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DATE/TIME 06/26/98 12:12 BUILDING APPLICATION <br />TYPE Resident. addition/alteration ACTIVITY NO <br />OCCUPANCY R-3 STATUS <br />CONST TYPE V-N APPLIED <br />UGB: SITE: FD TO EXPIRE <br /> <br />98-05271 <br />APPLIED <br />06/26/1998 <br />12/22/1998 <br /> <br />WURK DESC <br />SITE ADDRESS <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 />ADUIllUN HUME- 2BLDRUUMS, LIVIN~MUUM. DINING RUOMLDCA~UR: U41WIgC DlbDg <br /> CITY: MARION COUNq~{ <br /> 19752 OLMSTEAD RD NE AR <br /> <br /> LOT: BL: <br />73350-100 MAP: 3 ZONE: EFU LAND USE: <br /> 9.00 AC <br /> <br />ADRIAN KAUFFMAN OWNER ; KAUFFMAN.ADRIAN <br />19752 OLMSTEAD RD NE PHONE: <br />AURORA OR CONTR : <br /> 97002 PHONE: <br />503 678-5515 OCCB: <br /> <br /> 960 1ST FLR: 2ND FLR: 3RD FLR; <br /> GARAGE: BASEMENT: OTHER: <br />$62.072.60 STORIES: 1 HEIGHT: <br /> <br />Units Description Fee <br /> 1,0 Buildqng Fee 322.00 <br /> 1.0 Plan Review Fee 209.20 <br /> 1 State surcharge 16.10 <br /> i Zone surcharge 16.10 <br /> <br /> Assessed fees 562,50 <br /> Adjustments .00 <br /> Total fees 562.50 <br /> PAYEE: ADRIAN KAUFFMAN Total payments: 562.50 <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 MET, YOU WILL BE NOTIFIED THAT YOUR PERMIT HAS BEEN ISSUED. <br /> <br /> [ ] I am the PROPERTY OWNER and'own, reside in, or wilt reside ~n the completed <br /> structure and will be my own general contractor, I understand that I must <br /> register as a construction contractor ~f 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 /> [ II am an AUTHORIZED R~IV~rty owner or contractor. <br /> SIGNATURE OF APPLICANT; ' <br /> <br /> DONALD E WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY MMEYER <br />CALL BEFORE YOU DIG...IT'S THE LA~/. 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 />