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MARION COUNTY BUILDING iNSPECTION <br /> <br />220 High Street N~ <br />Salem, Oregon 97301 <br /> <br />Phone 588-5147 8:00 a-rs, - 4:30 p.m. SITE#: <br /> Code-A-Phone: $85-7904 <br /> FAX: S88-794S Data: ,, <br /> <br /> Issued by: <br /> <br />L_p.MECHANICAL PERMIT APPLICATION <br /> lease complete all Sections, 1 through 5 <br /> <br />1. LOCATION OF INSTALLATION <br /> <br /> )irections <br /> <br />PI~P, MITS ARE HON -TP.A~4 SP~R~BLi] AHD ~O~-~DA~LE AND <br />~PI~ IF WO~ IS NOT STARED ~ 1 g0 DAY~ OF ISSUANC~ <br />OK IF wo~ IS SUSPENDED FOR 180 DAYS, <br /> <br /> ~A. CONT~CTOR INSTALLATION ONLY <br /> <br />Phone <br /> <br />Contmctoda Board ReS. No. <br /> <br />Job No, <br /> <br />2B, ]FOR OWNER INSTALLATIONS <br /> <br />Mailing Address <br /> <br />Phone <br /> <br />City/State/Zip <br /> <br />Thc installation is bclng ma,dc on pmper~ I own which is not intended for sale, <br /> <br />3, PLAN REVIEW SECTION <br /> <br />We will provide plan review service 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 proD'am does not suspend the <br />required submission of plans, and specifications when required <br />by the Oregon Structural Specialty Code, Chapter 53. <br /> <br />~Ic 1~-4J' <br />Rev, 2/92 <br /> <br />MARION COUNIY <br />BUILDING INSPECTION <br /> <br />RESIDENTIAL [] COMMERCIAL <br /> <br />i, mw [] .~,L'r~p, ATIOlq ~/~DmTION [] P.~LOC~ON [] <br /> <br /> NO. X FEE - SUM <br />BASE ]~g $10.00 <br /> <br />Forced Air FUmace $ 6.00 <br />100,000 BTU or less <br />Over I00,000 BTU -- $ 7.50 <br /> <br />Floor Furnace $ 6.00 <br />Suspollded Heater __ $ 6.00 <br />Wall Heater / $ 6.00 <br />Floor Mounted Unit Heater __ $ 6,00 <br /> <br />Heat Pump or Air Conditioner <br />Up to $ Ton -- $6,00 <br />3 Ton in lS Tun __ $11,00 <br />Evaporative Cooler __ $ 4,50 <br />Exhaust Systec, Commercial $ 4.50 <br />Hood and Exhaust, Commexcial ~ $ 4.50 <br /> <br />Domestic Range Hood -- $ 4.50 <br />Domestic Exhaast Fans <br />and Dryer Vents __ $ 3.00 <br />Fire Damper __ $ 3.00 <br />Wood Stove __ $ 7,50 <br />Fumace Ducts (Alteration, l~xtension) __ $7.50 <br /> <br />Commercial or Industrial Incinerator __ $30.00 <br /> <br />Gas Water Heater (ralocalian <br />or replacement) r/ $ 7.50 <br />Gas Connection w/o Appliance <br />--per oatlet, up to 4,' ~-~ '}' $ 2.00 <br />--over 4, $8,00 I)1~ ca, <br />additional __ $ .50 <br /> <br />For the Installation, Relocation <br /> or Replacecaut of ea. Appliance <br /> Vent not included in au <br /> Appliance permit. <br /> <br />3.00 <br /> <br />Other (as requfl-ed by Bnilding Official) <br /> <br />5. FEES <br /> Al, ~t~r tolal Of ~¢~ from ~-¢, g4 <br /> A2. Add 5% alrelmrs~ (,05 x A I} <br /> <br /> Subtotal <br /> <br /> B. Ent~r2$%oflin~Al for PlanR~vi~w <br /> (Al x ~5) ff required <br /> C, Invcz'figafion Fcc (ff r equlr~d) ,~ <br /> <br /> TOTAL AMOUNT DU~ <br /> <br /> <br />