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MARION COUNTY BUILDING INSPECTIO~ ~-~ <br /> COMMUNITY DEVELOPMENT CENTER <br />FO~ OITY I/ALIDATInI"I I 285 Church St NE' Room 132 f~. <br />....... I Salem, OR 97301 "~ ,. ' <br /> · :-- I Date . <br /> Date: : <br /> Date:__ __ 24 hr. Inspection Line 3734427 _ tb'/~ Dt~_ <br /> Office: Phone 588-5147 S:00am - 4:30pm ~lll~ ~':/*'"U~/CDt- <br /> FAX: 588-7948 le$1Jtt~l,l~/? . <br /> <br /> Please complete all Sections, 1 through ~ 4. I~E~l 5CHI~DULE (Complete and enter total in A 1 below) <br /> A. Re*idemial Per [Init Nmnber ofln~pectinns <br /> Items Cost(each) Sam <br /> <br />1. LOCATION OF INSTALLATION <br /> <br /> PERMITS AR~ NON-TRANSFeRABLE AND EXPIR~ IF WORK IS NOT <br /> STARTED WITHIN 1~0 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />Parkin Electric, Inc. 20250 S Molalla Ave. <br />Oregon City, OR 97045 503-657-4958 <br />Contractors License #: 34-4C <br />Supervisor: 4241-S <br />Contractors Board Reg #: 35151 <br /> <br />211. FOR OWNtlR INSTALLATIONS <br /> <br /> Property Owne~ (plea~ print) <br /> Mailing Adders Phone <br /> <br /> City/State/Zip <br /> <br /> Owner's Signature: <br /> <br />3. PLAN RltVIEW SRCTION <br /> <br /> Marion County does not require a plan review. <br /> We will provide plan review service if you complete <br /> Section 5B and submit two (2) sets of plans and <br /> specifications with this application. <br /> <br />MC 15-341/96 <br /> <br />Service Included: <br />10~0 sq. ft. or less $85.~0 4 <br />Each additional 500 sq. ft. <br /> or portion thereof $15,00 -- <br />Limited Energy $20.00 1 <br />Each Manufactured Home or Modular <br /> Dw,lUng Se iee o, I ,4o.0o q <br />B, Se~vice~ or Feeders (Does not include branch circuS, see sectinn D) <br /> Installation, ~lte~afioa ~ Relocat|ca <br /> 200 amps or 1~ $50.00 -- <br /> 201 amps to 400 amps $60.00 -- <br /> 401 amps to 600 amps $100.00 <br /> ~0t amps to I000 ~nps $1~0.00 <br /> Owr 1000 amps or voile $300.00 -- <br /> Reconnect only $40.00 -- <br /> <br />C. Temporary 8efVwea/Feede~s <br />Installation, AIt~atlon, e~ Relocation <br />200 amps or less $35.00 -- <br />201 amps to 400 amps $40.00 -- <br />401 amps to 600 amps $80.C0 -- <br />Over 600 amps or 1000 volt~ <br /> <br />D. Branch Circuits <br /> <br />2 <br />2 <br />2 <br />2 <br />2 <br />2 <br /> <br />2 <br />2 <br />2 <br /> <br />2 <br />2 <br /> <br />2 <br /> <br />b) The fee for branch circuits ~ <br /> <br />First branch circuit <br />Each additional branch circuit <br /> <br />$35.~ -- <br />$2.~__ <br /> <br />E, Miscellaneous (~rvic~or Peed~ Not Included) <br />Each pump or irrigation circle $40.00 <br />Each sign or outline lighting $40.00 -- <br />Signal circuit(s)or a limited energy <br />panel, alteration or extansion $40.00 <br />F. Each additional Inspection <br />Over tl~ allownb[o in any of the <br />above, I~r Inspection $35.00 -- <br />O. Minoc Installation LAbels <br />Pack of 10 labels @ $5.00 each $50.00 -- <br />(sold only to electrical contractors) <br />H. Othe~ <br />(As required by Building OIFtciM) <br />Aurora Dwelling Electrical Fee <br /> Dwelling Permit L~bel <br /> <br />__~q. fl. x $.068=__ <br />ff of Lebels N/C <br /> <br />5. FEES <br /> Al, Enter total of fees from Sec. #4 <br /> A2. Add 5% surcharge (.05 x Al) <br /> Subtotal <br /> <br /> B, Enter 25% of line Al for Plan Review <br /> (Sec, 3), if required <br /> C. Investigation Fee (if requited) <br /> D. Reinspection lee ($25,00) <br /> <br /> TOTAL AMOUNT DUE <br /> Receipt No. -- <br /> <br /> <br />