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MARION COUNTY BUILDING INSPECTION FOR OFFICE USE ONLY 220 High Su~et NE Received by:. Salem, Oregon 97301 Date: Phone 588-5147 8.~0 ~rfl - 4'3 Opm Code-A-Phone: 588-7904 p :tions, l thr~Ah'~ [- ~) '~~C'~ ] 6 1~:)6 Issued by: 1. LOCATION OF INSTALLATION ~ob^dd~e. 14452 ARNDT ROAD AURORA m~dens COLUMBIA HELICOPTER MARION COUNT BUILDING INS EC" ~s~l,~on 600 AMP PANEL & 3 CIRCUITS P~o, MITS ARE NON-~S~LE ~ NON-~AB~ E~ W WO~ IS NOT ST~ ~ 180 DAYS OF ~SU~CE OR W WO~ IS SUS~ED FOR 180 DA~. 2A. CONTRACTOR INSTALLATION ONLY Elec~fic~lC~ac~°r FRAHLER ELECTRIC [Pho.e 639-4627 M~gAddmss 11860 SW GREENBURG RD./TIGARD, OR ~ O~er ] ~ C~ctots ~c~ No. 37410 Co,~sB~a~,g. No. 34-13C ~Yob~o. 56585 S~tem of Su~g ~tfi~ ~~ No. 181 6 S 2B. FOR OWNER INSTALLATIONS IPhone No. 639-4627 Mailing Address City/State/Zip The ~r~lal]afion J~ being made on propeP~ I own which is nc~ inmnded for suit, Owner's Signature 3. PLAN REVIEW SECTION We will provide plan review service if you complete Section 5B and submit two (2) sets of plans and specifications with this application. This optional plan review program does not suspend the required submission of lighting power calculations, plans, and specifications when required by the Oregon Stmctmal Specialty Code, Chapter 53. MC15-34 11/91 Permit No. 4. FEE SCHEDULE (Complete and enter total in Al below) Number of Inspections p~- permit allowed A. Residential Per Unit 1 Service Included: Items Cmt (each) Sum/ 1000 sq. ft. or less $85.00 4 Each additional 500 sq. fl. or pon/ca thereof $15.00 -- Limited Energy $~0.00 1 Each Manufd Home or Modular Dwelling Sen, ice or Feeder $40.00 -- 2 B. Services or Feeders (Does not inlmde branch circuits, see section D) Installation, Alterations or Rdoeation 200 amps o~less 201 amps to 400 amps 401 amps to 600 amps 1 Over 1000 a~aps or volts Reoonneet only C. Temporary Servlces/peeders Ins~Mlation, Alteration, or Relocation 200 amps or less 201 ~nps to 400 amps 401 amps to 600 amps Over 600 amps or 1000 volts D. Branch Circuits New, Alteration, or Extension Per Panel a) The fee for branch circuits with ourchase of service or feeder leg Each branch circuit ~ b) The fee for bnmch clrcuts v4thout vurchase of ~ervice or feeder fee First branch circuit Each additional branch circuit E. Mlseellaneoos (Service or Feeder Not Included) Each pump or inigation circle E~ch sign or cufline Eghfing Signal circint(s) or a llmi~at energy i~nel, alteration or extension F. Ead~ addltiolml Inspection over the allowable in any of the above, per Inspection G. Minor Installatlo~ Labels Pack of 10 labels @ $5.00 each (~old only to electrical contractorz) H. Other ( A~ req~rad by Building Official) ~50.00 --2 60.00 2 $100.00 100_002 $130.00 --2 $300.00 2 $40.00 2 $35.00 2 $4o.oo e $80.00 2 $2.00 R RR $35.00 $3.oo $40.00 -- 2 $40.00 -- 2 $40.00 $35.00 $50.00 5. FEES Al. Fmter total of fees from Sec. #4 A2. Add 5% surcharge (.05 x Al) Subtotal B. Enter25%ofhneAl for Plan Review (Sec. 3), if required C. lnvesfigationFee (ff required) D. Reinspectinn Fee ($25.00) TOTAL AMOUNT DUE Receipt No. $111.30