My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
BUILD - 1447309
Images9
>
Public Works - Permits
>
Building
>
FOR PUBLIC VIEW ON INTERNET
>
COMPLETED FILES - INACTIVE
>
96-XXXXX
>
BUILD - 1447309
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/1/2013 10:36:19 AM
Creation date
7/6/2004 10:00:32 AM
Metadata
Fields
Template:
Permits
Permit Address
654 WINDEMERE ST SE
Permit City
Aumsville
Permit Number
555-96-04117
Parcel Number
081W30 02300
Permit Type
BUILD
Permit Doc Type
Permit Document
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
5
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
Show annotations
View images
View plain text
CITY. VALIDATION] <br /> <br />COMPLETE ALL SECTIONS, 1 THROUGH 4 <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> 285 Church St. NE - Room 132 <br /> Salem, Oregon 97301 <br /> <br />BUILDING <br /> <br />FAX 588-7948 <br /> <br />FOR CITY USE ONLY <br /> <br />PAght Side: <br /> <br />1. JOB OESCRIFIION <br /> <br />( ) Addition ( ) Relocation ( ) Addition ( ) New <br />( ) Alteration ( ) Other ( ) Alteration ( ) Sign <br />(~(Accessory ( )ChengeofOceupancy ( )Other <br /> <br />2. LOCATION OF INSTALLATION ,~. ~,. ~ z ? ~g' <br /> <br />3. CONTRACTOR INFORMATION -- PLEASE INDICATE WHO IS DOING THE WORK <br /> <br /> ( ) I am the PROPERTY O~NER and own, reside ia, or will reside th thc completed struciure and will be my own general contractor. I understand that I must register as a constractJon <br /> <br /> I am a CONTRACTOR reglstsred with the Sta~e of Oregon. <br /> <br /> I am an AUTHORIZED REpR~ENTATIVE of the property owner or contxactor. <br /> <br />~o= ~tt3-1"71/ <br /> <br />MailJag Address ~ ~ <br /> <br />4. FEE SCHEDULE <br /> <br />A. VALUATION (See "Valuation Schedule" to de~ecmlne valuation bosed <br /> <br />on square footage of proj~t) <br /> <br />(1) Pennlt F~ <br /> <br />(2) 5% Stat~ Surcharg~ (.05 x Al) <br /> <br />O) Structural Plan R~vi~w (.65% x Al) <br />(4) Fire & Lifo Safely Plan Review (.40% x Al) <br />(5) Zoning Surcharge, if applicable (.05% x Al) <br />(6) Seismic Surcharge <br /> <br />B. Miscellaneous Fees <br /> (1) Addillonat Plan Reviews or Addendt~ms <br /> (2) Investigation Fee <br /> (3) Relnspemion Fee ~ $25.00 <br /> (4) Other Inspections not listed abow <br /> <br />=$ <br /> <br />I hereby certify that the above information is correct. <br />Permits are non-transferrable and expire ff work is not started within 180 days of issuance or if work is suspended for 180 days. <br /> <br />Signature of A pplican t :"-')~'r~'~':i~:~-'~"~~'~--) Date: <br /> <br />MC 15-73 Rev 1/95 <br /> <br />t, <br /> <br /> <br />
The URL can be used to link to this page
Your browser does not support the video tag.