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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br /> DWELLING PERMIT <br />10/20/99 10:21 <br />New Single Family Dwelling <br />R-3 <br />V-N <br /> <br />PERMIT NO <br />STATUS <br />ISSUED <br />TD EXPIRE <br />PAGE <br /> <br />99-07912 <br />ISSUED <br />10/20/1999 <br />04/17/2000 <br />1 <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 />: NEW DWELL <br /> <br /> 7940 STONEFIELD CT SE AM <br /> <br />LOCAIOR: 082W26C 02BO1 <br /> CITY: MARION COUNTY <br /> <br />PARCEL 2 LOT: <br />74730-011 MAP: 51R <br />1.5AC <br /> <br />RANDY FULTZ CONSTRUCTION LLC <br />10047 STAYTON RD SE <br />AUMSVILLE OR 97325 <br /> <br />851-5091 <br /> 3,331 <br /> <br />179,573.86 <br /> <br />1ST FLR: 1439 <br />GARAGE: 740 <br /> <br /> BL: <br />ZONE: AR LAND USE:P93-40 <br /> <br />OWNER : HUMPHREY JOHN M <br /> PHONE: 769-5386 <br />CONTR : RANDY FULTZ CONSTRUCTION LLC <br /> PHONE: 851-5091 <br /> OCCB: 0052354 <br />2ND FLR: 1152 3RD FLR: <br />BASEMENT: OTHER: <br />STORIES: 2 HEIGHT: 24 <br /> <br />Units Description Fee <br /> 1,0 Residential building fee 616,24 <br /> 1.0 Plan review fee 399.72 <br /> 1 Residential plumbing fee 299,79 <br /> 1 Residential mechanical fee 133,24 <br /> 1 Residential electrical fee 299.79 <br /> 1 State surcharge 94,43 <br /> 1 Zone surcharge 30.00 <br /> i Driveway Fee 50,00 <br /> <br /> Assessed fees 2;113.21 <br /> Adjustments 1,471.20 <br /> Total fees 3,584.41 <br /> PAYEE: Total payments: 3,584.41 <br /> Balance due : .00 <br /> <br /> THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUE DATE IF WORK HAS <br /> 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 /> WRITTEN REQUEST, 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 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 /> contractos 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 the AUTHORIZED REPRESENTATIVE of the property owner or contractor. <br /> <br /> SIGNATURE OF APPLICANT: <br /> DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY PJBREME~/~ <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 />