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Marion County Building Inspection <br />555 Court St. N.E., Room 2260, PO Box 14500 Salem, Oregon 97309-5036 <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 Inspection Line: (503)373-4427 <br /> <br />DATE: 01-15 2003 <br />UGB:OFFICE: MC ~~ <br /> <br />BUILDING PERMIT <br /> <br />TYPE: BUILO ACTIVITY NO: 97-01800 <br />USE: STATUS: FINAL <br />MAP: 46R ISSUED: 06/04/1997 <br />ZONE: EFU TO EXPIRE: 12/01/1997 <br />SITE: FD <br /> <br />WORK DESC: <br /> <br />SITE ADDRESS: <br />PARCEL: <br /> <br /> ADDRESS: <br /> PHONE: <br /> <br />ADDITION TO MD GOING FROM 2/BED TO 3/BED <br /> <br /> 9801 SE JORD~-N ST AM <br /> 081W18 00300 <br /> <br />BARTELS,HENRY <br />9901 JORDAN RD SE <br />AUMEVILLE OR 97325 <br />362-3148 <br /> <br />BARTSLS,HENRY <br />9801 JORDAN RD SE <br />AUMEVILLS OR 97325 <br />362 3148 <br /> <br />EKOGLUND STUART <br />173 CEDAR BLUFF CIRCLE N <br />KEIZER, OR 97303-7777 <br />393-1239 OCCB#: 0066154 <br /> <br /> 572 1ST FLOOR: 572 GARAGE: <br /> 2ND FLOOR: 0 BASEMENT: <br /> $36,985.52 3RD FLOOR: 0 OTHER: <br /> <br />0 HEIGHT: 15 <br />0 STORIES: 1 <br />0 <br /> <br />?? <br />?? <br /> <br />Units <br /> <br />Description Fee Units Description Fee <br />Buildin9 Fee $224.50 SDC's for <br />Investigation Fee $0.00 SDC Urban Growth ?? <br />Footing/Foundation ?? SDC Rural ?? <br />Change/Occupancy $0.00 EDC Parks ?? <br />Building Plan Review $145.93 Driveway Fee ?? <br />Fire Life Safety $0.00 Site Plan Review ?? <br />Additional Sets of Plans $0.00 State Surcharge $1S.72 <br />Additional Plan Review $0.00 Zoning Surcharge $44.90 <br />Addendum Hours Fee ?? Seismic Surcharge $0.00 <br />Special Plan Review ?? ?? Hrs Addtnl Support Staff ?? <br />Plan Review Mandlin~ Fee ?? Refund $0.00 <br />Other Fee ?? <br />Misc/Copy Fee ?? Total Assessed Fees: $431.05 <br />Reinspection Fee $0.00 Adjustments: $0.00 <br />Overtime Inspection hrs $0.00 Total Fees: $431.05 <br />Other Inspection hours $0.00 Total Payments: $392.89 <br /> Balance Due: $38.16 <br /> <br />THIS PERMIT EXPIRES 180 DAYS FROM THE ISSUED DATE IF WORK F~S NOT COMMENCED, OR IF CONSTRUCTION CE3,gES FOR A <br />PERIOD OF 180 DAYS, OR IF WORK FAILS TO NEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDINANCES. UPON <br />WRITTEN REQUEST, PRIOR TO EXPIBATION, ONE SIX MONTH EXTENSION MAY BE GR-~NTED. <br /> <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 /> <br />SIGNATURE OF APPLICANT: X <br /> <br /> <br />