Electrical Renewable Energy Permit Application - City Of Salem Building And Safety Division

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Electrical-Renewable Energy
Permit Application
(For office use only)
Building and Safety Division/Permit Application Center
Permit #:
City Hall / 555 Liberty St. SE / Room 320 / Salem, OR 97301-3513
503-588-6256 *
baspac@cityofsalem.net
Parent permit #:
If you need the following translated in Spanish, please call 503-588-6256.
Si usted necesita lo siguiente traducido en español, por favor llame 503-588-6256.
Work site location and information
Street address of work site
Lot number and subdivision name
Category of construction
Commercial
Manufactured home
Multifamily
One/Two family
People information
Same as
Phone Number and Email
Name
Full Mailing Address
Applicant?
address
Applicant
(person responsible
for the permit)
Property owner
Yes
No
Contractor
Yes
(person or company
No
doing the work)
Oregon Construction Contractors Board (CCB) Number: ____________________
Electrical Contractor License Number: ___________________
Project information
Renewable energy system type
Solar
Wind
How many kva?
Fee Schedule
Type
Description
Qty
Fee
Total
SOLAR
5 kva or less
$79.00
0.00
0.00
5.01 to 15 kva
$94.00
0.00
0.00
15.01 to 25 kva
$156.00
0.00
0.00
25.01 to 100 kva base fee
$156.00
0.00
0.00
0.00
0.00
Each kva between 25 and 100
$6.25
0.00
0.00
Over 100 kva
$624.75
0.00
0.00
WIND
5 kva or less
$79.00
0.00
0.00
5.01 to 15 kva
$94.00
0.00
0.00
15.01 to 25 kva
$156.00
25.01 to 50 kva
0.00
$204.00
0.00
50.01 to 100 kva
0.00
$469.00
Over 100 kva
Use regular electrical permit application
IAS 4.2.1.3.1 - 8/7/17
Electrical Renewable Energy Permit Application - Page 1 of 2

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