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DATE: 04-25-2063 <br />OFFICE: <br />CONST: V-N <br />UGB: <br />OCC: ?? <br /> <br />Marion County Building Inspection <br />555 Court St. N~E. Room 2260, PO Box 14500 Salem, Oregon 97309-5036 <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 Inspection Line: (503)373-4427 <br /> <br />BUILDING PERMIT <br /> <br />TYPE: BUILD <br />USE: <br />MAP: 4H <br />ZONE: ID <br />SITE: <br /> <br />ACTIVITY NO: 99-02535 <br />STATUS: ISSUED <br />ISSUED: 04/26/1999 <br />TO EXPIRE: <br /> <br />WORK DESC: <br /> <br />SITE ADDRESS: <br />PARCEL: <br /> <br />APPLICANT: <br /> ADDRESS: <br /> <br /> PHONE: <br /> <br />OWNER: <br /> ADDRESS: <br /> <br /> PHONE: <br /> OCCUPANT: <br /> <br />CONTRACTOR: <br />ADDRESS: <br /> <br /> PHONE: <br />TOTAL SQ FT: <br />VALUATION: <br /> <br />RESTROO~S & LAUNDRY FOR RV PARK <br /> <br />21599 NE DOLOEES WY ARSt: RESTRM <br />041W09DD00500 <br /> <br />ISBERG RV PARK <br />21599 DOLORES WY NE <br />AURORA OREGON 97002 <br />503-678-2646 <br /> <br />ISBERG RV PARK <br />21599 DOLORES WY ME <br />AURORA OREGON 97002 <br />503-678-2646 <br /> <br />0CCB%: <br /> <br /> 640 1ST FLOOR: 640 GARAGE: 0 HEIGHT: 13 <br /> 2ND FLOOR: 0 BASEMENT: 0 STORIES: 1 <br />$29,164.80 3RD FLOOR: 0 OTHER: 0 <br /> <br />?? <br /> <br />Units Description --Fee Units Description Fe__e <br /> Building Fee $193.00 SUC's for <br /> Investigation Fee $0.00 SDC Urban Growth ?? <br /> Footing/Foundation $0.00 SDC Rural ?? <br /> Change/OccuDancy $8.00 SDC Parks ?? <br /> Building Plan Review $125.45 Driveway Fee $0.00 <br /> Fire Life Safety $0.00 Site Plan Review $0.00 <br /> Additional Sets of Plans $0.08 State Surcharge $13.51 <br /> Additional Plan Review $0.00 Zoning Surcharge $0.00 <br /> Addendum Hours Fee ?? Seismic Surcharge $0.00 <br /> Special Plan Review $0.00 77 Nfs Addtnl Support Staff ?? <br /> Plan Review Handling Fee $0.00 Refund $0.00 <br /> Other Fee ?? <br /> Misc/Copy Fee ?? Total Assessed Fees: $331.96 <br /> Reinspection Fee $0.00 Adjustments: <br /> Overtime Inspection hrs $0.00 Total Fees: $301.08 <br /> Other Inspection hours $0.00 Total Payments: $339.68 <br /> Balance Due: ($38.60) <br /> <br />THIS PERMIT EXPIRES 180 DAYS FROM THE ISSUED DATE IF WORE HAS NOT COMMENCED, OR IF CONSTRUCTION CEASES FOR A <br />PERIOD OF 180 DAYS, OR IF WORK FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDINANCES. UPON <br />WRITTEN REQUEST, PRIOR TO EXPIRATION, ONE SIX MONTH EWTENSION MAY BE GRANTEE. <br /> <br />[ ] I am the PROPERTY OWNER and own, reside in, or will reside in the completed structure and will be my own <br />general contractor. I understand that I must register as a construction contractor if the structure is sold or <br />offered for sale before or upon completion. If I hire subcontractors, I will hire only sub-contractors <br />registered with the Construction Contractors Board. If I change my mind and do hire a general contractor who is <br />registered, I will i~lmediately 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 /> <br />SIGNATURE OF APPLICANT: X <br /> <br /> <br />