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DATE/TIME 04/10/98 13:44 <br />TYPE New Commercial <br />OCCUPANCY S-5 <br />CONST TYPE II-N <br />UGB: SITE: <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br /> <br />APPLtCJ~NT <br /> ~i}DRESS · <br /> <br />PHONE <br /> <br />TOTAL SQ FEET <br /> <br />VALUATION <br /> <br />BUILDING APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> APPLIED <br /> TO EXPIRE <br /> <br />98-02760 <br />APPLIED <br />04/10/1998 <br />10/07/1998 <br /> <br />CITY: MARION COUNTY <br /> <br /> LOT: BL: <br />40169-000 MAP: 3 ZONE: P LAND USE: <br /> 5.00 AC <br /> <br />HAYNES. SAM OWNER : WESSMAN.JOHN & JANZEN,LLOYD B <br />9220 SW BARBUR BLVD PHONE: <br />STE 119142 CONTR : <br />5P~TLAND, OR 97219 PHONE: <br />970-5706 OCCB: <br /> <br />3.600 _1ST FLR: 3600 2ND FLR: --SRD"FLR: <br /> -~ GARAGE:' BASEMENT: OTHER: <br />$66,348.00 STORIES: 1 HEIGHT: 22 <br /> <br />=~,Units Description <br /> .5 Building Fee <br /> 1,0 Plan Review Fee <br /> 1 State surcharge~ <br /> Zone surcharge <br /> <br />Fee <br />~ 167.00 <br /> 217.10 <br /> 8135 <br /> 8.35 <br /> <br /> Asse~ed fees : 400.80 <br /> Adjustments : '.00 <br /> ~ ~ Total fees : 400~0 <br /> PAYEE: HAYNES, SAM Total payments: 400.80 <br /> ~ Balance due : .00 <br /> <br />.THIS IS ~NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A SIMULTANEOUS REVIEW ~ROCESS <br />WHERE ZONING, SEPTIC (IF APPLICABLE) AND O~NTRUCTION PLANS ARE CHECKED PRIOR TO.THE <br />ISSUANCE OF A PERMIT. IT IS THE RESPONSIBILITY~OF THE APPLICANT TO ASSURE T~JAT ALL <br />NECESSARY INFORMATION IS PROVIDED, AS SOON AS AI.L~EQUIREMENTS OF THE REVIEW HAVE <br />BEEN MET, YOU WILL BE NOTIFIED THAT YOUR PERMIT ~AS~N ISSUED. <br /> <br />[~ ] $ am t~ PROPER~ OWNER and own, reside in. or will reside in the completed <br /> ~:~uc~ure 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 CONTPJNCTOR registered with the State of Oregon. <br /> [~'-] I am an ALFFHORIZED REI~N~ESENTA~I~V~..~f the property owner or contractor. <br />SIGNATURE OF APPLICANT: ~ ~ h~ <br /> <br />DON2~LD 6~NOODLEY. MARION COUNTY BUILDING OFFICIAL / BY JSKYBERG <br /> <br /> Marion County Building Inspection <br /> 3150 Lancaster Dr. N.E., Suite C Salem, Oregon 97305-139B <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 24-hr Inspection Line: (5D3)373-4427 <br /> <br /> <br />