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MARION COUNTY BUILDING INSPECTION <br /> omen. use I <br /> by: [ 220 High Sffeet NE <br /> Salem, Oregon 97301 <br /> <br /> I:~ t~fl~c5147 g:O0 ~'n - 4:30~:nn <br /> <br />Please comp/ote a/I Soctions, 1 through S ~ O C ]' O 4 ~suedby: <br /> <br /> t C [ONO t ALLATION BUI D/ '2 <br /> <br />PI~,M1TS ARE NON-TRANSFERABLE AND NON*REFUNDABLE AND <br />~ IIo WORK IS NOT STARTI~ ~ 1~0 DAYS Ol~ ISSUANCE <br />OR IF WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />~A. CONTRACTOR INSTALLATION ONLY <br /> <br />INSTALLATIONS <br /> <br />Mailing Address Pl~n~ <br /> <br />3. lq~kN REVIEW S~ON <br /> <br />We will provide plan review service if you Complete Section <br />5B and submit two (2) sets of plans and specifications with <br />this application. <br /> <br />This optional plan review program does not suspend thc <br />required submission of lighting power calculations, plans, <br />and specifications when required by the Oregon Structural <br />Specialty Code, Chapter 53. <br /> <br />MC 1.5-34 11191 <br /> <br />Permit No. <br /> <br />[7~ FEE SCHEDULE (Complete ami enter totalin A1 below) <br />}T/DA/ Number of Inspections p~- permit allowed <br /> A. <br /> Residential <br /> Pe~ <br /> Unit <br /> hems C~t (~ch) ~m <br /> Set.ce Included: <br /> <br /> 1000 SCl, fi. or less $85.00 <br /> E~ch tddi~m1500 sq. fi. <br /> or portion thereof $15.00 <br /> ~ Energy $20.00 <br /> Each Manufd Home or Medular <br /> Dwelling Servi~e or Feeder $40.00 <br /> <br /> ]~. Ser~kes or Feeders (Dees no~ inlcude branch cimuit~, see section D) <br /> <br />4 <br /> <br />1 <br /> <br /> lnstMlaflon~ Alterations oF Rdoceflon <br /> 50.00 <br /> ~00 m~ or less ~ ~0.00 <br /> 401 aml~ to 600 amp~ $100.00 <br /> 601 ~mp~ to 1O00 amp~ $130.00 <br /> Over I000 amln or vo~ $300.00 <br /> Reconnect only $~0.00 <br /> <br />C. Temporary Servlce~/Feede~s <br />I#stallaflon, Alter~Uon, or Rdo~tlon <br />2(~0 amps or less $~5.00 <br />201 ampz to 400 amp~ $40.00 <br />401 amps to r~0 aml~ $80.00 <br />Over 600 amps or 1000 vohs <br /> <br />D. gr m~.h C~nits <br /> New, AReration, or Extension Per Panel <br /> <br /> a) Th~ fee f~ b~nch c~'cuit~ wi~ <br /> ourcha~e c~ ~e~vice or feeder fee <br /> <br /> Ea~ brmch cimult SZ00 <br /> <br /> b) The fee for branch drcu~ without <br /> mrchase of sera. ce or foeder fee <br /> <br /> Fire branch circuit $35.00 <br /> Each addifionalbranch ci~uit $2.00 <br /> <br />E. Miscellaneous (Service or Feeder Not Inch~ded) <br />Each pump or irrig~im ~ $40.00 <br />Each xign or ~yatline lightins $40.00 <br />Signal circuit(O or a limited energy <br /> <br />F. Each additional Inspection <br /> over the allowabl~ in any of the <br /> <br />G. Minor ins~llatlon Labels <br /> Pack ~ 10 labelJ ~ $5.00 each $50.00 <br /> (~oM oflZy to ~l~¢~ri~al contractors) <br /> <br /> ( A~ required by BuiA~ng O~'~ciaO <br /> <br /> FEES <br />Al. Enter total of fee~ from Sec, #4 <br />A2. Add 5% surcharge 605 x Al) <br /> <br /> Subtotal <br /> <br />B. Enter 25% of lineAl for PlanReview <br /> (S~. 3), ff mqnired <br />C. lnvestig~/on Fee (if required) <br />D. Reinspectic~ Fce ($25.00) <br /> <br /> TOTAL AMOUNT DUE <br /> <br /> <br />