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BUILDING PERMIT <br /> <br />DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br />04/28/98 09:12 <br />New Commercial <br />S-5 <br />II-N <br /> <br />SITE ADDRESS : <br /> 22055 AIRPORT RD NE AR Un: 12 <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br /> <br />APPLICANT <br />ADDRESS <br /> <br />PHONE <br /> <br />PERMIT NO 98-02760 <br />STATUS ISSUED <br />ISSUED 04/28/1998 <br />TO EXPIRE 10/25/1998 <br />PAGE i <br /> <br />CITY: MARION COUNTY <br /> <br /> LOT: BL: <br />40169-000 MAP: 3 ZONE: P LAND USE: CU 92-16 <br /> 5. O0 AC <br /> <br />TOTAL SQ FEET <br /> VALUATION <br /> <br />HAYNES, SAM <br />9220 SW BARBUR BLVD <br />STE 119142 <br />PORTLAND. OR <br />502 970-5706 <br /> <br />97219 <br /> <br />OWNER : WESSMAN,JOHN & JANZEN.LLOYD B <br /> PHONE: <br />CONTR : <br /> PHONE: <br /> OCCB: <br /> <br />2,600 1ST FLR: 2600 2ND FLR: 3RD FLR: <br />GAP~qGE: BASEMENT: OTHER: <br />$66,248.00 STORIES: 1 HEIGHT: 22 <br /> <br />Units Description Fee <br /> .5 Building Fee 167.00 <br /> 1.0 Plan Review Fee 217.10 <br /> I State surcharge 8.35 <br /> 1 Zone surcharge 8.35 <br /> <br /> Assessed fees 400.80 <br /> Adjustments ,00 <br /> Total fees 400,80 <br />PAYEE: HAYNES, SAM Total payments: 400.80 <br /> Balance due: ,00 <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUED DATE IF WORK <br />HAS NOT COMMENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF WORK <br />FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDINANCES, UPON <br />WRI~EN REQUEST PRIOR TO EXPIPJNTION. ONE SIX MONTH EXTENSION MAY BE GRANTED. <br /> <br />[ ] I am the PROPERTY OWNER and own, reside in, or will reside in the completed <br /> structure and will be my own general contractor, I understand that I must <br /> register as a construction contractor if the structure is sold or offered for <br /> sale before or upon completion. If I hire subcontractors, I will hire only sub- <br /> contractors registered with the Construction Contractors Board, If I change my <br /> mind and do hire a general contractor who is registered, I will immediately <br /> notify Marion County of the name of the contractor. <br /> [ ] I am the CONllL~CTOR registered with the State of Oregon, <br />[ ] I am an AUTHORIZED REPRESENTATIVE of the pr~r/~ owner or contractor. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> Marion County Building Inspection <br /> 3150 Lancaster Dr. N.E., Suite C Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />