTITRACTOR
Total
Includes
OR
I
I
Miscellaaeou*
State Surcharse
225 Fifth Street
Springfield, Oregon 97 477
54\-726-3759 Phone
C,rv of Springfield Official Receipt
^ elopment Services Department
Public Works Department
RECEIPT #: 2200600000000001736 Date: 1212212006 8:23:llAM
Job/Journal Number
coM2006-0 r 639
coM2006-01639
coM2006-01639
coM2006-01639
coM2006-0 r 639
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 87o State Surcharge
+ ll%o Administrative Fee
Amount Due
43.00
3.00
2.30
3.68
4.60
Item Total:$56.s8
Payments:
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS ddk ONLINE LR Brabham Online
Payment Total:
$s6.58
-s563E.
cReceintl Page I of I 12122t2006
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