Laserfiche WebLink
FOR CITY VALIDATION <br />Received By: __ . <br />Zoning Validation: i <br />Date: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Chm'~h St. NE - Room 132 <br /> Salem, Oregon 97301 <br /> 8:00am-4:30pm Phone 5885147 <br /> 24 hr. Inspection Line 3734427 <br /> FAX 58~7948 <br /> <br /> ONE & TWO FAMILY DWELLING PERMIT APPLICATION <br /> *Includes electrical, mechanical, plumbing fees <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 <br /> <br />1. JOB DESCRIPTION <br /> <br />FOR CITY USE ONLY <br /> <br />New Single Family Dwelling With At~ached Garage <br /> <br />New Single Family Dwelling With Detached Garage <br /> <br />New Duplex <br /> <br /> Path: ,~ { No. Sto~*s ~ <br />~ Fe~: B~: IMa~" ~oo~ ~9~ <br /> <br />2. LOCATION OF INSTALLATION <br /> <br />I Delached Garage Height: No. Bedrooms: <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br />Spring ( ) <br />city ( ) <br /> <br />( ) I am an AUTHORIZED REPRESENTATIVE of the progerty owner or contractor. <br /> Mailing Address <br /> <br />Phorle <br /> <br />4. FEE SCHEDULE <br /> <br />VALUATION - Based on square footage: <br /> Gross Sq Ft ~_.ff~ x 64.66 <br /> Gar'age Sq ft ~¢O x 16.27 <br /> TOTALS: //~* g .~ = <br /> <br /> L PERMIT FEE: <br /> Gross Sq Ft ~,~ x $.345/sq fi <br /> * Building (~ .185 per sq R <br /> Elee~cal @ .068 per sq <br /> Mechanical ~ .022 per sq <br /> Plumbing ~ .~70 per sq <br /> TOTAL $.345 PER SQ FT <br /> <br /> 2. PLAN REVIEW FEE: <br /> Gross Sq Ft ~ x $.12/sq ff <br /> <br />B. PERMIT FEES <br />1. Permlt Fee (A-I) =$ <br /> <br />3. PI~ Review Fee (A-2) - $ ~ b ~. ~ O <br /> <br />Dwelling labels must be obtained at Marion County Building Inspection and must be placed at the jobsite prior to inspection for plumbing, electrical and <br />mechanical work. Contact Marion County for instructions. <br /> <br />I hereby certify that the above information is correct. Permits are non-transferrable and expire if work is not started within 180 days of issuance or if work is suspended for <br />180 days. <br />Name ofApplicant (Please Print): ~O{Oe~~'~ H' ~:ll4. a- Phone: <br /> <br /> <br />