ELECTRICAL WIRING & EQUIPMENT



ELECTRICAL WIRING & EQUIPMENT

Work CANNOT begin on ANY project until the approved permit is on site

Completed Applications must be returned to the Building Dept. for approval.

Allow 4-5 days for processing; approved permits are mailed to the Applicant completing work.

24 Hour Minimum Notice required for ALL inspections

Date: __________________ Permit Type: ( Residential ( Commercial Estimated Cost: $_____________

PROJECT ADDRESS: ___________________________________________________________________________

PROPERTY OWNER NAME(S): __________________________________ PHONE #: ____________________

|WORK TO | |

|BE |( - PROPERTY OWNER (Must submit copy of State License & the “Homeowner’s Permit Certification”) |

|COMPLETED| |

|BY: |( - CONTRACTOR: DBA NAME: _____________________________________________________________________________________________________________________ |

| | |

| |ADDRESS: ___________________________________________________________________________________________________________________________________________ |

| | |

| |CONTACT PERSON: _________________________________________________ PHONE #: ____________________________________________ (-Cell (-Office |

| | |

| |EMAIL: ______________________________________________________________________________________________________________________________________________ |

|RESIDENTIAL PROJECT |COMMERCIAL PROJECT |

| | |

|* DRAWINGS MUST ACCOMPANY PERMIT APPLICATIONS |* DRAWINGS MUST ACCOMPANY PERMIT APPLICATIONS |

| | |

|Square footage: ___________________ |Square footage: ____________________ |

| | |

|( New Home, Condo, Apt, Cluster * |* JOB SIZE - ( Up to 5,000 sq. ft ( 5,000 -100,000 sq. ft ( 100,000+ sq.|

| |ft |

|( Addition / remodel (up tO 400 sq. ft) * | |

| | |

|( Addition / remodel (OVER 400 sq. ft) * |( Warehouse / Parking garage |

| | |

|( fire restoration * |* Electric Signs - ( Up to 100 sq. ft. ( 100-500 sq. ft. ( 500+ sq. ft. |

| | |

|( Other: _____________________________________ | |

| | |

|temp / PERMANENT SERVICE - ( uP TO 100 AMPS |* Outside Pole Lighting - # of poles: _________________ |

| | |

|( 101-200 AMPS |* low voltage wiring - ( Up to 20,000 sq. ft ( 20,000+ sq. ft |

| | |

|( OVER 200 AMPS |( Fire Alarms ( Security ( Speakers ( Coaxial ( Communications ( Temp. Control |

| | |

|G.F.C.I. OUTLET(S) - ( sWIMMING POOL * |State Fire Alarm Cert. #: ________________________________________________________ |

| | |

|( HOT TUB * |Panel/Dist. Center - ( Up to 200 amps ( 201-400 amps ( 400+ amps |

| | |

|( OTHER: __________________ |motors - ( Up to 15 hp ( 16-100 hp ( 100+ hp |

| | |

| |transformer/generator - ( up to 30 KVA ( 31-75 KVA ( 75+ KVA |

|Other: __________________________________________ | |

| |* MISCELLANEOUS - ( Equipment ( Machines ( CRANES ( Temp. Wiring |

| | |

| |Indicate # for above work: _________________ |

| | |

| |Other: ____________________________________________________ |

| |

|BRIEF DESCRIPTION OF PROJECT: __________________________________________________________________________________________________________ |

| |

|_____________________________________________________________________________________________________________________________________________________ |

| |

|_____________________________________________________________________________________________________________________________________________________ |

| |

|(Romex (N.M.C.) prohibited in commercial/industrial buildings ( Aluminum wire under 100 amp capacity prohibited ( All overhead services must be installed in metal |

|conduit The undersigned states that he/she is the owner of the property or authorized agent contracted by the owner of the property. This permit will be |

|granted on condition that all work done will be in accordance with the City of Brook Park Ordinances and all Building Code Laws of the State of Ohio. Failure to comply|

|will result in revocation of this permit and additional fines/penalties may be imposed. |

|SIGNATURE: | |

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OFFICE USE ONLY

Fees: __________

__________

__________

1% / 3%: _________

TOTAL = $

( - Cash ( - ( #______________

( - Visa ( - MC ( - Disc

City of Brook Park Building Department

Thomas J. Coyne Mayor

6161 Engle Road

Brook Park, Ohio 44142

P (216) 433-7412 vð ðF (2 ( - Disc

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City of Brook Park Building Department

Thomas J. Coyne Mayor

6161 Engle Road

Brook Park, Ohio 44142

P (216) 433-7412 ϖ F (216) 433-4117

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