Laserfiche WebLink
Situs Address: <br /> <br />Electrical Firmi - <br /> <br />Supervising Electrician: <br /> <br />Electrical Contractor's No.: <br /> <br />Supervising <br />Electriciae'sNo,: ~ ""}k <br /> <br />No. RESIDENTIAL <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senator Bldg. No,'22S <br />220 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> Phone $81~,g147 <br /> Code-A-Phone 4:30 RM. - 8:00 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Phone; <br /> <br />Phone: <br /> <br />Address: <br /> <br />Cross Street; <br /> <br />Address: <br /> I '.1 <br />Address; <br /> <br />Home Builder's Registration NO,; <br /> <br />Addition [] <br />Relocation [] <br /> <br />Occupancy <br />Change I"'1 <br /> <br />Use of <br />Building; <br /> <br />Residence wlring less than 1000 sq. ft ................................. @$ 30,00 <br />Residence widng less than 2000 sq. ft ................................. @$ 50.00 <br />Residence wiring over 2000 sq. ft .................................... @ $ 70,00 <br />EJectdc heat installation in existing residence ........................... @ $ 20.00 <br /> SERVICES <br />Temporary Construction Servlee ..................................... @ $ 20,00 <br />Service change only in an existing residence ........................... @ $ 20.00 <br />Commercial or Industrial: <br />Service not over 100 amperes .................................. @ $ 30,00 <br />Service over 100 amperes but not more than 200 amperes ................. @ $ 50.00 <br />Service over 200 amperes but not more then 40g amperes ................ 95 70.00 <br />Service over 400 amperes but not more then 600 amperes .............. @$ 100,00 <br />Service over 600 amperes ........................................ @$ 130.00 <br />Service over 600 volts ............................................. @ $ 300.00 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />installation of Alterations or Relocation of Distribution Feeders: <br />Not more than 100amperes ....................................... @ $ 20,00 <br /> <br /> Over 100 amperes but not more than 200 amperes ...................... @ $ 30,00 <br /> Over 200 amperes but not mom than 400 amperes ....................... @ $ 50.00 <br /> Over 400 amperes ............................................... @ $ 60,00 <br /> Feeder over 600volts ............................................. @ $ 80.00 <br /> MISCELLANEOUS <br />__, A. EachtraJlerormobilehomespece($ervlceequiprnent) .................. @$ 20.00 <br /> B. Each supply for mobile home (Connection) ........................... @ $ 20.00 <br />.. C. Eaehjrrigetlenp~mp(Attach~mapshowinglocation) ..................... @$ 20.00 <br />____ D, Eachelectricslgnoreutlinelighting ............................... @$ 20.00 <br />_.__ E. Each residential swimming pool .............................. @ $ 20,00 <br /> i~RANCH CIRCUITS <br /> One new circuit; alteration or extension .............................. @ $ 15.00 <br /> Two or more new circuits; alterations or extensions ...................... @ $ 20.00 <br /> <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 /> Relnepection Fee ............................................... : ,' ~ .... ; ~., ' <br /> <br /> FEE <br /> STATE SURCHARGE <br /> Please return COMPLETE APPLICATION PLAN REVIEW FEE <br /> with the indicated fee, INVESTIGATION FEE <br /> FLEET SURCHARGE <br /> TOTAL <br />I agcee to make the electrical tn~tte~according to th~bmitted plans ~.~aPecificr~tlons, the laws of the State ct Oregon and the Ordinances of Marion County· <br /> <br /> my own use and this property Is not being constructed for sale, lease or rent, <br /> <br /> <br />