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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br />APPLICANT <br /> ADDRESS <br /> <br /> PHONE <br />TOTAL SQ FEET <br /> <br /> BUILDING PERMIT <br />07/12/99 15:48 PERMIT NO <br />Resident. addi tion/alterati on STATUS <br />R-3 ISSUED <br />V-N TO EXPIRE <br /> PAGE <br /> <br />99-04497 <br />ISSUED <br />07/12/1999 <br />01/08/2000 <br /> 1 <br /> <br />: ADD: LIVING RM, ADD GARAGE <br /> <br /> 10771 LEVERMAN RD SE AM <br /> <br /> LOT: BL: <br /> 56463-000 MAP: 4BR ZONE: AR LAND USE: <br /> 1.00 AC <br /> BALKEMA JAMES OWNER : BALKEMA JAMES <br /> P 0 BOX 1327 PHONE: 749-1197 <br /> AUMSVILLE. OR CONTR : <br /> 97325 PHONE: <br /> 749-1197 OCCB: <br /> 1.050 1ST FLR: 450 2ND FLR: 3RD FLR: <br /> GARAGE: 600 BASEMENT: OTHER: <br /> <br />LOCAIUR: OB1W29C 03UUU <br /> CITY: MARION COUNTY <br /> <br />VALUATION $38.859.00 STORIES: 1 HEIGHT: <br /> <br /> Units Description Fee <br /> 1,0 Building Fee 233,50 <br /> 1.0 Plan Review Fee 151.78 <br /> I State surcharge 16.35 <br /> 1 Zone surcharge 14.01 <br /> <br /> Assessed fees 415.64 <br /> Adjustments ~4.67 <br /> Total fees 410,97 <br /> PAYEE: Total payments: 410.97 <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 EXPIRATION, ONE SIX MONTH EXTENSION MAY BE GRANTED, <br /> <br /> [ ] I am the PROPERTY OWNER and own, reside qn. 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 if 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 qs 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 /> SIGNATURE OF APPLICANT: <br /> <br /> DONALD E WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY P2BREMEP~/J~~ <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: (503)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />