David M. Frings Mayor
Steve Sims Building Official
Marsha Massey City Clerk
Melissa Krebs Senior Clerk
Electrical Permit Application Address_________________________________________________________________________________________________ Subdivision _______________________________________________________Lot # _________________________________ Owner/Occupant _______________________________
Electrical Contractor ________________________________
Address ______________________________________
Address __________________________________________
City______________________ State____ Zip _______
City ____________________State ________Zip__________
Phone (_____)________________________________
Phone (_____)_____________________________________
Type of Occupancy: Work to be done in:
Residential New Building
Commercial Building Addition
Institutional Existing Building
Schedule of Permit Fees Wiring to Outlets #
Items Outlets Fixtures Ranges Ovens Water Heater Fans Dryers Furnaces Dishwasher Motors Meter Loops New Service Other
Total amount of permit $ ________________
Fees
1-5 6-15 16-25 26-40 41-60 61-80 81-100 101-200 201-500 501-1000 1000+ Ranger Ranger Top Water Heater Fan Dryer Furnace Dishwasher
$ 5.00 $ 7.00 $ 8.50 $ 10.00 $ 12.50 $ 14.00 $ 15.50 $ 18.00 $ 36.00 $ 70.00 $ 87.00 $ 5.50 $ 5.50 $ 2.50 $ 1.50 $ 4.00 $ 2.00 $ 2.00
Installation of Fixtures 1-20 $ 5.00 21-50 $ 7.00 51-100 $ 14.00 101-500 $ 21.00 501+ $ 42.00 Wiring for Motors generators and transformers 1HP or less 750 Watts or less $2.50 over 1HP less than 5 HP Less than 750 Watt $4.00 Over 750 Watts Less than 1750 Watts $4.50 5 HP and over 3750 Watts and over $6.50 Meter Loop (per 100 Amps) $2.00 New Service $2.50 Temp Service $2.50
Signatures By signing this application, I hereby certify that all information herein is true and correct and I agree to be personally responsible to the City of Alabaster for any and all code violations and code enforcement actions associated with this building application and the construction contemplated herein, whether such actions or inactions were performed by me, my company, employees, contractors or sub contractors. Name (print): _________________________________________ Signature: _____________________________________________________ Notary: ________________________________________ Sworn to and subscribed before me this the ______ day of ________ , ______ I hereby certify that I have read this application and that all information contained herein is true and correct; that I agree to comply with all city Ordinances and State Laws regulating installation or alteration of electrical wiring, devises or equipment; that all work done on this job is to be performed only by certified journeyman electricians under my supervision or by myself, and if an apprentice be under the direct supervision of a certified journeyman electrician an/or myself, I assume all responsibility for the employment of certified personnel. I understand that before any permit is granted for the wiring for or installation of electrical equipment, the person making application for permit shall pay to the City of Alabaster a fee or fees in such amounts as specifies herein. ___________________________________________________ Signature of Master Electrician
_________________________ Date
___________________________________________________ Master Certification Number
_________________________ Perm
10052 Highway 119, Alabaster, Alabama 35007 Phone 205-664-6823 Fax 205-664-6851