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FOR CITY VALIDATION Ro~eived by: Date: MAI~ON COUNTY BUILDING INSPBCTION COMMUNFFY DEVELOPMENT CENTER 285 Church St NE - Room 132 Salem, OR 97301 24 hr. Inspection Line 373-4427 Office: Phone 588-5147 8:00am - 4:30pm FAX: $88-7948 IELECTRICAL PERMIT APPLICATION Please complete all Sections, I through 1. LOCATION OF INSTALLATION Cross Str~ffDir~ctions: PERMITS ARE NON-TRANSFERABL~ AND EXPIRE IF WORK IS NOT STARTE~ WITltIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPF.~IDF-D FOR 180 DAYS. 2A. COHTRACTOR INSTALLATION ONLY Parkin Electric, Inc. 20250 S Molalla Ave. Oregon City, OR 97045 503-657-4958 Contractors License #: 34-4C Supervisor: 4241-S Con_tractors Boa~_. Reg ii: 35151 Contractor's Board Peg No. , t'/ ~lob ~o. Sigmmre of Supervisin~gElectrician ~/~/'~[ Sapervisor's L cerise NO. [ Phone# 2B. FOR OWNHR INSTALLATIONS Propeay Owner (p/e~ print) Mailing Add~s I Cit~lStat~/Zip Owner's Signature: 3. PLAN RBVIBW SBCTION Marion County does not require a plan review. We will provide plan review service if you complete Section 5B and submit two (2) sets of plans and specifications with this application. MC 15-34 1/96 PERMIT NO: ~ lwns OA/COONT ow' ~ R~idmtial P~ Unit ~ ~vi~ln~ud~: 1~ ~t(eaoh) Sum I 1~ sq. ~. ~ less $85.~ 4 ~ch addi/~nsl 5~ sq. fl. or ~on ~f $15.~ ~mited Energy $20.~ . ~ ~ch Manufacm~ Home or Modular Dwalli~S~iceorF~ed~ [ ~0.~ ~0' 2 B. ~vi~ ~ F~a (~ ~t ~ b~ch eimuit~ see sg~ D) 200 amps or less $50.00 2 201 amps to 400 amps $60.00 2 401 amps to 600 amps $100.00 2 601 amps to 1000 amps $130,00 2 Over 1000 amps or volts $300.00 2 Reconnect only $40.00 2 C. Temporary S~vlc~ffieed*ra 200 amps or less $35.00 2 201 amps to 400 amps $40.00 -- 2 401 amps to 600 amps $80.00 2 a) The fee for branch circuits l/ilh Each branch circuit $ 2.00 b) The f~ for branch circuits without purchase of service or feeder fee First branch circuit Each additional branch circuit $35.00 $ 2.00 E. Mia~llam~ous (Servio~ ~' F~d~r Not Include) ~ch pump or ~gation cimlo ~.00 2 ~ch si~ or outline li~g ~.~ 2 S~n~ ckc~t(s) or a l~it~ en~ panel, ~t~afi~ or ~mion ~.~ ~ 2 Over the allowable in any of ~* a~v¢, ~r lmpect~n $35.~ ~ck of 10 l~c~ ~ $5.~ ~ch $~ (~d on~ to e~i~l c~mcto~) (~ r~ui~d by Bnil~ O~aiM) Arum ~clli~ El~cal F~ ~q. ft. x $.068 = ~ ~elling Pe~it ~bcl g of ~ls N/C~ 5. FEES Ik~ ~'- Al. Enler total of fees from S~c. A2. Add 5% sm'chargo (.05 x Al) Subto~l B, En~r 25% of lin~ Al for P~n R~vi~w (Sec. 3), if~uigd J/~ I~ r ~jl- D. Reimp=ction Fee ($25.~) Receipt No.