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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br /> BUILDING PERMIT <br />10/26/99 11:46 <br />Commercial addition/alteration <br /> <br />V-1 HR <br /> <br />PERMIT NO <br />STATUS <br />ISSUED <br />TO EXPIRE <br />PAGE <br /> <br />99-05258 <br />ISSUED <br />10/26/1999 <br />04/23/2000 <br /> t <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />: COMPLETION: ADDITiON/REMODEL HIGH SCHOOL <br /> 20167 GRIM RD NE AR <br /> <br />LOCATOR: D41W22B 01600 <br /> CITY: MARION COUNTY <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br />APPLICANT <br /> ADDRESS <br /> <br /> PHONE <br />TOTAL SQ FEET <br /> <br />VALUATION <br /> <br />40912-000 <br /> .00 AC <br />BENSMAN WALTER <br />362 STATE ST <br />SALEM OR 97301 <br /> <br />581-4114 <br /> 21,750 1ST FLR: <br /> GARAGE: <br /> $1,309,800.00 <br /> <br />LOT: BL: <br />MAP: 5R ZONE: EFU <br /> <br />LAND USE: ADM.99-36 <br /> <br /> OWNER : NORTH MARION SCHOOL DIST NO 15 <br /> PHONE: <br /> CONTR : OC AMERICA CONSTRUCTION INC <br /> PHONE: 687-8700 <br /> OCCB: 0104900 <br />2ND FLR: 3RD FLR: <br />BASEMENT: OTHER: <br />STORIES: HEIGHT: 33 <br /> <br />Units Description Fee <br /> 1.0 Building Fee 2,458.00 <br /> 1.0 Plan Review Fee 2,247.70 <br /> I Fire/Life Safety Review 1,382.20 <br /> I State surcharge 242.06 <br /> 1 Zone surcharge 207.48 <br /> <br /> Assessed fees 7,528.44 <br /> Adjustments 14,865.50 <br /> Total fees 22,403.94 <br /> PAYEE: OC AMERICA CONSTRUCTION INC Total payments: 22,403.94 <br /> Balance due: .00 <br /> <br /> THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUED DATE IF WORK <br /> HAS NOT COMMENCED, DR 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 PRIOR TO EXPIRATION, 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 /> 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 REPRESENTATIVE of the property owner or contractor. <br /> SIGNATURE OF APPLICANT: ~ <br /> <br /> Marion Coun~,~-B~Filding Inspection <br /> 3150 Lancaster Dr. N.E., Suite C Salem, Oregon 97205-1298 <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />