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<br /> Marion County
<br /> 5155 Silverton Rd NE
<br /> c7 ;
<br /> Salem,OR 97305
<br /> X erg 503-588-5147
<br /> OREGON Building Permit Fax:503-588-7948
<br /> Residential Manufactured Dwelling
<br /> Permit Number:555-19-000534-MD
<br /> IVR Number:555022389664
<br /> Web Address:www.ce.marion.or.us Email Address:building@co.marlon.or.us
<br /> Permit Issued:February 05,2019 Project:Manufacture Home Placement
<br /> t=a ' 3: r a " z .Azo a's jTYPE OF WORK° :�; A E '` $ T 3 T �;
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<br /> Category of Construction:Manufactured Dwelling Type of Work:New
<br /> Submitted Job Value:$0.00
<br /> Description of Work:Manufacture Home Placement
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<br /> J0 SjTE NFORMATION _�_ ? w a
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<br /> Worksite address Parcel Owner: OAK ESTATES MHC LLC
<br /> 9874 GOLF CLUB RD SE SPC#79 091 W04C 01500 Address: 1700 ADAMS AVE#212
<br /> STAYTON,OR 97383 COSTA MESA,CA 92626
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<br /> 1 t`.: ' t a ., . <. a� „LICENSED PROF S3IONAL iNP:C5, 4TION s s t
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<br /> Business name License License number Phone
<br /> BRET THEROUX-Primary (MDI)Manuf Dwelling Installer 147MDI 655-5626
<br /> Various inspections are minimally required on each project and often dependent on the scope of work.Contact the issuing
<br /> jurisdiction indicated on the permit to determine required inspections for this project.
<br /> Schedule or track inspections at www.buildingpermits.oregon.gov
<br /> Schedule by phone call 1-888-299-2821 use IVR number:555022389664
<br /> Schedule using the Oregon ePermitting Inspection App,search'epermitting"in the app store
<br /> z` I ; r ;Ws a t PERMITFEES : ;f it ua � `w g' a -. ¢,, z -
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<br /> Fee Description Quantity Fee Amount
<br /> Manufactured dwelling placement permit 1 $285.00
<br /> State manufactured dwelling fee 1 $30.00
<br /> State of Oregon Surcharge-MFD(12%of applicable fees) $34.20
<br /> Stayton Zoning Review Fee 285 $42.75
<br /> Total Fees: $391.95
<br /> Permits must be posted in clear view on the worksite.Permits expire if work is not started within 180 Days of Issuance or if work is
<br /> suspended for 180 Days or longer depending on the issuing agency's policy.
<br /> All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting of
<br /> a permit does not presume to give authority to violate or cancel the provisions of any other stale or local law regulating construction
<br /> or the performance of construction.
<br /> ATTENTION•CALL BEFORE YOU DIG:Oregon law requires you to follow rules adopted by the Oregon Utility Notification.Center.
<br /> Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090.You may obtain copies of the rules by calling the Center at
<br /> (877)668-4001 or dial 811.
<br /> All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010
<br /> (Structural/Mechanical),ORS 479.540(Electrical),and ORS 693.010-020(Plumbing).
<br /> Printed on:215/19 Page 1 of 1 std_BuildingPermit_pr
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