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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CONST TYPE <br />UGB: SITE: <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br /> <br />APPLICANT <br />ADDRESS <br /> <br />10/04/99 09:51 BUILDING APPLICATION <br />Commercial addition/alteration ACTIVITY NO <br />U~2 STATUS <br />V-N APPLIED <br /> TO EXPIRE <br /> <br />: 410.00~ GAL BELOW GRAOE <br /> <br />20167 GRIM RD NE AR <br /> <br />03/11/2D~04~i~ <br /> <br />PIRE WATER $1UI{qGE IANLUCAIOR: 041W22B OlBO0 <br /> CITY: MARION COUNTY <br /> <br /> LOT: BL: <br />40903-000 MAP: ZONE: EFU LAND USE: <br /> .00 AC <br /> <br />PHONE <br /> <br />: OC AMERICA CONSTRUCTION INC <br />: DOUG MAKI <br /> 1815 NW 169TH PL STE 1060 <br /> BEAVERTON OR 97006 <br />: 503 466-2075 <br /> <br />OWNER : UNION HIGH SCHOOL NO 6 <br /> PHONE: <br />CONTR : OC AMERICA CONSTRUCTION INC <br /> PHONE: 503 466-2075 <br /> OCCB: 0104900 <br /> <br />TOTAL SQ FEET : 1ST FLR: 2ND FLR: 3RD FLR: <br /> GAP~qGE: BASEMENT: OTHER: <br /> VALUATION : $352.000,00 STORIES: 1 HEIGHT: <br /> <br />Units Description Fee <br /> 1.0 Building Fee 1,063,00 <br /> 1.0 Plan Review Fee 690.95 <br /> 1 State surcharge 74.41 <br /> 1 Zone surcharge 63.78 <br /> <br /> Assessed fees 1,892.14 <br /> Adjustments .00 <br /> Total fees 1.892.14 <br /> PAYEE: Total payments: 690.05 <br /> Balance due : 1,202.09 <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 INFORFtqTION 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 PMUNRO <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 (502-232-1987) <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)373-4427 <br /> <br /> <br />