:: Commercial Electrical Application ::
:: Construction Code Authority ::
1075 Suncrest Dr, Ste A, Lapeer, MI 48446
Phone:810-667-0420~Fax: 810-667-2952
COMMERCIAL ELECTRICAL JOB LOCATION
Job Address:                                                City:                        Zip:                        Municipality:
Job Between What Roads?                                                                                        Side of Road Job is On?
APPLICANT INFORMATION
Company Name:                                                                        Licensee Name:
Federal ID #                                                                                License #
MESC #                                                                                       Workman's Carrier
D.O.B or Dri Lic #                                                                        Fax #
Phone #                                                                                        Email Address:
Section 23a of the State Construction Code Act of 1972, Act No. 230 of the Public Acts of 1972, being
Section 125, 1523a of the Michigan Compiled Laws, prohibits a person from conspiring to circumvent the
licensing requirements of this state relating to persons who are to perform work on a residential building
or a residential structure. Violators of Section 23a are subject to civil fines.
By entering your name, you electronically acknowledge that you have read and accept this permit
application.

Application Date:                                                                Contractors Signature:
JOB INFORMATION
Fill in all the appropriate information
Job is:
Structure is:
Other:
Other:
Commercial Sign Base Fee:       $81.00
Commercial Base Permit Fee   $162.00
Enter # of Services to be Installed - Multiply and Enter Total at Right
Single Phase
amps $23.00
Three Phase up to 600amps $38.00
Three Phase 600 to 800 amps $49.00
Three Phase over 800 amps $54.00
Total Services:
Enter # of Items to be installed - Multiply $9.00 Each and Enter Total at Lower Right
Circuit Breakers
Furnace/Heater
Kitchen Fixtures
Lighting Fixtures per 25
Feeder/Bus Ducts (per 50)
220v Outlets
Transformer Neon
Sign Circuit
Meter Hook-Up
Generator Circuit
Total Items:
KVA/Horsepowered Rated Equip.             Fire Alarm Devices
Up to 20 KVA/hp $9.00                        Alarms


21 to 50 KVA/hp $17.00                        Stations


Over 50 KVA/hp $22.00                        Horns


                                           Strobes
Total Equip/Devices:
Plan Review Fee Per Hour $81.00
Code Compliance Inspections-Additional-Reinspections $81.00
Yearly License Administrative Fee $15.00
Installation Started w/out Permit being Obtained- $100.00 Administrative Fee
                                                                                       Total Due:

Make check payable to C.C.A. or Construction Code Authority
Credit Cards Accepted; Please call C.C.A 810-667-0420
Surcharge Fee of 3.5% applied to Credit Cards
FAQ's for Electrical
Commercial Application

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