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BUILDING PERMIT <br />DATE/TIME 05/25/99 10:34 <br />TYPE Resident, addition/alteration <br />OCCUPANCY R-3 <br />CONST TYPE V-N <br />UGB: SITE: FD <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br />APPLICANT <br /> ADDRESS <br /> <br />PHONE <br /> <br />PERMIT NO 99-03884 <br />STATUS ISSUED <br />ISSUED 05/24/1999 <br />TO EXPIRE 11/20/1999 <br />PAGE i <br /> <br />DEN ADDIIIUN IU RESIDENCE AND DECK <br /> 11522 TEGEN LN SE AN <br /> <br />LDCAIOR: U91W18C D12UD <br /> CITY: MARION COUNTY <br /> <br /> LOT: BL: <br />75710-350 MAP: 60 ZONE: EFU LAND USE: <br />6.00 AC <br />MORE~ DANIEL OWNER : MINTEN RICHARD <br />575 BEN VISTA DR S PHONE: N/A <br /> CONTR ~ MOREI~ DANIEL <br />SALEM. OR 97302-5555 PHONE: 585-6902 <br />585-6903 OCCB: 0043162 <br /> <br />TOTAL SQ FEET : 1,564 1ST FLR: 420 2ND FLR~ 420 3RD FER: <br /> GARAGE: BASEMENT: OTHER: <br />VALUATION : $59,744,40 STORIES: 2 HEIGHT: 22 <br /> <br /> Units Description Fee <br /> 1.0 Building Fee 213,00 <br /> 1.0 Plan Review Fee 203,45 <br /> 1 State surcharge 15.65 <br /> i Zone surcharge 18.78 <br /> <br /> Assessed fees 550.88 <br /> Adjustments .00 <br /> Total fees 550.88 <br /> PAYEE: Total payments: 550.88 <br /> Balance due: .00 <br /> <br /> THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS 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 /> WRI~EN REQUEST PRIOR TO EXPIP~qTION. 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 Jf 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 CONTRACTOR registered with the State of Oregon, <br /> [ ] I am an AUTHORIZED REPRESENTATIVE of the property owner or contractor. <br /> <br /> SIGNAIIIRE OF APPLICANT: <br /> <br /> DONALD E WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY PBREMER~'~ <br /> Marion County Building Inspection ~ <br /> 3150 Lancaster Dr. N.E., Suite C Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 Phone: (505)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />