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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: 8:00-430 Phone: (503)SSS-5147 Inspection Line: (503)373-4427 <br /> Check your Permit Status On Line ak http://publicworks.co.marion.or.us/building/ <br /> ELECTRICAL PERMIT <br /> DATE: 12-28-2007 TYPE: ELEC PERMIT NO: 07-09692 <br /> <br /> OFFICE: MC USE: C STATOS: ISSOE~ <br /> <br /> CONST: MAP: 63 ISSOED: 12/28/2007 <br /> <br /> OCC: SITE: GS TO EXPIRE: 06/27/2008 <br /> ZONE: EFU <br /> <br /> WORK DESC: 2 BR CIRC FOR DW & OVEN <br /> SITE ADDRESS: 9666 PARRISH GAP RD SE TR <br /> PARCEL: 092W05 02b00 <br /> APPLICANT: PACIFIC COAST ELECTRIC INC <br /> ADDRESS: 1925 E SANTIAM ST <br /> STAYTON~ OR 97383 <br /> PHONE: 503-7697671 <br /> PARCEL OWNER: CASCADE SCHOOL DISTRICT $5 <br /> AD~RESS: 10226 MARION RD SE <br /> TURNER OR 97392 <br /> PHONE: <br /> CONTRACTOR: PACIFIC COAST ELECTRIC INC OCCB: 0095933 <br /> PHONE: 503-"7697671 FAX: <br /> ELECTRICIAN: PACIFIC COAST ELECTRIC INC LICENSE: 29-192C <br /> PHONE: 503769-7671 <br /> SOPV ELEC: GILLETTE ROBIN ALLEN LICENSE: 36535 <br /> PHONE: 5033993060 <br /> SPECIAL ELEQ LICENSE: <br /> PHONE: <br /> Onits Description Fee Onits Descxiption Fee <br /> Wixing Based on sq ft $0.00 Signal Circuits/LEP's $0.00 <br /> Limited Energy $0.00 Additional Inspection Hrs $0.00 <br /> MANF SVC/Feed $0.00 Overtime Inspection Hxs $0.00 <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 50.00 Master Permit $0.00 <br /> Service/Feed 601-1000 $0.00 Plan Review $0.00 <br /> S/F 1001 amps/volts 6 up 50.00 Additional Plan Aeview $0.00 <br /> ReconnecC Only $0.00 Investigation Fee 50.00 <br /> Temp s/f 200 amps $0.00 Other Pee $0.00 <br /> Temp s/f 201-900 amps $0.00 Misc/COpy Fee $0.00 <br /> Temp s/f 901-600 amps $0.00 State Surcharges 59.64 <br /> Temp s/f 601-1000 amps 50.00 Refund 50.00 <br /> Temp s/f 100 amp/volt up 50.00 <br /> 2 Branch Circuits 558.00 <br /> Pump or Irrig Circle $0.00 Total Feea: $62.6G <br /> Sign or Outline Lights $0.00 Total Paysents: $62.64 <br /> Additional Circuits $0.00 Salance Due: $0.00 <br /> PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUE DATE IF WORK HAS NOT COMMENCED~ OR IF CONSTROCTION <br /> CEASES FOR A PERIOD OF 180 DAYS~ OR IF WORK FAILS TO MEET ALL REQ[IIREMENTS OE STATE LAWS AND MARION CO[1NTY <br /> ORDINANCES. OPON WRITTEN REQUEST~ ONE SIX MONTH EXTENSION MAY BE GRANTEO. <br /> [ ~ I am the SOPERVISIN6 ELECTRICIAN. <br /> I am the PROPERTY OWNER and own, reside in, or will reside in the completed structure and wi11 be my own <br /> general contractor. I understand that I must register as a construction co~tractor if the structure is sold or <br /> offered for sale befoce or upon completion. If I hire subcontractors, I will hire only subcontractors registered <br /> with the Construction Contractors Board. If I change my mind and do hice a general contractor who is reqistered <br /> with the Construction Contractors eoard, I will immediately notify Marion County of the name of the contxactoc. <br /> SIGNATORE: X <br /> W ARREN D. JACKSON, MARION COUNTY BUILDING OFFICIAL / BV FCOLEMAN <br /> CALL BEFORE YOU DIQ..IT'S THE LA W. <br /> AT'f2NT10N'.OregonlawrequlmayoumfollowrulasudoD~adbytheOregonUtilityNOli~cationCanmcYhoscmlesaresetfotlhbyOregonAdministrelivic es_Voumayobtoinmplesofthemlcsbyca11in5iM1eccma. <br /> (NOtc TFe mlepM1ane numFer tor tM1e Omyon Utility Notificniion Ccn~cr is F800.J32-2344J. <br /> <br />