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Building Department (208) 647-7086 2020 Park Avenue Burley, ID 83318 Building Inspector Plumbing Inspector Electrical Inspector HVAC Inspector Gary Mark Floyd Gary (208) 431-5425 (208) 650-1258 (208) 650-1098 (208) 431-5425 APPLICATION FOR CONTRACTOR PERMIT Please fill out this application completely and submit with payment. If you have questions or need assistance completing the application please call the Building Department. Please note: permit fees are non-refundable and non-transferable. Applicant Information Property Address of Construction Owner: Address: City State: Zip Code: Email: Contractor Information Name: License # : Address: City: State: Zip Code: Email: Phone Type of Work : New Addition Alteration Repair Roof Move Remove Describe Work: BURLEY ELECTRIC REQUIRES A RINGLESS METER BASE AND OUTSIDE DISCONNECT!!! Valuation of Work: $ Building Permit Fee: $ DATE: SIGNATURE: PRINTED NAME: Amount you are enclosing: Please bill my Credit Card: Visa Discover MasterCard Card # : Exp. Date: 3 Digit Sec. Code: Your security code is located on the back of your credit card, next to the signature box. Page 1 SIGN ---PAGE BREAK--- ELECTRICAL PERMIT WORKSHEET (FEE SCHEDULE) RESIDENTIAL. This w orksheet must accompany the Contractor/Homeow ner Application. Use this worksheet to calculate the fees and transfer the grand total to the application. Total $ • Temporary Construction Services ONLY (200 amp or less, one location): $65 $ • New: Single Family Dwelling, including all buildings with wiring being constructed on each property. * Based on living space (see definition below) □ Up to 1,500 sq.ft. $130 □ 1,501 to 2,500 sq.ft. $195 Total Square Footage □ 2,501 to 3,500 sq.ft. $260 □ 3,501 to 4,500 sq.ft. $325 □ Over 4,500 sq.ft. $325 plus $65 for each additional 1,000 sq.ft. or portion thereof $325 + ( $65 х # of additional 1,000 sq.ft. or portion thereof ) $ • New: Multi-Family Dwelling (Contractors Only) □ Duplex Apartment $260 □ Three or more multi-family units: $130 per building plus $65 per unit ( $130 х # of buildings ) + ( $65 х # of units ) $ Existing Residence Ɔ Modular, Manufactured or Mobile Homes Ɔ Detached Shop: $65 fee plus $10 per additional branch circuit, up to the maximum of the corresponding sq.ft. of the building (one circuit is included in the $65.00) $65 + ( $10 х # of additional branch circuits ) $ • Pumps-Water, Irrigation, Sewage (each motor): □ $65 up to 25HP □ $95 - 26 to 200HP □ $130 over 200HP Phase inverters and roto phase equipment, please use the Other Installation including Commercial/Industrial fee in addition to the pump motor fee. $ • Spas, Hot Tubs, Hydro massage tubs: $65 fee for each trip to inspect • Swimming Pools: $130.00 (covers two mandatory inspections with the exception of lighting) $ • Signs/Outline Lighting: □ Signs - $65 per sign □ Outline Lighting - $65 per occupancy $ • Temporary Amusement: $65 fee plus $10 per ride, concession, or generator $65 + ( $10 х # of ride/concession/generator ) $ • Irrigation Machine: $65 for center pivot plus $10 per tower or drive motor $65 + ( $10 х # of tower/drive motor ) $ □ Requested Inspection □ Power has been off over 1yr. (excludes contractors) □ Plan Check (2hr min.) $65.00 per hr $ •ƆSmall Works (Contractors ONLY): $10 fee for work not exceeding $200 in cost and not involving a change in service connections. This Permit is not applicable to those installations where an inspection is required or requested; no inspection is included in the $10 fee. $ OTHER INSTALLATIONS including COMMERCIAL/INDUSTRIAL • The fees listed under this inspection type shall apply to any and all electrical installations not specifically mentioned elsewhere on this form. This shall include all labor, materials, equipment, overhead and profit, as well as all labor, materials, and equipment supplied by others. The project value cannot be reduced by labor, material or equipment that is donated or supplied by others. At the time of “Final” inspection, the Scope of Work, valuation, and permit fees will be verified. Total cost of electrical system (Job Value Amount): $ $ □ Up to $10,000: ( total cost of system x 0.02 ) + 60 = $ □ Between $10,001 - $100,000: ( (total cost of system – 10,000) x 0.01 ) + $260 = $ □ Over $100,001: ( (total cost of system – 100,000) x 0.005 ) + $1,160 = $ GRAND TOTAL: $ Please transfer this fee to your application * Living Space – space within a dwelling unit intended for human habitation which may reasonably be utilized for sleeping, eating, cooking, bathing, washing, recreation, and sanitation purposes. An unfinished basement is considered part of the living space. Page 2