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BUILDING PERMIT <br /> <br />DATE/TIME : 10/26/99 il:S1 <br />TYPE : New Commercial <br />OCCUPANCY : E-1 <br />CONST TYPE : V-N <br />UGB: SITE: <br /> <br />PERMIT NO <br />STATUS <br />ISSUED <br />TO EXPIRE <br />PAGE <br /> <br />99-05268 <br />ISSUED <br />10/26/1999 <br />04/23/2000 <br /> 1 <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />COMPLEIION:PRIMARY SCHOOL <br />20257 GRIM RD NE AR <br /> <br />FOUNDATION 99-07166 <br /> <br />LOCATOR: <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 />Rl110-5 MAP: 5R <br /> .00 AC <br />ARBUCKLE COSTIC ARCHIETECTS INC <br />363 STATE ST <br />SALEM OREGON 97301-3533 <br />AGENT: WALTER BENSMAN <br />581-4114 <br /> 55.494 1ST FLR: <br /> GARAGE: <br /> <br /> BL: <br />ZONE: EFU <br /> <br />LAND USE: ADM.99-36 <br /> <br /> OWNER : PRIMARY SCHOOL <br /> PHONE: 581-4144 <br /> CDNTR : OC AMERICA CONSTRUCTION INC <br /> PHONE: 687-8700 <br /> OCCB: 0104900 <br />2N0 FLR: 3RD FLR: <br />BASEMENT: OTHER: <br /> <br />VALUATION $2,255,276.16 STORIES: 1 HEIGHT: <br /> <br /> Units Description Fee <br /> 1.0 Building Fee 5,823,00 <br /> 1,0 Plan Review Fee 3,784,95 <br /> 1 Fire/Life Safety Review 2.329,20 <br /> 1 State surcharge 407.61 <br /> 1 Zone surcharge 349.38 <br /> <br /> Assessed fees 12,694.14 <br /> Adjustments .00 <br /> Total fees 12,694.14 <br /> PAYEE: OC AMERICA CONSTRCITON Total payments: 12.694.14 <br /> Balance due: .00 <br /> THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM I~SUED DATE IF WORK <br /> HAS NOT COMMENCED. OR IF CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF WORK <br /> FA~LS 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~ 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 County Building Inspection <br /> 3150 Lancaster Dr. N.E., Suite C Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:20 Phone: (503)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />