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Marion County Building Inspection <br />5155 Silverton Rd NE - PO Box 14500 - Salem, Oregon 97309 <br />Phone: (503)588-5147 Inspection Line: (503)373-4427 <br />Check your Permit Status On Line at: http://publicworks.co.marion.or.us/building/ <br />BUILDING PERMIT <br />DATE: 06-18-2013 TYPE: BUILD PERMIT NO: 07-00078 <br />OFFICE: MC USE: STATUS: FINAL <br />CONST: V-B MAP: 3 ISSUED: 01/10/2007 <br />OCC: S-1 SITE: G TO EXPIRE: 08/14/2007 <br /> ZONE: EFU <br />________________________________________________________________________________________________________________ <br />WORK DESC: SPRINKLER SYSTEM-SHOP BLDG #7 <br />SITE ADDRESS: 23261 HUBBARD CUTOFF NE AR <br />PARCEL: 041W02A 01100 <br />APPLICANT: AFP SYSTEMS INC <br /> ADDRESS: 19435 SW 129TH AVE <br /> TUALATIN, OR 97062 <br /> PHONE: 503-6929284 <br />OWNER: M T A HOLDINGS LLC <br /> ADDRESS: PO BOX 99 <br /> ELLENSBURG WA 98926 <br /> PHONE: <br /> OCCUPANT: <br />CONTRACTOR: AFP SYSTEMS INC <br /> ADDRESS: 19435 SW 129TH AVE <br /> TUALATIN, OR 97062 <br /> PHONE: 503-6929284 OCCB#: 0067534 <br />TOTAL SQ FT: 0 1ST FLOOR: 0 GARAGE: 0 HEIGHT: <br /> 2ND FLOOR: 0 BASEMENT: 0 STORIES: 1 <br />VALUATION: $8,500.00 3RD FLOOR: 0 OTHER: 0 <br />__________________________________________________________________________________________________________ <br /> Units Description Fee Units Description Fee <br /> Building Fee $74.50 SDC's for <br /> Investigation Fee $0.00 SDC Urban Growth $0.00 <br /> Footing/Foundation $0.00 SDC Rural $0.00 <br /> SDC Parks $0.00 <br /> Building Plan Review $48.43 Driveway Fee $0.00 <br /> Fire Life Safety $0.00 Site Plan Review $0.00 <br /> Additional Sets of Plans $0.00 State Surcharge $5.96 <br /> Additional Plan Review $0.00 Zoning Surcharge $14.90 <br /> Addendum Hours Fee $0.00 Seismic Surcharge $0.00 <br /> Special Plan Review $0.00 Hrs Addtnl Support Staff $0.00 <br /> Plan Review Handling Fee $0.00 Refund $0.00 <br /> Other Fee $0.00 Septic Record Review $0.00 <br /> Misc/Copy Fee $0.00 Total Assessed Fees: $143.79 <br /> Reinspection Fee $0.00 Adjustments: $0.00 <br /> Overtime Inspection hrs $0.00 Total Fees: $143.79 <br /> Other Inspection hours $0.00 Total Payments: $143.79 <br /> Balance Due: $0.00 <br />__________________________________________________________________________________________________________ <br />THIS PERMIT EXPIRES 180 DAYS FROM THE ISSUED DATE IF WORK HAS NOT COMMENCED, OR IF CONSTRUCTION CEASES FOR A <br />PERIOD OF 180 DAYS, OR IF WORK FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDINANCES. UPON <br />WRITTEN REQUEST, PRIOR TO EXPIRATION, ONE SIX MONTH EXTENSION MAY BE GRANTED. <br />[ ] I am the PROPERTY OWNER and own, reside in, or will reside in the completed structure and will be my own <br />general contractor. I understand that I must register as a construction contractor if the structure is sold or <br />offered for sale before or upon completion. If I hire subcontractors, I will hire only sub-contractors <br />registered with the Construction Contractors Board. If I change my mind and do hire a general contractor who is <br />registered, I will immediately 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 />SIGNATURE OF APPLICANT: X___________________________________ <br />_____________________________________________________________________________________________________________________________ <br />WARREN D. JACKSON, MARION COUNTY BUILDING OFFICIAL / BY DMARTIN <br />_____________________________________________________________________________________________________________________________ <br />CALL BEFORE YOU DIG...IT'S THE LAW. <br />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 <br />of the rules by calling the center. <br />(Note: The telephone number for the Oregon Utility Notification Center is 1-800-332-2344). <br />