ELEC - 1466968 - Laserfiche WebLink

Home Browse Search

I FOR OFFICE USE ONLY I Received by: Date: ELECTRICAL PERMIT APPLICATION I Please complete all Sections, 1 through 5 MARION COUNTY BUILDING INSPECTION COMMUNITY DEVELOPMENT CENTER 285 Church St NE - Room 132 Salem, Oregon 97301 Phone 585-5147 8:00 mn - 4:30pm Code-A-PEnn~: 588-7904 Fnx: 5ss-7~4s SITE #: Date: OCT 2 1996 BUILDING INSPECTio.~! Issued by: 1. LOCATION OFINSTALLATION $obAddmss 960 Cleveland Ave. oty Aumsville Ic~sm. Aumsville Hwy. ~on Relocated service riser and meter to east side of houee. PERMITS ARE NON-TRANSFERABLE AND NON-KEFUNDARLE AND EXPIRE IF WORK IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS. 2A. CONTRACTOR INSTALLATION ONLY ~5~fiW~f~s Electric Co. l -6335 ~am.sAd~. P.O. Box 5010 Salem 97304 P~ °~r Tom Still ~-2471 con~ctoes u~=se No. 27-19C 2B. FOR OWNER INSTALLATIONS Property Owner Mailing Address Phone City/Stated'Zip Th~ installation is balng madc on property I own which is ~lot intlmded for sale, 3. PLAN REVIEW SECTION We will provide plan review service if you complete Section 5B and submit two (2) sets of plans and specifications with this application. This optional phm review program does not suspend the required submission of lighting power calculations, plans, and specifications when required by the Oregon Structural Specialty Code, Chapter 53. MC 15-34 8/94 4. FEE SCHEDULE (Complete and emer total in A1 below) Number ~' Inspeetlons p~c permit allowed ---] A. Residential Per Unit / Service Included: Items Co~t (each) Sum/ 1000 sq. ft. or less $85.00 4 Each additional 5~0 sq. f~ ~ou the~of $ ~ 5.00 ~'Ene"~om¢ or Modular $20.00 __ I Each DwelEng Sa~vic~ or Feeder $40.00 2 ~, Services er Feeders (Does not inleude branch cq rcuhs, see section D) Iastaltation, AlteraUoas or lqt~ocatioa 1 2aO~o~lc. $~o.oo 50 · 0(~ 20I amp~ to 4~0 amps $60.00 401 amp~ to 6~0 amps $100.00 601 amp~ to 1~00 amp~ $1S0.00 Over 1000 amps or vol~ $~)0.00 9 R~onnect only $40.00 __ C. Temporary Service/Feeders Installation, Alteration, or Rdoea#on 200 amps or less $05.00 2 201 amps to 400 amps $40.00 2 401 a-aps to 600 amln $~0.00 2 Over 600 maps or lO00 volts D. Brauch Circuits New, Alteration, or Extension Per Panel a) The fee for branch circuits wgh ~urchase of service or feed~ fee Each branch circuit $2.00 b) 'fh¢ fee f~ branch eireuts without mrehase of service or feeder fee First branch circuit $35.00 Each additional branch eiguit $2.00 E. Mlseellaneoas (Service or Feeder Not Included) Each pump or irrigatica clmle $40.00 -- 2 Each sign or outline .I:ishgn.'8 -- $40.00 -- 2 Signal e~rouit(s) or a limited energy panel, alteration or extension Sd0.00 ~ F. Each additional Insl~etlon over the allowable in any of the above, per hspextion $35.00 G. Minor Installation Labels Pack ~ 10 labels @ $5.00 ~ach $50.00 (#old only to electrical contr~ctor~) H. Other (As required by Buildln~ Official) 5. FEES Al. Enter total of fees from Sec./$4 $ ~0 , 0 0 A2. Add 5% surcharge (.05 x Al) $ ~ Sa~ote! $ ~2. ~0 B. Enter 25% of line A1 for Plan Review (Sec. 3), if required $ C. Investigation Fee (ff required) $ D. Reinspecfion Fee ($25.00) $ TOTAL AMOUNT DUE $ Receipt No.