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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)588-5147 Inspection Line: (503)373-4427 <br /> Check your Permit Status On Line at: http://publicworks.co.marion.or.us/building/ <br /> ELECTRICAL PERMIT <br /> DATE: 12-24-2007 TYPE: ELEC PERMIT N0: 07-09513 <br /> <br /> OFFICE: JF USE: R STATUS: ISSUED <br /> <br /> CONST: MAP: 72 ISSUED: 12/29/2007 <br /> OCC; SITE: UG TO EXPIRE: 06/23/2008 <br /> ZONE: N <br /> WORK DESC: 1 SERVICE <200 AMP & 18 BR CIRC <br /> SITE ADDRESS: 197 2ND ST S JF <br /> PARCEL: 103W12BC01800 <br /> APPLICANT: LIBBY,DOUGLAS R& JEANNIE L <br /> ADDRESS: 197 S 2ND ST <br /> JEFFERSON OR 97352 <br /> PHONE: 541-327-6123 <br /> FARCEL OWNER: LIBBY,DOUGLAS R& JEANNIE L <br /> ADDRESS: 19~ S 2ND ST <br /> JEFFERSON OR 97352 <br /> PHONE: 591-327-8123 <br /> CONTRACTOR: OCCBS <br /> PHONE: FAX: <br /> ELECTRICIAN: LICENSE: <br /> PHONE: <br /> SUPV ELEC: LICENSE: <br /> PHONE: <br /> SPECIAL ELEC: LICENSE: <br /> PHONE: <br /> Units Description Fee Units Description Fee <br /> Wiring Based on sq ft 50.00 Signal Circuits/LEP's 50.00 <br /> Limited Energy 50.00 Additional Inspection Hrs 50.00 <br /> MANF SVC/Feed 50.00 Overtime Inspection Hrs 50.00 <br /> 1 Service/Feed 200 amp 579.00 Reinspection Fee 50.00 <br /> Service/Feed 201-400 amp 50.00 Label Fee 50.00 <br /> Service/Feed 901-600 amp 50.00 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 50.00 <br /> R.econnect Only $0.00 Investigation Fee 50.00 <br /> Temp s/f 200 amps 50.00 Other Fee 50.00 <br /> Temp s/f 201-400 amps 50.00 Misc/Copy Fee 50.00 <br /> Temp s/f 401-600 amps 50.00 State Surcharges $12.08 <br /> Temp s/f 601-1000 amps 50.00 Refund 50.00 <br /> Temp s/f 100 amp/volt up 50.00 <br /> 18 Branch Circuits $72.00 <br /> Pump or Irriq Circle 50.00 Total Feoa: S163.08 <br /> Sign or Outline Lights 50.00 Total Paymants: $163.08 <br /> Additional Circuits $0.00 Balanca Due: $0.00 <br /> PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUE DATE IF WORK HAS NOT COMMENCED, OR IF CONSTRUCTION <br /> CEASES FOR A PERIOD OF 180 DAYS, OR IF WORK FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY <br /> ORD3NANCES. UPON WRITTEN REQUEST, ONE SIX MONTH EXTENSION MAY BE GRANTED. <br /> I am the SUPERVISING ELECTRICIAN. <br /> I am the PROPERTY OWNER and own, reside in, or will reside in the completed structure and will be my own <br /> genera~ 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 registered <br /> with the Construction Contractors Board. If I change my mind and do hire a general contractor who is registered <br /> with the Construction Contractors Board, Z will immediately notify Marion County of the name of the contractor. <br /> SIGNATURE: X <br /> WARREN D. JACKSON, MARION COUNTY BUILDING OFFICIAL / BY MG <br /> CALL BEFORE VOU DIG..]PS THE LAW. <br /> AT"TENTION~. Oreyon taw requires you ro follow rules adopted by the Oregon Utility Notifiation Centec Those mles aro set forth by Oregon Administmme Ruks. You may obtain wpiea of the rules by calling the center. <br /> (Note-. The tekphonz number for ~he Oregon Utiliry Notification Center is 1•800•332-2344). ~ <br /> <br />