Laserfiche WebLink
Received Sy: <br />Date: <br /> <br />MARI(~N COrJNTY BUILDING INSPECTION <br />Senator Bldg, No, 225 <br />220 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> Phone 588-5147 <br /> Code-A-Phone 4:30 RM. - 8:00 A,M~ <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br /> Owner: Phone: Address; <br /> ,T~n Re!!~t~Ln~ 585-~,9.,~,~, 87,63 Shaw $ Rd - vi <br />Situs Address: Site No.; Cross Street: <br />8763 Shaw Square Rd 585-6966 Silver Falls HWy ........ <br />Electricel Firm: Phone; Address; <br />Code Electric~ Inc. 581-8684 2717 22nd St. SE - Salem <br />.... Supervising EleCtrician: Phone: Address; '" <br />Terry H~rrington ....... 581-8684 2717 22nd St. SE - Salem <br />Electrical Contractor~ No.: Home Builder's Registration No.; <br />24-75C 19866 <br />-'Supervising ...... Use of New [] Ad,lit'ion ~ Occ6'p~ncy <br /> Electrlcian'sNo.: 20.~1, 5S Building; Resid,~nce Alterationl~ Relocation [] Change [] <br /> <br />le <br /> <br /> No. RESIDENTIAL <br />__ Residence wiring less than 1000 sq, ft ................................. @ $ <br />__ Residence wiring lesg than 2000 sq. f~ ................................. @ $ <br />__ Resldencewiringover2000sq, ft .................................... @ $ <br />__ Electdc heat installation in existing residence ........................... @ $ <br /> SERVICES <br />__ Temporary Construction Service ..................................... @ $ 20.00 <br />~ Service change only in an existing residence ........................... @ $ 20,00 <br /> Commercial or Industrlah <br /> Service not over 100 amperes ....................................... @ $ 30.00 <br />__ Service over 100 amperes but not more than 200 amperes ................. @ $ S0.00 <br />__ Service over 200 amperes but net more than 400 amperes ................. @ $ 70.00 <br />__ Service over 400 amperes but not more than 600 amperes ................. @ $ 100,00 <br />__ Service over 600 amperes ......................................... @ $ 130-00 <br />-- Service over600volts ............................................. @ $ 300.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br /> Installation of Alterations or Relocation of Distribution Feeders: <br />__ Not more than 100 amperes ........................................ ~_~ $ 20.00 <br />__ Over 100 amperes but not more than 200 amperes ....................... @ $ 30.00 <br />__ Over 200 amperes but not more than 400 amperes ....................... @$ <br />__ Over400amperes ............................................... @$ 60.00 <br />__ Feederover600volts ............................................. @ $ 80,00 <br /> MISCELLANEOUS <br />__ A. Eachtrailerormobilehomespace($erviceequipment) .................. @$ 20,00 <br />__ e, Each supply for mobile home (Connection) ........................... @ $ 20.00 <br />__ C. Each irrigation pump (Altech a map showing location) ..................... @ $ 20.00 <br />__ D. Eachelectricslgnorouffinelighting ................................ @$ 20,00 <br />__ E. Each residential swimming pool .................................. @ $ 20.00 <br /> BRANCH CIRCUITS <br />-- Onecewclmuit;alterationorextenslon ............................... @$ 15.00 <br />,, ,~ Twoermorenewcircuits;alteratlonsorextenslons ....................... @$ 20.00 <br />__ Other (as per NEC and Building Official) ......................................... <br />-- On-Site Technical Review (apply directly at Marion County only) ...................... <br />-- industrial Plant Inspection (apply directly at Marion County only) ...................... <br />__ Reinspectien Fee .......................................................... <br /> FEE <br /> STATE SURCHARGE <br /> <br />30.00 <br />SO,O0 <br />70,00 <br />20.00 <br /> <br /> 2J.00 <br /> <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> with the indicated fee.' INVESTIGATION FEE <br /> FLEET SURCHARGE <br /> TOTAL $ 4 .~ 4 <br /> <br /> (.. (~ - {Supervising EleCtrician) <br />[] HOMEOWNERS - I hereby certify thatTam the owner of the property described above, at which location I propose to make an electricel Installation for <br /> my own use and this property is not being constructed for sale, lease or rent, <br /> <br />SIG NATURE OF APEL(CANT: <br /> <br /> <br />