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~ATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br /> BUILDING PERMIT <br />09/10/99 15:48 <br />Resident. addition/alteration <br />R-1 <br />V-N <br /> <br />PERMIT NO <br />STATUS <br />ISSUED <br />TO EXPIRE <br />PAGE <br /> <br />99-05514 <br />ISSUED <br />09/10/1999 <br />02/08/2000 <br /> 1 <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />: SIAFF CAB1N BEDRUOM ~1 <br /> <br /> 46 FOREST SERVICE RD NE DT <br /> <br />LOCAIOR: 09/E2OA 00300 <br /> CITY: MARION COUNTY <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 />BREITENBUSH LOT: BL: <br />66844-000 MAP: 102R ZONE: TC LAND USE: CU.99-25 <br /> 86,00 AC <br />BREITEBUSH HOT SPRINGS OWNER : BREITEBUSH HOT SPRINGS <br />PO BOX 578 PHONE: 854-3220 <br />DETROIT. OR CONTR : <br /> 97342 PHONE: <br />854-3320 OCCB: <br /> 258 1ST FLR: 168 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br /> $11,527,88 STORIES: 1 HEIGFFF: 17 <br /> <br />Units Description Fee <br /> 1.0 Building Fee 92.50 <br /> 1.0 Plan Review Fee 60,13 <br /> i State surcharge 6,48 <br /> i Zone surcharge 5,55 <br /> <br /> Assessed fees 164,66 <br /> Adjustments .00 <br /> Total fees 164,66 <br /> PAYEE: Total payments: 164,66 <br /> Balance due: ,00 <br /> <br /> THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUED DATE IF WORK <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 /> WRII~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 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 /> <br /> SIGNATURE OF APPLICANT: <br /> <br /> DONALD E WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY BJENSEN <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-~27 <br /> <br /> <br />