Expedited Plan Review Application - City Of Salem Building And Safety Division Page 2
Download a blank fillable Expedited Plan Review Application - City Of Salem Building And Safety Division in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Expedited Plan Review Application - City Of Salem Building And Safety Division with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Fees
The fees for expedited plan review are in addition to the standard plan review and permit fees. A third-party
provider may be employed to meet the requested timelines.
Building & Safety (charged at $150/hr, 2-hr minimum)
Planning (charged at $195/hr)
Fire (charged at $86.22/hr, 2-hr minimum)
Public Works (no charge)
Third-party service provider (actual cost)
City of Salem Request response (for office use; completed after request submission)
Staff responding to request
Date of response to request
Request response
Unable to grant request because:
Request approved with following fee estimate:
Building & Safety plan review estimated fee:
Planning plan review estimated fee:
Fire plan review estimated fee:
Total estimated fee:
Acknowledgments
Electronic signature certification: By attaching an electronic signature (whether typed, graphical or free form)
I certify herein that I have read, understood and confirm all the statements listed above and throughout the
application form. I agree (initials): ______
Payment agreement: By signing below, I acknowledge that I understand and agree I will be charged the rates
indicated in this agreement including any costs related to hiring outside professional services and any staff
overtime. I understand these charges are in addition to the standard fees. I understand and agree that no "special
relationship is created between the permit applicant and the City of Salem, as defined by Oregon law. I further
understand and agree that the City of Salem assumes no liability in any way connected with the processing,
approval, or provision of the Expedited Plan Review requested.
Authorized Signature: ______________________________________________________________________
Print Name: _____________________________________________
Date: ________________________
Reset form
Submit form
IAS 4.2.1.3.1 - 11/30/17
Expedited Plan Review Request - Page 2 of 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Electrical Renewable Energy Permit Application - City Of Salem Building And Safety Division
Financial
Instructions For Transaction Privilege (sales) Tax And Business, Occupational And Profession (bop) License Application - City Of Glendale, Arizona Tax & License Division
Financial
Related Categories
Parent category: Financial