Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br /> 220 High Su~eet NE <br /> Salem, OR 97301 <br /> 8:00am4:30pm Phon* 588-5147 <br /> Code-A-Phone 588-7904 <br /> FAX 588-7948 <br /> <br />ONE & TWO FAMILY DWELLING PERMIT APPLICATION <br /> <br />COMPLETE ALL SECTIONS, 1 TIIROUGH 4 <br />1. Job Description <br /> <br />( ~New Single Family Dwelling w/garage <br />( ) New Single Family Dwelling w/o garage <br /> <br />:( t4//Gamge, attached <br />( ) Garage. detached <br /> <br /> 0 C T 1 1 199 <br />MARION COUNIY <br />BUJk.DIN8 INSP. E TION <br /> <br />Tm~s (~ or Rafter ( ) I No. Storie,q Z ] Detached Garage Height: No, Bedrooin~: ~ <br /> <br />Mobile Home P~k . <br /> <br />3. Contractor Info~mation <br />Property Owner ~ ~ ~ I Mailing Ad&es* I Phone No, <br />( ) Iown, resldein, ex will res~de in the ~ompleted stmem~,. <br /> <br /> ( ) I will b~ my own general contractor, <br /> <br />If I hire subcontractors. I will hire only ~ubeontractors regbtercx~ with the Constmztion Contractors B ~n-d. If I change my mind and do h~re a general eontract~a- <br />who is registered with the Construction Contractor's B o~rfl,,~l wil~l?,,,n'~medJately notify Marion County of the name of the eontracor: <br /> ~. ... . ' ,-~5~'z,f,-~.t~. ~a-. ~a-~/e.~" ,... ._,.~q~-.~, a.-~-~'~*~__~,o~: <br /> O~KI am a registered broider OR'~dt e authcc~z~d rel:t'o~ntatlv¢ of a regislered builder. <br /> <br />4. Fee Schedule <br />A. New O,~-and.'rw0 Family owe! thg <br /> <br />(1) Oro,qs Sq, Ft.~$.28 <br />(2) 5% State Surch~ge (.05 x Al) <br /> <br />(,3) PI~ Review <br /> <br />whi.tlon: $~_~D <br /> <br /> = .$.185.00 <br /> <br />(l) Driveway w/curb @ $7,50 <br />(2) Driveway w/o c~b ~ $17,~ <br /> <br />(3) ~&fional ~an Reviews or Addendu~ <br /> <br />O) Inv~figafion Fee <br /> <br />(5) Rein*~on F~ ~ $25.~ <br />(6) ~In~efions not ~sted <br /> <br /> x$40= __ <br />?OrA $/ <br /> <br /> ~ eh:erre: beYr, ~ ~ ,~?~a } t l~em.U bo ve information b correct a~d that I have read and understand the lnfcxmation Notice to lh-{~.y Owners about Construction Respon~ibihijes or. the <br /> <br />MC Sli;:se;al~':v?~n/~sePfiC' eIeelricaI, phimblng and me¢lumica, work requiz~ se.rate l:Oamt.. Check with Marloa County Building I nspec't o b~fo.e subm ng Ihs app ca on <br /> <br /> <br />