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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br />07/22/98 12:28 BUILDING APPLICATION <br />Commercial addition/alteration ACTIVITY NO <br />M STATUS <br />V-N APPLIED <br /> TO EXPIRE <br /> <br />98-06054 <br />APPLIED <br />07/22/1998 <br />01/18/1999 <br /> <br />WURK <br />SITE ADDRESS <br /> <br />: 1NIERIUR REMODEL. ~VJg ADA BAIHRMS 1N EXiSI SIORE LUCAIDR: 041WUYDDOO600 <br /> CITY: MARION COUNTY <br /> 12234 EHLEN RD NE AR <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br /> <br /> LOT: BL: <br />40317-000 NAP: 4R ZONE: ID LAND USE: <br /> 12.17 AC <br /> <br />APPLICANT <br />ADDRESS <br /> <br />KAPPERTZ DESIGN CORPOPJNTION <br />AI-FN: LARRY W RITCHEY <br /> <br />OWNER : LEATHERS LTD PARTNERSHIP <br />PHONE: 503-661-1244 <br /> <br /> PHONE ~___~; ~ ~-~,~,~.~ l- <br />TOTAL SQ FEET 1ST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br />VALUATION : $25.000,00 STORIES: 1 HEIGHT: <br /> <br /> Units Description Fee <br /> 1.O Building Fee 170.50 <br /> 1,0 Plan Review Fee 110.83 <br /> I State surcharge 8.52 <br /> 1 Zone surcharge 8,53 <br /> <br /> Assessed fees 298.39 <br /> Adjustments .00 <br /> Total fees 298.39 <br />PAYEE: KAPPERTZ DESIGN CORPORATION Total payments: 110.82 <br /> Balance due : 187,56 <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 INFORHATION 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 REPRESENTATIVE of the property owner or contractor. <br /> SIGNATURE OF APPLICANT: <br /> <br /> DONALD E WOODLEY. MARIDN COUNTY BUILDING OFFICIAL / BY CLYNCH <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 Buildin(j Inspection <br /> 3150 Lancaster Dr. N.E., Suite C Salem, Oregon 07305-1398 <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 24-hr Inspection Line: (503)373-4~,~7 <br /> <br /> <br />