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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br />06/24/99 15:17 BUILDING APPLICATION <br />Commercial addition/alteration ACTIVITY NO <br />******** STATUS <br />V-N APPLIED <br /> TO EXPIRE <br /> <br />99-04991 <br />APPLIED <br />B6/24/1999 <br />12/21/1999 <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />: TENANT IMPROVEMENT IN HANGER (UPFiCE 2ND PLR STG)LUCAIOR: 041WllA O0200A1 <br /> CITY: MARION COUNTY <br /> 14397 KEIL 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 /> LOT: BL: <br />40403-612 MAP: 3R ZONE: P LAND USE: <br /> .00 AC <br /> <br />A C SEARS OWNER : A C SEARS <br />]4397 KEIL RD NE PHONE: <br />AURORA. OR CONTR : <br /> 97002 PHONE: <br />503-687-2989 OCCB: <br /> <br /> IST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br />$5,000.00 STORIES: 2 HEIGHT: <br /> <br />Units Description Fee <br /> 1,0 Building Fee 50.50 <br /> 1,0 Plan Review Fee 32.83 <br /> 1 Investigation Fee 50.50 <br /> 1 State surcharge 2,53 <br /> 1 Zone surcharge 3,03 <br /> <br /> Assessed fees 139.39 <br /> Adjustments .00 <br /> Total fees 139.39 <br /> PAYEE: Total payments: .00 <br /> Balance due : 139.39 <br /> <br /> THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A SIMULTANEOUS REVIEW PROCESS <br /> WHERE ZON1NG. 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 /> [k] 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 hi re 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 AUTHORIZEO REPRESENTA~T,,!~t[~f~2Ne~ropertyc~ner or contractor. <br /> SIGNATURE OF APPLICANT: <br /> <br /> DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY CLYNCH <br />CALL BEFORE YOU DIG...IT'S THE 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 ~nspection Line: (503)373-4427 <br /> <br /> <br />