Laserfiche WebLink
"PLUMBING PERMIT APPLICATION <br />P/ease complete all Sections, 1 through 5 <br /> <br /> L LOCATION OF INSTALLATION <br /> <br />PERMITS A~ NON-~NSFERABLE AND NON-~DAB~ AND <br />EXPIRE W WO~ 1S NOT STAKI~D ~IIN 180 DAYS OF ISSUANCE <br />OR IF WO~ IS SUSP~DED FOR 180 DAYS. <br /> <br /> ' <br /> <br />2B. FOR OWNER INffrALLATIONS <br /> <br />MARION COUNTY BUILDING INSPEC~iI$1~t~ f~ ~.~ ..... <br /> <br /> Salem, ~gon 97301 ~ ~ / l/I <br /> <br /> C*dg-A-gho~e: 59g-79~ <br /> ARION COU ' v <br /> F~: 588-7948 Date: ...... <br /> <br /> Is~ue~ <br /> <br /> 4. ~E ~D~ (Compile ~ter to~l ~ Al ~low) <br /> <br />MaiBn$ Address <br />CitylStat~/Zip <br /> <br />The installation is being na.ezle on property I own which ia not intended for sale, <br /> <br />Owner, Signature <br /> <br />PLAN REVIEW SECTION <br /> <br />BASE FEE <br />A. RESIDENTIAL <br /> <br />Single Family or multi-Family per <br />dwelling unit (each fixture) <br /> New construction <br /> Alterations <br /> Re-located structure <br /> <br />Water Lines <br /> Fixst lO0 fi, et fraction thereof <br /> For additional 100 g, (up to <br /> maximum of 500 feet) <br /> <br />NO. XYgE <br /> <br /> $20.00 <br /> <br />9,00~ <br />9.00-- <br />4.50__ <br /> <br />__,$20.00-~ <br /> .... <br /> <br />Sewer L~s <br />First 100 feet or fraction thereof __.$30,00 <br />FOr additional 100 feet (up to <br />maximum 500 feet) _$15.0(L .... <br /> <br />B, COMiViERCIAL (each fixture) <br /> <br />9.00_,, <br />9.00-- <br />9,00~ <br /> <br />New constructi6n <br />Alterations <br />Re-located structure <br /> <br />Water Lines <br />First 100 feet or fraction thereof - $20,00 <br />For additional 100 feet - $15.00 <br /> <br />Sewer Lines <br />First 100 feet or fi.act/on thereof __ $30,00_ <br />For additional 100 feet -- $15.00-,, <br /> <br />C. LAWN SPR/NKLER SYS~M <br /> <br />Each protective backflow device <br /> <br />We will provide plan review service i f you complete Section <br />5B and submit two (2) sets of plans mid specifications with <br />this application. <br /> <br />This optional plan review program does not suspend the <br />required submission of plans, and specifications when required <br />by the Oregon Stmctaral Specialty Code, Chapter 53. <br /> <br />dC <br />Rev. 7/92 <br /> <br />D, OTHER (as rer)~.?ed by OSPSC and <br /> Building Official) <br /> <br />5, FEES <br />Al. Entel total of fees fflYra Sec, # ~ <br />A2, Add 5% surcharge (-05 x Al) $ <br /> <br /> Subtotal $ <br />B, Enter 25% of linc Al for Plan Review <br /> (-25 x Al) ir~required $ <br /> C, lave.qtigation Fee(if required) $ <br /> <br /> '['OToP~L/~OUN'I' DUF, $ <br /> Receipt No. ~ <br /> <br /> <br />