PERMIT #__________________
DEPARTMENT OF DEVELOPMENT & PERMITS
Code Compliance Division
P. O. Box 15225
Chesapeake, VA 23328
Date:___________________
Tel.
(757) 382-6018
Fax
(757) 382-8448
Inspection Request:
(757) 382-2489
Email: develop-permits@cityofchesapeake.net
APPLICATION FOR ELECTRICAL PERMIT
A permit is hereby requested to install electrical work at:
Address__________________________________________________________________ Suite/Lot #__________
Subdivision_____________________________________ Builder/Owner/Occupant__________________________
Electrical Co. Name_____________________________________ State Reg. #_____________________ A B C
Master /Owner Signature_____________________________________________ Phone #__________________
PRINT Signature Name_________________________________________ Ches. Bus. License #____________
Business Address____________________________________________________________________________
Structure is:
Code Used:
_____New
_____Foundation
_____Existing
_____Addition
____Moved
_____Residential
_____Commercial
_____Industrial
______Mobile Home/Trailer
_____NEC
_____International Residential Code
ELECTRICAL SERVICE INFORMATION (Complete this information if applicable)
Work Request #
Work Request No. is required for all new and/or service changes and relocations
New Service Size: ________Amps
______Phase
______Volts
_________Number of Meters
Existing Service Size:_______Amps (Required Information for Service Change/Upgrades)
Service will be: _____Temporary Power Pole
New Service Fee ____________
_____Overhead
Existing Service Fee
INSTALLATION
_____Outlets (Swit, Ltg. Recp)
_____Motors
_______HP
_____Range
______KW
_____Water Heater
______KW
_____Dryer
______KW
_____Heat (Gas or Oil)
_______HP
_____A/C & Heat Pump
_______Ton
_____Hydro-massage tub
____ ___HP
_____Kitchen/Bath Fans
____ __CFM
Other_____________________________
Fee
$________________________
Minimum Permit Fee - $40.00
_____Underground
___________
Temporary Pole Fee __________
ADDITIONS OR REPAIRS
Indicate number of circuits plus feeders worked on according to the size.
_____ 0 – 30 amps
$ 3.00
_____
31 – 60 amps
4.00
_____
61 – 100 amps
5.00
_____
101 – 200 amps
10.00
_____
Over 200 amps
15.00
_____
Pool Bonding & Equip – Inground
30.00
_____
Pool Bonding & Equip – Above Ground
15.00
_____
Meter Base Replacement
Size ________ amps
5.00
Other_____________________________________________________
Technology Fee
$5.00
Contract Value $____________________
If application is not complete, it may be returned resulting in a delay of inspection. SEE BACK FOR MORE
DETAILED INFORMATION.
Revised 8/19/13
CG-7075/R-09
For issuing each permit, the fee shall be $40.00. In addition to the $40.00 fee for issuing each permit are the following
fees:
Technology Fee – 5.00
Temporary Pole – 60 Amps and Over - $15.00
New Services: Fees for new services, whether single or three phase includes all circuits, motors, generators and other
derivations of an electrical system.
Single Phase – Figured at $15.00 per 50 amps.
60 amps 100 amps 150 amps 200 amps 300 amps 400 amps 500 amps 600 amps -
Three Phase
$ 15.00
30.00
45.00
60.00
90.00
120.00
150.00
180.00
50 amps 100 amps 150 amps 200 amps 300 amps 400 amps 500 amps 600 amps -
$ 20.00
40.00
60.00
80.00
120.00
160.00
200.00
240.00
Three Phase – Figured at $20.00 per 50 amps for first 1,000 amps, $10.00 per 50 amps for remaining amps after 1,000.
Change of Service: Fees for changes of service (pay for change of services and any additional circuits added, worked on,
extended or relocated. For circuit fee, see additions or repairs schedule below:
Single Phase – Figured at $7.50 per 50 amps.
To 100 amps To 150 amps To 200 amps To 300 amps To 400 amps To 500 amps To 600 amps -
Three Phase
$ 15.00
22.50
30.00
45.00
60.00
75.00
90.00
To 100 amps To 150 amps To 200 amps To 300 amps To 400 amps To 500 amps T0 600 amps -
$ 20.00
30.00
40.00
60.00
80.00
100.00
120.00
Three Phase – Figured at $10.00 per 50 amps for first 1,000 amps, $5.00 per 50 amps for remaining amps after 1,000.
Addition or Repairs: For each piece of equipment connected and each circuit or feeder installed, extended relocated or
repaired, the fee shall be:
Amperes
0 – 30 amps
31 – 60 amps
61 – 100 amps
101-200 amps
Over 200 amps
Conductor Size
#14, 12, 10
#8, 4
#4, 3, 2
#1, 0, 00, 000
Over 000
Fee
$ 3.00 per circuit
4.00 per circuit
5.00 per circuit
10.00 per circuit
15.00 per circuit
$5.00 per meter base
Temporary Release for residential - $25.00, commercial - $50.00
Late Fee for beginning work without a permit - $75.00
NOTE: 2% of the total fee must be added for state levy.
I understand that the permit is granted for the work shown and described in this application. Any falsification,
misrepresentation or misleading information given VOIDS the permit.
CG-7-075/R-09