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IFOR OFFICE USE ONLY <br /> Received by:, <br /> Date: <br /> <br />MARION CO ,UNTY?UI_LDING INSPECTION <br /> - 220 High Street NE <br /> Salefil, Oregon 97301 <br /> <br /> Phone 588-5147 8:00 ara - 4:$0pm <br /> Code-A-Phone: 588-7904 <br /> FAX: 588-7948 SITE #; <br /> <br />ELECTRICAL PERMIT APPLICATION ] <br />Please complete all Sections, i through 5 <br /> <br />Date: <br /> <br />Issued by: <br /> <br />~UILDING <br /> <br />1. LOCATION OF INSTALLATION <br />Job Address ' <br /> <br />PERMITS ARE NON-TRANSFERAELI5 AND NON-REPUNDABLE AND <br />EXPIRt! IE WORK IS NOT STARTED wrm~ 180 DAYS OF ISSUANCE <br />OF, IF WORK IS SUSPENDED FOR 180 DAYS, <br /> <br />2A, CONTRACTOR INSTALLATION ONLY <br /> <br />2B. FOR OWNER INSTALLATIONS <br />Mailing Address <br /> <br />City/State/Zip <br /> <br />Owners Signature <br /> <br />3, PLAN REVIEW SECI'ION <br /> <br />Wc will provide plan review ,service if you complete Section <br />5B and submit two (2) sets of plans and specifications with <br />this application. <br /> <br />This optional plan review program does not suspend the <br />required sabmission of lighting power calculations, plans, <br />and specifications when required by the Oregon Structural <br />Slx:cialty Code, Chapter 53. <br /> <br />4, FEE SCHEDULE (Complete and eulcr total ia A 1 below) <br /> <br /> Number of Inspections per permit allowed <br /> <br />A. <br /> Residential <br /> Unit <br /> <br /> 1000 sq, ft, or less $85.00 4 <br /> Each ad~tiona1500 sq, ft. <br /> or portion thereof $15 <br /> Limited Energy T $20.00 ~ 1 <br /> Each Manu£d Home or Modular <br /> Dwelling Service or Feeder $40.00 -- 2 <br /> <br /> 50.00 <br /> 200 amps or less $ $60,00 <br /> 401 amps lo600amps $100.00 __ 2 <br /> 601 amlpsls to 1000 amps $130.00 2 <br /> Over I000 amps or volts $300.00 __ 2 <br /> Reconnect o~lly $40,00 I I I 2 <br /> <br />C, Temporary Services/Feeders <br /> <br /> 2(YO amps or le~s $35.00 __ 2 <br /> 201 amps to 400 amps $40.00 __ 2 <br /> 401 amps to t500 am} ~l $80 . 00 ]2 <br />D, Branch Clrcuit.q <br /> <br /> a) 'I~e fee for branch circuits with <br /> <br /> 'Each br~mch circuit $2.00 <br /> <br /> b) The fee for branch c[rcuts <br /> Im~rchasc of service o~ fe. qder fee <br /> <br /> lqrut bn:nch circuit $g5.00 <br /> Each additional branch clrctxit $2,00 <br /> <br />~, Miscellaneous (Service nr Feeder Not Included) <br />~,,E~=ch pump or irrigation circle Sd0,00 __ 2 <br />Each sign or outline lighting $40,00 -- 2 <br />Signal cireuit(~) or a ]ir~fited energy ' <br /> <br /> above, per In,perSon $25.00 <br /> Pack of 10 labels @ $5.00 each $$0.00 <br /> <br /> ( A~ required by Building Official) <br /> <br />5. FEES <br /> <br /> Al, Enter total of fees t'tom <br /> A2. Add 5% sumharge (,05 x Al) <br /> <br /> Stlbtota] <br /> <br /> B, Enter 25% of line A 1 for Plan Review <br /> (Sec. 3). if required <br /> Cl InvestigalionFee (if required) <br /> D, Reinspeetkm Fee ($25,00) <br /> <br /> 'ID'ITxL AMOUNT DUE <br /> <br />Sm <br /> <br />MC' 115-34 11/91 Reedp~ Nc,. <br /> <br /> <br />