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DATE/TIME : 08/31/99 12:18 BUILDING APPLICATION <br />TYPE ~::~ ~ D~ ~ ..... ~ .............. <br /> ............ ad~t ....... ~>~ ..... ,, ACTIVITY NO <br />OCCUPANCY : E-1 STATUS <br />CONST TYPE : V-N APPLIED <br />UGB: SITE: TO EXPIRE <br /> <br />99-07166 <br />APPLIED <br />08/31/1999 <br />02/27/2000 <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 />: FOUNDATION ONLY COMPLETION: 99-05268 <br /> 20257 GRIM RD NE AR <br /> <br />LOCATOR: <br /> CITY: MARION COUNTY <br /> <br /> LOT: BL: <br /> Rl110-5 MAP: 5R ZONE: EFU LAND USE:ADM.99-36 <br /> .00 AC <br /> <br />OC AMERICA CONST INC <br />503 466-2075 <br /> <br />OWNER : PRIMARY SCHOOL <br /> PHONE: 581-4144 <br />CONTR : DC AMERICA CONSTRUCTION INC <br /> PHONE: 503 466-2075 <br /> OCCB: 0104900 <br /> <br />TOTAL SQ FEET 54,900 1ST FLR: 2ND FLR: 3RD FLR: <br /> GARAGE: BASEMENT: OTHER: <br />VALUATION $557,784,00 STORIES: I HEIGHT: <br /> <br /> Units Description Fee <br /> 1,0 Building Fee 1,578.00 <br /> 1,0 Plan Review Fee 1,025.70 <br /> 1 Fire/Life Safety Review 631.20 <br /> 1 State surcharge 110.46 <br /> 1 Zone surcharge 94.68 <br /> <br /> Assessed fees 3.440.04 <br /> Adjustments .00 <br /> Total fees 3.440.04 <br /> PAYEE: Total payments: .00 <br /> Balance due : 3.440.04 <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 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 /> [ ].j._am the CONTRACTOR registered with the State of Oregon. <br /> [/.~3~I am an AUTHORIZED REPRESE~TA~of the mro_~ty owner or contractor. <br /> SIGNATURE OF APPLICANT: ~.,-'~'- ~'.~,AJ~I <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-z~$27 <br /> <br /> <br />