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BATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br /> BUILDING PERMIT <br />12/03/99 10:06 <br />Commercial addition/alteration <br />E-1 <br />V-1 HR <br /> <br />PERMIT NO <br />STATUS <br />ISSUED <br />TO EXPIRE <br />PAGE <br /> <br />99-05266 <br />ISSUED <br />12/02/1999 <br />05/31/2000 <br /> 1 <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />: ADDITION TO MIDDLE SCHOOL <br /> 20246 GRIM RD NE AR <br /> <br />LOCATOR: 041W22B U16UO <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 />LOT: BL: <br />MAPi 5R ZONE: EFU <br /> <br />40912-000 <br /> .00 AC <br />BENSMAN WALTER OWNER : NORTH MARION SCHOOL DIST NO 15 <br />363 STATE ST PHONE: <br />SALEM OR 97301 CBNTR : <br /> PHONE: <br />581-4114 OCCB: <br /> 7.114 1ST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br /> $289.112.96 STORIES: 1 HEIGHT: 26 <br /> <br />LAND USE: ADM.99-36 <br /> <br />Units Description Fee <br /> 1.0 ~uildi ng Fee 905.00 <br /> 1.0 Plan Review Fee 590.20 <br /> 1 Fire/Life Safety Review 362.20 <br /> 1 State surcharge 63.56 <br /> i Zone surcharge ~,~Z~,~ <br /> <br /> Assessed fees ~ <br /> Adjustments .00 <br /> fees ~ <br /> Total <br /> PAYEE: Total payments: 1.979.44 <br /> Balance due: <br /> <br /> THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUED DATE IF WORK <br /> HAS NOT COMMENCED. OR IF CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS. OR IF WORK <br /> FAILS TD 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 /> <br /> SIGNATURE OF APPLICANT: <br /> <br /> DONALD E WOODLEY. MARION COUNTY BUILDING 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)373-4427 <br /> <br /> <br />