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Marion County Building Inspection 555 Court St. N.E., Room 2260, PO Box 14500 Salem, Oregon 97309-5036 Office Hours:8:00-4:30 Phone:(503)588-5147 Inspection Line:(503)373-4427 Check your Permi[ Status On Line at: http://publicworks.co.marion.or.us/building/ ELECTRICAL PERMIT DATE: 01-09-2008 TYPE: ELEC PERMIT NO: 08-00045 OFFICE: MC OSE: R STATOS: ISSOED CONST: MAP: 76 15SOED: O1/09/2008 OCG SITE: G TO EXPIRE: 07/04/2008 ZONE: FT WORK DESC: 1 BR CIRC FOR HVAC SITE ADDRESS: 20112 HRIDGE CREEK RD SE SI PARCEL: 071E35A 00300 APPLICANT: JGCM INC ~ ADDRESS: PO BOX 12323 SALEM, OR 97309 PHONE: 503-5859879 PARCEL OWNER: I(ENT,GLEN E ADDRESS: 20112 BRIDGE CREEK RD SE SILVERTON OR 97381 PHONE: CONTRACTOR: JGCM INC OCCB: 0080593 PHONE: 503-5854879 FAX: ELECTRICIAN: NORTHSIDE ELECTRIC LICENSE: 29-19C PHONE: 503-565-9879 SOPV ELEC: WOLF JON J LICENSE: 18775 PHONE: SPECIAL ELEC: LICENSE: PHONE: Onits Description Fee Onits Description Fee Wiring Based on sq ft 50.00 Signal Cirwits/LEP's 50.00 Limited Energy $0.00 MANF SVC/Feed $0.00 Service/Feed 200 amp 50.00 Service/Feed 201-900 amp 50.00 Label Fee 50.00 Service/Feed 901-600 amp 50.00 Master Pexmit 50.00 Service/Feed 601-1000 $0.00 Plan Review 50.00 S/F 1001 amps/volts 6 ap $0.00 Additional Plan Review 50.00 Reconnect Only $0.00 Investigation Fee $0.00 Temp s/f 200 amps $0.00 other Fee 50.00 Temp s/f 201-900 amps $0.00 Misc/COpy Fee $0.00 Temp s/f 401-600 amps $0.00 State Surcharges $7.80 Temp s/f 601-1000 amps 50.00 Refuntl 50.00 Temp s/f 100 amp/volt up 50.00 1 Branch Circuits 565.00 Pump or Irrig Circle 50.00 Total Fees: 572.80 Sign or Outline Lights $0.00 Total Payments: $72.80 Additional Circuits $0.00 Salance Due: $0.00 PERMIT IS NON-TRANSFEAABLE AND EXPIRES 180 DAYS FROM ISSUE DATE IF WORK HAS NOT COMMENCED~ OR IF CONSTROCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF WORK FAILS TO MEET ALL REQ[IIREMENTS OF STATE LAWS AND MARION CO[JNTY ORDINANCES. UPON WRITTEN REQOEST~ ONE SIX MONTH EXTENSION MAY BE GRANTED. I am the SOPERVISING ELECTRICIAN. I am the PROPEBTY OWNER and own, reside in, or will reside in the completed structure and will be my own general contrac[or. I understand that I must register as a construction contractor if the structure is sold oz offered far sale before ox upon completion. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and do hire a general contractor who is registered with the Construction Contractors Hoaxd, I will immediately notify Mazion County of the name of the contractor. SIGNATORE: X WARR2N D. ]ACKSON, MARION COUNTY BUILDING OPPICIAL / BV FCOLEMAN CALL BEFORE YOO DIG...IT'S THB LA W. AITENTION:Orcgonlawrequire5youmfollowrvlesadoptedbylhcOrcgonUtilityNotifcationCenrer.ThoservlesaresetforthbyOreyonAdministraliveRules. moyobtaincopiesoltherulesbycallingiheanmr. (NOIC: The lelepFone numbcr [oo Hie Oregon Utilily Noli~ca~ion Cen~ar is 1-800J32-2344J.