Loading...
2005, 09-07 Permit App: 05001359 ResidenceProject Number: 05001359 Inv: 2 Application Date: 09/07/2005 Page 1 of 3 THIS IS NIOT tP' ERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - Contact: FOLSOM, TODD & ELEANOR NATURAL GAS Address: 4015 S CONKLIN RD C - S - Z: GREENACRES, WA 99016-9712 Setbacks: Front 22 Left: 22 Right: 5+ Rear: 24 Phone: (509) 928-6191 Group Name: Site Information: Project Name: ROW Plat Key: Name: BEVERLY HILLS 01ST ADD District: Sout Parcel Number: 45193.0301 Block: Lot: SiteAddress: 1012 S CENTER DR Owner: Name: FOLSOM, TODD & ELEANOR Address: 4015 S CONKLIN RD Location:: CSV GREENACRES, WA 99016-9712 Zoning: UR -3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 12,600 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Site Plan Review iReleasedBy Originally Released: 04/28/2005 By: KCUMMIN Plan Review,, Released By Originally Released: 04/28/2005 By: TMELBOU Approach /Drainage Released By ' TK� Originally Released: 04/28/2005 By: KCUMMIN Sewer Review Released,B Y.,. 05002608 Originally Released: 04/28/2005, By: KCUMMIN Operator: K C Printed By: CJJ Print Date: 09/07/2005 Project Number: 05001359 Inv: 2 Application Date: 09/07/2005 THIS IS NOT A'PERMIT Penalties will be assessed for commencing work without a permit Permits: _- Approach Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 Building Permit Contractor: OWNER Firm: OWNER Phone: (000)000-0000 Building Characteristics Group: R-3 Type: VB Total Area 2325 Building Height 28 Stories 1 Dwelling Units 1 RESIDENCE R-3 VB Item Description RESIDENTIAL PERMIT FEE STATESURCHARGE RESIDENTIAL PLAN REVIEW Contractor: OWNER Contractor: OWNER 1,061 $79,235.48 Totals: 569 $9,663.00 3,794 $200,394.00 Units This Application: Total Project: Description Grp Type Notes Sg Ft Valuation Sq Ft Valuation 2ND FLOOR R-3 VB Permit Total Fees: $47.90 1,264 $94,395.52 BASEMENT U R-3. VB PER T. 287 $4,305.00 287 $4,305.00 MELBOUR NE GARAGE U-1 VB 900 $17,100.00 GARAGE U-1 VB PER T. 282 $5,358.00 282 $5,358.00 MELB OUR NE RESIDENCE R-3 VB Item Description RESIDENTIAL PERMIT FEE STATESURCHARGE RESIDENTIAL PLAN REVIEW Contractor: OWNER Contractor: OWNER 1,061 $79,235.48 Totals: 569 $9,663.00 3,794 $200,394.00 Units Unit Desc Fee Amount 1 SELECT $31.00 1 SELECT $4.50 1 SELECT $12.40 Permit Total Fees: $47.90 Mechanical Permit Firm: OWNER Phone: (000)000-0000 Plumbing Permit Firm: OWNER Phone: (000)000-0000 Operator: K C Printed By: CJJ Print Date: 09/07/2005 Page 2 of 3 Project Number: 05001359 Inv: 2 Application Date: 09/07/2005 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: LOTS 12 & 16 BLOCK 6 HAVE SPECIAL DRAINAGE REQUIREMENTS PLEASE REFER TO ENGINEERS CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $47.90 $47.90 $0.00 $47.90 $47.90 $47.90 $0.00 $47.90 1T_•_ _1 _'___ ---- Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to. be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: K_C Printed By: CJJ Print Date: 09/07/2005