Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />FOR OFFICE USE ONLY <br /> 220 High Street NE <br />Received by: Salem~ Oregon 97301 <br /> <br /> ....... ~de-A-~onc: 58g-7~ <br />MECHANICAL PERMIT APPLICATION ~: ~'"?~'ff ~ ,~ <br />Please complete all Sections, 1 through ~ ~ f 2/~ued by' <br /> <br /> i. LOCATION OF INSTAL~TION 4. F~ $~EDULE <br /> <br />Cross St. <br /> <br />pEP, MITR ARE NON.TRANS, FERAELE AND NON-REFUNDABLE AND <br />EXPI1L~ IF WORK IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE <br />OR. IF WORK IS SUSPENDED FOP, 180 DAYS. <br /> <br />2A, CONTRACTOR INSTALLATION ONLY <br /> <br />Mailing Addv:as Phone <br />City/State/Zip <br /> <br />The installation is being made on propeay I own which is not intended for ~le, <br /> <br />Owner's Signature <br /> <br /> 3. PLAN REVIEW SECTION <br /> <br /> RESIDENTIAL ~ COMMERCIAL [] <br />USE OF STRU~; <br />~,~w [] Ma'E~.A~O~ [] AO])I~O~ ~ ~LOCATtON [] <br /> NO, X FEE = SUM <br /> <br />BASE FEE $10,00 <br /> <br />Forced AJ~ Fm'nase $ 6-00 <br />100,000 BTU or less <br />Ov~ 100,000 BTU -- $ 7.50 <br /> <br />Floor Furnace __ $6.00 <br />SaspmadedHeater __ $ 6.00 <br />Well Heater __ $ 6,00 <br />Floor Mounted Unit Heater __ $ 6.00 <br /> <br />Heat Pump or Air Conditioner <br />Up to 3 Ton __ $ 6.00 <br />3 Tonto 15 Ton [ ...... $11,0o <br />Evaporative Cooler __ $ 4,50 <br />Exhamt System, Commerciel __ $ 4,50 <br />Hood and Exhaust, Comm~r~iel __ $ 4.50 <br /> <br />Domestic Range Hood __ $ 4,50 <br />Domestic ~xhaust Fans .... <br />mad Dryer Veats __ $ 3,00 <br />Fire Damper __ $ 3,00 <br />Wood Stove <br /> $ <br /> 7,50 <br />Fmmase Ducts (Alteration, Extension) C7~ <br /> $7,50 <br /> <br />Commercial or Industrial Incinerator __ $30.00 __ <br /> <br />Gas Water Heater (relocation <br />or repl~cem~t) __ $7.50 <br />Gas Connection w/o Appliance <br />--p~r outlet, up to 4 __ $ 2.00 <br />~-over 4, $8.00 plo3 ca, <br />additionel $ .50 <br /> <br />For the Installation, Relocation <br /> or ~eplacement of ca, Appliance <br /> Moat not included i~ an <br /> Appliance permit, <br /> <br />Other (as requited by Building Official) <br /> <br />__ $ 3.00 <br /> <br />We will provide plan review ~erviee if you complete Section <br />5B and submit two (2) sets of plans and specifications with <br />this application. <br /> <br />This optional plan review program doeg not suspend the <br />required gubmission of plans, axed gpecifications when requited <br />by the Oregon Structural Specialty Code, Chapter 53. <br /> <br />~C I S-4J <br /> <br />Rev, 2/~2 <br /> <br />5. FEES <br /> <br /> TOT.~L AMOENT DU~ <br /> <br /> <br />