Laserfiche WebLink
FOR CITY VALIDATION <br />I Received by: <br />{Date: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> 285 Church St NE · Room 132 PERMIT NO: <br /> <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> Salem, OR 97301 <br /> <br /> 24 hr. Inspection Line 373-442? <br /> Office: Phone 588~$147 8:00am - 4:30pm <br /> FAX: 588-7948 <br /> <br />Date: <br /> <br />Issued by: <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete ali ~ections, I through 5 <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />PERMITS ARE NON-TRANSFERABLE AND EXPIRE 1F WORK IS NOT { <br /> STARTED WfYHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />211. FOR OWNllR INSTALLATIONS <br /> <br />Proper~ Owner (pl~ao prim) <br /> <br />3. PLAN RBVII~W SBCTION <br /> <br />Marion County does 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. I~IE SCHIiDUI~ (Complele and ent~ tolal in A 1 below) <br /> Ntanber of Inspections p~ permit allowed -~ <br />A. <br /> R~idmtial <br /> Unit <br /> S~wvi~ [neluded: [tcra~ Cost (each) Sum l <br /> 1000 ~q. fl, or less $85.00 4 <br /> <br /> or pertion thereof $15.00 -- <br /> <br /> Installation, Alteration o~ Relocati~m <br /> 200 amps or 1~ $50.00 <br /> 201 am~ to ~ amps $~.~ <br /> ~1 amps to ~ am~ $[~.~ <br /> <br /> ~er 1~ ~ps or vol~ $3~.~ <br /> Reco~cct only ~.~ <br /> <br />C. Temp~nry <br /> <br /> ~ amps or le~ $35.00 <br /> <br /> a) ~e fee for brach c~uim ~ <br /> ~m~se of se~ico of feeder f~ <br /> <br />b) Thc fee for bran0h circuils without <br /> <br />First branch circuit <br />Each additional branch circuit <br /> <br />$35.~ <br />$2.~__ <br /> <br />E. Miscellaneous (8~-vi~e ~¢ Foeder N~t lneluded) <br />Each pump or irrigation circle $40.00 -- <br />Each sign or ouflin0 lighting $40.00 -- 2 <br />Signal circuit(a) or a limited energy <br />panel, alteration or exlemi{m $40.00 -- 2 <br />F. Eaeda additinoal l~t~e, tina <br />Over the allowable in any of the <br />above, per Inspection $35.00 -- <br />O. Minor Installation Labels <br />Peek of lO labels Ii} $5.00 each $50.00 -- <br />(sold only to olectriv#l contractors) <br />H. Other <br /> (As required by Building OtTwiaO <br /> Aurora Dwelling Electrical Fcc ¢q. ft. x $.068: -- <br /> Dwelling Permit Label # of Lab¢la <br /> <br />5. FEES <br /> Al. Enter totel of f~ea from Sm. g4 $ <br /> <br /> ~bt~[ <br /> <br /> B. Enter 25% of lin~ Al for Phn ~view <br /> (S~. 3), if ~qui~d $_~ <br /> <br /> D, Re~pection Fee ($25.~) $ <br /> <br /> · <br /> R~alpt No. <br /> <br />MC 15-341/96 <br /> <br /> <br />