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DATE/TIME 12/30/98 12:09 BUILDING APPLICATION <br />TYPE Residential accessory struct ACTIVITY NO <br />OCCUPANCY U-1 STATUS <br />CONST TYPE V-N APPLIED <br />UGB: SITE: FD TO EXPIRE <br /> <br />98-11092 <br />APPLIED <br />12/20/1998 <br />06/28/1999 <br /> <br />WORK DkSC <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 />: RES RULE BUILDING ~UR RIDING ARENA <br /> 13392 EHLEN RD NE AR <br /> <br />LU(iqlOR: O41WlO 01500 <br /> CITY: MARION COUNTY <br /> <br />40344-000 <br /> 4.49 AC <br /> <br />LOT: BL: <br />MAP: 3 ZONE: EFU LAND USE: <br /> <br />KEYSA CONSTRUCTION INC <br />18791 SW MARTINAZZI AVE <br /> <br />TUALATIN. OR 97062 <br />692-7007 <br /> <br />OWNER : CP~qWFORD.MILTON M & SAPJ~ ELLEN <br /> PHONE: <br />CONTR : KEYSA CONSTRUCTION INC <br /> PHONE: 692-7007 <br /> OCCB: 0095155 <br /> <br />12.672 1ST FLR: 12672 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br />$160,680.96 STORIES: 1 HEIGHT: <br /> <br />Units Description Fee <br /> 1.0 Building Fee 585.50 <br /> 380.58 <br /> ~29.28 <br /> ~'- --35.13 <br /> <br /> 1.0 Plan Review Fee <br />1 State surcharge <br />I Zone surcharge <br /> <br /> Assessed fees 1.030.49 <br /> Adjustments .DO <br /> Total fees 1.020.49 <br /> PAYEE: KEYSA CONSTRUCTION INC Total payments: 1.020.49 <br /> Balance due : .00 <br /> **************~-*****`**~w~**`w~-~w~******~**~*****~;~;~*~************* <br /> THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A SIMULTANEOUS REVIEW PROCESS <br /> WHERE ZONING. SEPTIC (IF APPLICABLE) AND CONSTRUCTION PLANS ARE CHECKED PRIOR TO THE <br /> ISSUANCE OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br /> NECESSARY INFORMATION IS PROVIDED. ~S SOON AS ALL REQUIREMENTS OF THE REVIEW HAVE <br /> BEEN MET, YOU WILL BE NOTIFIED THAT YOUR PERMIT HAS BEEN ISSUED. <br /> <br /> [ ] I am the PROPERTY OWNER and own, reside in. or will reside in the completed <br /> structure and will be ~tv own general contractor. I understand that I must <br /> register as a construction contractor if the structure is sold or offered for <br /> sale before or upon completion. If I hire subcontractors. I will hire only sub- <br /> contractors registered with the Construction Contractors Board. If I chan~e my <br /> mind and do hire a general con~tor who is registered, I will immediately <br /> notify Marion Count name contractor. <br /> [ ] I am the CON~registeccQ-12ith the-'5~kate~e,f Oregon. <br /> [ ] I am an AUll~]I~ri'Z~D REPR~$~fTATIVE ofmthe PJ~I~B¢~Y owner or contractor. <br /> SIGNATURE OF APPLICANT: ~ \ ~ <br /> <br /> DONALD E WOODLEY. MARION COUN19' BUILDING OFFICIAL / BY JSKYBERG <br />CALL BEFORE YOU DIG...IT'S THE LAR. Oregon law requires you to follow the rules adopted by <br />the Oregon Utility Notification Center (502-232-1987) <br /> <br /> Marion County Building Inspection <br /> 3150 Lancaster Dr. N.E., Suite C Salem, Oregon g7305-13gB <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 24-hr Inspection Line: ($03)373-4427 <br /> <br /> <br />