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DATE/TIME 01/19/99 16:55 <br />TYPE Residential accessory struct <br />OCCUPANCY U-1 <br />CONST TYPE V-N <br />UGB: SITE: FD <br /> <br />WORK UESC <br />SITE ADDRESS <br /> <br />BUILDING APPLICATION <br /> ACTIVITY NO : 99-00407 <br /> STATUS APPLIED <br /> APPLIED 01/19/1999 <br /> TO EXPIRE 07/18/1999 <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br /> <br />APPLICANT <br />ADDRESS <br /> <br />PHONE <br /> <br />: CUNSIRUCIIUN OF POLE BLD6 2D X 48 <br /> 11464 DINER DR SE AM <br /> <br />LOCAIOR: 081WZgD 00400 <br /> CITY: MARION COUNTY <br /> <br />TOTAL SQ FEET <br /> VALUATION <br /> <br /> LOT: BL: <br />71040-050 MAP: 48R ZONE: AR LAND USE: <br /> 3.20 AC <br /> <br />FOLTZ, DOUGLAS & KATHLEEN <br />11464 DINER DR SE <br />AUMSVILLE. OR <br /> 97225 <br />749-2426 <br /> <br />OWNER : FOLTZ. DOUGLAS & KATHLEEN <br /> PHONE: 749-3426 <br />CONTR : WAINMAN WILLIAM H <br /> PHONE: 859-2386 <br /> OCCB: 0069266 <br /> <br />1,440 1ST FLR: 2ND FLR: 3RD FER: <br /> GAP~qGE: BASEMENT: OTHER: <br />$22.579.20 STORIES: i HEIGHT: <br /> <br />17 <br /> <br />Units Description Fee <br /> 1.0 Building Fee 158.50 <br /> 1.0 Plan Review Fee 103.03 <br /> i State surcharge 7.92 <br /> I Zone surcharge 9.51 <br /> <br /> Assessed fees 278.97 <br /> Adjustments .00 <br /> Total fees 278.97 <br /> PAYEE: FOLTZ. DOUGLAS & KATHLEEN Total payments: 278:97 <br /> Balance due : .00 <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 /> ~;~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 i~ediately <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 REPRESE~TATIVE of theJ~rooerty owner or contractor. <br /> SIGNATURE OF APPLICANT:},,::::~~' ~ <br /> <br /> DONALD E WOODLEY, MARION COUN~ BUILDING OFFICIAL / BY BJENSEN <br />CALL BEFORE YOU DIG...IT'S THE LAW. Oregon law requires you to follow the rules adopted by <br />the Oregon Utility Notification Center (503-222-1987) <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 />