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Marion County Building Inspection 5155 Silverton Rd NE - PO Box 14500 - Salem, Oregon 97309 Phone: (503)588-5147 Inspection Line: (503)373-4427 Check your Permit Status On Line at: http://publicworks.co.marion.or.us/building/ BUILDING APPLICATION AND ESTIMATED FEES DATE: 07-19-2012 TYPE: BUILD ACTIVITY NO: 08-08537 OFFICE: MC USE: STATUS: EXPIRED CONST: 5B MAP: 55 APPLIED: 11/17/2008 OCC: R-3 SITE: GS TO EXPIRE: 05/18/2009 ZONE: AR ____________________________________________________________________________________________________________ WORK DESC: ROOF OVER MH SITE ADDRESS: 7985 WILDBERRY LN SE SL PARCEL: 083W26D 02800 APPLICANT: ALBERS,TIMOTHY H & SHARON MARIE ADDRESS: 7985 WILDBERRY LN SE SALEM OR 97306 PHONE: 503-588-0063 OWNER: ALBERS,TIMOTHY H & SHARON MARIE ADDRESS: 7985 WILDBERRY LN SE SALEM OR 97306 PHONE: 503-588-0063 OCCUPANT: CONTRACTOR: ADDRESS: PHONE: OCCB#: TOTAL SQ FT: 0 1ST FLOOR: 0 GARAGE: 0 HEIGHT: 0 2ND FLOOR: 0 BASEMENT: 0 STORIES: 1 VALUATION: $9,000.00 3RD FLOOR: 0 OTHER: 0 __________________________________________________________________________________________________________ Units Description Estimated Fee Units Description Estimated Fee Building Fee $102.00 SDC FEES ARE PENDING Investigation Fee $0.00 Footing/Foundation $0.00 Driveway Fee $0.00 Building Plan Review $66.30 Site Plan Review $0.00 Fire Life Safety $0.00 State Surcharge $12.24 Additional Sets of Plans $0.00 Zoning Surcharge $0.00 Additional Plan Review $0.00 Seismic Surcharge $0.00 Addendum Hours Fee $0.00 Hrs Addtnl Support Staff $0.00 Special Plan Review $0.00 Septic Record Review $0.00 Plan Review Handling Fee $0.00 Other Fee $0.00 School Excise Tax $0.00 Misc/Copy Fee $0.00 Total Estimated Fees: $180.54 Total Payments: $66.30 Estimated Balance Due: $114.24 __________________________________________________________________________________________________________ THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A SIMULTANEOUS REVIEW PROCESS WHERE ZONING, SEPTIC (IF APPLICABLE) AND CONSTRUCTION PLANS ARE CHECKED PRIOR TO THE ISSUANCE OF A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL NECESSARY INFORMATION IS PROVIDED. AS SOON AS ALL REQUIREMENTS OF THE REVIEW HAVE BEEN MET, YOU WILL BE NOTIFIED THAT YOUR PERMIT HAS BEEN ISSUED. [ ] I am the PROPERTY OWNER and own, reside in, or will reside in the completed structure and will be my own general contractor. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. If I hire subcontractors, I will hire only sub-contractors registered with the Construction Contractors Board. If I change my mind and do hire a general contractor who is registered, I will immediately notify Marion County contractor. [ ] I am the CONTRACTOR registered with the State of Oregon. [ ] I am an AUTHORIZED REPRESENTATIVE of the property owner or contractor. SIGNATURE OF APPLICANT: X___________________________________ THIS IS NOT A PERMIT _____________________________________________________________________________________________________________________________ WARREN D. JACKSON, MARION COUNTY BUILDING OFFICIAL / BY CTATE _____________________________________________________________________________________________________________________________ CALL BEFORE YOU DIG...IT'S THE LAW. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth by Oregon Administrative Rules. You may obtain copies of the rules by calling the center. (Note: The telephone number for the Oregon Utility Notification Center is 1-800-332-2344).