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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br />WURK DESC <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 />07/29/99 12:45 BUILDING APPLICATION <br />Residential accessory struct ACTIVITY NO <br />U-1 STATUS <br />V-N APPLIED <br /> TO EXPIRE <br /> <br />99-06182 <br />APPLIED <br />07/29/1999 <br />01/25/2000 <br /> <br />: RESIDENIIAL PULE BLDG W/SLAB <br /> 8642 SHAW SQUARE SE AM <br /> <br />LOCATUR: 082W13C 03400 <br /> CITY: MARION COUNTY <br /> <br />75300-670 <br /> 1,00 AC <br /> <br />LOT: BL: <br />MAP: 49R ZONE: AR <br /> <br />LAND USE: <br /> <br />BERKEY TIMOTHY OWNER : PHILLIPS ROB <br />4932 F~ALE ST NE PHONE: N/A <br /> CONTR : BERKEY TIMOTHY <br />SALEM, OR 97205 PHONE: 390-1056 <br />390-1056 OCCB: D091866 <br /> <br /> 720 1ST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br />$11,289.60 STORIES: 1 HEIGHT: <br /> <br />14 <br /> <br />Units Description Fee <br /> 1,0 Building Fee 92.50 <br /> 1.0 Plan Review Fee 60.12 <br /> t State surcharge 6,48 <br /> 1 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 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 INFORI~TION IS PROVIDED, AS SOON AS ALL REQUIREMENTS OF THE REVIEW HAVE <br /> BEEN MET, YOU WILL BE NOTIFIED Tt~AT 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 :he 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 wilt immediately <br /> notify Marion County of the name of the contractor. <br /> [ ] I am the CONTRACTOR registered with ~he State of Oregon, <br /> [ ] I am an AUTHORIZED Rj~PBESEN-)ATIVE ~;~t~th~,Droper~ own~r or contractor, <br /> SIGNATURE OF APPLIOANT~-~/~F.~,_ ~/N./_.~//~.F.~/~"-/~-/~ <br /> <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 Building Inspection <br /> 3150 Lancaster Dr. N.E,, Suite C Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 Phone: (503)588-5~47 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />