Laserfiche WebLink
FOR CITY VALIDATIONI <br />Received by: [ <br />Date: ] <br /> <br />MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPIVI~NT CENTER <br /> 285 Church St NE · Room 132 Pg:RMff NO: <br /> Salem, OR 97301 <br /> <br /> Date: <br />24 hr. Inspection Line 373-4427 <br />OH'ice: Phone 588-~147 $:0Oam - 4:30pm <br />FAX: 588-7948 I99uod by: <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all Sections, I through <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />PERMITS ARE NON-IRAN S~F, RABLE AND EXPIRE 1~ WORK IS HOT <br />STARTF,/) WITHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR ~qSTALLATION ONLY <br /> <br />2B. FOR OWNtLR ~ISTALLATIONS <br />Ptol~C~ Owns: (please print) <br /> <br />Mailing Addr~s I Phone <br /> <br />City/State/Zip <br /> <br />Owner's Signature: <br /> <br />3. PLANRBVIBW SECTION <br /> <br />Marion County dues not require a plan review. <br />We will provide plan review service if you complete <br />Section 5B and submit two (2) sets of plans and <br />specifications with this application. <br /> <br />4. FBB SCHBDULE (Complete and ent~ total hl Al below) <br /> Number of Inspections per t~rmit allowed -~ <br />A. <br /> R~id~ntiui <br /> Unit <br />Se~vieo included: lta~na C~t (each) Sum <br />IOOO sq. fl. or less $85.00 4 <br />Each additional 500 sq, ft. <br /> or potion thereof $15.~0 <br />IAmitad En~gy $20.00 1 <br />Each Manufaetu~d Home or Modular <br /> Dwelling Sexviee or Feede~ $40.00 2 <br /> <br />B. ~rvi~ c~r Fo~d~s (Does not in¢lud~ branch circui~ s~ section D) t9~ <br /> <br /> 2~0 amps o~ lc~ | $50.~ ~ 2 <br /> 201 amps to 400 amps $60.OO 2 <br /> 401 amps to too amps $ IOO,00 2 <br /> 601 amps to 1000 amps $130.00 2 <br /> Over 10OO amps or volta $3OO.OO 2 <br /> Reconnect only $40.00 , 2 <br /> <br />C. T~mperary 5~rvi~ltFmde~ <br /> <br /> 200 amps or le~$ $35,00 ,2 <br /> 201 amps to 400 amps M0.OO 2 <br /> 401 amps to 600 amps $80.00 2 <br /> Over 600 amps or IOO0 volls <br /> <br />D. Branch Cireulta <br /> <br /> a) The fee for branch circuits with <br /> purchaao of service of feeder fee <br /> Each branch circuit $ 2.00 <br /> <br />b) The fee for branch cir~uita wilhout <br /> purchase of service or feeder fee <br />First branch circuit <br />~tch a&ftttonal branch circuit <br /> <br />E. Mi~ellaneous (Service ~r Feeder Net lnoluded) <br />Each pump or irrigation circle I <br />Fach sign or outline lighting <br />Signal circuit(s) or a limited energy <br />panel, alto'ation or extension <br />F. Each additional l~tioa <br />Over th~ allowable in any of lbo <br />above, per ]mp¢ction <br />G. Minor Installation Labels <br />Pack of 10 labels @ $5.00 each <br />(sold ordy to elactrical contrsctors) <br />H. O~her <br /> (As required by Build, ag O~cial) <br /> Aurora Dwelling Electrical Fee <br /> Dwelling Permit Label <br /> <br />$35.00 <br />$ 2.OO <br /> <br />Sn0.oo ~/O, 2 <br />$4o.oo 2 <br /> <br />$4O.O0 2 <br /> <br />$35.OO <br /> <br />~.OO <br /> <br /> sq.fl, x $.068 =__ <br /># of La~la <br /> <br />NIC <br /> <br />5. FEES Al. Enter total of fees from $~c. #4 <br /> A2. Add5% surcharge (.05 xAl) <br /> <br />B. Enter 25% of line A 1 for Plan Review <br /> (Sec. 3), if required <br />G Investigation Fe~ 6fr~luimd) <br />D, Reinspection Fe~ ($25.00) <br /> <br /> TOTAL AMO~qT DUE <br /> R~¢eipt No. <br /> <br />$ <br />$ <br /> <br />MC 15-34 1/96 <br /> <br /> <br />