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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 ACTIVITY NO: 99-03601 <br />USE: STATUS: EXPIRED <br />MAP: 4R APPLIED: 05/12/1999 <br />ZONE: ID TO EXPIRE: 11/08/1999 <br />SITE: <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 />MAINTENANCE BLDG / BLDG 3 <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 />VANCO~R WA 98665 98665 <br /> <br />OLINGER RV PARK <br />OLINGER KYLE <br />1834 SW 58TN SUITE 204 <br />503-297-0142 <br /> <br />PORTLAND OR 97221 97221 <br /> <br /> 0 1ST FLOOR: <br /> 2ND FLOOR: <br />$23,111.22 3RD FLOOR: <br /> <br />OCCB#: <br /> <br />0 GARAGE: 0 HEIGHT: 25 <br />0 BASEMENT: 0 STORIES: 2 <br />0 OTHER: 0 <br /> <br />Units <br /> <br />?? <br /> <br />Description <br /> <br />Building Fee <br />Investigation Fee <br />Footing/Foundation <br />Change/Occupancy <br />Building Plan Review <br />Fire Life Safety <br />Additional Sets of Plans <br />Additional Plan Review <br />Addendum Hours Fee <br />Special Plan Review <br />Plan Review Handling Fee <br />Other Fee <br />Misc/Copy Fee <br />Reinspection Fee <br />Overtime Inspection hfs <br />Other Inspection hours <br /> <br /> Fee Units Description Fe__e <br />$164.50 SDC's: <br />$0.00 SDC Urban Growth ?? <br />$0.00 SDC Rural ?? <br />$0.00 SDC Parks ?? <br />$106.93 Driveway Fee $0.00 <br />$65.80 Site Plan Review $0.00 <br />$0.00 State Surcharge $11.52 <br />$0.00 Zoning Surcharge $32.90 <br />?? Seismic Surcharge $0.00 <br /> $0.00 ?? Add'l Support Staff Nfs ?? <br /> $0.00 Refund $0.00 <br /> ?? <br /> ?? Total Assessed Fees: $381.65 <br /> $0.00 Adjustments: ($3.29) <br /> $0.00 Total Fees: $378.36 <br /> $0.00 Total Pa~ents: $355.33 <br /> Balance Due: $23.03 <br /> <br />THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A SI~gSLTItNEOUS REVIEW PROCESS WHERE BONING, SEPTIC (IF <br />APPLICABLE) AND CONSTRUCTION PLANS ARE CHECKED PRIOR TO TEE ISSUANCE OF A PERMIT. IT IS TEE 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 ir~ediately 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 />