Laserfiche WebLink
FOR OFFIC-E US~ ONLY <br />[Zoning Validation:< ~' . <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> 220 High Street NE <br /> Salem, OR 97301 <br /> <br /> 8:00ara - 4:30pm Phone 585-5147 <br /> Code-A-Phone 555-7904 <br /> FP~K 5g$-7948 <br /> <br /> BUILDING PERMIT APPLICATION <br /> <br />COlvIPLETE ALL SECTIONS. 1TttROUOH 4 <br /> <br />1. Job Description _ <br />R~SIDIgNT/AL <br /> <br /> ( )Addition ( )P,*lonafion <br /> ( ) Alteration ( )Demolition <br /> (~ecessorg ( ) Othur <br /> <br />Bcs~ptlon of Work: <br /> <br /> or Ra£tcr( ) <br /> <br />COMMERCIAL ( )New <br /> <br />( ) Add/don ( ) Sign <br />( ) Alteration ( } Dernoliti~m <br />( )OlangeofOecu~mcy ( )Other <br /> <br />I Occupant Load or Number of 'Employees <br /> <br /> Second Floor: Othetl <br /> <br />No, Bedroomst <br /> <br />2. Location of Installation Fce~tovvd ~ ~'14~1,, I,~ ~r~ q 70.3, <br /> <br />3. Contractor Information <br /> ( ) I own. ms~4e in, or will reside in the completed structure. <br /> <br /> ( ) Iwi)lbemy~g~emle~. <br /> <br />4. Fee Schedule <br />A. VALUATrON (See "Valuation Schedule" <br /> <br /> square footage.) Valuation: $ ~_~'~/ <br /> (I) Pennlt F~ d~ ~ ~ <br /> ~) 5% S~a~e Su~be~ 605 x Al) ~., ~, ~ ~ <br /> (3) Structural F/an Review (.65% x A I ) ~ ~ ~ <br /> <br />(4) Fire & Life Sa~eiy Plan Review <br /> <br /> - <br /> <br />(1) Driveway w/curb ~ $7.50 = <br />¢) Driwway w/o eurb~ $17.~ <br />O) Sim Plan Review (*~em[~ ~y) <br />(4) A~difional ~an R0hews or <br />(5) ~vesdga~m Fee <br />(6) R~s~on Fee ~ <br /> <br /> $i,e evalua~pfi', e]ectric,,l--plumb,,,grad mechanic,I work require se~m. pe~l,,. Cheek wire Marion County B.ld~g lnspe~ion ~Iom ,u~itting ~i, ,pplieafi.. <br />MC 15-73 Rev. 11/91 <br /> <br /> <br />