Laserfiche WebLink
FOR CITY VALIDATION[ <br />Received by: . [ <br />Dato: ] <br /> <br />MARION COUNTY BUILDING INSPBCTION <br />COMMUNITY DEVELOPMENT CENTER <br />285 Church St NE · Room 132 <br /> Salem, OR 97301 <br /> <br />24 Hr Inspection Line: 588-7904 <br />Off-tee: 588-5147 8:00a.m.- 4:30p.m. <br />FAX: 588-7948 <br /> <br />ELECTRICAL PERMIT APPLICATION <br />Please complete all ~ections, I through 5 <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />PERMITS ARE NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT <br />STARTED WITHIN 1 g0 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPI~qDED FOR 180 DAYS. <br /> <br />2A, COHTRACTOR INgTALLATION ONLY <br /> <br />Mailing Address ~ <br /> <br />Contractor's License No. <br /> T <br />Cont~ctor'. no,~ Reg. Ho. <br /> <br />Signatu~ of Supervising Electrician <br />Supervisor's License Ho. / Phone <br /> <br /> 2B. FOR OWNER INh'TALLATION8 <br /> <br /> l~operty Owner ~l~s~ pri~) <br /> ~ili~ Add~s [ ~ <br /> ~ty/S~p <br /> <br /> 3. PL~ ~BW SECTION <br /> <br /> Marion Co~ty does not requ~e a pl~ review. <br /> We will pro.de pl~ review ~ice if you co~lete <br /> Section 5B ~d submR ~o (2) sets ofp~ ~d <br /> specifications wi~ ~is applica~on. <br /> <br />~ 15-34 l~ <br /> <br />BUILDING INSPEDTIOI~ <br /> <br />4. ]~ SCH]~DULIR (Complete and ente~ total in Al below) <br />A. Residential Pe¢ Unit Number of Inspections per permit allowed -~ <br /> Service Included: Items Co~t (each) S <br /> mi <br /> 1000 sq, ft. or less $85.00 4 <br />Each additional 5(30 sq. fi. <br /> or portion thereof $15.00 <br />Limitsd Energy $20.00 __1 <br />Each Manufactured Home or Modular <br /> Dwelling SerVice or Feeder $40.00 -- 2 <br /> <br />B. Earvieea orF~s (Does not include branch ¢ireulte, see section D) <br /> <br /> 201 amps to400 amps $60.00 __2 <br /> 401 nml~ to 600 amps $100.00 -- 2 <br /> 601 amp~ to 1000 amps $130.00 -- 2 <br /> Over 1000 amps or volts $300.00 -- 2 <br /> Reconnect only $40.00 -- 2 <br /> <br />C. Tomporary 8ervices/Feeders <br />Installation, Alteration, or Reloeatlon <br />200 amps or less $35.00 -- 2 <br />201 amps to 400 amps $40.00 -- 2 <br />401 amps to 600 amps $80.00 -- 2 <br />Over 600 amps or I000 volts <br /> <br />D. Branch Circuits <br /> <br /> a) The fee for branch circuits :~ <br /> ourehas~ of servi¢~ of feeder fee <br /> Ea~:h branch circuit /~ $ 2.00 ~7._ <br /> <br />b) The fee for branch circuits ~ <br /> <br />First brnneh cirenlt <br />Each additional branch circuit <br /> <br />$ 2.00 <br /> <br />E. Miscellaneous (Service or Peede¢ Not Included) <br />Each pump or irrigation circle $40.00 2 <br /> Each sign or outline lighting $40.00 -- 2 <br />Signal circuit(s) or a limited energy <br />panel, alteration or extension $40.00 2 <br />F. Each additional inspeotion <br />Over the allowable in any of the <br />above, per Impeetion $35.00 -- <br />~. Minor Inntallation Labols <br />Pack of 10 labels @ $5.00 each $50.00 -- <br />(sold only to electrical contractors) <br />H. Other <br />(As requited by B~ildit~g O~cial) <br /> Aurora Dwelling Ele¢lfieal Fee sq. £x$.06 <br /> Dwelling Permit Label # of Labels <br /> <br />5. FEES <br />Al. Enter total of fees from S~, ~4 $~.~.~_ <br />A2. Add 5% surcharge (.05 x Al) <br /> Subtotal $.~_~ <br /> <br />B. Eater 25% of line A 1 for Plan Review <br />(See.3), if reqai~'.d- <br />C. Investigation Fee (ifrequirval) $.---.1~.~ <br />D. Reinspeetion Fee ($25.00) <br /> <br /> TOTAL AMOUNT DUB <br />Receipt No. <br /> <br /> <br />