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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGS: SITE: <br /> <br />Residen]~c'~ddi.;~f'on/a~l,t'~ratior~ k ACTIVITY NO <br />V-~ ~k~.~[]I-~ ~ \ APPLIED <br /> ~ TO EXPIRE <br /> <br />99-01204 <br />APPLIED <br />02/17/1999 <br />08/16/1999 <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />: ENCLOSING EXISIING RES CARPDRI <br /> 5830 SHAW HY SE ~ <br /> <br />LUCAIDR: UB1W18C 02800 <br /> CITY: MARION COUNTY <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br /> <br />56053-000 <br /> 3.03 AC <br /> <br />LOT: <br />MAP: 46 <br /> <br /> BL: <br />ZONE: AR LAND USE:CU 98-23 <br /> <br />APPLICANT : CARVER ENTERPRISES LLC <br />ADDRESS : D8A CAPITOL AWNING <br /> PO BOX 4234 <br /> SALEM. OR <br />PHONE : 743-3334 <br /> <br />97202 <br /> <br />OWNER : 8ENTZ.KENNETH D & JANET F <br /> PHONE: <br />CDNTR : CARVER ENTERPRISES LLC <br /> PHONE: 769-7744 <br /> OCCB: 0098940 <br /> <br />TOTAL SQ FEET: 1ST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br /> VALUATION : $3.100.00 STORIES: t HEIGHT: 12 <br />************~**************~*~************************~****~*********~x~***** <br /> Units Description Fee <br /> 1.0 Building Fee 44.50 <br /> 1.0 Plan Review Fee 28.93 <br /> 1 Investigation Fee 44.50 <br /> I State surcharge 2,23 <br /> I Zone surcharge 2,67 <br /> <br /> Assessed fees 122.83 <br /> Adjustments .00 <br /> Total fees 122.83 <br />PAYEE: Total payments: 122.83 <br /> Balance due · .00 <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 I'HE 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 hi re 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 /> ~ am the CONTRACTOR regist~d with the State of Oregon. <br /> [ ] ~ am an AUTHORIZEDRE?~S~NTAT~I~ of the property pwner or contractor. <br /> SIGNATURE OF APPLICANT~-~-~,F,F//,f_~/.J/ .... ~ <br /> <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 (503-232-1987) <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)273-4427 <br /> <br /> <br />