Laserfiche WebLink
11-8-83 <br /> <br /> MARION COUNTY <br /> DEPT, OF BUILDING INSPECTION <br /> Senator Building # 225 <br /> 220 High St., N.~=. 2nd Floor <br /> Salem, Oregon 97301 <br /> <br /> 588-5147 - 588-5148 <br />5:00 P,M.. ........... CODE-A.Phone 588-5373 ........... 8:00 A.M. <br /> <br />By: <br /> <br /> sITE EVALUATION ONLY <br />Type of Permit: <br /> <br />Address; 8521 HOLMO~UIST ~ SE <br /> <br />56361-815 56362-000 <br /> <br />Tax Lot No: <br />Sec, 31 Twnshp. 8 Rge lW <br /> <br />Owner: ~OSE RT ESTE~LER <br /> <br />Phone:,, 769-6116 Address: ~ BOX /+9.5 STAY~[~3N 97383 <br /> <br />81dr. & No ' <br />Plans by: <br /> <br />Phone:_ Address: <br /> <br />Phone: Address: <br /> <br />MaPPage I Z0ne lZ°neChg'/+8 AR I Part, I Cond. Use} Varlance I FireZone Occupancy J Tyl)eofConst. <br /> <br />Use of Bldg.: <br /> <br />Lot No.: ~ BIk. No.: Sub dy. <br />Area of Bldg, 2nd Base- <br />Main Fir,: ...... Fir., ment: <br /> <br />Roof Type: Truss / Stick;. <br />Heating WOOd <br />System: .......... Stove: .... <br />Septic Tank New <br />Site Evah Instal,, <br />Exist. No, <br /> <br />VALIDATIONS: <br />Zoning: Mechanical: <br />Date: .............. J Date:__ <br />Date: ! ~X%,~ --- Oate~ <br /> <br />Lot Size 2.86 Corner?_ NO <br /> <br /> Total <br />..... Area, Valuation: ,, <br /> Bldg, Permit <br /> Fee: ( + 5%~ <br /> <br />Water <br />Supply: . WELL <br /> <br />Elect, Fee: ,,, ~.,~,t.~ <br />Mech, Fee: <br /> <br />Plans Chk. Fee: <br />Septic Toni <br />Permit Fee= ........... 1 ~_G~ <br /> <br />I agree to build according to the submitted plans and specifications, the laws of the State <br />of Oregon and the Ordinances of Marion County, Permit expires if work not commenced <br />within 180 days. I further expressly warrant that I comply with the provisions of ORS <br />701.005 to 701.125 because: <br />( ) I am performing work on a property I own or occupy <br /> ) I am a registered builder OR ( ) the authorized <br /> representative of a registered builder <br /> <br />DEQ Surcharge:__ <br /> <br /> TOTAL FEE: 1 <br /> RECEIPT NO.: .'~-~ / <br />The work will be performed by a r~gistered builder <br />Other (please ~pecify) <br /> <br /> I~OT~: Thi~ does not grcnt or imply pen~lss~on <br /> b~ild on this ~c~c~' <br /> <br />I have read th/~ application itl /'ts ent/Yety and certify that the stated information is true and correct to the best of my know/edge, <br /> <br /> PLEASE NOTE: Driveway and sidewalk inspections are required by Public Works: 588-5036 <br /> Other permits required by this dept: Plumbing [] Electrical [] <br /> <br /> <br />