Laserfiche WebLink
FOR CITY VALIDATION[ <br />Received by: ~ <br />Date: [ <br /> <br />MARION COUNTY BUILDING INSP~,CTION <br /> <br />COMMUNITY DEVELOPMENT CENTER <br />285 Church St NE - Room 132 <br /> Salem, OR 97301 <br /> <br /> 24 Hr Inqp~tion Line: 588-7904 <br />Offle, g. 581~-5147 8:00a.m.=4:30p.m. <br />FAX: 58B-79~ <br /> <br />ELECTRICAL PERMIT APPLICATION [ <br />Please complete all $octions, I through 5,,,,,,,[ <br /> <br />L LOCATION OF iNSTALLATION <br /> <br />Job A4d~s <br /> <br />IPERMITSARE ANDIF IS NOT <br /> NON_TRANSFERABL~ <br /> WORK <br /> STARTF. D WITHhN 1 ~ DAYS OF ISSUANC~ OR IF <br /> WO~ I$ gU$P~D~ FOR 180 DAYS. <br /> 2A. CO~RACTOR ~ST~LATION O~Y <br /> <br />l Job NO. <br /> <br />2B, FOR OWNttR I~STALLATION$ <br />Prvpcrty Ow,er O~lca~o pr])]O / t ~ ' / ?_ ~ ]" <br /> <br />3. PLAN REVIEW SFaCTION <br /> <br />/Marion County does not require a plan review. <br /> We will provide plan review service if you complete <br /> Section 5B and submit two (2) sets of plans and <br /> ~pecifieations with this application. <br /> <br />MC 1.~-34 <br /> <br />Date: <br /> <br />Issued by: <br /> <br />4. FIlE SCHI/DULE (Complete and ~nter total in Al below) <br /> <br />~vi~ in~ud~: <br />1~ ~, fl, Or less $g5.~ 4 <br />~ch addhlonal <br /> <br />Limited ~n*rgy $20.~ <br /> <br />~00 ara~ or h~ { $50.00 ---- 2 <br />~01 amps to 400 mnps $60.00 -- 2 <br />401 amps to 600 amps $100.00 2 <br />601 amps tO 1000 nn~ps $130,00 -- 2 <br />Owt 1000 amp~ et volts $300.00 -- 2 <br />Reconnect only ~ $40.00 __2 <br /> <br /> Installation. Alteration, ot Relocation <br /> 200 amps or less $35,00 2 <br /> 201 amps tO 400 aml~ ...... $40,00 ~ 2 <br /> 401 amps to 600 amps $80,00 .... 2 <br /> Over 600 amps or 1000 vol~ <br /> <br />D, BraRe~h Clrculta <br /> <br />B. Mi~ollaneous (~vice or P~r Nm inolu~l~d) <br /> Each pump or irrigation ¢imle ~ ~40.00 -- 2 <br /> Each sign or outline lighting $40.00 . 2 <br /> Signal eimuit(s) or a limited energ~ <br /> <br /> (As requio~d by tgaildir~g o~qeiaO <br /> <br />5. FEll8 <br />Al, Enter total of fee~ from Se~. #4 $, -- <br />A2. Add 5% sur0harge (.0.5 x A 1 ) $.__ <br /> Sobtotal $.__ <br /> <br /> B. Ertter 25% of Igloo Al for Plan Review <br /> (Sec. 3), if r~quJr~d <br /> C, Investigation F~e (if required) S. -- <br /> D. R~imp¢ction F~e ($25.00) <br /> <br /> TOTAL AMOUNT DUE $___ <br /> <br /> <br />