2001, 09-05 Permit App 01007579 AdditionProject Number: 01007579 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Pernut Use: ADDITION TO RESIDENCE Contact: BAUM, DAVID
Address: 1301 N FLORA RD
C - S - Z: GREENACES, WA 99016
Setbacks: Front Left: Right: Rear: Phone: (509) 000-0000
Group Name:
Site Information: Project Name:
Plat Key: 000130 Name: BACON'S ADD TO GREENACRES District: H
Date: 9/5/01 Page 1 of 2
Parcel Number: 45131.0103 Block: Lot:
SiteAddress: 1301 N FLORA RD Owner: Name: BAUM, DAVID
GREENACES, WA 99016 Address: 1301 N FLORA RD
Location:: GRE GREENACES, WA 99016
Zoning: I-2 Light Industrial
Water District:
Hold: ❑
Area: 0 Sq Ft Width: 117 Depth: 940 Right Of Way (ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department Review
BUILDING Plan Review
Hold Reasons:
Permit Conditions:
HEALTHDISTRICT Septic System Review
Hold Reasons:
Permit Conditions:
Permits:
Released By:
1
Released By:
Project Number: 01007579 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Address: 0
000000, 00 000000
Const Category: Addition
Nbr Of Dwellings:
Bldg W x D: 22 x
Req Parking:
Date: 9/5/01
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Group: R-3 Type: VN
Occupant Load:
40 Building Sq Ft:
Handicap Parking:
Description Grp Type Notes
RES ADD R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
TOILETS/BIDETS
SINKS
TUBS
MINIMUM FEE ADJUSTMENT
Payment Summary:
Operator: JEF
Permit Type
Building Permit
Plumbing Permit
Notes:
Building Height:
880 Sprinklers: ❑
Critical Materials: ❑
This Application:
Sq Ft Valuation
880 $54,560.00
Totals: 880 $54,560.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Stories: 1
Total Project:
Sq Ft Valuation
880 $54,560.00
880 $54,560.00
Fee Amount
$611.25
$4.50
$134.48
$750.23
Plumbing Permit
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 Select
Permit Total Fees:
Fee Amount
$6.00
$6.00
$ 6.00
$17.00
$35.00
Page i of 2
Printed By: JEF
Print Date:
Fee Amount Invoice Amount
$750.23 $750.23
$35.00 $35.00
Amount Paid
$0.00
$0.00
9/5/01
Amount Owing
$750.23
$35.00
$785.23 $785.23 $0.00 $785.23