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Marion County Building Inspection 555 Court St. N.E., Room 2260, PO Box 14500 Salem, Oregon 97309-5036 OfSce Hours:8:00-4:30 Phone:(503)588-5147 Inspection Line:(503)373-4427 Check your Permit Status On Line at ht[p://publicworks.co.marion.or.us/building/ ELECTRICAL PERMIT DATE: 11-28-2007 TYPE: ELEC PERMIT N0: ~07-09022 OFFICE: SO USE: R STATOS: ISSOED CONST: MAP: 97 ISSOED: 11/28/2007 OCC: SITE: OG TO EXPIRE: OS/28/2008 ZONE: N WORK DESC: 1-200<AMP, 9 BR CIR- FOR SHOP 07-06362 SITE ADDRESS: 357 DIVISION ST SW S[1 PARCEL: 081W34CD00400 APPLICANT: PACIFIC COAST ELECTRIC INC ADDRESS: 1925 E SANTIAM ST STAYTON OR 97383 PHONE: 5037b9-7671 PARCEL OWNER: ALBERT,DONALD J 6 MARY J ADDRESS: 357 W DIVISION ST SOBLIMITY OR 97385 PHONE: 503-769-7671 CONTRACTOR: PACIFIC COAST ELECTRIC INC OCCB: 0045933 PHONE: 503-7697671 FAX: ELECTRICIAN: PACIFIC COAST ELECTRIC INC LICENSE: 29-192C PHONE: 503769-7671 SUPV ELEC: GILLETTE ROBIN ALLEN LICENSE: 36535 PHONE: 5033993060 SPECIAL ELEC: LICENSE: PHONE: Onits Description Fee Units Description Fee Wiring Based on sq ft $0.00 Signal Circuits/LEP's $0.00 Limited Energy $0.00 Adtlitional Inspection Hrs $0.00 MANF SVG Feed $0.00 Overtime Inspection Nrs $0.00 1 Service/Feetl 200 amp $79.00 Reinspection Fee 50.00 Service/Feed 201-400 amp 50.00 Label Fee 50.00 Service/Feed 901-b00 amp $0.00 Master Permit 50.00 Service/Feed 601-1000 50.00 Plan Review 50.00 S/F 1001 amps/volts & up 50.00 Additional Plan Review 50.00 Reconnect Only 50.00 Investigation Fee 50.00 Temp s/f 200 amps S0.00 Other Fee 50.00 Temp s/f 201-400 amps 50.00 Misc/Copy Fee 50.00 Temp s/f 901-600 amps $0.00 State Surcharges $9.20 Temp s/f 601-1000 amps $0.00 Refund 50.00 Temp s/f 100 amp/volt up $0.00 9 Branch Circuits $36.00 Pump or Irrig Circle $0.00 Total Feea: $124.20 Sign or Outline Lights 50.00 Total Payments: $129.20 Additional Circuits $0.00 Balance Due: $0.00 PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSOE DATE IF WORK HAS NOT COMMENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 180 ~AYS~ OR IF WORK FAILS TO MEET ALL REQ[IIREMENTS OF STATE LAWS AND MARION CO[1NTY ORDINANCES. OPON WRITTEN REQUEST~ ONE SIX MONTH EXTENSION MAY BE GRANTED. I am the SUPERVISING ELECTRICIAN. I am the PROPERTY OwNER and own, reside in, or will reside in the completed structure and wi11 be my own general contractor. I understand [hat I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. If I hixe subcontractors, I will hire only subcontractors reqistered with the Construction Contractors Board. If I change my mind and do hire a general con[ractor who is cegistered with the Construction Contractors Board, I will immediately notify Marion County of the name of the contractor. SIGNATURE: X WARREND.JACKSON,MARIONCOUNTYBUILDINGOFFICIAL/BYDMA0.TM ~ ~IA^ ~~~~v~ ~ CALL BEFORE YOU DIG...IT'S THE LAW. ATTENTION~.Oregon law rcyuime you m[ollow rvles adopled Fy the Oreyon Utility Notifcation Crntcc Thoee mles are set fotlh by Oregon Administralive Rules. You may obtain w0ies of Ihe rvles by cuiling IM1C cen~cr. (NO~e'. The ~elephane number for the Oregon Uiiliiy Nolifim~ion Ccn~u is I-BOOJ3L21J4).