Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION IFOR"0FFICE USE ONLY <br /> 220 High Street NE lCity scot.ch l~ulv=nenu: <br /> Salem, OR 97301 .~ ~ I~h~.. . <br /> t ~' <br /> <br /> BUmD~G PERM~APPLICAT~O~[p ~ 6 <br /> <br />COMI>LETI~ ALL SECTIONS, I THROUGH <br /> <br />1. Job Descri: ~tion <br /> <br />2. Location oflnstallation ~ <br /> <br />3, Contractor Information <br /> <br /> ( ) ~ ~de~d ~at I mus~ ~smr as a c~tm~ ~nt~ ff ~a s~um ~ soM or offe~ for a~e b~fote or u~n <br /> ( ) IwiR~myownsmemlc~_ <br /> <br />with a contractor who is D~gist at~d ..,withe~ Construction ~ctogs B~r~, ~d ~1 ~a~y n~y Ma~ Cmnly of ~ name of ~e c~tramo[] <br />Co~,~ a~,a,~,~,a~ Y ' 2~'. ' ' ~qgolM,~ Aaa~s. ' //~71~#~ pn~. <br /> <br /> / <br />4. Fee Schedule <br /> <br />A. VALUATION (See "Valuation S*.hedul*" <br /> <br /> squm~ footage.) <br /> <br /> (1) Penni; F~ <br /> <br /> (2) 5% Sram Sure, hal'ge $05 x A 1) <br /> <br /> (3) Structural ~an Review (.65% x A1 ) <br /> <br /> (4) F[~ & Hfe Safety PI~ Rev~w (.~% x Al) <br /> <br />B. Miseellaneou~ <br />(1) Ikiveway w/curb@ $7.50 -- __ <br />(2) Driveway w/o curb @ $17.00 = .... <br />O) Site Plan P~-d. ew (,xymmerclal only) @ $79.00 = <br />(~) Additional Plan Rev4ews orAddendums = <br />(5) Inwstigation Fee = __ <br />(6> Reinspe~don Ye;. @ $~.00 = __ <br />f/) Othcrlnspeetions not listed above <br /> <br />I hereby cenlfy that the above information is comet and that I have r~ad and understand the Information No%e to Property Ownar,q about Construction Reaponsibihties on the <br /> <br />SJt~ evaluabons, septic, electrical, plumblng and mechanical work n~quim mpera~o pennltu. Check with Marion County Building Inspection before ~ubmittlng thi~ application. <br />MC 15-73 Rev. 11/91 <br /> <br /> <br />