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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br /> DWELLING APPLICATION <br />05/28/98 16:27 ACTIVITY NO <br />New Single Family Dwelling STATUS <br />R-3 APPLIED <br />V-N TO EXPIRE <br /> <br />98-04266 <br />APPLIED <br />05/28/1998 <br />tl/24/1998 <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />NEW DWELL 4/BED <br /> <br /> 10930 MARTIN LN NE AR <br /> <br />LOCAIUR: U21N22CA01001 <br /> CITY: MARION COUNTY <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br />PARCEL SIZE <br /> <br />APPLICANT <br />ADDRESS <br /> <br />PHONE <br />TOTAL SQ FEET <br /> <br /> VALUATION <br /> <br /> LOT: BL: <br />40018-001 MAP: 1R ZONE: AR <br /> 1,50 <br /> <br />LAND USE: 93-51 <br /> <br />ILIYN PAUL & ANNA OWNER : ILIYN PAUL & ANNA <br />1160 QUEEN CITY BLVD PHONE: 981-8698 <br />W~)ODBURN CONTR : <br />OR 97071 PHONE: <br />981-8698 OCCB: <br /> <br />3,382 1ST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br />180,693.97 STORIES: 1 HEIGHT: <br /> <br />Units Description Fee <br /> 1.0 Residential building fee 625,67 <br /> 1,O Plan review fee 405.84 <br /> 1 Residential plumbing fee 236,74 <br /> 1 Residential mechanical fee 74,40 <br /> 1 Residential electrical fee 229,98 <br /> 1 State surcharge 58,34 <br /> i Zone surcharge 20,00 <br /> i 50,00 <br /> <br />15 <br /> <br /> Assessed fees 1,700.97 <br /> Adjustments ,00 <br /> Total fees 1,700,97 <br />PAYEE: ILIYN PAUL & ANNA Total payments: 1,700,97 <br /> Balance due : ,00 <br /> <br />THIS IS NOT A PERMIT, THIS APPLICATION MUST GO THROUGH A SIMULTANEOUS REVIEW PROCESS <br />WHERE ZONING, SEPTIC (IF APPLICABLE) AND CONSTRUCTION PLANS ARE CHECKED PRIOR TO THE <br />ISSUANCE OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TOASSURE 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 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 CONTRACTOR registered with the State of Oregon. <br />[ ] I am an AUTHORIZED REPR~.SENTAT~E of thesroper~y owner or contractor, <br />SIGNATUREOFAPPLICANT:FF~.~/~.~'- <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 />