Laserfiche WebLink
FOR OFFICE USE ONLY <br />Received by: <br />Date: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> 220 Iligh Street NI~ <br /> Salem, Oregon 97301 <br /> <br />Phone $88-$147 8:00 ~n- 4:3Opm <br />Co~e-A.Phone: 588.7904 <br /> FAX: 588-7948 <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complet~FS-eqtions, I through 5 <br /> <br />PERMITS ARE NON-TRANSFBRABLE A2qD NON-REFUNDABLE AND <br />EXPIRE IF WORK IS NOT STARTED WiTIiIN 180 DAYS OF ISSUANCE <br />OR iF WOKK IS SUSPENDED FOR 180 DAYS, <br /> <br />2A- CONTRACTOR INSTALLATION ONLY <br /> <br />2B. FOR OWNER INSTALLATIONS <br />property Owner <br />MaJEng Addl~ss , Phone <br />City/Sta~e/Zip <br /> <br />Owner'a Signature <br /> <br /> pLAN 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 program does not suspend the <br />required submission of lighting power calculations, plans, <br />and specifications when required by the Oregon Structural <br />Specialty Code, Chapter 53, <br /> <br />SITE #: <br /> <br />Date: <br /> <br />Issued by: <br /> <br /> T JUL 0 9 1992 <br /> <br />RIIII flING INSPECTION <br /> <br />4. FEE SCHEDULE (Complete and e nt.c x' to~l hl A 1 below) <br /> <br /> A. Residential Per UnitNumber of lnspectton,q per permit allowed q <br /> Service lncluded~ Items Cost (each) Suml <br /> <br />10hO sq. ft. or less $85.00 4 <br />Bach additional flY0 sq, R, <br />or ponicm thereof $15.00 <br />Limited E~ergy $20,00 __ 1 <br /> <br /> Dwelling Se~vic~ or Feeder $40,00 <br /> <br />In~llatlon, Alterations or Rel~ation <br />2~ am~ or less $50,00 <br />201 am~ to ~ ~mps $60,00 <br />~1 amp{ m 6~ amps $100.00 <br />~I amps m 1~0 am~ $130,00 <br />~cr 1~) amps Or volts $300,00 <br />~nneat oily SgO,O0 <br /> <br />Ins~{lm~on, Air.at}on, or R~aiion <br />2~ amps or less ~ $85.00 <br />201 ~ps to ~0 amps ~ /' ~.00 <br /> <br />~r ~0 ~ps or 10~ volts ~ <br /> <br />D, Branch Ciro~its <br /> New, Alteration, or Extension Per Panel <br /> <br /> a) The fee for branch clrcu~ts with <br /> purchase of xervine or fe~dqr fee <br /> <br /> Each branch circuit <br /> <br /> b) The fee for branch clrcuts ~vithout <br /> <br /> above, per Inspection <br /> <br /> Pack of I0 labds @ ,'~ .00 each <br /> <br /> (As required by Building OffipLal) <br /> <br />$50'0i~ <br /> <br />5. FEES <br /> Al. Enter total of fees from Sec. #4 <br /> A2. Add 5% sorcharge (,05 x Al) <br /> <br /> Subtotal <br /> <br /> B, Enlpr 25% of [{ne A 1 for ?lan Review <br /> (Sec. 3), if required <br /> C. Investigation Fcc (ff requited) <br /> D. Rclnspection Fee ('$25.00) <br /> <br /> TOTAL AMOUNT DUE <br /> <br />MC 15.34 1ll91 Receipt,No.. <br /> <br /> <br />