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Marion County Buildi g Inspection <br /> 555 Court St. N.E., Room 2260, PO Box 145 0 Salem, Oregon 97309-5036 <br /> Office Hours:8:00-4:30 Phone:(503)588-5147 Inspection Line:(503)373-4427 <br /> Check your Permit Status On Line at: http://pub icworks.co.marion.or.us/building/ <br /> ELECTRICAL P RMIT <br /> DATE: 12-19-2007 TYPE: ELEC PERMIT NO: 07-09537 <br /> OFFICE: MC OSE: C STATOS: ISSUED <br /> CONST: MAP: 63 ISSOED: 12/19/2007 <br /> OCC: SITE: 65 TO EXPIRE: 06/18/2008 <br /> ZONE: EFO <br /> WORK DESC: 1-200<AMP, 3 BR CIR - FOR CLASS ROOM @ CLOVERDA E SCHOOL <br /> SITE AD~RE55: 9666 PAARISH GAP RD SE TR <br /> PARCEL: 092W05 02600 <br /> APPLICANT: PACIFIC COAST ELECTRIC INC <br /> ADDRE55: 1925 E SANTIAM ST <br /> STAYTON OR 97383 <br /> PHONE: 503769-7671 <br /> PARCEL OWNER: CASCADE SCHOOL DISTRICT q5 <br /> ADDRESS: 10226 MARION RD SE <br /> TURNER OR 97392 <br /> PHONE: 503-799-8988 <br /> CONTRACTOR: PACIFIC COAST ELECTRIC INC OC B: 0095933 <br /> PHONE: 503-7697671 FA : <br /> ELECTRICIAN: PACIFIC COAST ELECTRIC INC LI ENSE: 29-192C <br /> PHONE: 503769-7671 <br /> SOPV ELEC: 6ILLETTE ROBIN ALLEN LI ENSE: 36535 <br /> PHONE: 5033993060 <br /> SPECIAL ELEC: LI ENSE: <br /> PHONE: <br /> Onits Description Fee Onits escri tion Fee <br /> Wiring Based on sq ft $0.00 ignal Circuits/LEP's $0.00 <br /> Limited Energy 50.00 dditional Inspection Hrs $0.00 <br /> MANF SVC/Feed $0.00 vertime Inspection HYS $0.00 <br /> 1 Service/Feed 200 amp $79.00 einspection Fee $0.00 <br /> Service/Feetl 201-400 amp $0.00 abel Fee $0.00 <br /> Service/Feed 901-600 amp $0.00 aster Permit $0.00 <br /> Service/Feed 601-1000 $0.00 lan Review $0.00 <br /> S/F 1001 amps/volts 6 up $0.00 dditional Plan Review $0.00 <br /> Reconnect Only $0.00 ?vestigation Fee $0.00 <br /> Temp s/f 200 amps $0.00 ther Fee 50.00 <br /> Temp s/f 201-900 amps $0.00 isc/COpy Fee $0.00 <br /> Temp s/f 901-600 amps $0.00 tate Surcharges $7.2g <br /> Temp s/f 601-1000 amps 50.00 efund $0.00 <br /> Temp s/f 100 amp/volt up $0.00 <br /> 3 Branch Circuits $12.00 <br /> Pump or Irrig Circle $0.00 otal Feea: $9g,pg <br /> Sign or Outline Lights 50.00 otal Payments: $98.28 <br /> Additional Circuits $0.00 alance Due: $0.00 <br /> PERMIT IS NON-TRANSFERAHLE AND EXPIRES 180 DAYS FROM ISSUE DAT IF WORK HAS NOT COMMENCE~~ OR IF CONSTRUCTION <br /> CEASES FOR A PERIOD OF 180 DAYS~ OR IF WORK FAILS TO MEET ALL EQ[JIREMENTS OF STATE LAWS AND MARION CO[1NTY <br /> ORDINANCES. OPON WRITTEN REQOEST~ ONE SIX MONTH EXTENSION MAY E GRANTED. <br /> I am the SOPERVISING ELECTRICIAN. <br /> I am the PROPERTY OWNER and own, resitle in, or will resid in the comple[ed structure and will be my own <br /> general contractor. I understand that I must register as a construction contractor if the stiucture is sold or <br /> offered for sale before or upon completion. If I hire subcontr ctors, I will hire only subcontractors registered <br /> with the Construction Contractors Board. If I change my mind a d do hire a general contractor who is registeretl <br /> with the Construction Contractors Hoard, I will immetliately notify Marion County of the name of the contractor. <br /> SIGNATURE: X <br /> WARREND.)ACKSON,MARIONCOUNTYBUILDMGOFFlCIAL/BYOMARTM lI a~I <br /> VJC~J <br /> cnu.aeeoaevounic...~r•sT et.nw. <br /> <br /> ATTENTION'qreyon law requires you m follow rules adopted by ~he Orego~ Otility Nolifcetion Cmmr. Those mles are ee~ fotlh by Oregon Adminisvalive Rules. Vou may ob[ain copies of Ihe mles by calling iAe cenler. <br /> <br /> (NOm: The telephone numbar Cov Ihe Oreyon Wiliry NoGfwtioo Cwter ie 1-8 00.332-2 3 44). <br /> <br />