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DATE: 06-03-2004 <br />OFFICE: DT <br />UGB: <br />CONST: V-N <br />OCC: R-3 <br /> <br />Marion County Building Inspection <br />555 Court St. N.E., Room 2260, PO Box 14500 Salem, Oregon 97309-5036 <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 Inspection Line: (503)373-4427 <br /> <br />DWELLING PERMIT <br /> <br />TYPE: DWELL ACTIVITY NO: 01-02478 <br />USE: STATUS: FINAL <br />MAP: ISSUED: 04/23/2001 <br />ZONE: RS TO EXPIRE: 05/29/2004 <br />SITE: <br /> <br />DESC: <br /> <br />SITE ADDRESS: <br />PARCEL: <br /> <br />SUBDIVISION: <br />LOT/BLOCK: <br /> <br />APPLICANT: <br /> ADDRESS: <br /> <br /> PHONE: <br /> <br />OWNER: <br /> ADDRESS: <br /> <br /> PHONE: <br />TOTAL SQ FT: <br />VALUATION: <br /> <br />COMPLETION PERMIT FOR 98-05857 <br /> <br />150 E CLIFFORD AV DT <br />105E01CA03000 <br /> <br /> 0/ 0 <br /> <br /> LUNSKI,SCOTT <br /> 204 AMANDA CT <br /> OREGON CITY, OR 97045 <br /> 503-656-9911 <br /> <br /> LUNSKI,SCOTT <br /> 204 AMANDA CT <br /> OREGON CITY, OR 97045 <br /> 503-656-9911 <br /> <br />0 1ST FLOOR: 0 GABAGE: 0 <br /> 2ND FLOOR: 0 BASEMENT: 0 <br />$80,825.00 3RD FLOOR: 0 OTHER: 0 <br /> <br />HEIGHT: <br />STORIES: <br /> <br />0 <br />2 <br /> <br />Units <br /> <br />Description __Fee Description Fe__e <br />Building Fee $125.00 SDC's for <br />Investigation Fee $0.00 SDC Urban Growth $0.00 <br />Footing/Foundation Only $0.00 SDC Rural $0.00 <br />Plan Review $0.00 SDC Parks $0.00 <br />Additional Sets of Plans $0.00 Driveway Fee $0.00 <br />Addendum Hours Fee $0.00 State Surcharge $34.13 <br />Additional Plan Review $0.00 Zoning Surcharge $0.00 <br />Special Plan Review $0.00 Refund $0.00 <br />Plan Review Handling Fee $0.00 <br />Plumbing Fee $137.50 <br />Mechanical Fee $75.00 <br />Electrical Fee $150.00 <br />Other Fee $0.00 <br />Misc/Copy Fee $0.00 Total Assessed Fees: $521.63 <br />Reinspection Fee $0.00 Adjustments: $0.00 <br />Overtime Inspection hfs $0.00 Total Fees: $521.63 <br />Other Inspection hours $0.00 Total Payments: $32?.69 <br /> Balance Due: $193.94 <br /> <br />This permit is non-transferable and expires 180 days from the issued da~e if work has not commenced, or if <br />construction ceases for a period of 180 days, or if work fails to meet a~l re~uirements of state laws and Marion <br />County ordinances. Upon written request prior to expiration, one six month extension may be granted. <br /> <br />[ ] I am the PROPERTY OWNER and own, reside in, or will reside in the c~mpleted structure and will be my own <br />general contractor. I understand that E must register as a constzu~tion contractor if t-he structure is sold or <br />offered for sale before or upon completion. If I hire subcontractors, I will hire only sub-contractors registered <br />with the Construction Contractors Hoard. If I change my mind and do hir~ a general contractor who is registered, <br />I will immediately notify Marion County of the name of the contractor. <br />[ ] I am the CONTRACTOR registered with the State of Oregon. <br />[ ] I mm an AUT~ORIZED REPRESENTATIVE of the property owner or contractor. <br /> <br />SIGNATURE OF A~PLICANT: X <br /> <br /> <br />