1999, 03-04 Permit App: 99001641 Residence ` .w
Project Number: 99001641 ' Inv: 1 ' Application Date: 3/4/99 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE W/GARAGE-F.A. GAS Contact: BARTELS,STEVEN A.
Address: 13121 S CAMPBELL RD
Setbacks: Front 25 Left: 12 Right: 50+ Rear: 50+ C-S -Z ROCKFORD,WA 99030
Phone: (509)291-5222
Site Information:
............................................................................................................................................................................................................................
Plat Key: 005854 Name: SP-1086 District: G
Parcel Number: 55181.3010
SiteAddress: 18421 E DESMET AVE Owner:Name: BARTELS,STEVEN A.
GREENACRES,WA 99016 Address: 13121 S CAMPBELL RD
Location::GRE ROCKFORD,WA 99030
Zoning: UR-3.5
Water District: Hold: ❑
Area: 13,225 Sq Ft Width: 115 Depth: 115 Right Of Way(ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
matron: ....:r,:�>..:. ..»........... .. . .. . .....,....,;:,.:..,.>.•,.�.;::::..,...:<.,.<.»,< �<< ,..::
Department Review
BUILDING Site Plan Review e---t ci,jUt '
Comments: 3 -V7
BUILDING Plan Review rj `7,_ 5--- -7
Comments:
? c�_c�C� A �: I
HEALTHDISTRICT Septic System Review � � f' — , _� / -- 1 �, _
� C' `6,-6s___,,
r$ _ . Comments: �/-, ( ,7�f)}6,,iej { - f
ENGINEE -) P ,1 Approach/Drainage 3,4..41-�1tJ41,21 _fl___ ,,S3K,
Comments:
Io erd-H)
Project Number: 99001641 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/4/99 Page 2 of 3
Contractor: OWNER
Address: 0
000000, 00 000000
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Const Category: New
Nbr Of Dwellings: 1 Occupant Load:
Bldg W x D: 40 x 44 Building Sq Ft:
Req Parking: Handicap Parking:
Description G�)r Type Notes
GARAGE U-1 VN
RESIDENCE R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
RANGE
HOOD -TYPE II
Building Height:
975 Sprinklers: ❑
Critical Materials: 0
This Application:
Sq Ft Valuation
400 $4,800.00
975 $60,450.00
Totals: 1,375 $65,250.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Stories: 1
Total Project:
Sq Ft Valuation
400 $4,800.00
975 $60,450.00
1,375 $65,250.00
Fee Amount
$680.00
$4.50
$149.60
$834.10
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
510.00
512.00
$3.00
$30.00
$10.00
$10.00
$10.00
$85.00
Project Number: 99001641 ' Inv: 1
. Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/4/99
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Payment Summary:
Operator: CKF
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Notes:
Plumbing Permit
Page 3 of 3
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Printed By: CKF
Permit Total Fees:
Print Date:
Fee Amount Invoice Amount
$834.10 $834.10
$85.00 $85.00
$60.00 $60.00
$979.10 $979.10
Fee Amount
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
$60.00
3/4/99
Amount Owing
$834.10
$85.00
$60.00
$979.10
This site plan Is being submltleci for the purpose of
obtaining a builrilv; permit and is a true and correct
representation ot the proposal. All known property
lines/dimerysmns, curb lines, structures and easements
have been icientified. Also indicated are w tlands,
bodes, of water, s,tp slopes or al areas.
Signed:
Date:_
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