Laserfiche WebLink
FOR cITy VALIDATION <br />Received by.' <br />Date: <br /> <br /> MARION COUNTY <br />' BUILDING INSPECTION DIVISION <br />3150 LANCASTER DR NE - SUITE C <br />SALEM OREGON 9730!5-1398 <br /> <br /> 24 hr. Inspection Line 3734427 <br />Office: Phone 588-5147 8:00am - 4:30pm <br />FAX: 588-7948 <br /> <br />IMECHANICAL PERMIT APPLICATION <br />Please complete all Sections, I through 5 <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />PERMITS ARE NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT <br /> <br />CONTRACTOR INSTALLATION ONLY <br /> <br />Contractor's Board P,~g. No. ~---~_ .lob No~' <br /> <br />' · PERMIT NO: <br /> <br />Date: <br /> <br />Issued by: <br /> <br />4. FEB SCHNDULE (Complete and enter total in A1 below) <br /> <br /> RESIDElqTIAL [[~ COMMERCIAL ["-I <br /> USE OF STRUCTURE: <br /> NEW I~ ALTERATION 12 ADDITION 1{2 RELOCATION <br /> GAS I~ or ELECTRlC (3 <br /> Nix X F~ = Sum <br />BASE FEE $10.llO <br /> <br />FORCBD AIR FURNACE <br />up to 100,000 BTU $ 6.00 -- <br />over 100,000 BTU $ 7.00 <br /> <br />Hoor Furnace $ 6.00 -- <br />Suspended Heater $ 6.00 -- <br />Wall Healer $ 6.00 -- <br />Floor Mounled Heater $ 6.00 -- <br /> <br />I~AT PUMP <br />under 3 Ton $ 6.50 <br />3 Tonand up $11.00 __ <br /> <br />MR CONDITIONBR <br />under 3 Ton $ 6.50 -- <br />3 Ton and up SILO0 -- <br /> <br />EvaporativeCooler $ 4.50 -- <br />Commercial Exhaust System $ 4.50 -- <br />Commemial Hood and Exhaust $ 4.50 -- <br />Domestic Range Hood $ 4.50 -- <br />Domestic Exhauat Fans <br />and D~yec Vents $ 3.00 -- <br />Fire Damper $ 3.00 -- <br />Wood Stove/Fireplace $ 7.50 -- <br />Furnace Ducts (Alteration/Ext~ion) $ 7.50 -- <br />Commercial / Industrial Incinerator $30.00 -- <br /> <br />GAS PIPING SYSTEM <br /> 14 outlets (per ouflcO <br /> 4 and up outleta (per <br /> <br />$ 2.00 <br />$ .50__ <br /> <br />$ 3.00 __ <br /> <br />N/C <br /> <br />3. PLANRBVIBW SECTION <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service if you complete <br />Section 5B and submit two (2) sets of plans and <br />specifications with this application. <br /> <br />MC 1541 <br />REV 8/96 <br /> <br />FEES <br />A I. Enter total of f~ from Se~.//4 <br />A2. Add 5% surcharge (.05 x Al) <br /> <br />B. Ealer 25% of lineAl forPlanReview <br />(Al + .25), if requi~d $ __ <br />C. Investigation Ne~ (if required) <br />D. Re'tmpeclion Nee ($25.0~) $ __ <br /> <br /> TOTAL AMOUNT DUE $ <br />Receipt blo. <br /> <br /> <br />