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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONSTI~FPE <br />UGB: SITE: <br /> <br />WORK UbSU <br />SITE ADDRESS <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br />APPLICANT <br /> ADDRESS <br /> <br /> PHONE <br />TOTAL SQ FEET <br /> <br /> BUILDING PERMIT <br />09/13/99 11:40 PERMIT NO <br />Resident. addition/alteration STATUS <br />R-3 ISSUED <br />V-N TO EXPIRE <br /> PAGE <br /> <br />99-07546 <br />ISSUED <br />09/13/1999 <br />03/11/2000 <br /> 1 <br /> <br />ALI TO SFD-NEW HDRS, RDUF SHEAIHING , FUN PAiIAL <br /> <br />10771 LEVERMAN RD SE AM <br /> <br />LOCATDR: DS1W29C 020UO <br /> CITY~ MARION COUNTY <br /> <br /> LOT: BL: <br />56463-000 MAP: 48R ZONE: AR LAND USE: <br /> 1.00 AC <br />BALKEMA j,a~IES OWNER : BALKEMA JARES <br />P 0 BOX 1227 PHONE: 749-1197 <br />AUMSVILLE, OR CONTR : <br /> 97325 PHONE: <br />749-1197 OCCB: <br /> 1ST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br /> <br />VALUATION $10,000.00 STORIES: 1 HEIGHT: 14 <br /> <br /> Units Description Fee <br /> 1.0 Building Fee 80.50 <br /> 1,0 Plan Review Fee 52.33 <br /> 1 State surcharge 5.64 <br /> <br /> Assessed fees 138.47 <br /> Adjustments .00 <br /> Total fees 138.47 <br /> PAYEE: Total payments: 138,47 <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 ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDINANCES. UPON <br /> WRI~EN REQUEST PRIOR TO EXPIRATION, ONE SIX MONTH EXTENSION MAY BE GPJNNTED. <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 REPRESEN~Tt. VE of the property owner or contractor. <br /> SIGNATUREOFAPPLICANT:~ ~ <br /> DONALD E WOODLEY. MARION ~f]NTY BUILDING OFFICIAL / BY BJENSEN <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-~27 <br /> <br /> <br />