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DATE: '~ <br />OFFICE: MC <br />UGB: <br />CONST: V-N <br />gCC: ?? <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 APPLICATION <br /> <br />TYPE: BUILD <br />USE: <br />MAP: 4H <br />ZONE: ID <br />SITE: <br /> <br />ACTIVITY NO: 98-0358? <br />STATUS: EXPIRED <br />APPLIED: 05/12/1999 <br />TO EXPIRE: 11/08/1999 <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 PT: <br />VALUATION: <br /> <br />OFFICE/LAUNDRY/MEETING ROOM BLDG 1 <br /> <br />12194 NE EHLEN RD AR <br />041W09DC00800 <br /> <br />ARCHITECTS ASSOCIATIVE <br />KATHY DIETRICH <br />8515 B NE HAZEL DELL AV <br />360-574-7019 <br /> <br />OLINGER RV PARK <br />OLINGER KYLE <br />1834 SW 58TH SUITE 204 <br />503-297-0142 <br /> <br />VANCOUVER WA 98665 98665 <br /> <br />PORTLAND OR 97221 97221 <br /> <br />OCCB#: <br /> <br /> 0 1ST FLOOR: 0 GARAGE: 0 HEIGHT: 45 <br /> 2ND FLOOR: 0 BASEMENT: 0 STORIES: 3 <br />$494,388.93 3RD FLOOR: 0 OTHER: 0 <br /> <br /> Units Description Fee Units Description Fe__e <br /> Building Fee $1,420.50 SDC's: <br /> Investigation Fee $0.00 SDC Urban Growth ?? <br /> Footing/Foundation $0.00 SDC Rural ?? <br /> Change/Occupancy $0.00 SDC Parks ?? <br /> Building Plan Review $923.33 Driveway Fee $0.00 <br /> Fire Life Safety $868.20 Site Plan Review $0.00 <br /> Additional Sets of Plans $0.00 State Surcharge $99.44 <br /> Additional Plan Review $0.00 zoning Surcharge $284.10 <br />77 Addendum Hours Fee ?? Seismic Surcharge $0.00 <br /> Special Plan Review $0.00 ?? Add'l Support Staff Hrs <br /> Plan Review Handling Fee $0.00 Refund $0.00 <br /> Other Fee ?? <br /> Misc/Copy Fee ?? Total Assessed Fees: $3,295.57 <br /> Reinspection Fee $0.00 Adjustments: ($28.41) <br /> Overtime Inspection hfs $0.00 Total Fees: $3,267.16 <br /> Other Inspection hours $0.00 Total Payments: $3,068.29 <br /> Balance Due: $198.87 <br /> <br />THIS IS NOT A PER~IT. THIS APPLICATION MUST GO THROUGH A SIMULTANEOUS REVIEW PROCESS WHERE ZONING, SEPTIC (IF <br />APPLICABLE) AND CONSTRUCTION PLANS ARE CHECKED PRIOR TO THE ISSUANCE OF A PERMIT. IT IS THE RESPONSIBILITY OF <br />THE APPLICANT TO ASSURE THAT ALL NECESSARY INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW <br />HAVE 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 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 immediately notify Marion County 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 />