Electrical Permit Application City Of Warren Division Of

ELECTRICAL PERMIT APPLICATION

CITY OF WARREN

DIVISION OF BUILDINGS AND SAFETY ENGINEERING

ONE CITY SQUARE, STE 305

WARREN, MI 48093-2391

MUST FILL OUT APPLICATION COMPLETELY 1. JOB LOCATION

PHONE (586) 574-4504 FAX (586) 574-4577

Address (and Ste, Floor, Unit etc.)

City & State

Zip Code

Warren MI

2. PROPERTY OWNER INFO

CONTRACTOR INFO

Property Owner's Name

Contractor's Business Name on License

Property Owner's Address

Contractor's Business Address

City/State

City/State

Date of Application

Zip

Phone (

)

Zip Code

Phone ( )

E-MAIL ADDRESS

Commercial

Electrical Contractor's Lic #

MESC#

Federal ID#

Residential

Master's License #

Workman's Comp Insurance

Driver's License #

3. ELECTRICAL FEE SCHEDULE

Fee No.

License Registration (per

cycle code) (Elect, FA, SS,

LV)

$35

Amt Furnace - 1st

Fee No. Amt

Fee No. Amt

EMERGENCY GENERATING

$40

SYSTEM

Minimum Permit Fee

$80

If Reconnect Only - min

$80

1 Hour/Low Volt Inspection

$80

Re-inspection Fee

$80

Violations/Carnival/Misc,etc $80

Sign Connection - 1st

$35

Sign Connection-ea additional $5

Circuits - 1st

$40

Each Add Furnace

$10

Furn/AC Reconnect

$80

Residential A/C

$40

Commercial A/C

$80

Each Add A/C

$20

Swimming Pool/Spa

$80

Inground Pool

$100

Smoke/ C.O. Detector Battery

or Hardwire (all units)

$40

Residential

$80

Commercial/Industrial

$80

Svs Generator/Transfer Box $80

LOW VOLATAGE BURGLAR ALARM &

FIRE ALARM/FIRE CONTROL SYSTEM

1st Device

$40

All other devices, pull station,

strobe, flow, etc.

$8

Circuits - ea additional

$5

MOTORS

Master/Slave Panels

$40

Rough Inspection - 1st

$80

Up to 30 HP

$50

Annunciator Panel

$40

Rough Insp - ea additional

$40

Over 30 HP

$60

Chemical/Gas Fire Cntr Sys $40

Up to 100 Amps

$80

Each Additional

$25

NOTE: Identical Electrical

101 to 200 Amps

$90

Less 1 HP - Circuits

$25

Second Permit is Required for Fire Insp on

Above 200 Amps

$100

Up to 100 KVA (equip)

$80

Fire Alarm Permits

Over 600 Volts

$100

Over 100 KVA (equip)

$85

1st Electric Heating Unit

$80

Each Additional Load

$25

Mobile Home/Manufactured $80

Add Heating Unit

$10

Replace Riser

$80

Each 50' Tubing- Neon Sign $25

SERVICE STATION PUMPS

Solar System

$80

1st 100' Feeders/Duct

$40

1st Pump/Dispenser

$80

Miscellaneous

$80

Ea Additional 100'

$25

Each additional Pump

$35

Electrical Bonding Inspection $40

Lighting Fixtures 1-25

$50

Each add 25 fixtures

$25

I will cooperate with the Inspector and assume the responsibility to arrange for necessary inspections.

TOTAL DUE $

Section 23a of the State Construction Code Act of 1972, Act No. 230 of the Public Acts of 1972, being Section 125.1523a of the Michigan Compiled Laws, prohibits a person from conspiring to circumvent the licensing requirements of this State relating to persons who are to perform work on a residential building or structure. Violators of Section 23a are subject to Civil Fines.
HOMEOWNER AFFIDAVIT: As the bona fide owner of the above-mentioned property which is, or will be on completion, my place of residence and no part of which is used for rental purposes, nor is now contemplated for such purpose, I hereby make application for a homeowners electrical permit to install electrical equipment as listed on the permit application. I will not hire any other person to do the above work.

LICENSEE/HOMEOWNER'S SIGNATURE

www.cityofwarren.org

Revised 3/27/14