Laserfiche WebLink
FOR OFFICE USE ONLY <br />Received by.' <br />Date: -. - <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> 220 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> Phone 588-5147 8:00 nn - 4:30pm <br /> Code-A-Phone: 588-7904 <br /> g~: 588-7~4~1 SITE #: <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, I through <br /> <br />PERMITS ARE NON -'IILfi. NS FERABLE AND NON-KEFUNDABLE AND <br />EXPIRE IF WORK IS NOT STARTED WITHllq 180 DAYS OF ISSUANCE <br />OR IIt WORK iS SUSPENDED FOR 180 DAYS. <br /> <br />2B, FOR OWNER INSTALLATIONS <br />Property Owner <br />Mailing Add,ss Phone <br />Cily/SiatefZip <br /> <br />Owner's Signature <br /> <br />3. PI,AN REVIEW SgCTION <br /> <br /> We will provide phm 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 submission of lighting power calculations, plans, <br />and specifications when required by the Oregon Structural <br />Specialty Code, Chapter 53. <br /> <br />Date: <br /> <br />Perm[tNe. <br /> <br /> Issued by: <br /> <br />4. FEE SCHEDULE (Complete and enter total in A1 below) <br /> <br /> Number of lnspoctions p~r permR allowed ~] <br />A. <br /> R~sidentlal <br /> Unit <br /> 1 <br /> Service Included: It~t~3S Cost (each) Suml <br /> <br /> l~sm. ft. ~ less $85,00 -- 4 <br /> Ba~ a~l 5~ sq. ft, <br /> or~m ~of $1&00 <br /> ~im~ Enc~y SgO,00 <br /> 1 <br /> <br />Each Manufd Home or Modular <br /> Dwelling Sc~ice or Feeder <br /> <br />B. <br /> <br /> $40.00 <br /> <br />Installation, Alterations or Relocation <br /> <br /> 201 amps to 400 amps <br /> 401 amps to 600 amps <br /> 601 arnl~ to 1000 amps <br /> Over 1000 amps or volts <br /> <br />C, Temlmrary Services/F~ders <br /> Installation, ~lteratlon, or Relocation <br /> 200 amps or less <br /> 201 amps to 400 amps <br /> 401 ~mps lo 600 amps <br /> Over 600 amps or 1000 volts <br /> <br />D, Branch Circults <br /> <br /> a) Thc fee for branch circuits with <br /> <br /> h) Thc fee for branch circuts withoui <br /> <br /> Each pump or in'igatlon <br /> <br /> (As required by Budding Offi¢~ <br /> <br /> 50,00 <br /> ~60.00 <br />$1oo. oo <br />$180.00 <br />$300.00 <br />$40.00 <br /> <br />$35,00 <br />$40,00 __2 <br />$80.00 <br /> <br />$35,00 ~ <br /> $2.oo /-~-o <br /> <br />$40.00 <br />$40.00 <br /> <br />$40,00 ~ <br /> <br />$35,00 <br /> <br />SilO00 <br /> <br />A 1, Falter total of fees from $cc. #4 <br />A2, Add 5% surcharge (,05 xAI) - <br /> <br />13, Enter 25% o~ ~e A 1 ~ot ~ Review <br />(S~, 3), if ~q~ $ <br />C, ~ves~igationF~ (ff required) $ <br />D. Reins~fim Fee ¢~,~) $ <br /> <br /> ~TAL AMOU~ DUE <br /> <br />MC15-34 11/91 ~ No. <br /> <br /> <br />