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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br />09/01/99 08:55 BUILDING APPLICATION <br />Commercial addition/alteration ACTIVITY NO <br />E-1 STATUS <br />V-N APPLIED <br /> TO EXPIRE <br /> <br />9g-05258 <br />APPLIED <br />07/01/1999 <br />12/28/1999 <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br /> <br />APPLICANT <br />ADDRESS <br /> <br />PHONE <br /> <br />: COMPLETION: ADDITION/REMODEL HIGH SCHOOL <br /> <br />20167 GRIM RD NE AR <br /> <br />LOCATOR: 041W22B 016U0 <br /> CITY: MARION COUNTY <br /> <br /> LOT: BL: <br />40912-000 "'lAP: 5R ZONE: EFU LAND USE:ADM.99-36 <br /> .OO 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 />TOTAL SQ FEET 21.750 1ST FLR: 2ND FLR: 3RD FLR: <br /> GAP~AGE: BASEMENT: OTHER: <br />VALUATION $1,309,800.00 STORIES: i HEIGHT: 33 <br /> <br />Units Description Fee <br /> 1.0 Building Fee 3,458.00 <br /> 1.0 Plan Review Fee 2,247.70 <br /> 1 Fire/Life Safety Review 1,383.20 <br /> 1 State surcharge 242.06 <br /> 1 Zone surcharge 207.48 <br /> <br /> Assessed fees 7,538.44 <br /> Adjustments .00 <br /> Total fees 7.538.44 <br /> PAYEE: Total payments: 4,358,03 <br /> Balance due : 3,180.41 <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 DF 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 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 /> DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY CLYNCH <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-~27 <br /> <br /> <br />