Laserfiche WebLink
i MARION COUNTY BUILDING INSPECTION <br />FOR OFFICE USE ONLY 220 High Stzeet Nm <br />Received by: Salem, Oregon 97301 <br />Date: <br /> , Phone 586-$147 ~J:00 am - 4:30pre <br /> <br /> ELECTRICAL PERMITAPPLICATiON U'~ ~ate: <br /> Please complete all Section& I through 5I O~ ~ ~ issued by: <br /> UA~ION C~ <br /> <br /> c~v AURORA o"~, AIRPORT ROAD <br /> D~am~ COLUHBIA HELICOPTgR <br /> <br /> N E W T R U C K S H 0 P <br /> <br />PEliiVlITS ARE NON-ll~.ANSFERABLE ,,~d'4 D NON-RJ~PUI",rl)ABLE ~D <br />EXPIRE IF WORK lS NOT 8'IARTED WI'YH~ 180 <br />OK IP WORK IS SUSPENDED FOR 180 DAYS, <br /> <br />2A. CONTRACTOR IN~ALLATION ONLY <br /> <br /> FRAHLER ELECTRIC <br />~lc~rical Cootraemr <br /> <br />Mam,gAadress 11860 SW GREENBURG RD,/TIGARD, OR <br /> <br /> Owner [ Phone <br />P~ay <br /> <br />Conlractoea Board Reg, No. 37 41 0 I ~ob No. 5 5 07 1 <br /> <br />SnpervJsofts License No. 1 81 6 ~ t Phone No.6 3 9 - 46 27 <br /> <br />21% FOR OWNER INSTALLATIONS <br /> <br />Cky/State/~ip <br /> <br /> COPY <br /> <br />3. PLAN REVIEW SECTION <br /> <br />Wc will provide plan review service if you complete Section <br />5B and submit two (2) sets of plans and specifications wikh <br />this application. <br /> <br />This optional plan review program does not suspend the <br />rcqu ired submission of lighting power caloqafions, plans, <br />and specifications when required by the Oregon Structural <br />Specialty Ctxle, Chapter 53, <br /> <br />MC 15-34 11/91 <br /> <br />Permit No. <br /> <br /> Residential <br /> Per <br /> Unit <br /> <br />1000sa. ft, or less $85,00 <br /> <br />200 amps or less 3 $50,00 <br />201 amp~ to 400 amps $80,00 <br />401 am~ ,o 600 amps ...... I,,, $100.00 <br />~1 am~pss m 1~0 aml~ $180.00 <br /> <br />Rmncct rely $40,00 <br /> <br />Temporary Services/F~eders <br />Installation, Alteration, or Relocation <br />200 amps or less <br />201 romp: to ~0 amps <br />~cr 6~ ~ps or lt(~ voIt~ <br /> <br />D, Branch Clrenits <br /> New, Alteration, or Extension Per t~ane[ <br /> <br /> a) The fe~ for branch clmnitx ~ <br /> <br /> ( A~ required by Building Official) <br /> <br />$35.00 <br />$40.00 <br />$80,00 <br /> <br />$2.00 <br /> <br />$35,00 <br /> $2.00 <br /> <br />$40.00 <br />$40,00 --2 <br /> <br />$40.00 ---2 <br /> <br />$35,00 <br /> <br />$S0.00 <br /> <br />5, FEES <br />Al. Enter total of fees from Sec. #4 $ 6~ . 0 0 <br />A2, Add 5% surcharge (,05 x Al) $ <br /> <br /> Subtolal $ <br /> <br /> B. Enter 25% of linc Al tar [qan Review <br /> (Sec, 3). if requ/red $ <br /> C, lnvestigationFee (if required) $ <br /> D, Reinspectlcm Fee ('$25,00) $ <br /> Tf~?~L.AMDUNT: DUi1: $ 68.25 <br /> Reeeipl o, ........ <br /> <br /> <br />