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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONSTTYPE <br />UGB: SITE: <br /> <br /> DWELLING PERMIT <br />04/30/98 11:25 PERMIT NO <br />New Single Family Dwelling STATUS <br />R-3 ISSUED <br />V-N TO EXPIRE <br />FD PAGE <br /> <br />98-02276 <br />ISSUED <br />04/20/1998 <br />10/27/1998 <br />1 <br /> <br />WDRK 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 />: REPL: MFG HSE W/ DWELLING <br />21128 OAK LN NE AR <br /> <br />72040-000 <br /> 154770,0SF <br /> <br />LOCAIOR: 041W14A 024UD <br /> CITY: MARION COUNTY <br /> <br />LOT: BL: <br />MAP: 3R ZONE: EFU LAND USE:ADM 92-16 <br /> <br />VAN LIEU ROGER WAYNE OWNER : CLARK RANDALL & PENNY <br />21407 OAK LN NE PHONE: 678-1898 <br /> CONTR : VAN LIEU ROGER WAYNE <br />AUROPJ~, OR 97002 PHONE: 678-5432 <br />678-5422 OCCB: 0000212 <br /> 2.842 1ST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br /> 147,802.72 STORIES: 1 HEIGHT: <br /> <br />Units Description Fee <br /> 1,O Residential building fee 525.77 <br /> 1,O Plan review fee 341.04 <br /> 1 Residential plumbing fee 198,94 <br /> 1 Residential mechanical fee 62.52 <br /> 1 Residential electrical fee 193,26 <br /> 1 State surcharge 49.02 <br /> 1 Zone surcharge 20.00 <br /> <br />24 <br /> <br /> Assessed fees 1,390.55 <br /> Adjustments .00 <br /> Total fees 1.390.55 <br />PAYEE: VAN LIEU ROGER WAYNE Total payments: 1,390.55 <br /> Balance due : .00 <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUE DATE IF WORK HAS <br />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 />WRI~EN REQUEST, 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 /> contractos 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 the AUTHORIZED REPRESENTATIVE of the property owner or contractor. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E. WOOD[EY. MARION COUNTY BUILDING OFFICIAL / BY JSKYBERG <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)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />