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Marion County Buildiqg Inspection <br /> 555 Court S[. N.E., Room 2260, PO Box 145100 Salem, Oregon 97309-5036 <br /> Office Hours:8:00-430 Phone:(503)588-514~ Inspection Line:(503)373-4427 <br /> Check your Permit Status On Line at http://publicworks.co.marion.or.us/building/ <br /> ELECTRICAL P~RMIT <br /> DATE: 12-19-2007 TYPE: ELEC PERMIT NO: 07-09511 <br /> OFFICE: HB USE: R STATUS: ISSUED <br /> CONST: MAP: 5 ISSOED: 12/19/2007 <br /> OCG SITE: UG TO EXPIRE: 06/18/2008 <br /> ZONE: N <br /> WORK DESG 2 BR CIR - FOR HP & AIR HANDLER <br /> SITE ADDRESS: 9279 3RD ST HB <br /> PARCEL: 091W39HB02100 <br /> APPLICANT: ENGELMAN ELECTRIC INC <br /> ADDRE55: PO BOX 951 <br /> HUHBARD OR 97032 <br /> PHONE: 503981-8091 <br /> PARCEL OWNER: CHISMAN~L VIRGINIA <br /> ADDRESS: 9279 3RD ST <br /> HOHBARD OR 97032 <br /> PHONE: 50-982-4680 <br /> CONTRACTOR: ~ ENGELMAN ELECTRIC INC 0 CB: 0099581 <br /> PHONE: 503-9818091 F X: <br /> ELECTRICIAN: ENGELMAN ELECTRIC INC LICENSE: 29-96C <br /> PHONE: 503981-8091 <br /> SUPV ELEC: THONDERBIRD RONALD J LI ENSE: 97395 <br /> PHONE: 503-981-8041 <br /> SPECIAL ELEC: LI ENSE: <br /> PHONE: <br /> Units Description Fee Onits escri tion Fee <br /> Wirinq Hased on sq ft $0.00 ignal Circuits/LEP's $0.00 <br /> Limited Energy $0.00 dditional Inspection Hrs $0.00 <br /> MANF SVG Feed $0.00 vertime Inspection Hrs $0.00 <br /> Service/Feed 200 amp $0.00 einspection Fee $0.00 <br /> Service/Feed 201-900 amp $0.00 abel Fee $0.00 <br /> Service/Feed 901-600 amp ~ $0.00 aster Permit $0.00 <br /> Serviw/Feed 601-1000 $0.00 lan Review $0.00 <br /> S/F 1001 amps/volts & up $0.00 dditional P1an Review $0.00 <br /> Reconnect On1y $0.00 nvestigation Fee $0.00 <br /> Temp s/f 200 amps $0.00 ther Fee $0.00 <br /> Temp s/£ 201-900 amps $0.00 isc/COpy Fee $0.00 <br /> Temp s/f 901-600 amps $0.00 tate Surcharges $q,(>q <br /> Temp s/f 601-1000 amps 50.00 efund $0.00 <br /> Temp s/f 100 amp/volt up $0.00 <br /> 2 Branch Circuits 556.00 <br /> Pump or Irrig Circle $0.00 otal Faes: $62.64 <br /> Sign or Outline Lights $0.00 otal Payments: $62.69 <br /> Additional Circuits $0.00 alance Dua: $0.00 <br /> PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISS[lE DAT IF WORK HAS NOT COMMENCED~ OR IF CONSTRUCTION <br /> CEASES FOR A PERIOD OF 180 DAYS~ OR IF WORK FAILS TO MEET ALL EQUIREMENTS OF STATE LAWS AND MARION CO[1NTY <br /> ORDINANCES. OPON WRITTEN REQOEST, ONE SIX MONTH EXTENSION MAY E 6RANTED. <br /> I am the SOPERVISING ELECTRICIAN. <br /> I am the PROPERTY OWNER and own, reside in, or will resid in the completed structure and will be my own <br /> general contractor. I understand that I must register as a con truction contractor if the structure 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 eoard, I will immediately notify Mario? County of the name of the contractor. <br /> SIGNATURE: X <br /> WARREND.JACKSON,MARIONCOUNTYBUILDINGIOFFICIAL/BVDMARTIN / <br /> v <br /> CALLBEFOREYOUDIG..JT'ST ELAW. <br /> <br /> ATT2NTION'. Oreyoo law requircs you to Pollow rules mlopmd by tho Oreyon Utility Nolillcatioo Cwmc Those mles ere set Cotlh by Oregon Adminisualive Ruiee. You may obtein wpies olthe ruiu by calling Ihe cenlcr. <br /> <br /> (NO~e: The IalepFOne numbee Cor iFe Oreyan Otillry No~ifaeliau Center is 1-BOOdJ1-23C4} <br /> II <br /> <br />