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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 lrU lLlrll\ rr 11\ r (rI(lYrA I rtrL\ | l,[l Y lllJurryl[l\ I 11\ r (JruYlA I rtJN I 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 affinil*,n