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OF/~CE L~E ONLY <br />Received by:: <br />Date: <br /> <br />MAflION COUNTY BUILDING INSPECTtON <br /> 22~High areet NE <br /> Salem, Oregon 97301 <br /> <br /> Phone S88-$147 8.'~ a.m. - 4:30 p.m. <br /> Co~-A-Phone; 588-'/{~4 SiTE #: <br /> <br /> Issued by: <br /> <br />2B. FOR OWNER IN~TA LLA'nONS <br /> <br />Property Owner <br /> <br />The installation Is being made on property I own whloh is net intended for SaJe, <br /> <br />Permit No,, <br /> <br /> 4, FEE SCHEDULE (Complete and enter total in At below) <br /> Number ~ inspe~tione per permit allowed <br /> <br /> Multi-Family per dwelling unit <br /> <br /> 1500sq. ft, orless __ $ 85. ,-- 4 <br /> Eachaddlso0sq. lt. orperlJon ~ $ 15. <br /> Each Mfg,'d Home or Modular <br /> Dwelling ser~ce or feeder __ $ 35, __ 2 <br /> <br /> El. Ser~lce~eedors <br /> <br /> 100 amps or less __ $ 35. __ 2 <br /> lot amps to 4OO amps $ SO. __ 2 <br /> 401 emp~to6OOamps $ 80, -- 2 <br /> 601ampere 10soamps ~ $130. __ 2 <br /> Over lso0ampsor',~3tt~ ~ ~SO0. __ 2 <br /> Re~onnectOnly ~ $ 35 -- 2 <br /> <br />~,.,200 amps or less ~ $ 35. __ 2 <br />~,1 empe ~ 400 atnps __ $4Q. ~ 2 <br />401anYpe te soo amps ~ $ 80 ~ 2 <br /> Over 600 amps or 1000 volts (~ee 4B) <br /> <br /> D. Branch ClroOlte <br /> New. Ait#~on or Extension Pe~ panel <br /> OneeJ. reUit $ 50. -- 2 <br /> Twa to ten circuit~ ~ $ 3S. 2 <br /> <br /> Eachadd'lten~J~ults0rpertJon $ 15,, __ 2 <br /> <br /> ($ervl~e or FeeSer not ~Juded) <br /> Each pump or Irrigation cycle $ 36. ~ 2 <br /> Each sign or outline ligMIng $ 36,, __ 2 <br /> Signal clrcalt(s) or a limited energy <br /> penel, elterattonorextenslon ~ $ 36,, -- 2 <br /> <br /> F. Each edd'l <br /> <br /> the above, per inspecl~on $ 35,, __ <br /> <br /> G. Minor Inetelteflon Lebele <br /> Packotl01abe~s@$5,soeach ~ $ SO, <br /> (Sold only lo elecyical contractors) <br /> <br /> (As requir~c/ by Bui/~ng OffidaO <br /> <br />.3, PLAN REVIEW SEC'nON <br /> C,h~ck appropriate item and enter fee in Sec#on SB. <br /> <br /> Connected Load over 200 amps (except single family dwellings) <br /> .... Building system over 200 amps (except single family dwellings) <br />__ System over 600 volts <br />__ Building over 2 sto~es <br />__ Building over 10,000 square feet <br />-- Occupant load over 800 per'.~ns <br />__ Manu~tured Dwelling Pad~Recm~On ~ <br /> Hazardous Locations <br /> <br />Submit 2 se~ of plans wi~ any of the above. <br />Temporary consmm~ion services do not apply. <br /> <br />AL Enter total of fees from Sec,, ~1 $ <br />A=. Add5% surcha~le (,,05xA~) $ <br /> Subtotal $ <br /> <br />B. Enter 25%oflineA1 for Plan Review <br /> (Se~, 3). if required <br />C, Ioves~ga~en Fee (if mquirod) <br />D. Relnspec~on Fee ($25,00) <br /> <br /> TOTAL AMOUNT DUE <br /> <br />$ <br />$. <br />$ <br /> <br /> <br />