Laserfiche WebLink
eoR omc use o ,s i <br />I Re~iVed by: <br /> <br />MARION COUNTY BUILDING LNSPECTION <br /> 220 High Street NE <br /> Salem, O~gon 97301 <br /> <br /> Date: <br /> 5[~P 28 1~ Issuedby: <br /> MARION ~ <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all Section~,., 1 through 5 <br /> <br />1. LOCATION OFINSTALLATION <br /> <br />Permit No, <br /> <br />]UN'fY <br /> <br /> 4J 'FEE SCHEDLr~E (Complete and enter total fia A 1 below) <br /> <br /> Number nf Insp~ctic. ns per permit allowed <br /> <br /> A. <br /> Residential <br /> ~r <br /> Unit <br /> So. Ice Included: It.s Cost (e~h) S~m/ <br /> <br />Descrip6on <br /> <br />pERMITS A~ NON-TRANSFBRABLE A/CD NON-P~FUNDABL~ AND <br />E~JHRE IF WORK IS NOT STARTleD WI'IIt~N 180 DAYS OF ISSUANCE <br />O, R IF WORK I,S,SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />Sig,am~ of S~is~g ~tfi ' ~ ' <br /> <br />211. FOR OWNER INSTALLATION~, <br />Mailing Addw~s Phone <br /> <br />CiBqState~ip <br /> <br />The installation is being made on prope~y I own which is not iht ande/,l for sale, <br /> <br />3. PI.AN REVIEW SECTION <br /> <br />We will provide plan 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 progam does not suspend the <br />required submission of lighting power calculations, plans, <br />and specificafioas when required by the Oregon Structural <br />Specialty Code, Chapter 53, <br /> <br />'5-34 11191 <br /> <br />1000 sq, ~ oc less $8fi.00 4 <br />Each ad&Mona1500 sq. ft. <br />o~ po~tica ~e~f $15.00 <br />~ ~emy $~0,00 1 <br />Each M~dH~e or M~ular <br />Dwe~ng S~ or ~eede ,,,~ ,$40.00 a <br />B. Ser~ or Peede~ (~es not &lcude branch d~ults, see secfi~ D) <br /> <br /> ~00 aml~ or l~ss <br /> ~1 am~ ~ 4~ ~ps $~.00 2 <br /> ~l ~ps ~ 6~ amps $100,~ 2 <br /> ~1 am~ ~ l~0 amps $130.~ 2 <br /> ~r 1~ ~ps Or vd~ Sse0,~ 2 <br /> ~n~ ~Iy $40,00 ~ 2 <br /> <br /> ~r ~ ~ps or 10~ voIts <br /> <br />D. Br~h <br /> <br /> a) ~ f~ f~ ~nch drc~ts with <br /> <br /> Each brach c~ult <br /> <br /> b) ~¢ f~ f~ br~ d~ts ~i~out <br /> por~ase of <br /> <br /> F~t ~aneh ei~t <br /> <br /> ~ach ~mp ~ ~gafi~ cite $40,00 ~ 2 <br /> Ea~ si~ or ou~e lightlng <br /> S~flal c~tlit(s) ~ a ~mimd e~e~y <br /> ~ncl, Mtcratio~ ~ ~t~s~ ,$40.00 ...... 2 <br /> <br />F. ~ch additional lasp~tl~ <br />~r ~e ~owa~e <br /> <br /> Pa~k of 10 la~s <br /> (sald onl~ to dec~rical co~ra~tor~) <br /> <br /> ( ~ ~qui~d ~ BuiMing Offical) <br /> <br />5. FEES <br /> Al, ~nmr total of fees from S~c. #4 <br /> Ail, Add 5% surcharge (,05 x <br /> <br /> Subtotal <br /> <br /> B, Enter ~%oflineA1 for Plan Review <br /> (Sec, 3). if <br /> <br /> D. Reinspeefion Fee ($25.00) <br /> <br /> TOTAL AMOUNT DUE <br /> <br /> Rccalpt No, <br /> <br /> <br />