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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br />06/10/99 12:54 BUILDING APPLICATION <br />Resident. addition/alteration ACTIVITY NO <br />R-$ STATUS <br />V-N APPLIED <br /> TO EXPIRE <br /> <br />99-04497 <br />APPLIED <br />06/10/1999 <br />12/07/1999 <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br /> <br />APPLICANT <br />ADDRESS <br /> <br />: AUD: LIVlN~ RM, ADD ~ARAGE, & RkMUULL INIERIUR <br /> 10771 LEVERMAN RD SE AM <br /> <br />56463-000 <br /> 1.00 AC <br /> <br />LUCAIUR: DB1W29C 03000 <br /> CITY: MARION COUNTY <br /> <br />PHONE 749-1197 <br /> <br />LOT: BL: <br />MAP: 48R ZONE: AR <br /> <br />LAND USE: <br /> <br />BALKEMA JAMES OWNER : BALKEMA JAMES <br />P 0 BOX 1327 PHONE: 749-1197 <br />AUMSVILLE, OR CONTR : <br /> 97325 PHONE: <br /> OCCB: <br /> <br />TOTAL SQ FEET 1,050 1ST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br />VALUATION $38,859.00 STORIES: 1 HEIGHT: <br /> <br /> Units Description Fee <br /> 1.O Building Fee 233.50 <br /> 1,0 Plan Review Fee 151.78 <br /> i State surcharge 11.68 <br /> 1 Zone surcharge 14.01 <br /> <br /> Assessed fees : 410.97 <br /> Adjustments : .00 <br /> Total fees : 410.97 <br /> PAYEE: Total payments: 410.97 <br /> Balance due : .00 <br /> <br /> THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A SIMULTANEOUS REVIEW PROCESS <br /> WHERE ZONING. SEPTIC (IF APPLICABLE) AND CONSTRUCTION PLANS ARE CHECKED PRIOR TO THE <br /> ISSUANCE OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL <br /> NECESSARY INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW HAVE <br /> BEEN MET, YOU WILL BE NOTIFIED THAT YOUR PERMIT HAS BEEN ISSUED. <br /> ['~]-~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 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 is registered, I will immediately <br /> notify Marion County of the name of the contractor, <br /> [ ] I am the CONTRACTOR r#gistered with the State of Oregon, <br /> [ ] I am an AUTHORIZED R~RESENTATIVE~t~pr~r~ty o~ner or contractor. <br /> SIGNATURE OF APPLICANT: ~ J~Z]~9 <br /> DONALD E WOODLEY. MARI~}~COUNTY BUILDING OFFICIAL / BY CLYNCH <br />CALL BEFORE YOU DIG...IT'S ~HE LAW. Oregon law requires you to follow the rules adopted by <br />the Oregon Utility Notification Center (503-232-1987) <br /> <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 />