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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br /> BUILDING PERMIT <br />10/26/99 11:52 <br />Commercial addition/alteration <br />E-1 <br />V-N <br /> <br />PERMIT NO <br />STATUS <br />ISSUED <br />TO EXPIRE <br />PAGE <br /> <br />99-05264 <br />ISSUED <br />10/26/1999 <br />04/23/2000 <br /> 1 <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />: REMDDEL OF INIERMEDIAIE SCHOOL <br /> 20237 GRIM RD NE AR <br /> <br />LDCAIOR: 041W22B 01500 <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 /> LOT: <br />40905-000 MAP: 5R <br /> .00 AC <br />BENSMAN WALTER <br />363 STATE ST <br />SALEM OR 97301 <br /> <br />581-4114 <br /> LST FLR: <br /> GARAGE: <br /> <br /> BL: <br />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 /> <br />VALUATION $420,000.00 STORIES: 1 HEIGHT: <br /> <br /> Units Description Fee <br /> 1.0 Building Fee 1,233.00 <br /> 1.0 Plan Review Fee 801.45 <br /> 1 Fire/Life Safety Review 493.20 <br /> 1 State surcharge 86,31 <br /> 1 Zone surcharge 73,98 <br /> <br /> Assessed fees 2.687.94 <br /> Adjustments .00 <br /> Total fees 2,687,94 <br />PAYEE: OC AMERICA CONSTRCTION Total payments: 2,687,94 <br /> Balance due: ,00 <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 1BO DAYS FROM ISSUED DATE IF WORK <br />HAS NOT COMMENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 1BO 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 REPRES~NTATIVEof~ner or contractor. <br /> <br /> SIGNATURE OF APPLICANT: ~ <br /> <br /> DONALD E WOODLEY, MARION COUN~_Y_.B~I'L~DING OFFICIAL / BY CLYNCH <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-~27 <br /> <br /> <br />