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MARION COUNTY BUILDING I~ISPECTION Receiv~ By:. Dats: Salcra, Oregon 97305 ~Z~onJng By: City:. Reeei~ #: Amount: $ 8:00 am - 4:30 pm 24 hr. Inspection Linc 373-4427 FAX 58g-7948 .................................... ELECTRICALPERMITAPPLICATIO ~ ON COUNTY4' FEESCHEDULE(completeandentsrto~llnAl) ne~se co~o~ae cU Secaon,, ~ t~ro.en ~BUIL..,,i,6 INSPECTI Numb~'oflnspections p~permit allowed-- PERS~TS ARE NON- TRANSFERABLE AND EXPIRE IF WORK I$ NOT $TARTED WITHIN 180 D,4 Y$ OF I,~U,4NCE OR IF WORK IS SUSPF~IDED FOR 180 D/IY~ CONTRACTOR INFOR~TION Parkin Electric, Inc. 20250 S Molalla Ave. Oregon City, OR 97045 503-657-4958 fax: 557-1059 Contractors License#: 34-4C exp. 10-01-99 Supervisor: 4241-S exp. 10-01-01 Contractors Board Reg #: 35151 exp. 10-12-00 Metxo # 2416 exp 11-01-99 Owner: Contra~t~ Lic~a,.~ No: Supervisor Lic~ns~ No: 2B. FOR OWNER INSTALLATION Property Own~c (please prinO Mailms Address: Ci~: S~ats: Zip: I am the PROPERTY OF'rNER and own, reside in, or will reside in the completed structure and will be my own general contractor. I understand that I must register aa a construction contractor ~f the structure is sold or offered for sale before or upon completion, lf I hire subcontractors. I will hire only subcontractors registered with the Construction Contractors Board. If l change my mind and do hire a general contractor who is registered with the Construction Contractors Board. I will immediately noto~y Marion County of the name of the contractor: Ovnm's Signature: 3. PLAN REVIEWSECTION plan roticw s~*vicg ifyee compl6t~ Section 5B and submit two (2) I ; s~ts of plans and spocificatiom with this application, r I~ Residential Per Unit, Service Included 1000 St. Ft, or Each Additional 500 Sq. Ft. or potion the*eof Limit~ Er~'gy Fa Mann factur~l Hcm~ or Modular Drilling Service or Feeder Beans Co~ (~ach) Sum x $110.00--$ 4 x $ 20.00 =$ x $ 30.00 =$ 1 x $ 52.00 = $ 2 B. Services or Feeder~ (Does not include branch Clrcalts, see Section D) Installation, Alteration, or Relocation 200 amps or ices x $ 65.00 = $ 2 201 amp~ to 400 amps x $80.00 ~ $ 2 401 am[~ to 600 araln x SIS0.00 = $ 2 601 amps to 1000 amps x $170.00 -- $ 2 Ov~' I000 amp~ or volts x $390.00 = $ 2 R~.onn~ct Only x $ 55.00= $ 2 C. Temporary Services/Feeders 200 amp6orlcss x $45.00 = $ 2 201 ampsto400amps x $ 55.00 = $ 2 401 ampato600 amps x $110.00 - $ 2 Owr 600 amp~ or 1000 volts. ~ "B" above D. Branch Clrcui~ New, Alteration, or Extension Per Panel a) thc f~ for branch circuits with the tmrcha~ ofServiceorFeederF~e. FaBrCir x $ 3.00 = $ b) The f~ for branch ¢ireuils without the ~urchas~ of Service or F~er Fee: Fhst Branch Circuit - x $ 50.110 = Each Additional Branch Circuit x $ ~.00 = ;. Miscellaneous (Service or Feeder Not Included) ~ch pumpor irHgationchndc x $55.00 = $ 2 ~ch Signor Outline Lightlng x $55.00 -- $ 2 ;ignal Cimalt(s) or a Limlt~d Eam~ Panel, Altsratio~h or Extension x $55.00= $ 2 ~. Each Additional Impecfioa, over the allowable in any of the above, per inspection x $ 50.00 = $__ G. Minor Installation Labels Pack of l 0 lab~Is ® $10.00 ow, h x $100.00= $ (Sold only to EIo~xical H. Indaatrial Plant x $62.50 / hr = $ One/T~n~ Family Dwelling Fee: Sq. Foot x $ .09 -- $ Dwelling Permit Labels (For Single Family D,n~lling$ Only) ]N/~ OTHER, as required by the Building Official TOTAL $. FEES A 1. Enter Total Fees fi~m Section//4 A2 Add State Surcharge (.05% x Al) SUBTOTAL: B. Enter 30%of lineAl fiarPian Review C. investigation Fee, if required D. Rcinspeetion Fee ($50.00) E. Additional Plan Review (62.501hr, minimum one-half hour) F. inSl:~ction for which no fcc is sp~cifionlly indicated, ($62.50/hr, minimum one hour) G. Insgection Outside Normal Business Hours, $62.50/hr, minimum two hours) H. Industrial Plant ($62.50/hour) TOTAL AMOUNT DUE $ sSO $ $ $ $ $ $ $ MC 15-34 Rev 9/98