Laserfiche WebLink
FOR CITY VALIDATION[ <br />Received by: [ <br />Date: I <br /> <br />MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br />285 Church St NE · Room 132 <br /> Salem, OR 97301 <br /> <br />2A Hr Inspection Line: 588-7904 <br />Office: 588-5147 8:00 a.m. - 4:30 p.m. <br />FAX: :588-7948 <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, 1 through <br /> <br />1. LOCATION OF INSTALLATION <br /> <br /> PERMITS ARE NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT <br /> STARTED WITHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 150 DAYS. <br /> <br /> 2A. CON'TRACTOR INSTALLATION ONLY <br /> <br />Electrical Contractor I Phone <br />Mailing Address <br />Property Owner I Phone <br />Contractor's License No. <br />Contractor's Board Reg. No, Job No. <br />' Signature of Supervising Electrician <br />Supervisor's License No. Phone <br /> <br /> 2B. FOR OWNER INSTALLATIONS <br /> <br />Property Owner (please print , ' <br />Malhng Address _ _9 · Pho <br />ci,y,state,zip <br />Owner's Signature: <br /> <br />3. PLANRBVIBW $1~CTION <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service if you complete <br />Section 5B and submit two (2) sets of plans and <br />specifications with this application. <br /> <br />PERMIT NO: <br /> <br />Date: <br /> <br />Issued by: <br /> <br />4. Fl:lB SCHF:tDULll (Complete and enter total in Al below) <br /> Nmnber of Inspections per permit allowed <br /> / <br />A. Residential Per Unit <br />$ervie~ Included: Items Cost (each) Sum <br />1000 sq. ft. or less $85.00 <br />Each additional 500 sq. ft. <br /> or portion thereof $15.00 <br />Limited Energy $20.00 ~.1 <br />Each Manufactured Home or Modular <br /> Dwelling Service or Feeder $40.00 ~ 2 <br /> <br />B. Services or Feeders (Doea not include branch circuits, see section D) <br /> <br />Installation, Alteration or Relocation <br /> ! <br />200 amps or less [ $50.00 ~ 2 <br />201 amps to 400 amps $60.00 ~ 2 <br />401 amps to 600 aml~ $100.00 ~2 <br />601 amps to 1000 amps $130.00 ~2 <br />Over 1000 amps orvolts $300.00 ~ 2 <br />Reconnect only $40.00 ~ 2 <br /> <br />C. Temporary Services/Feeders <br />Installation, Alteration, or Relocation <br />200 amps or less $35.00 <br />201 amps to 400 amps $40.00 <br />401 amps to 600 amps $80.00 <br />Over 600 amps or 1000 volts <br />see "B" above <br />D. Branch Cirouits <br />New, Alterations, or Extension Per Panel <br />a) The fee for branch circuits with r <br />purchase of servico of feeder <br /> Each branch circuit . $ 2.00 <br /> <br />b) The fee for branch circuits without <br /> purchas~ofservice or feeder fee <br />First branch circuit <br />Each additional branch circuit <br /> <br />$35,00 <br />$ 2.00 <br /> <br />E, Miscellaneous (Service or Feeder Not Included) <br />Each pump or irrigation circle $40.00 ~ 2 <br /> Each sign or outline lighting $40.00 . 2 <br />Signal circuit(s)or a limited energy <br />panel, alteration or extension $40.00 ~ 2 <br />F. Each additional Inspection <br />Over the allowable in any of the <br />above, per Inspection $35.00 ~ <br />Gl. Minor Installation Labels <br />Pack of 10 labels @ $5.00 each $50.00 ~ <br />(sold only to electrical contractors) <br />H. Other <br />(As requited by Buildiag Official) <br />Aurora Dwelling Electrical Fee <br /> Dwelling Permit Label # of Labels N/C <br /> <br />~r,q. #. x $.06 =~ <br /> <br />5. FEES Al. Enter total of fees from See.//4 <br /> A2. Add 5% surcharge (.05 x Al) <br /> <br />,Subtotal <br /> <br />B. Enter25% of line Al for Plan Review <br /> (Sec. 3), if required <br />C. Investigation Fee (if required) <br />D. Reinspection Fee ($25,00) <br /> <br />TOTAL AMOUNT DUI~ <br /> <br />Receipt No. <br /> <br />MC 15-34 12/94 <br /> <br /> <br />