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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br />WORK DESC : SIA~F CABIN BLURUOM ~2 <br />SITE ADDRESS : <br /> 46 FOREST SERVICE RD NE DT <br /> <br />SUBDIVISION BREITENBUSH LOT: <br />TAX ACCOUNT 66844-000 MAP: 102R <br /> PARCEL SIZE 86.00 AC <br />APPLICANT BREITEBUSH HOT SPRINGS <br />ADDRESS PO BOX 578 <br /> DETROIT. OR <br /> 97242 <br />PHONE 854-3320 <br />TOTAL SQ FEET 258 1ST FLR: 168 <br /> GARAGE: <br />VALUATION $11,537.88 <br /> <br />PERMIT NO 99-05516 <br />STATUS ISSUED <br />ISSUED 09/08/1999 <br />TO EXPIRE 03/06/2000 <br />PAGE 1 <br /> <br /> BUILDING PERMIT <br />09/10/99 15:58 <br />Resident. addition/alteration <br />R-1 <br />V-N <br /> <br /> BL: <br />ZONE: TC <br /> <br />LOCATOR: 097E2OA UO3UU <br /> CITY: MARION COUNTY <br /> <br />LAND USE: CU.99-25 <br /> <br /> OWNER : BREITEBUSH HOT SPRINGS <br /> PHONE: 854-3320 <br /> CONTR : <br /> PHONE: <br /> OCCB: <br />2ND FLR: 3RD FLR: <br />BASEMENT: OTHER: <br />STORIES: HEIGHT: 17 <br /> <br />Units Description Fee <br /> 1.O Building Fee 92.50 <br /> .5 Plan Review Fee 30.07 <br /> 1 State surcharge 6.48 <br /> I Zone surcharge 5.55 <br /> <br /> Assessed fees 134.60 <br /> Adjustments .00 <br /> Total fees 134.60 <br /> PAYEE: Total payments: 134.60 <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 ALt 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 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 contractor if the structure is sold or offered for <br /> sale before or upon If I hire subcontractors, I will hire only sub- <br /> contractors th the Construction Contractors Board, If I change my <br /> mind and do hire ~l contractor who is registered. I will immediately <br /> notify Marion name of the contractor, <br /> ,~ I am the with the State of Oregon. <br /> I am an AUTHORIi of the property owner or contractor. <br /> <br /> SIGNATURE OF <br /> <br /> DONALD E WOODLEY. MARI, COUNTY BUILDING OFFICIAL / BY BJENSEN <br /> irion County Building Inspection <br /> 3150 Lancaster Dr.I 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 />