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~ ........ , MARION COUNTY BUILDING INSPECTION K ~x ~o..~ [[~r~l-- i~/i-~ [.~ 3150 Lancaster Dr. NE - Suite C Rece~edBy: t'lg_/ Date: l'~l~[~l~/PI i Salem, Oregon97305 Zoning By: _/~.-'~tO City: ~ u ~ ~ ~ 4:30pm 24 HR Inspection Line 373.4427 FAX 588-7948 ...................... : JUl_ E~ /~:J V~ ............... -- '~il. FEE SCHEDULE (e°mpl~e and enter total in Al) 1. LOCATION OF INSTALLATION Pamel ID: o,sS ®a tion : /( t Project Description: PERMITS ARE NON-TRANSFERABLE AND EXPIRE IF WORg I IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS. 2A. CONTRACTOR INFORMATION Mailing Address: City: Slate: Zip: 1 am the PROPERTY OWNER and own, reside in, or will reside in the completed structure and will he my own general contractor. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion, lf l hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Boant. lf l change my mind and do hire a general contractor who is registered with the Construction Contractors Board, 1 will immediately notify Marion County of the name of the contractor 3. PLAN REVIEW SECTION Marion County does not require a plan review. We will provid~ plan review service if you complete Section 5B and submit two (2) se~s of i plans and specifications with this app cation· Number of Inspections per psrmit allowed Items Cost (each) Sm __ x $110.00=$ 4 x $20.00 = $__ __ x $30.00=$ I __ x $52,00=$ 2 B. SeFvices or Feeders (Do~ nm include branch Circuits, see sec~on D) Installation, Alteration or Relocation 200 amps or less __ x $65.00 = $ 2 201amps to 40O amps -- x $80.~O=$ 2 401 amps to 60O amps __ x $130.00=$ 2 601amp~tel000amps __ x $170.00=$ 2 Over 1000 amps or volts __ x $390.00 = $__ 2 Reconn~t Only __ x $35.00 = $__ 2 insthlla~on, Alteraflo~m, or Relocation 200 amps or less __ x $45.00 = $ 2 201amps to 40O amps __ x $55.00=$ 2 401 ampste60Oamps __ x $110.00=$ 2 Over 600 amps 0r 1000 volts se~ "B" above D. Branch Clnmits N~w~ AIt~aflon, or Extension Per Panel a) The fee for branch circuits with the ourchase of Service or Feeder Fca'. Each branch circuit x $3.00 = $ b) The fee for branch circuits Without the ·' ' t 0.00 .. First branch cltvtdt x Each additional branch circuit ~ x $3.00 = $ .__.~_w E. Miscellaneous (Service or Fted~r Not Inehid~d) Eachpumporinigation¢ircle -- x $55.00=$__2 EachSignorOutiineLighting __ x $55.00=$ 2 Signal Circuit(s) or a Limilad Eneigy Pan~l, Alteration or Extension __. x $55.00 = $ 2 F. Each additional Inspection over the allowable In any of the above, l~r inspection __ x $50.00 = $ -- G, Minor lmthllation Lahels Pack of 10 labels @$10.00 each __. x $100.00 = $ (Sold only to Electrical Contractors) H. Industrial Plant __. x $62.50~ = $ Onetr~open~Dwel~gFee:Sq. Feet __ x $ .09=$ Dwellln[ Permit Labels (For Single Family Dwellings Only) OTHER, as required by the Building Official $ TOTAL 5. FEES Al. Enter total of fees from See. ~ A2. Add State Surcharge (.05% x Al) ~.S.I~BTOTAL B. Enter 30% of line Al for Plan Review~ $ C. Investigation Fee (if required) ~/ $__ D. Ralnspection Fee ($50.00) $__ E. Additional Plan Review ($62.50~, minimum one-half hour) $ __ F. Inspection for which no fee is specifically indicated; ($62.50/hr, minimum one hour) $_ G. Inspection Outside Normal Business Hours, ($62.50/hr, minimum two hours) H. IndusUial Plant ($62.50/hr) TOTAL AMOUNT DUE MC 15-34 Rev 9/98