Laserfiche WebLink
Received By __ <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg No. g:~ <br /> 220 High Street NE <br /> Salem~ Oregon S7301 <br /> <br /> Phone a88-$147 <br /> Coae. A.PSone 4:30 eM, - 8:00 A.M. <br /> <br />ELECTRICAL PERMIT APPLICATION <br /> <br />Electrical ~r~ /~ - . <br /> <br />Supervising F~ct~icien <br />.... _._./A J,,;, ,,J <br />Elect rical'Cont tact or ~ NO:: <br /> <br />Supervising <br /> <br />Phone <br /> <br />Phone <br /> <br />Phone <br /> <br />Mailing Address <br /> <br />Cross Street <br /> <br />Address:: <br /> <br />Address <br /> <br />Home Suilder~ Registration No,;: <br /> <br />Use of Residential [] New <br />Building Commercial ~J Alteration <br /> <br />Addition ~ Occupancy <br /> <br />Electrician:s NO <br /> <br />Relocation [] Change r~ <br /> <br /> No. RESIDENTIAL <br />____ Residence wiring less than 1000 sq ft ~) $ 50 00 <br /> Residence wiring lessthan 2000 ft (ii' $ 75 00 <br /> sq <br />Residence winng over 2000 sq ft a~ $ 10500 <br />__ Eleotrioheat installation inexisting residence ~[~ $ 3000 __ <br /> SERVICES <br />-- TemporaryConstruofionService au$ 3000 <br />__ Service change only in an existing residence (ii $ 30 00 <br />Commercial or Industrial: <br />__ Service not over 100amperes ~' $ 4500 <br />__ Serviceoverl00amperesbutnotmorethan200amperes a~$ 7000 <br />__ Service over 200 amperes but not more than 400 amperes di$ 100 00 <br />__ Service over 400 amperes but not more than 600 amperes (~ $ 150 00 <br />__ Serviceover600amperes ¢~ $ 20000 <br />.._ Service over 600 volts (~ $ 4S000 <br /> COMMERCIAL AND INDUSTRIAL FEEDERS <br />Installation of Alterations or Relocation of Distribution Peeclera: <br />Notmorethanl00amperes g~ $ 2500 __ <br />__ Over 100 amperes but not more than 200 amperes e~ $ 4000 <br />__ Over200amperesbutnotmorethanr00amperee ('o'S 7000 <br />__ Over 400 amperes (~¢> $ 85 00 <br /> .__ Feederover6g0volts (¢ $ 12000 __ <br /> MISCELLANEOUS <br /> _. A EechtrailerormobilehomespeeetSe~viceequlpmonh (.:$ 2500 __ <br />__ B Each supply for mobile home(Oonnocbon) ~i~ $ 25 00 <br />___. C Each irrigation pump tAttach a mapahew~ng lone ion) (<t $ $0 00 __ <br />__ D Each electric sign oroufl~nelighting (.¢, $ 30 00 <br />..... E Each swimming pool(bonding) (i~ $ 8000 <br /> BRANCH CIRCUITS <br />__ Onenewcircui alera onorexenson <e:$ 2000 <br />___ Twoormorenewcircuitsalrerationsorextensions (~¢~$ 3000 <br />__ Other (as per NEC and Building Official) <br /> On-Sire Technical Review (apply directly at Marion County only) <br />.... Industrial Plant Inspection {apply directly at Marion County only) <br />__ Reinspection Fee fb= $ 20 00 <br /> FEE <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE __ <br /> <br />Please return COMPLETE APPLICATION <br />with the indicated fee,, <br /> <br /> INVESTIGATION FEE <br /> FLEET SURCHARGE <br /> <br />lagree to make the etootrrcal installation 80 in the submit lane cifioationo: tho la~s of the State of Oregon and the Ordinances of Marion County <br />SIGNATURE OF APPLICANT~ , <br /> <br /> HOMEOWNERS - I hereby certify that I am the owner of the property described above at which location I propose to make an electrical installation for <br /> my own use and this property is not being constructed for sale, lease or rent <br /> <br />SIGNATURE OF APeLJCANT <br /> <br />MC 15-34 <br />Rev 12/88 <br /> <br /> <br />