Laserfiche WebLink
~._FOR Cl'l~r USE ONLY <br />Received By: Date: <br />Zoning By: City'. <br />R.e~zeipt #: Amounts <br /> <br />[ MECHANICAL PERMIT APPLICATION [ <br /> Please complete all Sections, 1 through $ <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />MARION COUNTY BUILDING INSPECTION <br />COMM1JNITY DEVELOPMENT CENTER <br />3150 Lancaster Dr. NE- Suite C. Salem, Oregon 97305 <br />gOO am - 4:30 pm <br />24 hr. Inspection Line 3734427 FAX 58g-7948 <br /> <br />Projqa:t[~ocript[on: -.~ Vftt~ <br /> <br />2A. CONTRACfOR IlhrFORMATION -- PLEASE I~DICAIE WItO IS <br /> <br />I am the PROPERTY 0 [fiNER and own. reside in. or will reside in the <br />completed structure and will be my own general contractor. ! undersland <br />that l must regtster as a construcnon contractor if the Mructare is sold or <br />offered for sale before or upon completion, ltl hire xubconlractors, I will <br />hire only subcontractors regtstered with the Constructton Contractors Board. <br />ltl change my mind and do hire a general contractor who is registered with <br />the Construction Conlractor$ Board I will immediately notify Marion County <br />of the name of the contractor: <br /> <br /> Owner's Signature: <br /> <br /> Agent's Signature- <br /> <br />3. pLAN REVIEWSECTION <br /> Marion County docs not require a plan review. We will p~ovide plan review J <br /> service if you complete Section 5B and submit two [2) sets of plans and <br /> I <br /> specifications with this application. <br /> <br />4. FEE SCHEDULE Icomplete and enter total in Al} <br /> <br />) PoESIDENT[AL ( ) COMMERCIAL <br />NEW .( )~ADDITION <br />RELOCATION ~L.ILE PLACEMENT <br /> <br />Fnrnace (includes ducts / vents1 <br />Forced Air up to 100.000 BTU <br />Footed Air over 100.000 BTU <br />FIoo~ Furnace <br />Ducts (Altcrafio~'Extcmion) <br /> <br />qf..o/o 7 ? <br /> )~ALAS ( ) ELECTRIC <br /> TERATION <br /> <br /> QXY <br /> <br /> x $12.00 = $ <br /> x $15.00 = $ <br /> x 512.00 = $ <br /> x $15.00 = $ <br /> <br />Ga~ Furnace (up to 100.000 BTU) <br />Gas Furnace IOVe~ 100.000 BTU) <br />Gas Fireplace / Insefl <br /> <br />Gas Log Lightex <br />Gas Barbeque <br /> <br />Gas Piping <br /> <br /> $I 2.00 = <br /> 515.00 <br /> $15.00 <br /> $15.00 <br /> 515.00 <br /> $15.00 <br /> <br />x$ 1.00 = $ <br /> <br />Suspended Heater <br />Wall Heater <br />Floor Mounted Heatcz <br /> <br />x $12.00 <br />x $12.00 <br />x $12.00 <br /> <br />Under 3 Ton <br />3 Ton and More <br /> <br />X S12.00 = $ <br />x $22.00 = $ <br /> <br />Air Conditioner <br />Ued~r 3 Ton <br />3 Ton and More <br />Evapo{a6ve Cooler <br /> <br />x 515.00 = $ <br />x $22.00- $ <br />x $ 9.00 = $ <br /> <br />x $ 9.00 <br />x $ 9.00 <br />x $ 9.00 <br />x $ 6.00 = <br />x $ 6.00 <br /> <br />x $ 6.00 = $ <br /> <br />Additional Applia~l/~ Fireplace <br /> <br />x $15.00 = $~2_tg"a <br />x $ 6.00 - ~ <br />x $60.00 = $ .- <br /> <br />(mmiraum one hour) $ <br /> <br /> <br />