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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br />WORK DLSC <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 />07/01/99 14:38 BUILDING APPLICATION <br />Commercial addition/alteration ACTIVITY NO <br />E-1 STATUS <br />V-N APPLIED <br /> TO EXPIRE <br /> <br />99-05266 <br />APPLIED <br />07/01/1999 <br />12/2B/1999 <br /> <br />: ADDIIIUN lo MLDDLE SCHOOL <br /> 20246 GRIM RD NE AR <br /> <br />LUCAIOR: U41W22B 01600 <br /> CITY: MARION COUNTY <br /> <br />LOT: BL: <br /> <br />40912-000 MAP: 5R ZONE: EFU LAND USE: <br /> .00 AC <br /> <br />BENSMAN WALTER <br />363 STATE ST <br />SALEM OR 97301 <br /> <br /> 581-4114 <br /> 7,114 <br />VALUATION $36],391.20 <br /> <br />OWNER : NORTH MARION SCHOOL OIST NO 15 <br /> PHONE: <br />CONTR : <br /> PHONE: <br /> OCCB: <br /> <br />1ST FLR: 2ND FLR: 3RD FLR: <br />GARAGE: BASEMENT: OTHER: <br /> STORIES: 1 HEIGHT: <br /> <br />26 <br /> <br />Units Description Fee <br /> 1.0 Building Fee 1,088,00 <br /> 1.0 Plan Review Fee 707.20 <br /> 1 Fire/Life Safety Review 435.20 <br /> 1 State surcharge 54.40 <br /> 1 Zone surcharge 65.28 <br /> <br /> Assessed fees 2.350.08 <br /> Adjustments ,00 <br /> Total fees 2,350.08 <br /> · PAYEE: Total payments: 1,097.78 <br /> Balance due : 1.252.30 <br /> <br /> THIS IS NDT 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 NET, YOU WILL BE NOTIFIED THAT YOUR PERMIT HAS BEEN ISSUED. <br /> <br /> [ ] I am the PROPERTY OWNER and own. reside in, or will reside ~ 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 R~PR~E_NT~T~2,E of the property owner or contractor, <br /> SIGNATURE OF APPLICANT: I~.J~t-~ <br /> <br /> DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY MBULL <br />CALL BEFORE YOU DIB...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)58B-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />