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Marion County Building Inspection <br /> 555 Court St N.E., Room 226Q PO Box 14500 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://publicworks.co.marion.ocus/building/ <br /> ELECTRICAL PERMIT <br /> DATE: 12-26-2007 TYPE: ELEC PERMIT NO: 07-09605 <br /> <br /> OFFICE: MC OSE: R STATOS: ISSOED <br /> <br /> CONST: MAP: 95 ISSUED: 12/26/2007 <br /> <br /> OCC: SITE: G TO EXPIRE: 06/25/2008 <br /> ZONE: EFU <br /> <br /> WORK DESC: 1-200<AMP~ 3 BA CIR - FOR CHANGEOOT & FURNACE CIR <br /> SITE ADDRESS: 22619 NORTH ANTIAM HY SE LY <br /> PARCEL: 092E18A 0210~ <br /> APPLICANT: SOLLIVANS EL CTAIC CO INC <br /> ADDRESS: PO BOX 917 <br /> STAYTO OR 9~383 <br /> PHONE: 5037697129 <br /> PARCEL OWNER: BERRY~RICHAR L 6 ELEANOR V A <br /> ADDRESS: 22b19 N SANT AM HY <br /> LYONS A 97358 <br /> PHONE: 503-859-3095 <br /> CONTRACTOR: SOLLIVANS EL~CTRIC CO INC OCCB: 0099399 <br /> PHONE: 503-7697129 FAX: <br /> ELECTRICIAN: SULLNAN, SE N LICENSE: 52215 <br /> PHONE: 503-932-9906~ <br /> SUPV ELEC: j LICENSE: <br /> PHONE: I <br /> SPECIAL ELEC: ~ LICENSE: <br /> PHONE: i <br /> Onits Description Fee Onits Description Fee <br /> Wiring Based onlsq ft $0.00 Signal Circuits/LEP's $0.00 <br /> Limited Enexgy , $0.00 Additional Inspection Hrs $0.00 <br /> MANF SVC/Feed $0.00 Overtime Inspection Hrs $0.00 <br /> 1 Sexvice/Feed 20~y{ amp $79.00 Aeinspection Fee $0.00 <br /> Service/Feed 20~-900 amp $0.00 Label Fee $0.00 <br /> Service/eeed 90 -600 amp $0.00 Master Permit 50.00 <br /> Service/Feed 60 -1000 $0.00 Plan Review 50.00 <br /> 5/F 1001 amps/v lts s up 50.00 Additional Plan Review 50.00 <br /> Reconnect Only $0.00 Investigation Fee $0.00 <br /> Temp s/f 200 am s 50.00 Other Fee . 50.00 <br /> Temp s/f 201-90 amps $0.00 Misc/COpy Fee $0.00 <br /> Temp s/f 901-60 amps 50.00 State Surcharges 57.28 <br /> Temp s/f 601-10 0 amps $0.00 Refund $0.00 <br /> Temp s/f 100 am /volt up $0.00 <br /> 3 Branch Circuits $12.00 <br /> Pump or Irrig C'rcle $0.00 Total Feea: $98.28 <br /> Sign or Outline Lights 50.00 Total Payments: $98.28 <br /> Additional Circ its 50.00 Balance Due: $0.00 <br /> PEAMIT IS NON-TRANSFERABLE ND EXPIRES 180 DAYS FROM ISSUE DATE IF WORK HAS NOT COMMENCE~~ OR IF CONSTROCTION <br /> CEASES FOR A PERIOD OF 180 AYS~ OR IF WORK FAILS TO MEET ALL REQOIREMENTS OF STATE LAWS AND MARION COONTY <br /> ORDINANCES. OPON WRITTEN RE OEST, ONE SIX MONTH EXTENSION MAY HE GRANTED. <br /> I am the SOPERVISING E ECTRICIAN. <br /> I am the PROPERTY OWNE and own, reside in, or will reside in the completed stxucture and will be my own <br /> general contractor. I under tand that I must register as a construction contractor if the structure is sold or <br /> offered for sale before or lupon completion. If I hire subcontcactors, I will hire only subcontractors registexed <br /> with the Construction Contr~ctors Board. If I change my mind and do hire a general contractor who is registered <br /> with the Construction Contr ctors Board, I wi11 immediately notify Marion County of the name of the contractor. <br /> SIGNATORE: X I~ ' <br /> WARftEN DJACKSON, MARION COUNTY BUILDING OFFICIAL / BY DMARTIN I~I iA AA A <br /> ~~Q~'L'D'1 <br /> CALIBEFORHY0UOIG_.IT'STHELAW. T <br /> A'ITENTION: Orcgon law requires you m follow ml}e ado0~ed by the Ore5on Niliry Nutifcalion Cenler. Those mlex are se~ forth by Oregon Adminislmtive ftules. Vou muy oblain copies of iM1e rulex by cnlling [hc wnter. <br /> (NOIC The ielepM1am numb¢ for ~he Oregon UtiGty kotifculion Centev is I-800.3J2-2300). <br /> <br />