Fillable This permit is issued under OAR 918-440-0050. Permits (City of Veneta)

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This permit is issued under OAR 918-440-0050. Permits (City of Veneta)

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Revised 3/18/2019
City of Veneta
88184 Eighth Street
P.O. Box 458
Veneta, OR 97487
541-935-2191
www.venetaoregon.gov
twarrick@ci.veneta.or.us
ELECTRICAL PERMIT APPLICATION
DEPARTMENT USE ONLY
Permit #:
By:
Date:
Zoning approval verified? Yes No
This permit is issued under OAR 918-440-0050. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days.
CONSTRUCTION CATEGORY
Single Family Dwelling Mfd Dwelling
Res Accessory Structure Duplex Townhome
Commercial/Industrial Multifamily Mixed Use
TYPE OF WORK
New Addition Alteration Repair
Demolition Other Replacement Tenant Improv.
JOB SITE INFORMATION & LOCATION
Job site address:
City/State/ZIP:
Project Name:
Parcel #:
Directions to job site:
DESCRIPTION OF WORK
Job # (optional):
PROPERTY OWNER INSTALLATION
Name:
Address:
City/State/ZIP:
Phone:
Email:
Owner acknowledges installation is being made on
residential or farm property owned by me or a member of my
immediate family. This property is not intended for sale,
exchange, lease, or rent. ORS 479-540(1) and 479.560(1).
Signature:
CONTRACTOR INSTALLATION
Business name:
Address:
City/State/ZIP:
Phone:
Email:
Contractor CCB license #:
BCD license #:
Name of signing supervisor:
Signature:
ELECTRICAL FEE SCHEDULE
Fee
Qty
Total
New 1&2 Family – service & attached garage included
1,000 sq. ft or less (per unit)
Each additional 500 sq. ft. or portion
thereof
Limited energy, new construction
Each Manuf. Dwelling or Modular
service or feeder
New Multifamily – total # of units:
Use 1&2 Family rates above for
largest sq ft unit – cost of largest unit
/2 x number of remaining units
Multifamily limited energy, by floor
Services or feeders (installation, alteration, relocation)
200 amps or less
201 to 400 amps
401 to 599 amps
600 to 1,000 amps
Over 1,000 amps or volts
Reconnect only
Temp. services or feeders (installation, alteration, relocation)
200 amps or less
201 to 400 amps
401 to 599 amps
600 to 1,000 amps
Over 1,000 amps or volts
Branch circuits (new, alteration, extension per panel)
Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit
Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit
Addt’l branch circuits
Renewable Energy
5 kva or less
5.01 kva to 15 kva
15.01 kva to 25 kva
Wind Generation Systems greater than 25 kva
25.01 to 50 kva
50.01 kva to 100 kva
Solar Generation Systems greater than 25 kva
25kva rate above + ea addtl kva
Miscellaneous (service or feeder not included)
Each pump or irrigation circle
Each sign or outline lighting
Signal, circuit or a limited-energy
panel, alteration or extension
Subtotal: (add ALL fees) – minimum fee $
12% surcharge (.12 x subtotal)
Plan review, if req. - % of subtotal
GRAND TOTAL (fees and surcharges)
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This permit is issued under OAR 918-440-0050. Permits (City of Veneta)

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Completed 17 July 2020

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