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DATE: <br />OFFICE: MC <br />UGB: <br />CONST: V-N <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 APPLICATION <br /> <br />TYPE: BUILD <br />USE: <br />MAP: 4R <br />ZONE: ID <br />SITE: <br /> <br />ACTIVITY NO: 99-03599 <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 FT: <br />VALUATION: <br /> <br />SHOWER/RESTROOM BLDG 2 <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 58TN SUITE 204 <br />503-297-0142 <br /> <br /> 0 1ST FLOOR: <br /> 2ND FLOOR: <br />$41,058.57 3RD FLOOR: <br /> <br />VANCOUVER WA 98665 98665 <br /> <br />PORTLAND OR 97221 97221 <br /> <br />OCCB#: <br /> <br />0 GARAGE: 0 <br />0 BASEMENT: 0 <br />0 OTHER: 0 <br /> <br />HEIGHT: 21 <br />STORIES: 1 <br /> <br />Units <br /> <br />?? <br /> <br />Description Fee Units Description <br /> <br />Building Fee $247.00 <br />Investigation Fee $0.00 <br />Footing/Foundation $0.00 <br />Change/Occupancy $0.00 <br />Building Plan Review $160.55 <br />Fire Life Safety $98.80 <br />Additional Sets of Plans $0.00 <br />Additional Plan Review $0.00 <br />Addendum Hours Fee ?? <br />Special Plan Review $0.00 <br />Plan Review Handling Fee $0.00 <br />Other Fee ?? <br />Misc/Copy Fee 77 <br />Reinspection Fee $0.00 <br />Overtime Inspection hfs $0.00 <br />Other Inspection hours $0.00 <br /> <br />?? <br /> <br />SDC's: <br />SDC Urban Growth <br />SDC Rural <br />SDC Parks <br />Driveway Fee <br />Site Plan Review <br />State Surcharge <br />Zoning Surcharge <br />Seism/c Surcharge <br />Add'l Support Staff Hrs <br />Refund <br /> <br />Total Assessed Fees: <br />Adjustments: <br />Total Fees: <br />Total Payments: <br />Balance Due: <br /> <br /> Fe__e <br /> <br /> ?? <br /> ?? <br /> ?? <br /> $0.00 <br /> $0.00 <br /> $17.29 <br /> $49.40 <br /> $0.00 <br /> ?? <br /> $0.00 <br /> <br />$573.04 <br />($4.94) <br />$568.10 <br />$533.52 <br /> $34.58 <br /> <br />THIS IS NOT A PERMIT. 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 INFOP~4ATION 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 />