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DWELLING APPLICATION <br />DATE/TIME 02/27/98 10:02 <br />TYPE New Single Family Dwelling <br />OCCUPANCY R-3 <br />CONST TYPE V-N <br />UGB: SITE: FD <br /> <br />ACTIVITY NO <br />STATUS <br />APPLIED <br />TO EXPIRE <br /> <br />98-02376 <br />APPLIED <br />03/27/1998 <br />09/23/1998 <br /> <br />W~iRK OESC <br />SITE ADDRESS <br /> <br />: RLPL: MFG HSE W/ DWELLING <br />21128 OAK LN NE AR <br /> <br />LOCATOR: 041W14A U2400 <br /> CITY: MARION COUNTY <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br />PARCEL SIZE <br /> <br />APPLICANT <br />ADDRESS <br /> <br />PHONE <br /> <br /> LOT: <br />72040-000 MAP: 3R <br /> 154770.00 <br />VAN LIEU ROGER WAYNE ~ <br />21407 OAK LN NE --k~'/ <br /> <br /> BL: <br /> ZONE: EFU LAND USE: OUT OF FLD, JF <br /> <br />OWNER : CLARK P~qNDALL & PENNY <br /> PHONE: 678 1898 <br />CONTR : VAN LIEU ROGER WAYNE <br /> PHONE: 678-5432 <br /> OCCB: 0000212 <br /> <br />TOTAL SQ FEET <br /> VALUATION <br /> <br />2,842 1ST FLR: <br /> GARAGE: <br />147,803.72 <br /> <br />2ND FLR: 3RD FLR: <br />BASEMENT: OTHER: <br />STORIES: 1 HEIGHT: <br /> <br />24 <br /> <br />Units Description <br /> 1.0 Residential building fee <br /> 1.0 Plan review fee <br /> I Residential plumbing fee <br /> I Residential mechanical fee <br /> 1 Residential electrical fee <br /> 1 State surcharge <br /> 1 Zone surcharge <br /> <br />Fee <br /> <br />525.77 <br />341.04 <br />I98.94 <br /> 62.52 <br />192.26 <br /> 49.02 <br /> 20.00 <br /> <br /> Assessed fees 1,390.55 <br /> Adjustments .00 <br /> Total fees 1,290.55 <br />PAYEE: VAN LIEU ROGER WAYNE Total payments: 1,390.55 <br /> Balance due : <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 INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW HAVE <br />BEEN MET. YOU WILL BE NOTIFIED THAT 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 the 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 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 an AUTHORIZED REPRESENTATIVE of,the property~owner or contractor. <br />SIGNATURE OF APPLICANT: ~..}0~,~,~..~.~,~..~ <br />DONALD E WOODLEY, MARION COUNTYB~JILDING OFFICIAL / BY CLYNCH <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-~27 <br /> <br /> <br />