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Marion County Building Inspection <br /> 555 Court St N.E., Room 226Q PO Box L4500 Salem, Oregon 97309-5036 <br /> Office Hours:8:00-430 Phone:(503)588-5147 Inspection Line:(503)373-4427 <br /> Check your Permit Status On Line at http://publicworks.co.marioaor.us/building/ <br /> ELECTRICAL PERMIT <br /> OATE: 10-12-2007 TYPE: ELEC PERMIT N0: 07-07755 <br /> <br /> OFEICE: MC OSE: C STATOS: ISSOED <br /> <br /> CONST: MAP: 18 ISSOED: 10/12/2007 <br /> <br /> OCC: SITE: G TO EXPIRE: 09/11/2008 <br /> ZONE: EF[7 <br /> <br /> WORK DESC: 21 BR CIR - 8 GRNHSE/3 EA <br /> SITE ADORESS: 13307 PORTLAND RD NE GR <br /> PARCEL: 052W25 00700 <br /> <br /> APPLICANT: ENGELMAN ELECTRIC INC <br /> AOORESS: PO BOX 951 <br /> HOBBARD OR 97032 <br /> PHONE: 503981-8091 <br /> PARCEL OWNER: MATLOCK,DAVID D& LISA <br /> ADDRESS: 13307 PORTLAND RD NE <br /> GERVAIS OR 97026 <br /> PHONE: 503-792-9973 <br /> <br /> CONTRACTOR: EN6ELMAN ELECTRIC INC OCCH: 0099581 <br /> PHONE: 503-9818091 FAX: <br /> <br /> ELECTRICIAN: ENGELMAN ELECTRIC INC LICENSE: 29-96C <br /> PHONE: 503981-8091 <br /> SUPV ELEC: THONDERHIR~ RONALD S LICENSE: 47395 <br /> PHONE: 503-981-8091 <br /> SPECIAL ELEC: LICENSE: <br /> PHONE: <br /> Units Description Fee Units Description Fee <br /> Wiring Based on sq ft $0.00 Signal Citcuits/LEP's $0.00 <br /> Limited Energy $0.00 Additional Inspection Hrs 50.00 <br /> MANF SVC/Feed $0.00 OveTtime In9pection Hrs $0.00 <br /> Service/Feetl 200 amp $0.00 Reinspection Fee $0.00 <br /> Service/Feed 201-900 amp $0.00 Label Fee $0.00 <br /> Service/Feed 901-600 amp $0.00 Master Permit 50.00 <br /> Service/Feed 601-1000 $0.00 Plan Review $0.00 <br /> S/F 1001 amps/volts & up 50.00 Additional Plan Review $0.00 <br /> Reconnect On1y 50.00 Investigation Fee $0.00 <br /> Temp s/f 200 amps $0.00 Other Fee $0.00 <br /> Temp s/f 201-900 amps 50.00 Misc/COpy Fee 50.00 <br /> Temp s/f 901-600 amps 50.00 State Surcharges $10.72 <br /> Temp s/f 601-1000 amps $0.00 Refund 50.00 <br /> Temp s/f 100 amp/volt up 50.00 <br /> 21 Branch Circuits 5134.00 <br /> Pump or Irrig Circle $0.00 Total Feea: $1C4.72 <br /> Sign or Outline Lights $0.00 Total Paymants: $149.72 <br /> Additional Circuits 50.00 ealance Due: $0.00 <br /> PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSOE DATE IF WORK HAS NOT COMMENCED~ OR IF CONSTROCTION <br /> <br /> CEASES FOR A PERIOD OF 180 DAYS~ OR IF WORK FAILS TO MEET ALL REQ[IIREMENTS OF STATE LAWS AND MARION CO[JNTY <br /> <br /> ORDINANCES. OPON WRITTEN REQUEST, ONE SIX MONTH EXTENSION MAY BE GRANTED. <br /> I am the SOPERVISING ELECTRICIAN. <br /> I am the PROPEATY OWNER and own~ reside in~ ox will xeside in the completed structure and will be my own <br /> general contiactor. I understand that I must register as a construction contractor if the structure is sold or <br /> offered for sale be£ore or upon completion. If I hire subcontractors, I will hire only subcontxactors registered <br /> <br /> with the Construction Contractors Hoard. If I change my mind and do hire a genecal contractor who is registered <br /> <br /> with the Construction Contractors Hoard, I will immediately notify Marion County of the name of the contractor. <br /> SIGNATURE: X <br /> WARREND,JACKSON,MARIONWUNTYBUILDMGOFFlCIAL/BYDMARTIN y ~.~~,{/~/1 <br /> lfL~•• ~ <br /> CALL BEFOkE YOU ~IG...IT'S THE LA W. <br /> ATTENTION~.Oregan law nqulma you m[ollow mlce odo0~cd by lhe Omgon ll~iiiry Noviliaelion Cenlu. Those mles are set fotlh by Ocegon Administrmlva Rules. Yon moy obmin wpics o[~hc rulw by calling ILe aen~v. <br /> (NOic TAe telephone number Cov the Oregan Utili~y Notifice0on Cenlao is IA00.3 3 2-2 364). <br /> <br />