Laserfiche WebLink
FOR CITY VALIDATION <br />Received by.'. <br />Date: <br /> <br /> MECHANICAL PERMIT APPLICATION <br /> Please complete all Sections, I through 5 <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />MARION COUNTY BUILDING INSPRCTI~I~(~ <br /> COMMUNITY DEVELOPMENT CEN'I'/~R ~..~-~ ~ ~' ~?'_111 I <br /> 285 Church st NE. Room 132 ,~[,,, ,~NO: _ _ <br /> Salem, OR97301 Date: FEB ! 8 <br /> ~ hr. Inspe¢~o. Uae 373~27 MARJ0N COUNT~ <br /> O~ce: Phone 588-$147 8100.m-4,30pm [SS~By~~0 <br /> F~: 588-?948 <br /> <br />Cross St~e~Direcllons: ~ ~ ~'J~' <br /> <br />PERMITS ARE NON-'tRANSFERABLE AND EXPIRE IF WORK IS NOT I <br /> STARTED WITHIN 180 DAYS OF ISSUANCE OR IF <br /> I <br /> WORK lS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />Conlr~tor'sBo,rdRe,.No. ~{~'~0 I <br />C°~lracter's S'gnamre: P~ ~j~4~ <br /> <br />211. FOR OWNI]R INSTALLATIONS <br /> <br />Pmp~r~y Owner ~ca~pri~) <br /> <br />City/S~p <br /> <br />A~nt's Si~at~: <br /> <br />4. FIiE SCHRDULR (Complete and ~nter total in A 1 below) <br /> <br /> RESIDENTIAL ~ ~ COMMF/RCIAL <br /> USE OF STRUCTURE: ~ <br /> <br /> No. X <br />BASE FEE $ I0.00 <br /> <br />FORCED AIR FURNACE <br />up to 100,000 BTU $ 6,00 -- <br />over 100,000 BTU $ 7.00 <br /> <br />Floor Furnace $ 6.00 <br />Suspended Heater $ 6.00 -- <br />Wall Heater $ 6.00 <br />Floor Mounted Heater $ 6.00 <br /> <br />HEAT PUMP <br /> under 3 Ton <br /> 3 Ton and up <br /> <br />MR CONDITIONER <br /> trader 3 Ton <br /> 3 Ton and up <br /> <br />EvaporativeCooler <br />Commercial Exhaust System <br />Commercial Hood and Exhaust <br /> <br /> $ 6.50 <br /> St 1.00 -- <br /> <br /> $ 6.50 <br />---1--- sn.oo <br /> <br />GAS PIPING SYSTEM <br /> 14 outlets (per outlet) <br /> 4 and up outlets (per outlet) <br /> <br />Appliance Vents not included in <br />an appliance permit <br /> <br />OTHER (as requir*d by Bullring <br /> <br />DWELLING PERMIT LABEL # of Labels <br /> <br />$4.50 <br />$4.50 <br />$ 4.50 <br />$ 4.50 <br /> <br />$ 3.00 <br />$ 3.00 <br />$7.50 <br />$ 7.50 __ <br />$30.00 __ <br /> <br />$7.50 <br />$7.50 <br />$7.5O <br />$7.50 <br /> <br />$ 2.00 <br />$ .50 <br /> <br />$ 3.00 -- <br /> <br />3. PLANP~VIEW SBCTION <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service if you complete <br />Section 5B and submit two (2) sets of plans and <br />specifications with this application. <br /> <br />MC 1541 <br />REV 8/96 <br /> <br />5. F~]~S <br /> Al. Enter totalof fees from Se, c. fi4 <br /> A2. Add 5% sumharge (.05 x A 1) <br /> ~ubtotal <br /> <br /> B. ~tar 25~ of lineAl for PI~ Review <br /> (Al + .25), if ~i~d <br /> C. Investigation ~e (if ~qui~d) <br /> D. Reim~fioa F~e ($25.~) <br /> <br /> TOT~ ~O~ D~ <br /> Receipt No. <br /> <br /> <br />