Laserfiche WebLink
Received By <br /> <br />Date ~ . <br /> <br />MARION C]UNTV <br />BUILDING INSPECTION <br /> <br />MARION COUNTY I~LD, ING iNSPECTION <br /> Senator Sldg, NO, <br /> 220 High Stre~ NE <br /> <br />MECHANICAL PERMIT APPLICATION <br /> <br />Prop~t~/'~wner:: Phone:: Mailing Address:: <br /> Arraondo ..G.&~c._ia 85.~2820 8920 g%aw ,~. Rd A,,mmr~ 11 ~ <br />Job Addree$:: Site No:: Cross Street <br /> 8920 Shaw Sq. Rd <br /> <br />Mechanical Installer Phone:: Address, <br />Stayton Refrigeration Co. 769-3495 207 N 3rd, Sta~qn __ <br />Home Buildar~ P,~,.~t.~ation NO :: <br /> <br />Residential Yes Commercial;: Use of Building <br />New ~( Alteration? [] Addition [] ...... Reloc~ti~n'::"'"l~ .................. Occupancy Change [] <br /> <br /> NO,, FEE AMOUNT <br />Base Price 10,00 <br />Forced air furnace 100,000 BTU or lees 600 <br />Forced air furnace over 100,000 BTU 7,,50 <br />Floor Furnace 6 O0 <br />.~Suspended Heater 6 00 ..... <br />Wall Heater 6,00 <br />Floor Mounted Unit Heater 6 00 <br /> Heat Pump __. / 6.00 ~. ~ <br /> Al,( H,~dling Unit to 10 000 cuft 450 <br /> Air Handlieg Unit over 10:000 cuf 750 <br /> E~aporative Cooler 450 <br /> Exhaust System Commemial 450 <br /> Hood and Exhaust Commercial 450 <br /> Domestic Range Hoods 4,50 <br /> Domestic Exhaust Fans & Dryer Vents 3,,00 <br /> For pre-installation or installation ............. <br /> of each wood stove 7 50 <br /> <br /> NO FEE AMOUNT <br />-'~om~rclal or lndu~irial Incinerai';~'r' 30,00 <br />Fire Damper 3 00 <br />Gas water Heater 750 <br />For each gas piping system of up to <br />4 outlets minimum fee 2.00 <br />For each gas piping system of 5 or more <br />~ outle~rper outlet 50 <br />For the installation, relocation or <br />replacement of each appliance vent <br />not included in an appliance permi! ........ 3 00 <br />Appliance or accesso~ to any heating or <br />Comfort cooling system not covered 450 <br />Other (as per Mechanical Code) <br />On-Site Technical Review <br />(Apply at Marion Co,, only) <br />Reinspection Fee 15,,00 <br /> <br /> STATE SURCHARGE ,,, <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FBE $ <br /> FLEET SURCHARGE <br /> CITY FEE $ <br /> TOTAL <br /> <br />Please return COMPLETE APPLICATION with the indicated fee,, <br /> <br />I I am performing work on a property I own or occupy <br /> larnaregiatemdbuilderOR( ) the authorized representative of SIGNATURE O~ APPLICA <br /> a registered builde~ <br /> The work will be performed by a registered builder <br /> Other. <br /> <br />MC 15-41 <br />Rev 3~87 <br /> <br /> <br />