ELEC - 1531753 - Laserfiche WebLink

Home Browse Search

VOR CITY USE ONLY Retired By: Dale: Zo~ By: City: Receipt #: Amount. ELEC~CAL PE~ APPLICA~ON Pl~ ~e aH ~n~ 1 ~ 1. ~ON OF ~AL~ON P~ ~: I$ NOT R'I',4R I'F,D IfTI'lflN 180 D~4 Y$ OF ISSI. OIJVC~ OR Pa~in El~tfic, [nc. 20250 S Molalla Ave. Oregon Ci~, OR 97045 503-657~958 f~: 557-1059 Contractors Ucense ~: 34.4C exp. 10-0~-99 Supe~isor: 424~-S exp. 10-01-01 Contractors Board Rog ~: 3515~ exp. 1042-00 ~e~off 2416 exp 11-01-99 ~ NO: Property Owns. (pleate prlnO Mailing,address: Stat~ Zip: t am the PROPERLY Oti'NER trod owtt re*idc in, or will retide tn thc [ completed Jtructure and will be rn~ own general contractor. I understand that I must register a~ o conatruction contractor If the structure It sold or offered for ~ale before or upon completion. Oel hire subcontractort, I will hire on~ suboontractore registered with th Construction Contractor~ ~ ~rl change my m/nd and do hire o gezeral contractor who it regittentd witlt the Con,traction Con~ractor$ Board. I will Immedinle~ notif~ Morion CounO, of the MARION COUNTY BUILDING INSPECTION 3150 Lan3150 Lanca.~r Dr, NE - Su~ C Salem, Oregon 97305 8:00 am - 4'.30 pm 24 la. Inspection Line 373-4427 FAX $85-7948 4. FEE SCHEDULE {complete and enter total io Al} Number of Inspoctiolts pe~ pem~t allov~d~ A. Reddential Per UnI~ ~{ce Included Items Coat(each) Sum 1000 St. FL ~leas x $110.00=$ 4 Eadt Additional SO0 Sq. Ft. or portkm thereof x $201)0 =$.. Liad~d Ena~ x $ 30.00 =$ 1 Ea Manu~ctored Home or Modu]ax Dv~tiag Sowice or Feede~ / x $52.00 - B. ~ervlcee or Feeders (Does not include branch Clreult~, see.~-'etion D) laatallatioa, Alteration, or Relocation 200 amps or les* 201 amp~ to 400 amps 40 t am~e to 600 amps 601 amps 1o 1000 amp~ Ov~ 1000 amp~ or volts P,~oan~t Only C. Temporary ~er~le eNFeeders 201 aml~ to 400 amps Ov,~ 600 ~ or LO00 vot~ see "B" abovg $65.0O = $ 2 $ 80.00 = $ 2 $130.00- $ 2 $170,00 - S, 2 S390.00 ~ S 2 S 55.00= $ 2 x $ 45.00 = $ 2 x $ 55.00 -, $ 2 x $110.00- $ 2 ,) the f~ for branch circuits wi~h th~ ~urcha~ of Servic~ or Feeder Fee. Ea BrCir ) Thc fcc for Ixaach circuti~ without the our~hase of Service or F~L-r F~: First Branch Circuit Each Addltioml Branch Cireait [lscel~ato~s (~:tn'~e or Feeder Not Included) ~ pump or hrlgatio~ ~mla x d Circuit(s) ~' a Limited Encrgy Panel, .nlteratlon, o~ ExI~si~ x F. I~la¢ b Additional inep~cfion, over the allowable la any of the above, l~r I~peetion ,, x G. Minor Installation Labels Pack of t0 labels ~ $10.00 ~ch x H. Industrial Plant x One/Two Family Dv~llinE Fee: Sq. Feet x Dwelling Permit Labels (For Single Family Dwellings Only) O'I~ER~ as required by the Building Officinl $ TOTAL 5. FEES Al. Enter Total Fees from Section #4 A2 Add State Surcharge (.05% x Al) x $ 3,00 - $ x $ 50.00 = $ x $ 3.00 = $. $55.00 = $ $ 55.00 = $ $ 55.00 = $ $50.00= S $100,00~ $ $62.50 / hr - $ $ .09=$ N/C B. Entre' 30% of linc Al for Plan Review C. Investigation Fee, if requited D. Rcinsl~-'tion Fee ($50.00) SUBTOTAL: name of the contractor: tip ~Additional Plan Review (62.50/hr, Own~'sSi~-.mre: ,.~ ~l \? \~ ' x. minlmumon~halfhour) '.a ~ xt · ~. I~spc~on for which no fee is specLqea/ly indicatcd, .1. PLANREVIEWSECTION ~ ~ ~ ~-~ ' : ~" ($62.50/hr, minimum one hour) $ ] MarionCmntydoe~notrcqulreaplanr~vi~'ewillprey~ 1~= 17 i69~;O/hr mtn' nm~.unh i ........... , .._.lm ........ o., ..~ $ i .... "- ............ " ..... ,'I,U xo a ot rrmm s ,wa'q`.