Laserfiche WebLink
I FOR OFFICE USE ONLY <br /> Received by: <br />I Date: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> 220 High Street NI~ <br /> Salem, Orogon 97301 <br /> <br /> Phone 588-5147 8:00 a~n. 4:30pm <br /> Code-A-Ph~me: 588-7904 <br /> FAX: 5gS-794S <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, I through 5 <br /> <br />Pr~RM~$ ARE NON-TRANSFERABLE AND NON-KEFUNDABLE AND <br />EXPIRE I~ WORK IS NOT STARTED ~ lg0 DAYS OF ~SUANCE <br />OR IF WORK IS SUSpE~rDED FOR 180 DAYS. <br /> <br />FOR OWNER IN~i'ALLATIONS <br /> <br />Marling Address Phor~ <br />City/State/Zip <br /> <br />~e imtatlation is being rnad~ oa property I own which is n~ intended for sale, <br /> <br />3. PLAN REV1EW SECTION <br /> <br /> We wil! provide plan ~eview 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 n~view program does not suspend the <br /> required submission of lighting power calculations, plans, <br /> and specifications when required by thc Oregon Structural <br /> Specialty Code, Chapter 53. <br /> <br />MC 15.34 11/91 <br /> <br />4. ~ESCHEDUL~t~r~ ~ A1 ~w) <br /> Num~ of lnsp<tions p~ ~rmlt all~ <br /> <br />A, <br /> ~r <br /> Unit <br /> Semite Included: <br /> <br /> 1~ sa, ~ ~ less $85,00 4 <br /> <br />~ach M~n~d H~e or M~ular <br /> <br />~. S~c~ or Fcede~ (~S no~ ~kndc b~nch circuits, s~e s~ D) <br /> <br /> ~1 ~ ~ 6~ ~pe <br /> <br /> 601 amps to 1000 amps <br /> Over 10oo amps or volts <br /> Reconnect c~ly <br /> <br />C. Temporary Services/Feeders <br /> lnstallatinn~ Alteration, or Relocation <br /> 200 amps or less <br /> 201 amps to 400 amg~ <br /> 401 amps to 600 anaps <br /> Over ~ amps or 1000 volts <br /> <br />D, Branch Cireui~ <br /> <br /> a) Th~ fcc for branch ~reultz 3til~ <br /> g~ehase of service, pr feeder <br /> <br /> b) The fe~ for branch drems Mlhppt <br /> ~rchase of service or feeder fqe <br /> <br /> Each additional branch circuit <br /> <br />Ig, Ml~llaneous (Service or Feeder Not Included) <br /> Each pump or irrigation circle ., , <br /> ]~ach sign or ourse lighting .. <br /> Signal ~rC. uit(s) or a limited energy <br /> <br />F. Each additional Inspe~tinn <br /> over the allowable in a~y ot <br /> above, per inspection <br /> <br />G, Minor In~Ratloct Labels <br /> Pack ~ I0 labels @ $5,00 each <br /> (sam only to ~&ctrical contractors) <br /> <br />Iq, Other <br /> ( As r~qulred by Bt~ildlng Off~¢k~ <br /> <br /> 5. FEES <br /> AL ~qt~r total of fees from See, #4 <br /> A2. Add 5% surchage (.05 x AI) <br /> <br />SubtoUfl <br /> <br />B, Enter 25.% of line A1 for l~an Review <br /> (Sec, 3), if requlred <br />C. Inv~tigationFa~ Of required) <br />D. Reinspeefien Fee ($25,00) <br /> <br /> TOTAL AMOUNT DUE <br />R~ceipt No. , <br /> <br /> i~0,O0 <br /> 60.00 2 <br />S~O0,O0 -- 2 <br />$1S0,00 2 <br />$300,00 ~ 2 <br />$40.00 2 <br /> <br />$35.00 2 <br />$40.00 --2 <br />$$0.00 .... 2 <br /> <br />$ao0 <br /> $2.00 <br /> <br />$40,00 ~ 2 <br />$40.00 2 <br /> <br />$40,00 2 <br /> <br />$35,00 <br /> <br />$~0,00 <br /> <br /> <br />