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Marion County Building Inspection <br /> 555 Court St. N.E., Room 2260, PO Box 14500 Salem, Oregon 97309-5036 <br /> Office Hours:8:00-4:30 Phone:(503)585-5147 Inspection Line:(503)373-4427 <br /> Check your Permit Status On Line at: http://publicworks.co.marion.or.~s/building/ <br /> ELECTRICAL PERMIT <br /> DATE: 12-27-2007 TYPE: ELEC PERMIT NO: 07-09647 <br /> <br /> OFFICE: MC ?SE: A STATOS: ISSOED <br /> CONST: MAP: 58 ISSUED: 12/27/2007 <br /> <br /> OCC: SITE: G TO EXPIRE: 06/26/2008 <br /> ZONE: RS <br /> <br /> WORK DESC: 2 BR CIR - FOR FURNACE & HP <br /> SITE ADDRE55: 9788 LISA ST NE SL <br /> PARCEL: 072W06AD09400 <br /> <br /> APPLICANT: KEIZER ELECTRIC INC <br /> ADDRESS: PO BOX 12926 <br /> SALEM OR 97309 <br /> PHONE: 3780267 <br /> PARCEL OWNER: LEGAN,DENNIS B& SOSANNA M <br /> ADDRE55: 9788 LISA ST NE <br /> SALEM OR 97305 <br /> PHONE: <br /> CONTRACTOR: KEIZER ELECTRIC INC OCCB: 0025359 <br /> PHONE: 503-3780267 FAX: <br /> ELECTRICIAN: KEIZER ELECTRIC INC LICENSE: 24-68C <br /> PHONE: 3780267 <br /> SOPV ELEC: ALJETS DOOGLAS F LICENSE: 28935 <br /> PHONE: 3901087 <br /> SPECIAL ELEC: LICENSE: <br /> PHONE: <br /> Units Description Fee Units Description Fee <br /> Wiring Based on sq ft $0.00 Signal Circuits/LEP's $0.00 <br /> Limited Energy 50.00 Additional Inspection Hrs $0.00 <br /> ~ MANF SVC/Feed $0.00 Overtime Inspection Hxs 50.00 <br /> Service/Feed 200 amp $0.00 Reinspection Fee $0.00 <br /> Service/Feed 201-900 amp $0.00 Label Fee 50.00 <br /> Service/Feed 901-600 amp $0.00 Master Permit $0.00 <br /> Service/Feed 601-1000 50.00 Plan Review 50.00 <br /> S/F 1001 amps/volts & up $0.00 Additional Plan Review $0.00 ~ <br /> Reconnect Only $0.00 Investigation Fee 50.00 <br /> Temp s/f 200 amps $0.00 Other Fee 50.00 <br /> Temp s/f 201-900 amps $0.00 Misc/COpy Fee 50.00 <br /> Temp s/f 901-600 amps $0.00 State Surcharges 54.69 <br /> Temp s/f 601-1000 amps 50.00 Refund 50.00 <br /> Temp s/f 100 amp~/volt up $0.00 <br /> 2 Branch Circ~its 558.00 <br /> Pump or Irrig Circle $0.00 Total Feea: $62.69 <br /> Sign or Outline Lights 50.00 Total Payments: $62.64 <br /> Additional Circuits $0.00 Balance Dua: $0.00 <br /> PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSOE DATE IF WORK HAS NOT COMMENCED, OR IF CONSTRUCTION <br /> CEASES FOR A PERIOD OF 180 DAYS, OR IF WORK FAILS TO MEET ALL REQOIREMENTS OF STATE LAWS AND MARION COONTY <br /> <br /> ORDINANCES. UPON WRITTEN REQ[IEST~ ONE SIX MONTH EXTENSION MAY HE GRANTED. <br /> I am the SUPERVISING ELECTffiCIAN. <br /> [ 7 I am the PROPERTY OWNE62 and own, reside in, o[ will reside in the completed structure and will be my own <br /> general contractor. I understand that I must register as a construction contractor if the structure is sold or <br /> offered for sale before or upon completion. If I hire subcontractors, I will hire only subcontractors registeced <br /> <br /> with the Construction Contractors Board. If I change my mintl and do hire a general contractor who is registered <br /> <br /> with the Construction Contractors Board, I will immediately notify Marion County of the name of the contractor. <br /> SIGNAT[1RE: X <br /> WARREN~JACKSON,MARIONCOUNTYBUIIAMGOFFICIAWBYDMARTIN / 1,~,'q~ <br /> <J" ' <br /> ' CALLBEFOREYOUDIG...IT'STHELAW. <br /> ATTENTION-Oregon law requiru you to Pollow ~ule[ adop~ed by ~he Omyoo UtiGty Notification Ceumc TFOSe mles erc sW Cotlh by Ore6o~ Administrelive Rules. You may obtain copirs oltbe rulrs by culling iheunmr. <br /> (Nam~. The mlephonc number for the Oregon Utility Notifiwtion Centu is 1-800-J3L2366)_ <br /> <br />