Fillable 5155 Silverton Rd NE, Salem, Oregon 97305 Internet (Columbia Gorge Community College)

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5155 Silverton Rd NE, Salem, Oregon 97305 Internet (Columbia Gorge Community College)

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Structural Permit Application
Marion County Public Works
5155 Silverton Rd NE, Salem, Oregon 97305
Phone: (503) 588-5147 Fax: (503) 588-7948
Email: Building@co.marion.or.us
Internet address: www.co.marion.or.us
FOR CITY USE ONLY
Required Setbacks
Front: Rear:
Left: Right:
Special:
Property located in flood plain: Yes No
Zoning by: Received by:
On County Road: Yes No
CATEGORY OF CONSTRUCTION
Residential
Government
Commercial
JOB SITE INFORMATION AND LOCATION
Septic tank or system on this property: Yes No
Well on this property: Yes No
Job site address:
City:
State:
Subdivision:
Lot no.:
PROPERTY OWNER INFORMATION
Name:
Mailing Address:
City:
State:
Phone:
Fax :
E-mail:
For Homeowner Installations:
This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Signature:
CCB form is required for homeowner permits
Date:
CONTRACTOR INFORMATION
Business name:
Mailing Address:
City:
State:
Phone: Fax:
E-mail:
CCB license no.:
Print name:
Signature: Date:
APPLICANT
Owner Contractor Other
If other, specify:
Signature: Date:
PLAN REVIEW CONTACT PERSON
Contact Name:
Contact Address:
City: State: ZIP:
Phone:
Email:
FEE SCHEDULE
1 a. Valuation information
Job description:
Occupancy:
Construction type:
Square feet:
Cost per square foot:
Other information:
1 b. Check all that apply
new addition
alteration
Change of Occupancy/Use
Other:
Foundation-only permit: Yes No
Plan review only: Yes No
Total valuation: $
2. Building fees
(a) Permit fee (use valuation table): $
(b) Investigative fee (if applicable):
$
(c) Reinspection ($52.00):
$
(d) Enter 12% surcharge (.12 x [2a+2b+2c]):
$
(e) Subtotal of fees above (2a through 2d):
$
3. Plan review fees
(a) Plan review (65% x permit fee [2a]):
$
(b) Fire and life safety (40% x permit fee [2a]):**
$
(c) Subtotal of fees above (3a and 3b): $
4. Miscellaneous fees
(a) Seismic fee, 1% (.01 x permit fee [2a]): **
$
(b) Septic Record Review fee ($47.00)** $
(c) Zoning review fee (___% x permit fee [2a])**
$
(d) Subtotal of fees above ( 4a through 4c )
$
TOTAL fees and surcharges (2e+3c+4d): $
** if applicable, see other side for details
This permit is issued under OAR 918-460-0030. Permits expire
if work is not started within 180 days of issuance or if work is
suspended for 180 days.
Click for CCB Form
Fire-Life Safety plan review is required for the following:
1. Group A Occupancies.
2. Group B Occupancies over 4,000 square feet (372m2), or more than 20 feet (6096mm) in height, or with a basement.
3. Group E Occupancies
4. Group F Occupancies over 4,000 square feet (372 m2) or more than 20 feet (6096mm) in height, or with a basement.
5. Group H Occupancies of 1,500 square feet (139 m2) or more than 20 feet (6096 mm) in height, or with a basement.
6. Group I Occupancies.
7. Group M Occupancies over 4,000 square feet (372 m2) or more than 20 feet (6096mm) in height, or with a basement.
8. Group R, Divisions 1, 2, and 4 Occupancies over 4,000 square feet (372 m2) or more than 20 feet (6096 mm) in height, or
with a basement over 1,500 square feet (139 m2).
9. Group S, Division 1, 2, 3, and 4 Occupancies over 4,000 square feet (32 m2) or more than 20 feet (6096 mm) in height, or
with a basement.
10. Group U, division 1 Occupancies over 4,000 square feet (372 m2) or more than 20 feet (6096 mm) in height, or with a basement.
A Seismic Surcharge is required for the following:
For new structures that are essential facilities, hazardous facilities, major structures and special occupancy
structures as defined in ORS 455.447
Septic Record Review:
Required in those instances when a septic permit is not required AND the structural permit is for a new
structure or an addition that changes the footprint of the structure AND there is a septic system on the
property.
Zoning Review Fee:
Z
oning review fees are required for all new structures, additions to structures, and changes of occupancy.
The zoning review fees vary depending on the city.
Unincorporated Marion County
20%
City of Jefferson
20%
City of Aumsville
20%
City of Keizer
20%
City of Detroit
20%
City of Mount Angel
25%
City of Donald
20%
City of Saint Paul
25%
City of Gates
20%
City of Scotts Mills
20%
City of Gervais
15%, min. $10.00
City of Stayton
15%
City of Hubbard
20%, min. $25.00
City of Sublimity
25%
City of Idanha
15%
City of Turner
20%
G:\Forms\Bldg\B-01 Bldg Application.doc 2/2019
Building Permit Fee Table**
$1 to $2000 $60.00
$2,001 to $25,000
$60.00 for the first $2000 plus $8.00 for each additional
$1000, or fraction thereof, to and including $25,000
$25,001 to $50,000
$244.00 for the first $25,000 plus $6.25 for each additional
$1000, or fraction thereof, to and including $50,000
$50,001 to $100,000
$400.25 for the first $50,000 plus $4.75 each additional
$1000, or fraction thereof, to and including $100,000
$100,001 and up
$637.75 for the first $100,000 plus $3.95 for each additional
$1000, or fraction thereof
** Does not apply to New Single Family Dwellings - See Building Inspection Website for Fee Schedule
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5155 Silverton Rd NE, Salem, Oregon 97305 Internet (Columbia Gorge Community College)

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Completed 16 March 2021

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