ELEC - 1464672 - Laserfiche WebLink

Home Browse Search

FO~ O~FICE USE ONLY Re~ved by: Date: MARION COUNTY BUILDING INSPECTION ELECTRICAL PERMIT APPLICATION Please complete all Sections, 1 through 5 L LOCATION OF INSTALLATION Job Address ~9' Cross Dire~dons Des~ripfi~ pEP, MITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE ~F WORK IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS. 2A. CONTRACTOR INSTALLATION ONLY Electrical ~ ~ C0115~., If'Iff* I Phone ~--"fffl'~ . ~ Av~. N.W_ M~g Add.ss ~~~ P~Ow~r ~ [~e__ 7952 con, c,o , Bo,,d,e . No. ,,a 7 y',;?C.. [,ohNo. Signature of Sup~ndsing Ele~trle~an ~ ~$L./~a~ No. -I 2B. FOR OWNER INSTALLATIONS Property Owner Mailing Address Phone City/StateJZip The installation is being made on property I own which is not intended for sale, Owner's Signature 3. PLAN REVIEW SECTION We will provide plan review service if you complete Section 5B and submit two (2) sets of plans and specifications with this application. This optional plan review program does not suspend the required submission of lighting power calculations, plans, and specifications when required by the Oregon Structural Specialty Code, Chapter 53. MC 15-34 11/91 220 High Street NE FEB 2 1257 /-- Date: MARION COUNTY Issued by: BUILDIN6 INS 'E-C.T!O!~i 4. FEE SCllEDULE (Complete ~d eater total ~ A1 below) Number of Inspections per permit allowed A. R~identlal Per Unit / Service Included: Items Cost (each) Suml 1000 sq, fL or less $85.00 , 4 Each additional 500 sq. 1~. or po~im thereof $15,00 Limimd Fmergy $~0.00 -- 1 Each Manufd Home or Modular Dwelling Se~ice or Feeder $40.00 · 2 B. Servle~s or Feeders (Does not inlcude branch circuits, see section D) Installation, Alterations ~r Rdoeation 200 amps or less 201 amps to 4~0 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps or volts Reconnect only C. Temporary Services/Feeders Installation, Alteration, or Relocation 200 amps or less 201 ~raps to 400 amps 401 amps to 600 amps Over 600 amps or 1000 volts D. Branch Circuits New, Alteration, or Extension Per Panel a) Tbe fee for branch drcaits with ~urchase of service or feeder fee Each branch circuit b) T~e fee for branch ~ircms without purchase of service or feeder foe I First branch circuit Each additional branch c~rcuit E. Miscellaneous (Service or Feeder Not Included) Each sign or c~tline lighLing Signal circuit(s) or a limited energy panel, alteration or extension F. Each additional Inspection over die allowable in any of the abovo, per Inspe~rlon G. Minor Installation Labels Pack of 10 labels @ $5.00 eaclt (sold only to electrical contractors) H. Other (As required by Building Official) ~50.00 2 60.00 2 $100.00 2 $130.00 2 ,'~00.00 __ 2 $40.00 2 $35.00 2 $40.00 2 $80,00 , 2 5. FEES Al. Enter total of fees from Sec. 644 A2. Add 5% surcharge (.05 x A 1 ) Subtotal B. Enter 25 % of line A 1 for Plan Review (Sec, 3), if required C. InvestigationFee (ff requhr, d) D. Reinspection Fee ($25.00) TOTAL AMOUNT DUE Receipt No. $2.00 $35.00 $2.00 $40.00 $40.00 2 $40.00 2 $35.00 SSO.oo