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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br /> BUILDING PERMIT <br />04/21/99 16:23 PERMIT NO <br />Commercial addition/alteration STATUS <br />S-5 ISSUED <br />II-N TO EXPIRE <br /> PAGE <br /> <br />99-01946 <br />ISSUED <br />04/21/1999 <br />10/18/1999 <br /> 1 <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />: INI REMODEL 1 BATHRM ,GALLEY--MTG RM HANGER D 103 LOCAIOR: 041W02D DllOO <br /> CITY: MARION COUNTY <br /> 14222 STENBOCK WY NE AR Un: 08 <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br />APPLICANT <br /> ADDRESS <br /> <br /> PHONE <br />TOTAL SQ FEET <br /> <br />VALUATION <br /> <br /> LOT: BL: <br />40156-000 MAP: 3 ZONE: P <br /> .00 AC <br />CENTREX CONSTRUCTION INC <br />8250 SW HUNZIKER RD <br /> <br />TIGARD, OR <br />684-0443 <br /> 1ST FLR: <br /> GAP~AGE: <br /> $15,000.00 <br /> <br />97223-8888 <br /> <br />LAND USE: CU 98-45 <br /> <br /> OWNER : SEVERSON JAMES <br /> PHONE: <br /> CONTR : CENTREX CONSTRUCTION INC <br /> PHONE: 68A-0443 <br /> OCCB: 0056358 <br />2ND FLR: 2RD FLR: <br />BASEMENT: OTHER: <br />STORIES: HEIGHT: <br /> <br />Units Description Fee <br /> 1.0 Building Fee 110.50 <br /> 1.O Plan Review Fee 71.83 <br /> 1 State surcharge 5.53 <br /> 1 Zone surcharge 6.63 <br /> <br />F_I_ L E <br /> <br />PAYEE: <br /> <br />Assessed fees : 194,49 <br />Adjustments : ,00 <br />Total Fees : 194,49 <br />Total payments: 194,49 <br />Balance due: ,00 <br /> <br /> THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 BAYS FROM ISSUED DATE IF WORK <br /> HAS 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 /> WRICFEN REQUEST PRIOR TO EXPIRATION, 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 /> 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 CONTR~ACTOR registered with the State of Oregon. <br /> [ ] I am an AUTHORIZED REPRESENTATIVE of the property owner or contractor, <br /> <br /> SIGNATURE OF APPLICANT: <br /> <br /> Marion County Building Inspection <br /> 3150 Lancaster Dr. N.E., Suite C Sale~, Oregon 97305-~398 <br />Office Hours: 8:00-4:30 Phone: (503)588-5~47 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />