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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br />07/09/99 16:45 BUILDING APPLICATION <br />Resident. addition/alteration ACTIVITY NO <br />R-3 STATUS <br />V-N APPLIED <br /> TO EXPIRE <br /> <br />99-05516 <br />APPLIED <br />07/09/1999 <br />01/05/2000 <br /> <br />WORK DESC <br />SITE ADDRESS <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 />: SIAPF CABIN BEDR[~M ~2 LUCAIOR: 097E20A UU3UD <br />: CITY: MARION COUNTY <br />46 FOREST SERVICE RD NE DT <br /> <br /> BREITENBUSH LOT: BL: <br /> 66844-000 MAP: 102R ZONE: TC LAND USE: <br /> 86.00 AC <br /> <br /> BREITEBUSH HOT SPRINGS OWNER : BREITEBUSH HOT SPRINGS <br /> PO BOX 578 PHONE: 854-3320 <br /> DETROIT. OR CONTR : <br /> 97342 PHONE: <br /> 854-3320 OCCB: <br /> <br /> 168 1ST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br /> $10,862.88 STORIES: i HEIGHT: <br /> <br />17 <br /> <br />Units Description Fee <br /> 1.0 Building Fee 86.50 <br /> .5 Plan Review Fee 28.12 <br /> I State surcharge 6,06 <br /> 1 Zone surcharge 5.19 <br /> <br /> Assessed fees 125,87 <br /> Adjustments ,00 <br /> Total fees 125,87 <br /> PAYEE: Total payments: 125.87 <br /> Balance due : <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 ~VE <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 /> <br /> DONALD E WOODLEY. MARION COUNIY BUILDING OFF'~ClAL / BY MBULL <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 Inspection Line: (503)373-4427 <br /> <br /> <br />