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DATE/TIME 05/20/98 12:14 BUILDING APPLICATION <br />TYPE Resident, addition/alteration ACTIVIN NO <br />OCCUPANCY R-3 STATUS <br />CONST TYPE V-N APPLIED <br />UGB: SITE: FD TO EXPIRE <br /> <br />98-04051 <br />APPLIED <br />05/20/1998 <br />11/16/1998 <br /> <br />WURK UESC <br />SITE ADDRESS <br /> <br />: CUMPLEIIUN PERMII IU ~<~9b-13924 <br />19762 OLMSTEAD RD NE AR <br /> <br />LDCMUR: 041W19C 00600 <br /> CITY: MARION COUNTY <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> LOT: <br />73350-090 MAP: <br /> 5.00 AC <br /> <br />BECK,HARRY A <br />19762 OLMSTEAD RD NE <br />AURORA. DR <br /> <br />PHONE 678-1126 <br /> <br />TOTAL SQ FEET <br /> VALUATION <br /> <br />$19,500.00 <br /> <br />97002 <br /> <br /> BL: <br />ZONE: EFU LAND USE: <br /> <br />OWNER : BECK.HARRY A <br /> PHONE: <br />CONTR : <br /> PHONE: <br /> OCCB: <br /> <br />1ST FLR: 2ND FLR: 3RD FLR: <br />GARAGE: BASEMENT: OTHER: <br /> STORIES: 1 HEIGHT: 15 <br /> <br />Units Description Fee <br /> 1.0 Building Fee 140.50 <br /> 1.0 Plan Review Fee 91~32 <br /> I State surcharge 7.02 <br /> I Zone surcharge 7.02 <br /> <br /> Assessed fees 245.89 <br /> Adjustments .00 <br /> Total fees 245.89 <br />PAYEE: BECK,HARRY A Total payments: 245.89 <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 TO ASSURE THAT ALL <br />NECESSARY INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW HAVE <br />BEEN M~T. YOU WILL BE NOTIFIED THAT YOUR PERMIT HAS BEEN ISSUED. <br />[~m~iam the PROPERTY OWNER and own, reside in, or will reside in the completed <br /> structure and will be nlY 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 Oregom <br />[ ] I am an AUTHORIZED REPjRF~F-~NTATIVE o~prop%ty owner or contractor. <br />SIGNATURE OF APPLICAN~ '~ ~ <br /> <br />DONALD E WOODLEY, MARION COUNTY BUILDinG OFFICIAL / BY BJENSEN ~' <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 />