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FOR OFFICE USE ONLY <br />Received by: <br />Date: <br /> <br /> , FA~: $88*?948 <br />I <br /> Please complete all Secticns, <br /> <br /> L LOCATION OVIN~fALLATION <br /> <br />JobAddress14312 STENBOCH WAY <br /> <br />Ci~ AURORA I Cross St <br /> <br />MARION COUNTY BUILDING INSPECTION ~-- ¢~35 <br /> 2~A~qR~I ~q~'ET 3150 LANCASTER DR NE #C <br /> <br /> Phone 58g-51478:00 mm- 4:a0pm24-11R IIlSPECTION L~: (503) 37~4427 <br /> ~-A-~: ~sS-7~ SITE ~: Permit No, <br /> <br />~eoti~s WARN INDUSTRIES <br /> AURORA FLIGHT HANGER <br /> <br />Des~p6on LV DATA/TELECOMMUNICATION <br /> <br />PEP. MITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND <br />EXPIRE IF WORK IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE <br />OR IF WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />Conumo~s Li~seNo. 26-34C <br />Contractors Board Reg. No. Off&58 ] ~ch No. 509-6052 <br /> <br />7/16/98 <br /> <br />2B. FOR OWNER INSTALLATIONS <br /> <br />Prop~ Owner <br /> <br />Mailing Addrc~ - -- Phone <br />City/St atefZip <br /> <br />The insudla~on is being mad~ ~ properly I own which is net in~ndcd for s~l~, <br /> <br />~Owner's Signature <br /> <br /> 3. PLAN REVIEW SECTION <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 the Oregon Structural <br />Spccial~y Cede, Chapter 53. <br /> <br />MC 15-34 11/91 <br /> <br />Date: <br /> <br />Issued by: <br /> <br />4. FEE SCHEDULE (Comglete and ~ter totalin Al below) <br /> Number of Inspections p~' permit allowed --] <br /> <br />A. <br /> Re~dential <br /> Per <br /> Unit <br /> 1 <br /> Service Included: Items Cost (each) Sum/ <br /> 1000 sq. ft orless $85.00 4 <br /> Each additional 500 sq. ft <br /> or ponin~ the~of $15.00 <br /> Limited En~gy $20.00 1 <br /> Each Manufd Home or Modular <br /> Dwelling Service or Fe.~ler $40.00 2 <br /> <br />B. Services or Feeders (Doe~ not inlcudc branch circuit% se~ section D) <br /> Installation, Alterations or Relo~ation <br /> 200 amps ~'less $50.00 -- 2 <br /> 201 amps to 400 amps $60.00 -- 2 <br /> 401 amlm to 600 amps $100.00 2 <br /> 601 amp~ to 1000 amps $130.00 2 <br /> Over 1000 ~nps or volts $~00.00 2 <br /> Recon~t only $40.00 -- 2 <br /> <br /> C. Temporary Services/Feet,s <br /> Installation, Air,arian, or Relocation <br /> 200 m'np~ or less $35.00 -- 2 <br /> 201 amp~ m 400 amps $40.00 -- 2 <br /> 401 amps m 600 amps $80.00 -- 2 <br /> Over 600 amps or 1000 volts <br /> <br />D. Branch Circuits <br /> New, Alteration, or Ext~slon Per Panel <br /> <br /> a) The fee for branch clrcui~z <br /> uurchase of service or feeder fee <br /> <br /> Each branch circuit <br /> <br /> b) The fee fo~ branch circuts wiUhout <br /> mm=base of servic~ or feeder fee <br /> <br /> First branch circuit <br /> Each additional branch circuit <br /> <br />E. Miscellaneous (Service or Feeder Not Included) <br /> Each pump or irfigati~m circle <br /> Each sign or catiine lighting <br /> Signal circuit(s) or a limited enemy <br /> panel, alteration or extension <br /> <br />F. Each additional Inspection <br /> over thc allowable in any of the <br /> above, pe~ Inspection <br /> <br />G. Minor Installation Labels <br /> Pack of 10 labels @ $5.00 each <br /> (sold only to electrical contractors) <br /> <br />H. Other <br /> (As req~red by Building Official) <br /> <br />$2.00 <br /> <br />$35.0~ <br /> <br />$40.00 <br />$40,00 <br /> <br />$4o:oo <br /> <br />$35.00 <br /> <br />ssa.aa <br /> <br />5. FEES <br /> Al. Enter ~ of fees from Sec. #4 <br /> A2. Add 5% surcharge (.05 x Al) <br /> <br /> Subtotal <br /> B. Enter 25% of line A1 for Plan Review <br /> <br /> C. InvestigationFee (ff r~quired) <br /> D. Reinspection Fee ($25.00) <br /> <br /> TOTAL AMOUNT DUE <br /> <br /> Receipt No, <br /> <br />40. <br /> <br />$ 2. <br />$ 42. <br /> <br /> 42. <br />$ <br /> <br /> <br />