Laserfiche WebLink
FOR Og~CE USE ONLY <br />R ived by: <br />Date: .~ -/f ~? (~, ~ <br /> <br />MARION COUNTY BUH,DING INSPECTION <br /> <br />ELECTRICAL PERMIT APPLICATION I <br />Please complete all Sections, I through 5 <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />220 High ~._NE <br /> <br /> 2 0 <br /> MARION CO~d by: <br />BIlILOING l~Ve,~,-__ <br /> --' ~ I ION <br /> 4. ~E SC~D~E [~c md m~rt~ ~ Al ~ow) <br /> <br />[Cro~ St. <br /> <br />PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND <br />EXPIRE IF WORK IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE <br />OR IF WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br /> I <br /> <br />Mailing Address <br /> <br /> I <br /> <br />Contract. s License No. <br /> <br />lob No. <br /> <br />Contractors Board Reg. No. <br /> <br />Signature of Supe~izing Electrician <br /> <br />Supervisors License No. <br /> <br />2B. FOR OWNER INSTALLATIONS <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 />MC 15-34 11/91 <br /> <br />A. ReMdenflM Per Unit <br /> Set~e Included: <br /> <br />1000 sq. fc or less $85.00 ,, <br />Each additional 500 sq. fi. <br />or l~l~m thereof $15.00 <br />Limited rmerSr $20.00 <br />Each Manufd Home or Modular <br /> <br />B. Servkes or Feedem (Does not inlcud~ branch circuits, see se~tiou D) <br /> <br /> Installation, Alterations or Rdo~ation <br /> 200 amps or less ~0:~0~ 2 <br /> 201 ~ to 400 stops 2 <br /> 401 smp~ ~o 600 ~mps $100.00 2 <br /> (=01 smps to 1000 ~np~ $130.00 2 <br /> Over 1000 mups or volts $300.00 2 <br /> Reconnect only $40.00 2 <br /> <br />C. Tmporar~ Servi,x~eed~rs <br /> <br /> 401 amps to 600 amp~ $80.00 ~ 2 <br /> Over 600 an~ or 1000 volts <br /> see "B" above <br /> <br />D. Bra~h Circuits <br /> New, Alteration, or Extrusion Per Pane! <br /> a) TI~ fee for branch circdt~ with <br /> ourchase cf se~iC~ ~ feeder fee <br /> <br /> Each branch circuit $2.00 <br /> <br /> b) The fee for h'anch circms without <br /> ~urcha~ of se~viC~, or feed~_f~ <br /> First branch'circuit I $35.0~ ~,.~. ~-O <br /> <br />E. Miscellaneous (Service or Feeder Not Included) <br /> Each pump or irrigatim circle $40.00 ~ 2 <br /> Each sig~ or outline lighting $40.00 ~ 2 <br /> Signal circuit(s) or a limited energy <br /> <br />Y. Eadt additional Iaspecfloa <br /> over thc allowable in any of <br /> <br /> Pack c~ 10 labeh ~ $5.00 each $,50.00 <br /> (sold only to electrical contractors) <br /> <br />H. Otl~r <br /> (A_~ required by Building O. fficiaO <br /> <br />5. FEES <br /> Al. Enter totalof fees from Se~ #4 <br /> A2. Add 5% sureharge (.05 x Al) i ~/~. <br /> $ 3~. 7~' <br /> <br /> (sec. 3), if ~quired $ ~. ? ~,-- <br /> C. hvesdgatiou Fee (if requh~cl) $ <br /> D. Reinspect/ou Fee ($25.00) $ <br /> TOTAL AMOUNT DUE $ ~- ~ <br /> <br /> <br />