Electrical Permit Application Form - The Town of Calmar
Electrical Permit Application Form - The Town of Calmar
Electrical Permit Application Form - The Town of Calmar
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<strong>Town</strong> <strong>of</strong> <strong>Calmar</strong><br />
PO Box 750<br />
CALMAR AB T0C 0V0<br />
Phone: 780 985 3604<br />
Fax: 780 985 3039<br />
www.calmar.ca<br />
<strong>The</strong> Inspections Group Inc.<br />
12010 – 111 Avenue<br />
EDMONTON AB T5G 0E6<br />
Phone: 780 454 5048 Toll Free: 1 866 554 5048<br />
Fax: 780 454 5222 Toll Free: 1 866 454 5222<br />
www.inspectionsgroup.com<br />
<strong>Electrical</strong> <strong>Permit</strong> <strong>Application</strong> <strong>Form</strong><br />
<strong>Application</strong> Date (Y/M/D): _____________________________________<br />
Estimated Completion Date (Y/M/D): ____________________________<br />
<strong>Permit</strong> Number: ____________________________<br />
Development <strong>Permit</strong> Number: ____________________________<br />
<strong>Permit</strong> Type: Owner Contractor Cost <strong>of</strong> Installation (Labor & Material) $____________________________<br />
<strong>The</strong> <strong>Permit</strong> Holder hereby certifies that this installation will be completed in accordance with the Alberta Safety Codes Act & Regulations and shall commence<br />
within 90 days <strong>of</strong> permit issuance. This permit expires after 90 days without an extension request.<br />
Owner Name: ________________________________________________<br />
Address: _______________________________________________________<br />
City: _______________________________ Prov: ______ Postal Code: _________________ Phone: ____________________ Fax: ____________________<br />
_______________________________________________________ Cell: ______________________ Email: ___________________________________<br />
Owner’s Signature / Declaration for Homeowner <strong>Permit</strong>s<br />
“I hereby declare I am the owner <strong>of</strong> the premises in which the work will be conducted, and reside on the property. I am doing the work myself, and assume responsibility for<br />
compliance with the applicable Act and Regulations”<br />
Contractor Name: _________________________________________<br />
Address: ___________________________________________________________<br />
City: _______________________________ Prov: ______ Postal Code: _________________ Phone: ____________________ Fax: ____________________<br />
Cell: _________________________ Email: __________________________________________________________________________________________<br />
______________________ ____________________________________________ _____________________________________________<br />
Master Electrician Number Master Electrician’s Name Master Electrician’s Signature<br />
Project Location:<br />
Street Address: _______________________________________________________________________________________________________________<br />
Legal Subdivision: Part <strong>of</strong>: _____________ Section: _____________ <strong>Town</strong>ship: _____________ Range: _____________ West <strong>of</strong>: _____________<br />
Subdivision Name: _____________________________________________<br />
Lot: ___________ Block: __________ Plan: __________________________<br />
Directions: ___________________________________________________________________________________________________________________<br />
Project Information:<br />
Building Type: Commercial Residential Multi Family Industrial Institutional Square Feet: ____________________<br />
Type <strong>of</strong> Work: New Work Renovations Connection Temporary Service Other ____________________________________________<br />
Does this Installation Require a Service Connection: Yes No Supply Service: Overhead Underground<br />
Service Information: Amps: ____________ Volts: ____________ Phase: ____________<br />
Description <strong>of</strong> Work: ___________________________________________________________________________________________________________<br />
Type <strong>of</strong> Payment: Cash Cheque Visa MC Other<br />
AUTHORIZATION<br />
<strong>Permit</strong> Fee:<br />
$_______________________<br />
Issuing Officer’s Name: _______________________________________________<br />
+ SCC Levy: $_______________________<br />
$4.50 or 4% <strong>of</strong> the permit fee (whichever is greater) maximum $560.00<br />
Total Cost:<br />
$_______________________<br />
Receipt #: _____________________________<br />
Issuing Officer’s Signature: ____________________________________________<br />
Designation Number: _________________________________________________<br />
Issued Date : ________________________________________________________<br />
PLEASE CONTACT THE INSPECTIONS GROUP INC. FOR INSPECTIONS ALLOWING TWO WORKING DAYS NOTICE.<br />
<strong>The</strong> personal information provided as part <strong>of</strong> this application is collected under Sec. 43 <strong>of</strong> the Safety Codes Act and Sections 303 and 295 <strong>of</strong> the Municipal Government<br />
Act and in accordance with Section 32.c <strong>of</strong> the Freedom <strong>of</strong> Information and Protection <strong>of</strong> Privacy Act.
ELECTRICAL PERMIT FEE<br />
(For “NEW” Single Family Residential)<br />
Square Footage<br />
<strong>Permit</strong> Fee<br />
Up to 1200 square feet $125.00<br />
1201 to 1500 square feet $150.00<br />
1501 to 2000 square feet $175.00<br />
2001 to 2500 square feet $200.00<br />
Over 2500 square feet $250.00<br />
Modular Homes (on foundation or basement) $100.00<br />
Basement Development Wiring – New Home<br />
(if done at time <strong>of</strong> initial construction)<br />
$75.00<br />
Mobile Home Connection $75.00<br />
Attached Garage<br />
Include square footage <strong>of</strong> garage with house<br />
Detached Garage $ .20 a sq. ft. minimum fee $75.00<br />
NOTE:<br />
1. Add Safety Codes Council Fee <strong>of</strong> $4.50 to each permit or 4% <strong>of</strong> permit levy (whichever is<br />
greater) to each permit.<br />
2. This fee schedule applies to “New” Single Family dwellings only. (For residential renovations,<br />
garages, additions, etc., use <strong>Electrical</strong> Installation Cost Fee)<br />
3. When work has commenced without first obtaining the required permit(s); the permit fees<br />
will be doubled.
ELECTRICAL PERMIT FEE<br />
(For “Other Than” New Single Family Residential)<br />
Installation Cost $<br />
<strong>Permit</strong> Fee<br />
Under 1,000 $ 75.00<br />
1,000.01 – 1,500 $ 85.00<br />
1,500.01 – 2,000 $ 95.00<br />
2,000.01 – 2,500 $ 100.00<br />
2,500.01 – 3,000 $ 110.00<br />
3,000.01 – 3,500 $ 120.00<br />
3,500.01 – 4,000 $ 130.00<br />
4,000.01 – 4,500 $140.00<br />
4,500.01 – 5,000 $150.00<br />
5,000.01 – 5,500 $155.00<br />
5,500.01 – 6,000 $160.00<br />
6,000.01 – 6,500 $165.00<br />
6,500.01 – 7,000 $170.00<br />
7,000.01 – 7,500 $175.00<br />
7,500.01 – 8,000 $180.00<br />
8,000.01 – 8,500 $185.00<br />
8,500.01 – 9,000 $190.00<br />
9,000.01 – 9,500 $195.00<br />
9,500.01 – 10,000 $200.00<br />
10,000.01 – 20,000 $220.00<br />
20,000.01 – 30,000 $275.00<br />
30,000.01 – 40,000 $320.00<br />
40,000.01 – 50,000 $400.00<br />
50,000.01 – 60,000 $440.00<br />
60,000.01 – 70,000 $480.00<br />
70,000.01 – 80,000 $520.00<br />
80,000.01 – 90,000 $550.00<br />
90,000.01 – 100,000 $570.00<br />
100,000.01 – 110,000 $600.00<br />
110,000.01 – 120,000 $630.00<br />
120,000.01 – 130,000 $660.00<br />
130,000.01 – 140,000 $690.00<br />
140,000.01 – 150,000 $720.00<br />
150,000.01 – 160,000 $750.00<br />
160,000.01 – 170,000 $780.00<br />
170,000.01 – 180,000 $810.00
180,000.01 – 190,000 $840.00<br />
190,000.01 – 200,000 $870.00<br />
200,000.01 – 210,000 $900.00<br />
210,000.01 – 220,000 $930.00<br />
220,000.01 – 230,000 $960.00<br />
230,000.01 – 240,000 $1,000.00<br />
240,000.01 – 250,000 $1,100.00<br />
250,000.01 – 300,000<br />
$1,200.00<br />
300,000.01 – 350,000<br />
$1,300.00<br />
350,000.01 – 400,000 $1,400.00<br />
400,000.01 – 450,000 $1,500.00<br />
450,000.01 – 500,000 $1,600.00<br />
500,000.01 – 550,000 $1,700.00<br />
550,000.01 – 600,000 $1,800.00<br />
600,000.01 – 650,000 $1,900.00<br />
650,000.01 – 700,000 $2,000.00<br />
700,000.01 – 750,000 $2,100.00<br />
750,000.01 – 800,000 $2,250.00<br />
800,000.01 – 850,000 $2,350.00<br />
850,000.01 – 900,000 $2,450.00<br />
900,000.01 – 950,000 $2,550.00<br />
950,000.01 – 1,000,000<br />
$2,650.00<br />
For each additional $50,000 over $1,000,000<br />
$2,650.00+ $50.00 per unit<br />
For installation costs exceeding $1,000,000.00, contact <strong>The</strong> Inspections Group for the permit fee.<br />
TEMPORARY AND SERVICE CONNECTIONS, CONDUCTORS AND FEEDERS<br />
A flat fee <strong>of</strong> $70.00 (plus Safety Codes Fee $4.50) will be charged for temporary services and above<br />
ground or underground service connections, conductors and feeders<br />
*NOTE:<br />
1. Add Safety Codes Council Fee <strong>of</strong> $4.50 to each permit or 4% <strong>of</strong> permit levy (whichever is<br />
greater) to each permit.<br />
2. When work has commenced without first obtaining the required permit(s); the permit fees<br />
will be doubled.<br />
*INSTALLATION COST:<br />
Total value <strong>of</strong> electrical materials, fixtures and supplies plus labour (in the case <strong>of</strong> a homeowner –<br />
double the value <strong>of</strong> materials, fixtures & supplies to get installation cost)