Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br /> 220 High Sue, et NE <br /> Salem, OR 97301 <br /> <br /> 8:00arn - 4:3~pm Phone 58B-5147 <br /> Code-Aq~one 588-7904 <br /> FAX 588-7948 <br /> BUILDING PERMIT AF tC2%TION <br /> <br />Setback <br /> <br />2. ocationorinstaUatlon ddz <br /> <br />,, CommoMty We~ ( ) City <br /> <br />3. Contractor Information <br /> <br /> ( ) I own, ~sidc ~, ~ w~ ~s~o ~ Ce ~mee~d stratum, <br /> ( ) I ~4ers~nd ~at I must mgis~r as a ~nstm~ c~tm¢~ ff ~c stratum is sold or offered for s~e before or u~n c~ple~. <br /> <br />4. Fee Schedule <br />A. VALUATION (See '*Valuation ~ehedule" <br />~o de~ermlne valuation baaed <br />square footage.) <br />(1) Permit <br />(2) 5% St.ate Surcharge 005 xA1) <br />('3) StmeturalFltmReview(.65%xA1) m . / = <br />f4) Fire.&, ,LifeSafl&v Plan R~i~ <br />(5) Zoning Surcharge. if appl~¢able (.05% x Al) <br /> <br />B. Miseel/anoous Fees <br /> (I) Driveway w/curb@ $7,50 <br /> <br /> (2) Driveway w/o curb @ $17.00 <br /> <br /> ¢3) Site Plan Review (commercial e01y) @ $79.00 <br /> <br /> (4) AO~litional Plan Revle~s or Addmdums <br /> <br /> (5) Investigation Fee <br /> <br /> (6) Rehspe¢fion Fee @ $25.00 <br /> <br /> ¢) Other lm~c~ions not lis~d above <br />a c vr: qT / <br /> <br />Name or App~i/cant ~'~ ~--4,~!::}/~'~ Z-.~./AY~ Phone: 7~b~- 77~ <br />MC 15-73 Rev. 11/91 <br /> <br /> <br />