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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGBi SITE~ <br /> <br /> BUILDING PERMIT <br />01/22/99 09:24 <br />Commercial addition/alteration <br />A-3 <br />V-N <br /> <br />PERMIT NO <br />STATUS <br />ISSUED <br />TO EXPIRE <br />PAGE <br /> <br />99-00035 <br />ISSUED <br />01/22/1999 <br />07/21/1999 <br /> 1 <br /> <br />SITE ADDRESS <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br />APPLICANT <br /> ADDRESS <br /> <br /> PHONE <br />TOTAL SQ FEET <br /> <br />VALUATION <br /> <br />: REMODEL UNLY REIAIL PRD SHUP <br /> <br /> 8804 GOLF CLUB RD SE AM St: 1 <br /> <br />LUCAIUR: D81W22C UZIOU <br /> CITY: MARION COUNTY <br /> <br /> LOT: <br />56471-000 MAP: <br /> . O0 AC <br />SANTIAM GOLF CLUB INC OWNER : SANTIAM GOLF CLUB INC <br />PO BOX 207 PHONE: <br />STAYTON. OR CONTR : DAVIS TRUMAN <br /> 97383 PHONE: 316-9024 <br />N/A OCCB: 0064046 <br /> 1ST FLR: 2ND FLR: 3RD FLR: <br /> GAMAGE: BASEMENT: OTHER: <br /> $20.000.00 STORIES: I HEIGHT: <br /> <br /> BL: <br />ZONE: EFU LAND USE: <br /> <br />Units Description Fee <br /> 1.0 Building Fee 192.00 <br /> 1.0 Plan Review Fee 125.45 <br /> 1 Fire/Life Safety Review 77.20 <br /> 1 State surcharge 9.65 <br /> i Zone surcharge 11.58 <br /> <br /> Assessed fees 416.88 <br /> Adjustments .00 <br /> Total fees 416.88 <br /> PAYEE: SANTIAM GOLF CLUB INC Total payments: 416.88 <br /> Balance due: .00 <br /> <br /> THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUED DATE IF W~)RK <br /> HAS NOT COMMENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS. OR IF WORK <br /> FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDINANCES. UPON <br /> WRI1-FEN 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 completed <br /> structure and will be my own general contractor. I understand that I must <br /> register as a constructqon 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 o~he property owner or contractor. <br /> SIGNATURE OF APPLICANT: ~]~ <br /> <br /> DONALD E WOODLEY. MARION COUNTY BUILDING'~OF~ICIAL / BY CLYNCH <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 />