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Marion County Building Inspection 5155 Silverton Rd NE - PO Box 14500 - Salem, Oregon 97309 Phone: (503)588-5147 Inspection Line: (503)373-4427 Check your Permit Status On Line at: http://publicworks.co.marion.or.us/building/ BUILDING PERMIT DATE: 05-23-2012 TYPE: BUILD PERMIT NO: 07-03931 OFFICE: MC USE: STATUS: EXPIRED CONST: V-B MAP: 12 ISSUED: OCC: R-3 SITE: G TO EXPIRE: 05/27/2008 ZONE: EFU ________________________________________________________________________________________________________________ WORK DESC: EXIST AG BLDG TO GARAGE/2 STORY GUEST HOUSE ENF: C07-0013 SITE ADDRESS: 12942 CARL RD NE WB PARCEL: 051W03 01500 APPLICANT: MARTUSHEV,DANIEL J & ANNA T ADDRESS: 10831 ARNDT RD NE AURORA OR 97002 PHONE: 503-710-7603 OWNER: MARTUSHEV,DANIEL J & ANNA T ADDRESS: 10831 ARNDT RD NE AURORA OR 97002 PHONE: 503-710-7603 OCCUPANT: CONTRACTOR: ADDRESS: PHONE: OCCB#: TOTAL SQ FT: 4320 1ST FLOOR: 864 GARAGE: 2592 HEIGHT: 2ND FLOOR: 864 BASEMENT: 0 STORIES: 1 VALUATION: $218,246.40 3RD FLOOR: 0 OTHER: 0 __________________________________________________________________________________________________________ Units Description Fee Units Description Fee Building Fee $730.50 SDC's for Investigation Fee $0.00 SDC Urban Growth $0.00 Footing/Foundation $0.00 SDC Rural $0.00 SDC Parks $0.00 Building Plan Review $474.83 Driveway Fee $0.00 Fire Life Safety $0.00 Site Plan Review $0.00 Additional Sets of Plans $0.00 State Surcharge $58.44 Additional Plan Review $0.00 Zoning Surcharge $146.10 Addendum Hours Fee $0.00 Seismic Surcharge $0.00 Special Plan Review $0.00 Hrs Addtnl Support Staff $0.00 Plan Review Handling Fee $0.00 Refund $0.00 Other Fee $0.00 Septic Record Review $0.00 Misc/Copy Fee $0.00 Total Assessed Fees: $1,409.87 Reinspection Fee $0.00 Adjustments: $0.00 Overtime Inspection hrs $0.00 Total Fees: $1,409.87 Other Inspection hours $0.00 Total Payments: $620.93 Balance Due: $788.94 __________________________________________________________________________________________________________ THIS PERMIT EXPIRES 180 DAYS FROM THE ISSUED DATE IF WORK HAS NOT COMMENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF WORK FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDINANCES. UPON WRITTEN REQUEST, PRIOR TO EXPIRATION, ONE SIX MONTH EXTENSION MAY BE GRANTED. [ ] I am the PROPERTY OWNER and own, reside in, or will reside in the completed structure and will be my own general contractor. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. If I hire subcontractors, I will hire only sub-contractors registered with the Construction Contractors Board. If I change my mind and do hire a general contractor who is registered, I will immediately notify Marion County of the name of the contractor. [ ] I am the CONTRACTOR registered with the State of Oregon. [ ] I am an AUTHORIZED REPRESENTATIVE of the property owner or contractor. SIGNATURE OF APPLICANT: X___________________________________ _____________________________________________________________________________________________________________________________ WARREN D. JACKSON, MARION COUNTY BUILDING OFFICIAL / BY PBREMER _____________________________________________________________________________________________________________________________ CALL BEFORE YOU DIG...IT'S THE LAW. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth by Oregon Administrative Rules. You may obtain copies of the rules by calling the center. (Note: The telephone number for the Oregon Utility Notification Center is 1-800-332-2344).