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DATE/TIME 05/24/99 11:08 BUILDING APPLICATION <br />IYPE Residential accessory struct ACTIVITY NO 98-02624 <br />OCCUPANCY U-1 STATUS CANCEL <br />CONST TYPE V-N APPLIED 05/07/1998 <br />UGB: SITE: FD TO EXPIRE 05/24/1999 <br /> <br />WORK DESC : INIERIOR CHANGES ADDING WALLS,SIAIRS ENCLOSING LDCAIOH: OS1W~2D U16UD <br />SITE ADDRESS CITY: MARION COUNTY <br /> 22521 SCHULTZ RD NE AR <br /> <br />SUBDIVISION LOT: BL: <br />TAX ACCOUNT 40003-000 MAP: 4R ZONE: EFU LAND USE: <br />PARCEL SIZE 1B.DO AC <br /> <br />APPLICANT FAWCEI-rJACK 2AMES OWNER : FAWC~ JACK JAMES <br />ADDRESS 23521SCHULTZ RD NE PHONE: 678-1154 <br /> AURORA CONTR : <br /> OR 97002 PHONE: <br />PHONE 678-1154 OCCB: <br /> <br />TOTAL SQ FEET 1ST FLR: 2ND FLR: 2RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br /> VALUATION $5.500.00 STORIES: 1 HEIGHT: 24 <br />************************************--*--*****--*********--******** <br /> Units Description Fee <br /> 1.0 Building Fee 56,50 <br /> 1.0 Plan Review Fee 36.73 <br /> 1 State surcharge 2.83 <br /> I Zone surcharge 3.29 <br /> 1 Refund -99.45 <br /> <br /> Assessed fees .00 <br /> Adjustments .00 <br /> Total fees .00 <br /> PAYEE: Total payments: .00 <br /> Balance due : .00 <br /> *********--****************--********************************* <br /> THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A SIMULIANEDUS REVIEW PROCESS <br /> WHERE ZONING. SEPTIC (IF APPLICABLE) AND CONSTRUCTION PLANS ARE CHECKED PRIOR TO THE <br /> ISSUANCE DF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br /> NECESSARY INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW HAVE <br /> BEEN MET. YOU WILL BE NOTIFIED THAT YOUR PERMIT HAS BEEN ISSUED. <br /> <br /> [ ] I am the PROPERTY OWNER and own. reside ~n, 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 CONTRACTOR registered with the State of Oregon. <br /> £ ] I am an AUTHORIZED REPRESENTATIVE of the property owner or~t2~tc~.or,f-~ ~ <br /> SIGRATURE OF APPLICANT: I/ k \ kA! ~ / <br /> <br /> DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY KDAH[ .-' <br />CALL BEFORE YOU DIG...IT'S THE LAW. Oregon law requires you to follow the rules adopted by <br />the Oregon Utility Notification Center (503-232-1987) <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 />