Laserfiche WebLink
Received By: MARION COUNTY BUILDING INSPECTION City Setback Requirements; <br />City Vail ,~, "Senator Bldg. No. 225 <br />Zoning dation: 220 High Street NE Front; Rest; <br /> Salem, Oregon 97301 ' Left Right <br />Date; ,, Phone 588-5147 Side; Side: <br /> Code-A-Phone 4:30 P-M, - g:00 A.M. <br /> <br /> BUILDING [] MOBILE HOME [] SEPTIC [] PERMIT APPLICATION <br /> <br />Property 'Owner: Ph'one; Mailing Address: ...... <br />Mr. Bielenberg 749-1110 <br />Job Address'; Site No.: Cross Street; Hwy 22 <br /> <br /> 9053Shaw Square Road Property Tax Lot NO.: Fle~'"~t~§i~ Zone; <br /> Aumsville <br />SubdlvJsio'n; " Lot; .......... Block; <br />Mobile Home Perk; Sp, #; ............. Total # Spaces'. -- <br /> <br />Section; Township; Range: Zone: Map; <br /> 24 8 2w AR-3 51 <br />[.ot Width: Lot Depth: Acres; Irreg. Lot: Corner: <br />5 160 543 <br /> <br />Contractor Business Name and Ne,: <br /> Steve White Building & Remodeling <br />Architect/Engineer! ~/ 4 3 6 4 4 <br /> <br />Phone: <br /> 859-2820 <br />Phone; <br /> <br />~ Address; <br />~ 21751 F~rn Ridge icad St; $~;a.y,~io._.n__ <br /> <br />Type of Permit; New; <br />Carport Alter: <br />Height of Building: <br /> 12 £t <br /> <br />Mobile Home <br />Width: <br /> <br />~ Addition; [.~ Demo; <br />[] Relocation; [] Ccc, Chg,; <br /> <br /> Ne. Stories: Sq. I~t. Main Floor: <br /> <br /> Mobile Home # Bedrooms; <br /> Length: <br /> <br />Tach. Use of Building: <br />Review: [] <br /> <br />Sq, Ft, 2nd Floor: <br /> <br />Occupancy: <br /> <br />Sq. Ft, Garage: <br /> 642 <br /> <br />Occupant Load: <br /> <br /> 'l RES <br /> COM <br /> <br />Other: <br /> <br />Water Supply: <br /> <br />Proposed Septic Instalfetlon; <br />Previous Site Evaluation #: <br /> <br />Type of System; <br />Test Holes Ready: <br /> <br />Will call when holes ready; Proposed Bedrooms; <br /> <br /> Existing Septic System: <br /> Extstin~ Tank Size: <br /> Existing Drai~lfleld Length: <br />__,.Type of System: <br /> Date Tank Pumped: <br /> <br />Existing Bedrooms: <br /> <br />SIGNATURE Of APPLICANT;, <br /> <br />OTHER PERMITS REQUIRED BY THIS DEPT.: PLUMBING, MECHANICAL, ELECTRICAL <br />MC 18-6 <br />Rev, 12/87 <br /> <br /> Valuation: $ 4,240, O0 .... <br /> Bldg, Fee; $ -50.50 <br /> <br />Mobile Home Fee: <br /> 3.~4 <br />Fleet Surcharge; ~ <br />Zoning Surcharge: 2. ,5 ~ <br />State Surcharge: 2.5~- <br />P~ans Check Fee; ~{ ,,,8~ <br />Site Evaluation Fee; <br />Septic Permit Fee; <br />DEQ Surcharge: <br />Technical Review Fee: <br />Reinspeotion Fee: <br />Investigation Fee: <br />City Fee: <br /> <br /> <br />