ELEC - 1325600 - Laserfiche WebLink

Home Browse Search

FOR CITY VALIDATION Received by: Date: MARION COUNTY BUILDING INSPECTION COMMUNITY DEVELOPMENT CENTER 285 Church St NE · Room 132 Salem, OR 97301 24 Hr Inspection Line: 588-7904 Office: 588-5147 8:00 a.m. - 4:30 p.m. FAX: 588-7948 ELECTRICAL PERMIT APPLICATION Please complete all Sections, I through 1. LOCATION OF INSTALLATION Job Address 11598 ~.R_OAD City AUMSVILLE IC~ss st. Directions WILLAMETTE SEED CO. WEST STAYTONPLANT Description PROVIDE 100A FEEDER AND 9 CIRCUITS PERMITS ARE NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS. 2A. CONTRACTOR INSTALLATION ONLY Electrical Contractor LINNCO ELECTRIC C~Phone 926-4266 Mailing Address PO BOX 925, ALBANY, OR ~7321 Property Owner WILLAMETTE SEED CO I Phone 769-2330 Contractor's License No. 22-15C Contractor's Board Reg. No. 49737 JobNo. 61g/"/J Signature of Supervising Electric~~ ~ ~r~ ~.~ Supervisor's License No. 3257S Phone 924-2107 2B. FOR OWNER INSTALLATIONS Property Owner (please print) Mailing Address Phone City/State/Zip Owner's Signature: 3. PLANREVIBW SECTION Marion County does not require a plan review. We will provide plan review service if you complete Section 5B and submit two (2) sets of plans and specifications with this application. PERMIT NO: Date: Issued by: 4. FEE SCHEDULE (Complete and enter total in Al below) Nmnber of Inspections per permit allowed A. Residential Per Unit Service Included: Items Cost (each) Sum 1000 sq. ft. or less $85.00 Each additional 500 sq. ft. or portion thereof $15.00 Limited Energy $20.00 __1 Each Manufactured Home or Modular Dwelling Service or Feeder $40.00 ~ Services or Foeders (Does not include branch circuits, see section D) Installation, Alteration or Relocation I 50.09 200 mnps or less $50.00 201 amps to 400 amps $60.00 __ 2 401 amps to 600 amps $100.00 __ 2 601 amps to 1000 amps $130.00 __ 2 Over 1000 amps or volts $300.00 __ 2 Reconnect only $40.00 __ 2 C. Temporary Services/Feeders Installation, Alteration, or Relocation 200 amps or less 201 amps to 400 amps 401 amps to 600 amps Over 600 amps or 1000 volts see "B" above D. Branch Circuits New, Alterations, or Extension Per Panel a) The fcc for branch circuits 3yi!h purchase of service of feeder fee Each branch circuit 9 $35.00 __ 2 $40.00 __ 2 $80.00 ~ 2 $ 2.0o 18.00 b) The fee for branch circuits without purchase of service or feeder fee First branch circuit Each additional branch circuit $35.00 __ $ 2.00 E. Miscellaneous (Service or Feeder Not lnclud~l) Each pump or krigation circle $40.00 Each sign or outline lighting $40.00 Signal circuit(s) or a limited energy panel, alteration or extension $40.00 F. Each additional Inspection Over the allowable in any of the above, per Inspection $35.00 O. Minor Installation Labels Pack of 10 labels @ $5.00 each $50.00 (sold only to electrical contractors) H. Other (As required by Building OlliciaD Aurora Dwelling Electrical Fee Dwelling Permit Label sq. 1~.x$.06 =~ # of Labels N/C 5. FEES Al. Enter total of fees from Sec. #4 A2. Add 5% surcharge (.05 x Al) Subtotal B. Enter 25% of line A 1 for Plan Review (Sec. 3), if required C. Investigation Fee (if required) D. Reinspection Fee ($25.00) TOTAL A3~IOUNT DUE Receipt No. $ $ $ $ $ 71.40 MC 1Ji-34 12/94