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MARION COUNTY BUILDING INSPECTION <br /> <br /> 31S0 Lancaster Dr. N.E. · Suite C · Salem, Oregon 97305-1398 <br />Office I~urm: 8:09-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br />DATE/TTHE <br />TYPE <br />OCCPN4CY <br />CONST TYPE <br /> <br /> BUILDING APPLICATION <br />12/17/97 16=14 ACTIVITY HO : 97-~99B5 <br />Co~mercta~'~a~dttion/alteration STATUS : APPLIED <br />U-2 ~PPLIED : 12/17/1997 <br />V-N TO EXPIRE : B15/1998 <br /> <br />S~'FF ADDRESS : CITY: MARION COUNTY <br /> <br />12334 EHLEN RD NE AR <br /> <br />TAX ACCOIINT : 48317-~8~ <br /> PARCFL 917F : .88 AC <br /> <br />APPIICANT : CMR COLIJMBTA THC <br />ADDRES~ : ]820 E BURNSIDE <br /> <br />PHONE <br />'TOTAL SQ FEET <br /> <br /> VAI.IJAT]~ON <br /> <br /> lin i t s <br /> <br /> t <br /> <br />l OT: Bt OCK: <br /> MAP: 4R ZONE: ID LAND USE: <br /> <br /> OWNER: I.EATHERS LTD PARTNERSHIP <br />CONTRACTOR: CMR COLUMBIA INC OCCB: 0104219 <br /> <br />PORTLAND, OR 97~1.4 <br />232-8]~ <br /> <br /> 'IST FI.R: 2ND FLR: 3RD FLR: <br /> GARAGF: BASEMENT: OTHER: <br />$~0,~.0~ STORIES: 1 HEIGHT: 65 <br /> <br />Description <br /> Building, F~e <br /> Plan Review Fee <br /> State surcharge <br /> Zone surcharge <br /> <br />Fee <br /> <br />IY3.BO <br />125.45 <br /> 9.65 <br /> 9.65 <br /> <br /> Assessed fees : 337.75 <br /> AdjustmPnts : ,00 <br /> Total fees : 337.75 <br />PAYEE: CMR COLUMBIA lNg Total payments: 337.75 <br /> Balance due : .80 <br />************************************************************************************ <br />THIS IS HOT A PERH~T. THIS APPLICATIOH tlUST GO THROUGH A SIHULTANEDU5 REVIEW PROCESS <br />UHERE ZONIN(;.~E~°~C (IF ~PL~CAI~LE) AHD CONSTRUCTION PLANS I~RE CHECKED PRIOR TO THE <br />ISSUANCE OF ~ PERHtT. ~T ~S THE RE~PONS~DZLITY OF THE APPLICANT TO ASSURE THAT ALL <br />NECESSARY ~WF(]RNATION IS PROVZD~. A~ 5DON AS All REGUIREMENTS OF THE REVIEW HAVE <br />~EEN HET~ YOU #~LL ~E N~T~F~ED THAT YOUR PERH[T HAS BEEN ISSUe. <br />£ ] I am the PROPERTY OWNER and own~ reside i~ or will reside in the completed <br /> str~ture and wiI1 be m~ own general contractor. ! understand that ! must <br /> register as a construc~zon Contractor if the structure is sold or offered for <br /> ~ate before or upon ¢ompIetio~. ~f I hire subcontractors. I will hire only sub- <br /> contractors registered with the Construction Contractors Board. If I change ~y <br /> Mind and do hare a gener~ contractor who is reqistered, I will iMMediately <br />~ notify Marion Coun~o~'~P name of the contractor. <br />[~ I aM the CONTRACTOE~tered with the ~t~te of Oregon. <br />[] ~ am an AUTHORIZED R~RESENTAT_~VE of the property owner or contractor'. <br />SIGNATURE OF APPLICANT: /---~_~-~ -, <br />********************************************************************************* <br />DONALD E WOOD[EY~ MARION COUNTY B{J~{ OINR OFFICIAL / BY HBULL <br /> <br /> <br />