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DWELLING APPLICATION <br />DATE/TIME 10/06/99 16:20 <br />TYPE New Single Family Dwelling <br />OCCUPANCY R-2 <br />CONST TYPE V-N <br />UGB~ SITE: FD <br /> <br />ACTIVITY NO <br />STATUS <br />APPLIED <br />TO EXPIRE <br /> <br />99-08259 <br />APPLIED <br />10/06/1999 <br />04/03/2000 <br /> <br />WORK DESC : NEW DWELL <br />SITE ADDRESS : <br /> 8240 DARLEY RD SE AM <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 />LDCAIOR: 092W14D BOTDO <br /> CITY: MARION COUNTY <br /> <br /> LOT: BL: <br />61622-001 MAP: 62R ZONE: EFU <br /> 59,00 <br /> <br />HANDY FULTZ CONSTRUCTION LLC <br />10047 STAYTON RD SE <br /> <br />AUMSVILLE, OR 97325-9999 <br />851-5091 <br /> <br />LAND USE: FD 91-19 <br /> <br />OWNER : FLAGER GARY <br /> PHONE: 503-581-9019 <br />CONTR : RANDY FULTZ CONSTRUCTION LLC <br /> PHONE: 851-5091 <br /> OCCB: 0052254 <br /> <br />2,829 1ST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br />202.548.24 STORIES: 2 HEIGHT: <br /> <br />Units Description Fee <br /> 1.0 Residential building fee 708,37 <br /> 1,O Plan review fee 459.48 <br /> 1 Residential plumbing fee 344.61 <br /> 1 Residential mechanical fee 153.16 <br /> 1 Residential electrical fee 344.61 <br /> 1 State surcharge 108.55 <br /> 1 Zone surcharge 30.00 <br /> 1 Driveway Fee 50.00 <br /> <br /> Assessed fees 2,288.78 <br /> Adjustments 1,471.20 <br /> Total fees 3,859.98 <br /> PAYEE: Total payments: 509.48 <br /> Balance due : 3,250.50 <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 HAVE <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 CONTHACTOR registered with the State of Oregon, <br /> I am an AUTHORIZED REpReSENTATIVE of the property owner or contractor. <br /> SIGNATURE OE APPLICANT: ~'~/~,, <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: (505)373-~27 <br /> <br /> <br />