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MARION COUNTY BUILDING INSPECTION <br />FOR OFFICE USE ONLY <br /> 220 High Street NE <br />Received by: Salem, Oregon 97301 <br />Date: <br /> <br /> Please complete all Seqtions, 1 through <br /> 51 issued by. <br /> ~ARION COUNTY <br /> BUED~NG ~NS <br /> I, LOCATION OFINSTALLATION <br /> <br />JobAddms~ 14452 ARNDT ROAD <br />cay AURORA ]c~osss~. AIRPORT ROAD <br />D~,~ti~, COLUMBIA H[LICOPTERS <br /> <br />NE~ BLD...G... SOUTH <br />TEMPORARY SERVICE <br /> <br />pERMrTS ARE NON-'iF. ANSFERABIJ~ AND NON.REFUNDABLI~ AND <br />EXPIRE IF WORK IS NOT STARTED WTI'HI]~ 180 DAYS OF ISSUANCE <br />OR IF WORK IS SUSPENDED FOR 180 DAYS, <br /> <br />2A, CONTRACTOR INffPALLATION ONLY <br /> <br />~l~ri~t c°:t:~t°' F R A H L E R ELEC. I~'~* 639-4627 <br /> <br />Nam"sAOar~SSl1860 SW GREENBURG ROAD, TIOA <br />property O~r J ~ <br /> <br />FOlk O~E~ INI~ALL t,.TION$ <br /> <br />Property Owner <br /> <br />Mailing Address Phone <br /> <br />City/State/Zip <br /> <br />RETURN ORiGiNAl. <br />APPLICATION <br /> <br />3. PLAN REVIEW SE~ION <br /> <br />We will provide plan review service if you complete Section <br />5B and submit two (2) sets of plans and specifications with <br />this application. <br /> <br />This optional plan review program does not suspend the <br />required submission of lighting power calculations, plans, <br />and specifications when required by thc Oregon Structural <br />SpeciMty Cede, Chapter 53. <br /> <br />Permit No. <br /> <br />~:CTION <br /> -4, FEESCHEDULE (Complete arid enl~r total in Al below) <br /> <br /> service Inc uded:ResldentlellPerUnitNumber of Inspections~,per permit allowe~ <br />A. <br /> <br /> $85.00 4 <br /> 1000~q~. ft. or less <br /> Each additional 500 sq, ft. <br /> or I'x~ion Ihemof $15.00 <br /> Limited Energy $20,00 __ 1 <br /> <br />Each Manufd Home or Modular <br />Dwelling $ervi~ or Feeder ~ $40.00 <br /> <br /> 50 00 <br /> 200 amps or less ~ $ }60JO0 <br /> 201 amp~ to 400 amps .......... <br /> 401 amps to 600 amps ~ $100,00 <br /> 601 amps to 1000 amps $130.00 <br /> Over I000 all, ps or volts <br /> Reconnect tally ..... $40,00 <br /> <br /> l~stallation, Alteration, or Relocation ] <br /> 200 amps or [~ss $35,00 <br /> 201 amps to 400 amps ~ $40,00 <br /> 40I ar~ps ~o 600 am <br /> <br />D. Branch Circuits <br /> <br /> a) The f~ for branch edtcaits whh <br /> m~r~::h a s e of sa~ic.e ay, feotler fee <br /> <br /> Each branch ~ircuit $2.00 <br /> b) The fm for ~auch clrcuts <br /> <br /> First branch clreuis $35.00 <br /> Each additional branch circuit $2.00 <br /> <br />E. Mi$¢eltsneoug (Service or Feeder Not Included) <br />I~ach pump or irrigalion circle $40.00 <br />Each sign Br oudine lighl~g $40.00 <br />Signal ¢iretlit(s) or a I~ted encegy ' ' <br />panel, alteration <br /> <br /> abc'm, per Imp*e~.on <br /> <br />Pack of 10 labels @ $.5.00 each $50.00 <br />(~'old only to ¢l¢ctrlcal cor~ractorg} <br />H. Other <br />( As r~quired by Building Official) <br /> <br />5. FEES <br />AI. ~nter total of fees from Sec. #4 $3 5 . 0 0 <br />A2. Add5%surchargc(,05xAI) $ I · / ¢ <br /> <br /> Subtotal $ __ <br /> <br /> B, Enter ~S% of line A1 for Finn Review <br /> (Se~, 3), if required $ <br /> C. lnvestigationl:'ee~, (ffmquired) $ ..... <br /> D. Reinspection Fee (5251)0) $ .... <br /> TOTALAMOUNTDUE $3 6.7 5 <br /> <br />MC' 15-34 ll/91 ~ecOpl No., <br /> <br /> <br />