Livingston Electrical Permit Application Form PDF Details

Navigating the Livingston Electrical Permit Application process is an essential step for anyone looking to undertake electrical work in Livingston County, Michigan. Situated at the Building Department on E. Grand River in Howell, this document serves a critical role in ensuring that all electrical installations align with safety standards and regulations. At a glance, the form captures comprehensive details, including the date, tax code, job address, project type—distinguishing between commercial and residential projects, and the notably broader categorization under these umbrellas like single-family dwellings, alterations, additions, and more. The form also delves into the specifics of the work to be done, service type (overhead or underground, temporary or permanent), and provides a section for applicant information, including indispensable contractor licensing details. Moreover, it outlines a fee chart that lays down the costs associated with various electrical works, making it transparent for applicants what their intended projects might cost them upfront. It even includes instructions for extending the permit, should work extend beyond the initial timeframe, and underscores the imperative of plan submission and review for certain types of projects. Completing the application with an affidavit emphasizes the applicant's responsibility for compliance with the Michigan Electrical Code, highlighting the form’s role not just as a bureaucratic step, but as a cornerstone in upholding safety and regulatory standards in electrical work within the county.

QuestionAnswer
Form NameLivingston Electrical Permit Application Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameselectrical permit livingston county, electrical livingston county, electrical permit livingston, mi permit livingston county printable

Form Preview Example

ELECTRICAL PERMIT APPLICATION

Livingston County Building Department 2300 E. Grand River, Suite 104, Howell, Michigan 48843-7580

Phone: 517-546-3240

 

 

 

 

Inspection Line 517-546-3830

Date:

Tax Code /Parcel #

 

 

Elec.Permit No.

 

Job Address:

 

 

 

 

 

 

City:

 

 

 

 

Zip:

 

Project Type: Commercial:

Residential:

 

 

 

Owner’s Name

 

 

 

Owners Phone No.

 

Single Family Dwelling

Alteration :

Addition:

Condominium:

Apartments:

Other:

Detailed Description of Work:

Direction to Job Site (Be Specific)

Has a Building Permit Been Issued for this Project?

 

Yes:

No:

Not Required:

 

 

 

 

 

 

 

 

 

 

 

SERVICE Overhead: Underground:

DTE:

 

Consumers:

Consumers #

 

 

 

 

 

 

 

 

 

 

 

 

 

Permanent Service:

 

Temporary Service:

Service Amperage Size:

 

 

 

 

 

 

 

 

 

 

 

 

APPLICANT INFORMATION

Name:

 

 

 

 

 

 

Phone:

 

Address:

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

 

 

 

 

 

 

 

 

 

 

Zip:

Email:

 

 

 

 

 

 

 

Contractor’s License #:

 

 

 

 

 

 

 

 

 

 

 

 

 

FEE CHART

 

 

 

 

 

 

FEE

QTY

TOTAL

 

 

 

 

 

 

 

 

Application Fee Require (non-refundable)

 

 

$20.00

 

1

20.00

Air Conditioning

 

 

 

 

 

$10.00

 

 

0

Circuits (per circuit)

 

 

 

 

 

$5.00

 

 

0

 

 

 

 

 

 

 

 

Conduit Only/Grounding Only

 

 

$30.00

 

 

0

Dishwasher

 

 

 

 

 

 

$6.00

 

 

0

 

 

 

 

 

 

 

 

Electrical Baseboard Heating Units

 

 

$5.00

 

 

0

 

 

 

 

 

 

 

 

Energy Retrofit-Temp Control

 

 

$30.00

 

 

0

Feeders-Bus. Ducts, etc (per 50')

 

 

$5.00

 

 

0

 

 

 

 

 

 

 

 

 

Fire Alarms (per device) -

Commercial only

 

 

$5.00

 

 

0

 

 

 

 

 

 

 

 

 

 

Furnace - Unit Heater

 

 

 

 

 

$5.00

 

 

0

 

 

 

 

 

 

 

 

 

 

 

Lift Pumps

 

 

 

 

 

 

$10.00

 

 

0

Light Fixtures (per 25)

 

 

 

 

 

$5.00

 

 

0

 

 

 

 

 

 

 

 

Mobile Home Park Site Feeder Connection

 

 

$5.00

 

 

0

 

 

 

 

 

 

 

 

 

 

Pedestals Only

 

 

 

 

 

$10.00

 

 

0

Power Outlets (Ranges, Dryers, etc.)

 

 

$5.00

 

 

0

 

 

 

 

 

 

 

 

Recreational Vehicle Park Site

 

 

$5.00

 

 

0

 

 

 

 

 

 

 

 

 

 

Units Up to 20 KVA or HP

 

 

 

 

 

$5.00

 

 

0

 

 

 

 

 

 

 

 

 

 

Units 21 to 50 KVA or HP

 

 

 

 

 

$5.00

 

 

0

Units 51 KVA or HP or Over

 

 

$5.00

 

 

0

Service: Temp or Perm - Thru 200 AMP

 

 

$5.00

 

 

0

Over 200 AMP Thru 600 AMP

 

 

$10.00

 

 

0

S/Permit Apps/2017Apps/ElectricalApp_12_2018

Over 600 AMP Thru 800 AMP

$15.00

 

0

Over 800 AMP Thru 1200 AMP

$15.00

 

0

Over 1000 AMPS (GFI Only - 277 or 480V)

$30.00

 

0

Roof Top Units

$20.00

 

0

Signs

$20.00

 

0

Swimming Pools/Hot Tub

$25.00

 

0

Additional Inspection

$20.00

 

0

Final Inspection

$30.00

1

30.00

 

 

 

 

 

 

TOTAL FEES

$ 50.00

 

 

 

 

FEE CLARIFICATIONS

MOBILE HOME UNIT SITE: When item is used for sewer excavations in a new park, the permit application should include the application fee plus the number of unit sites.

EXPIRATION OF PERMIT

A permit shall become invalid if the authorized work has not started within 180 days, or if work has been suspended or abandoned for a period of 180 days after work has commenced. A 180 day permit extension may be granted at the cost of $50. Request for extension must be in writing.

CANCELED PERMITS CANNOT BE REFUNDED OR REINSTATED.

PLAN REVIEW

Plans are required for all building types and shall be prepared by or under the direct supervision of an architect or engineer licensed pursuant to Public Act 299 of 1980, as amended, and shall bear that architect’s or engineer’s signature and seal except:

Residential work unless requested by the code official.

NOTE: WHEN PLANS ARE REQUIRED, PLANS MUST BE SUBMITTED AND REVIEWED BEFORE A PERMIT CAN BE ISSUED.

HOMEOWNER AFFIDAVIT

I hereby certify the electrical work described on this permit application shall be for my own use and occupancy. All work shall be installed in accordance with the Michigan Electrical Code and shall not be enclosed, covered up, or put into operation until it has been inspected and approved. I understand it is my responsibility to arrange for the required inspections.

APPLICANT SIGNATURE

Signature of Applicant:

Date:

Printed Name:

S/Permit Apps/2017Apps/ElectricalApp_12_2018

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