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DWELLING APPLICATION <br />DATE/TIME 07/28/99 12~19 <br />TYPE New Single Family Dwelling <br />OCCUPANCY R-3 <br />CONST TYPE V-N <br />UGB: SITE: FD <br /> <br />WURK DESC : NSPD--3 BEDRMS REPLACEMENT <br />SITE ADDRESS : <br /> 19487 CASE RD NE AR <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br />PARCEL SIZE <br /> <br />APPLICANT <br />ADDRESS <br /> <br />PHONE <br />TOTAL SQ FEET <br /> <br /> VALUATION <br /> <br />ACTIVITY NO ~ 99-04654 <br />STATUS : READY <br />APPLIED : 06/15/1999 <br />TO EXPIRE : 12/12/1999 <br /> <br />LOC~AIUR: B42W25 O01UD <br /> CITY: MARION COUNTY <br /> <br />41878-000 <br /> 4.72 <br /> <br />LOT: BL: <br />MAP: 9 ZONE: EFU LAND USE: <br /> <br />BURNHAM DENNIS OWNER : BURNHAM.DENNIS A & ELENA <br />19517 CASE RD NE PHONE: <br />AURORA OR 97002 CONTR : <br /> PHONE: <br />678-1847 OCCB: <br /> <br />3.873 1ST FLR: 2032 2ND FLR: 1139 3RD FLR: <br /> GARAGE: 702 BASEMENT: OTHER: <br />216,458.40 STORIES: 2 HEIGHT: <br /> <br />25 <br /> <br />Units Description Fee <br /> 1.0 Residential building fee 716.51 <br /> 1,0 Plan review fee 464.76 <br /> I Residential plumbing fee 348.57 <br /> 1 Residential mechanical fee 154.92 <br /> I Residential electrical fee 348.57 <br /> 1 State surcharge 78.43 <br /> I Zone surcharge 30,00 <br /> <br /> Assessed fees 2,331.76 <br /> Adjustments -190.00 <br /> Total fees 2.141.76 <br /> PAYEE: Total payments: 1,681.57 <br /> Balance due : 460.19 <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 /> <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 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 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 NOODLEY. MARION COUNTY BUILDING OFFICIAL / BY PJBREMER <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 />