2001, 03-05 Permit App: 01001228 AdditionProject Number: 01001228 Inv: 1
Application
Date: 3/5/01 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE ADDITION EXISTING SINCE 1995
Setbacks: Front NA Left: NA Right: NA Rear: NA
Site Information:
Plat Key: 000077 Name: APPLE VALLEY ESTATES 1ST ADD. District: G
Contact: BAUBLITZ, RONALD C
Address: 17109 E 5TH AVE
C - S - Z: GREENACRES, WA 99016
Phone: (509) 922-1185
Group Name:
Project Name:
Parcel Number: 55192.1702
Block: Lot:
SiteAddress: 17109 E 5T11 AVE
GREENACRES, WA 99016
Location:: GRE
Zoning: UR -7 Urban Residential -7
Water District:
Owner: Name: BAUBLITZ, RONALD C
Address: 17109 E 5TH AVE
GREENACRES, WA 99016
Hold: ❑
Area: 0 Sq Ft Width: 71 Depth: 125 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department Review
BUILDING Site Plan Review
Hold Reasons:
Permit Conditions:
BUILDING
P
Hold R
Plan Review
Released By:
Released By
't Conditions:
HEALTHDISTRICT
Hold Reasons:
Permit Conditions:
Permits:
Septic System Review
Released By:
Project Number: 01001228
Inv: 1
'Application
Date: 3/5/01 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Contractor: OWNER
Address: 0
000000, 00 000000
Const Category: New
Nbr Of Dwellings:
Bldg W x D: 15 x
Req Parking:
Description
RES ADD
Building Characteristics
Group: R-3 Type: VN
Occupant Load:
16 Building Sq Ft:
Handicap Parking:
Grp Tvpe Notes
R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Building Height: 10 Stories: 1
210 Sprinklers: El
Critical Materials: ❑
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
210 $13,020.00 210 $13,020.00
Totals: 210 $13,020.00 210 $13,020.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Contractor: OWNER Firm: OWNER
Address: 0
000000, 00 000000
Item Description
VENTILATING FANS
CLOTHES DRYER
MINIMUM FEE ADJUSTMENT
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
CLOTHES WASHER
MINIMUM FEE ADJUSTMENT
Units
1
1
1
Fee Amount
$213.00
$4.50
$46.86
$264.36
Phone: (000) 000-0000
Unit Desc
NUMBER OF
NUMBER OF
Select
Permit Total Fees:
Plumbing Permit
Firm: OWNER
Phone: (000) 000-0000
Fee Amount
$10.00
$10.00
$15.00
$35.00
Units Unit Desc
1 NUMBER OF
1 Select
Permit Total Fees:
Fee Amount
$6.00
$29.00
$35.00
Project Number: 01001228 Inv: 1
Application
Date: 3/5/01 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Operator: DMD
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Printed By: DMD
Fee Amount
$264.36
$35.00
$35.00
$334.36
Print Date: 3/5/01
Invoice Amount
$264.36
$35.00
$35.00
$334.36
Amount Paid
$0.00
$0.00
$0.00
$0.00
Notes:
To Permit Techs: See Todd before issuing any applications and/or permits at
this address.
PULL ADDRESS FILE FOR INVESTIGATION NOTES - ROBIN 2/15/95.
COMPLIANCE ISSUES UNRESOLVED. REFER TO CASE #95-429, WCB
Amount Owing
$264.36
$35.00
$35.00
$334.36
FIRST TEAM REAL ESTATE SERVICES
6111 MT CARROL,4£OEUR D' ALENE. ID 83814
SKETCH ADDENDUM
24
9.5
24
16
2 CAR GARAGE
15
5.5
6.5
24
File No 5TH17SP0
ADDRESS 17 1 D
ZONE
ROAD WIDTH
FRONT _
COMMENT
REVIEWED BY
9.5
21.5
MASTER
BEDROOM
BED
ROOM
MASTER
BATH
BED
RJOM
BATH KITCHEN
DINING
ROOM
ENTRY
LIVING
ROOM
EATING
AREA
42
MAIN FLOOR*
?o r
10
11000 DECK
11
12
24
is site plan is being submitted for thepurpose of
o ainifig 2tdJiiding permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb Tines, structures and easements
have been identified. Also indicated are wetiands,
bodies of , steep slopes or . • - r criticalsareas.
Signed:
MAIN FLOOR*
6.5 x 15 = 97.5
9.5 x 20 = 190
24 x 64 = 1536
Subtotal* 1823.5 SF
Total* wry SF
t:foxw✓n. w�nr: .xea
* Total G.L.A. 1523.5 SF
6111 MT CARROL, PO BOX 1825, COEUR D' ALENE, ID 831114 (208) 772-0477