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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br />07/01/99 14:24 <br /> <br />WORK DkSC <br />SITE ADDRESS <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 />Commercial addition/alteration <br />E-1 <br />V-N <br /> <br />BUILDING APPLICATION <br /> ACTIVITY NO <br /> STATUS <br /> APPLIED <br /> TO EXPIRE <br /> <br />: REMODEL DF INIERMEOIAFE SCHUDL <br /> 20237 GRIM RD NE AR <br /> <br />99-05264 <br />APPLIED <br />07/01/1999 <br />12/28/1999 <br /> <br />LUCAIOR: 041WZ2B U1500 <br /> CITY: MARION COUNTY <br /> <br /> LOT: BL: <br />40905-000 MAP: 5R ZONE: EFU LAND USE: <br /> .00 AC <br /> <br />BENSMAN WALTER OWNER : NORTH MARION SCHOOL DIST NO 15 <br />363 STATE ST PHONE: <br />SALEM OR 97301 CONTR : <br /> PHONE: <br />581-4114 OCCB: <br /> <br /> 1ST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br />$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 /> i Fire/Life Safety Review 493.20 <br /> 1 State surcharge 61.65 <br /> 1 Zone surcharge 73.98 <br /> <br /> Assessed fees 2,662.28 <br /> Adjustments .00 <br /> Total fees 2.662,28 <br /> PAYEE: Total payments: 1.294,65 <br /> Balance due : 1,368,63 <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 hi re 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.~P~ESEN~.~vT~I~E of the property owner or contractor. <br /> SIGNATURE OF APPLICANT:~L~i.IJ~I~_~_j~~ <br /> <br />CALL BEFORE YOU DIG.,IT'S THE LAW. Oregon law requires you to follow the rules adopted by <br />the Oregon Utility Notification Center (503-232-1987) <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: (503)373-4427 <br /> <br /> <br />