Laserfiche WebLink
Mechanical Permit Application MARION COUNTY <br /> .-~. . ~ DEPT. OF BUILDING INSPECTION <br /> ~'/v'~"/~/ ~,'~'/~ ~ _ ~///~, Senator Building # 225 <br />Appl Recd:~20 High St., N.E. 2nd Floor <br /> ~~~ ' Salem, Oregon 97301 <br />By: R.H. WlTHROW, BLDG. ADMINISTRATOR <br /> 588-5147 -- 588-5148 <br />Date: ~__~-~Z_~.~ 5:00 P..M.- ........... CODE-A-Phone 588-5373 ............. 8:00 A.M. <br />Type of Permit:~.--~ ~- ~- ~~.-- ~- Tax Lot NO: <br /> <br />Bldr~ & NO.: Phone: Address: <br /> <br /> Mechanical Permit Application <br /> <br />Bldg. Permit No.. <br />Mechanical Permit NO 505 <br /> 5/11783 <br />D~te: D0ttie <br /> <br />Plans by; Phone: Address: <br /> <br />Application is made for: <br /> <br /> Appliance, <br /> Make <br /> <br /> BTU Input, <br /> <br /> Vent Size <br /> <br />[] New Installation [] Replacement <br />[] Addition [] Gas Connection <br /> <br /> ITEM NO, FEE AMOUN1 <br /> For Issuance of Permit 10.00 <br />New Install. bs 1000,000 BTU 600 <br />Replacement Ls 100=000 BTU 6.00 <br />New Install. More 100,000 BTU 7.50 <br />Replacement M..o.r.~ .1.00,000 BTU 6.00 <br />New Instatl. Floor Furnace 6..00 <br />Replacement Floor Furnace 6.00 <br />New Install. Suspended Heater 6.00 <br />Replacement Suspended Heater 600 <br />.... New Install Wall Heater 6..00 <br />Replacement Wall Heater 6.00 <br />New Floor Mounted Unit He~'te~ 6.00 <br />Replace Floor Mounted Unit Heater 6.00 <br />Boiler/Com.P~.; 3 hp, 100,000 BTU 6.00 <br />Bo lie r/Cg.m..p..r.;..1.~, bp, 500,000 BTU 11 ..00 <br />Boiler/Compr. 30 hp, 1,0.0=0,000 BTU 15..00 <br />Boiler/Compr. 50 hp, 1,750,000 BTU 22.50 <br />Boiler/Comgr. over 50 hp, 1,750,000 I~-~1 ' 37.50 <br />Air Handling Unit to 10,000 cu. ft. 4.50 <br />Air Handling Unit ove. r 10,000 cu. ft. 7..50 <br />Evaporative Cooler 4.50 <br />Exhaust System Commercial 4.50 <br />Hood and Exhaust Commercial 450 <br />DomesticType Incinerator & Wood Stoves 7.50 ~..~ <br /> Commercial or Industrial Incinerator ............. 30.00 <br /> Gas Connection Without Appliance (1 to 4 each) 2..00 <br /> 0var4-$800 Plus Each Additl0nel ......... <br /> ..5(3 <br /> Appliance ct Accessory to Any Heating Or <br /> Comfort Cooling System Not Covered Above 4.50 <br /> <br />Floor Area <br /> <br />Fuel <br /> <br />Comments: <br /> <br />Approved By: <br />Date: <br /> <br /> FEE ~..~ <br /> SURCHARGE <br />o--~// ' 6', 19 ~.3 TOTAL <br /> <br /> I agree to inatall according to the submitted plans and spec/f/cations, the laws of the State of Oregon and the Ordinances of <br /> Marion County, Permit expires if work not commenced within 120 days I further expressly warrant that I comply w~th the provi- <br /> sions o! ORS 701,005 to 701~125 because~ <br />( ) I am e registered contractor or ( ) the authorized representative of a registered contractor. <br />(~ The work will be performed by a registered contractor. <br />( ) I am performing work on a property I own or occupy ~ .~. <br />( ) Other (please specify) ~ _~_. ~ , / [ / <br />SIGNATURE OF APPLICANT: ~"~_~-~, ' ~J~? ~-~.. ~"~'~7 <br /> <br /> <br />