Print Form
Permit Service Center
2120 Milvia Street, Berkeley, CA 94704
Main Tel: 510.981.7500 TDD: 510.981.7474 Fax: 510.981.7505
Clear Form
Scheduling Inspections: 510.981.7444 Building Inspectors: 510.981.7440
Email:
Planning@ci.berkeley.ca.us
Electrical Permit Application
SHADED AREAS FOR STAFF USE ONLY
APPLICATION # _______________________
STREET ADDRESS / UNIT # (If applicable)
TENANT NAME
TOTAL PROJECT SQUARE FEET
VALUATION
APPLICATION GROUP:
NEW
ADD
DEMO>DEM
REMODEL>REM
REPAIR>REP
Contractor Name
Phone#
Minimum Permit Fee $89 + Filing Fee $20 +
5% Technology Fee =
Address
State Lic#
MIMIMUM ELECTRICAL PERMIT FEE OF $113.45
Bus Lic#
Fees For Electrical Permit (Indicate Quantities)
City, ST
ZIP Code
Fee Description
Fee/Units
Hourly Plan Check/Inspection Fee
$110.00/hr
Qty
Fee Description
Fee/Units
Property Owner Name
Phone#
Service, Each 100 Amps (w/ Meter
$10.70 ea
and Existing Circuits)
Address
Comm Projs- elec wk>$100,000 value
1% of value
City, ST
ZIP Code
Res New/Add Per 100sf (includes
$13.00/ea 100sf
outlets, switches & lights only)
Receptacle
Switch
Light
$2.40 ea
Applicant/Contact Person
Phone#
Alter Wiring, Each Change
Address
FAX#
$23.65 ea
(including subpanel(s)
Branch Circuits-Each
$4.30 ea
City, ST
ZIP Code
Fixed Appliance Outlet
$10.00 ea
Meter (New or Changed)
$6.50 ea
Misc. Comments (Brief Job Description)
Temp Power Pole/per100 Amps
$24.00 ea
Motor up to 10 HP
$6.40 ea
Motor over 10HP, Each HP
$1.65 ea
Generator up to 10KV
$6.50 ea
Generator over 10KV, Each KV
$1.65 ea
Transformer up to 10KV
$4.30 ea
Transformer over 10KV, Each KV
$1.65 ea
Signs, Outline Light/KV
$24.00 ea
X-Ray Capacitors/misc
$24.00 ea
Festoon Lighting (per system)
$9.00 ea
# of Stories_____
Single Family Residential
Industrial Electrical Permit – Large
1% of the value
o Multi-Family Residential
Commercial
Projects (above $100,000 value)
or electrical work
NOTE: If this is a fax-in permit, complete the Permit Application Information on the reverse side of this form.
Rev. 6/04