HomeMy WebLinkAboutPermit Electrical 2007-03-071 ,)4 ,(1'"ilr5;
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007 -00334ISSUED: 0310712007APPLIED: 0310712007
EXPIRESz 0611112007
VALUE:
SITE ADDRESS: 1236 PARKER ST
ASSESSOR'S PARCEL NO.: 1703264416000
PROJECT DESCRIPTION: 200 amp service change out.
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration Residential
Phone Number: 541-747-6952
Springfield
Owner:
Address:
Contractor Type
Electrical
GRASSAUER ROLF & MICHELLE
2495 19TH ST
SPRINGFIELD OR 97477
Contractor
JOHNSEN ELECTRIC INC
License
38497
Expiration Date
01/10/2008
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:
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
#ff#tril*ii
fl#f,tUS;t rHr WOBK
T{ryFfltlM/r rs NoTNUNIVUUNED FNNh v: Ill
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Street lmprovements:
Storm Sewer Available:
Special Instruction:
$ Per Sq Ft
or multiplier
Square Footage
or Bid AmountDescription Type of Construction
Page I of2
Value Date Calculated
Phone
541-461-0291
L U l-IJl-rll\ tJ ll\ -tr \rl(1vlA I l(rl\ |
Yaluation Descrintion I
Al fr
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
F PRTN LD
Building/Combination Permit
PERMIT NO: COM2007 -00334ISSUED: 0310712007APPLIEDz 0310712007EXPIRES: 06/1112007
VALUE:
Fee Description
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Perm Serv/Fdr 200 amps or less
+ l0Yo Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Total Value of Project
Date PaidAmount Paid
$6.30
$3.rs
$s.04
$63.00
$4.60
$2.30
$3.68
$43.00
$3.00
$134.07
Receipt Number
2200700000000000304
2200700000000000304
2200700000000000304
2200700000000000304
3200700000000000388
3200700000000000388
3200700000000000388
3200700000000000388
3200700000000000388
3t7t07
3t7t07
3t7t07
3t7t07
6nU07
6nu07
6nt/07
6nU07
6nu07
f,'ees Paid
Plan Reviews
To Request an inspection call the24 hour recording at 726-3769. All inspections 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.
Electric Service: Approval required prior to utilify company energizing service.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
red Insnections
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 witl 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 atl 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 oI2
Date
City of Springfield rlectrical Authorization To Begin Work
E-mailed To : KELIASEN@ATT.NET
Check on status of permit
By Phone : (541)7 26-37 53 or Email : permitcenter@ci.sprin glield.or. us
t0%
Receipt # ECSL2367
6/1112007 l0:49:50 AM
Local
o33
W
Supervising electrician's name: GARY E JOHNSEN
Upon review and approval by your localiurisdiction' your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
COIre
RCPTNOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
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.
I -01D.\TE PROCESSED:
PROCLSSED BY
T New construction lfl Raartiorvatteratron/replacement
I I or 2 family dwelling ! tvtultl-famity l-l Commercial / Industrial
Job no.:Job address: ,I236 PARKER ST
City/State/ZIP: SPRINGFIELD, OR 97 477 -4132
Suite/bldg./apt.no.:
Project name: Rolf Grassauer
Cross street/directions to job site: Near I 2 St on Parker St
Lot no.lSubdivision:
Tax map/parcel no.': 17 0326441 6000
Name: RolfGrassauer
garage
Fax:Phone: (541) 747-6952
Email:
CCB lic. no.: 38497El. lic. no.: 20-53C
Business Name: JOHNSEN ELECTzuC INC
Contact: KARIN ELIASEN
Address: 2585 ROOSEVELI BLVD
City/State/ZIP: EUGENE OR 97402-2500
Fax: (541)4612340Phone: (541)4610291
Email: KELIASEN@ATT.NET
City lic. no.:Metro lic. no.:
Supervising electrician's lic, no': 3485S
Total
des
I,000 sq. ft. or less
Qty.
hmily dwelti
Ea.
Ea. addl 500 sq. ft. or portion
- Limited energy, residentlal
(with above so. ft.)
- Limited energy, multifamily
wrth above
200 amps or less
201 amps to 400 amps
401 amps to 599 amps
200 amps or less
*ifitt"fi
201 amps to 400 amps
I;oilG;
401 amps to 599 amps
Biarch circotts - NO\{, alteralio
ffi
above service or feeder fee,
each branch circuit.
$43.00$43 00B. Fee for branch circuits
without service or feeder fee,
first branch circuit;
I $3.00each addl branch circuit
Service reconnect only
$3.00
Each manufactured or modular
dwelling. service and/or feeder
Pump or irrigation circle
Sign or outline lighting
not offered online at this jurisdiction
energy panel, alteration, or
or
extension.
00
$3.688%
$6 90d fees +or
TOTALPERMIT FEE
This Authorization To Begin Work must be posted at the job site unti replace a Permit
CATEGORYOF
.,OB SITE IIIFORMANON AND LOCATIOI{
WORK,.'
"" ,:' SI?E'CONTi\CT
FEE $CHEDULE
Description
Servlces OR{eeders instatlatlon, alttration, AND/OR rtlocation
AND/OR rplocation
I
Mircellaneous
ELECTRICAL PERMIT FEES
state surcharge
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C;q of Springfield Official Receipt
^ ielopment Seruices Department
Public Works Department
RECEIPT #: 3200700000000000388 Date: 0611112007 ll:04:4lAM
Job/Journal Number
coM2007-00334
coM2007-00334
coM2007-00334
coM2007-00334
coM2007-00334
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ ljYo Administrative Fee
Amount Due
43.00
3.00
2.30
3.68
4,60
Item Total:$s6.s8
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS njm ONLINE johnsen
electric
Online
Payment Total:
ss6.s8
$s6.s8
cReceintl Page I of I 611112007
CITY OF STNGFIELD, OREGON
22sFTF.THSTREET . SPRINGf,'IELD,OR 97477 o PHz(541)726-3753 oFAXt(541)726-3689
ELECTRICAL APPLICA TTON
City Job Number Date
3?Q q ,/l boou
n
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
H:i:l-":q[ffi?,:l $50.00
l.
LEGAL DESCRIPTION A.
B.
C
D.
E.
JOB DESCRIPTION
Permits are non-transferable expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
ElectricalContractor BEACON ELECTRIC
Address 2585 ROOSEV ,T RT.VD
City EUGENE Phone 541-461-0291
Supervisor License Number 3485S
Expiration Date 10101/07
Constr. Contr. Number 38497
Expiration Date 01 /10 /08
Signature of Supervising
City ,nd Ph""" 14 -2901-----ru--
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
$ 106.00
$ 19.00
200 Amps or less
201 Amps ro 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
Hffi gII wvr
)rth€
)nt6r
Ft ittJlta
)rcT6fi-11
$ r 63.00
$375.00
$ 50.00
Installation, Alteration or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
Over 600 or 1000 Volts see "B" above.
Panel
$43.00
{rfiK
fr#
w
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
8% State Surcharge
l0% Administrative Fees% Tec* fuTOTAL-
$ s0.00
$ s0.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
OD
tInspection Request: 726-3769
4.
Shared Drive(T:/Building Forms/Electrical Permit Application I
LO CATI ON OF IX STEUATI ON
COTffRACTOR INSITALI,A:ilON QNLY
COiWPLETD FM SCHEDUTA BELOW3.$
Services,or',Feeders
Amps
SUBTO:TALOFENOI/g
lr7
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007-00334ISSUED: 0310712007
APPLIEDz 0310712007
EXPIRESz 0910712007
VALUE:
SITE ADDRESS: 1236 PARKER ST
ASSESSOR'S PARCELNO.: 1703264416000
PROJECT DESCRIPTION: 200 amp service change out.
Owner:
Address:
Contractor Type
Electrical
GRASSAUER ROLF & MICHELLE
2495 19TH ST
SPRINGFIELD OR 97477
calling the center (Note:the telephonenumberfcrtheOrcgonU!ility Notification
Center I
Contractor
JOHNSEN ELECTRIC INC
License
38497
Expiration Date
01/10/2008
Phone
541-461-0291
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure:
Type of Heat:
X'ff:lI[:; r{oTrGE:
ro.igy iutn, THIS PERMIT S
Sprinkled Building: AUTH gR+ffi D UN
K
IT IS NOT
REQUIRED PARKING
Total:
Handicapped:
Compact:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
'/o of Lot Coverage:
AY PERIOD
Sidewalk Type:
Downspouts/Drains:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Type of Construction
Page I of2
Value Date Calculated
Springfield TYPE Only
/r.)u i(;
Residential
ru are Set forlin OAR 954-001-0010 through OAR 952-001
Lrrl\(,KIYIA T TUI\ I
lrutt utl\u lN-tl(Jr(.lYlA t t(,l\ |
Valuation Description
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2007 -00334ISSUED: 0310712007
APPLIEDT 0310712007
EXPIRESz 0910712007
VALUE:
Fee Description
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
3/7107
3t7t07
3t7t07
3t7 t07
Receipt Number
2200700000000000304
2200700000000000304
2200700000000000304
2200700000000000304
$6.30
$3.15
$5.04
$63.00
$77.49
Fees Pa
Plan Reviews
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
Electric Service: Approval required prior to utility company energizing service.
nsnections
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
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cir" of Springfield Official Receipt
D. ropment Services Department
Public Works Department
RECEIPT #: 2200700000000000304 Date: 0310712007 1l:54:51AM
Job/Journal Number
coM2007-00334
coM2007-00334
coM2007-00334
coM2007-00334
Description
Perm Servffdr 200 amps or less
+ 8% State Surcharge
+ llYo Administrative Fee
+ 5olo Technology Fee
Amount Due
63.00
5.04
6.30
3.15
Item Total:$77.49
Payments:
Type ofPayment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
CreditCard DIANA L. KETTS/BEACON
LIGHTING
ddk 030867 In Person
Payment Total:
$77.49
v1:49
Page 1 of I 3/7 t2007cReceintl