1999, 10-15 Permit App: 99009885 AdditionProject Number: 99009885 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 10/15/19 Page 1 of 3
Permit Use: RES ADD - GARAGE,(2) BEDROOMII,DINING
AREA,FAMILY ROOM,BATH,LAUNDRY
Setbacks: Front 25 Left: NA Right: 17 Rear: NA
Contact: TODD KUBICEIC/INTEGRIT
Address: PO BOX 8556
C - S - Z SPOKANE WA 99209
Phone: (509) 455-4395
Site Information:
.......
Plat Key: 001014 Name: GLENNAIRE TERRACE 4TH AD District:
Parcel Number: 55183.1106
SiteAddress: 17307 E ALKI AVE
GREENACRES, WA 99016
Location:: GRE
Zoning: UR-3.5 Urban Residential 3.5
Water District:
Owner: Name: DAVIS, JEFFREY L & MARGA
Address: 17307 E ALKI AVE
GREENACRES, WA 99016
Hold: 0
Area: 77,040 Sq Ft Width: 107 Depth: 270 Right Of Way (ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: VA, • W...,,,,,A3`..`titit.b..titt., Vir
Department
BUELDING
Comments:
Review
Site Plan Review
BUILDING Plan Review
Comments:
HEALTHDISTRICT Septic System Review
Comments:
Permits: , pAss • ,
Project Number: 99009885 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/15/19 Page 2 of 3
Contractor: INTEGRITY REMODELING
Address: PO BOX 8556
SPOKANE, WA 99203
Building Permit
Firm: TODD KUBICEK - INTEGRITY R
Phone: (509) 455 -4395
Building Characteristics
Const Category: Addition
Nbr Of Dwellings: Occupant Load:
Bldg W x D: x Building Sq Ft:
Req Parking: Handicap Parking:
Description Gtr Type Notes
2ND FLOOR R -3 VN
GARAGE U -1 VN
RES ADD R -3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Building Height:
Sprinlders: L
Critical Materials: ❑
This Application:
So Ft Valuation
390 $24,180.00
400 $4,800.00
300 $18,600.00
Totals: 1,090 $47,580.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Contractor. OWNER
Address: 0
000000, 00 000000
Item Description
DUCT SYSTEMS
VENTILATING FANS
CLOTHES DRYER
Contractor: OWNER
Address: 0
000000,00 000000
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
CLOTHES WASHER
Permit Total Fees:
Mechanical Permit
Stories:
Total Project:
So Ft Valuation
390 $24,180.00
400 $4,800.00
300 $18,600.00
1,090 $47,580.00
Fee Amount
$559.00
$4.50
$122.98
$686.48
Firm: OWNER
Phone: (000) 000 -0000
Units Unit Desc
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$40.00
$10.00
$60.00
Firm: OWNER
Phone: (000) 000 -0000
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$18.00
$6.00
$12.00
$6.00
$54.00
Project Number: 99009885 Inv: 1
Application Date: 10/15/19 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Operator: JAS
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Notes :,
Printed By: JAS
Print Date: 10/15/1999
Fee Amount Invoice Amount
$686.48 $686.48
$60.00 $60.00
$54.00 $54.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$686.48
$60.00
$54.00
$800.48 $800.48 $0.00 $800.48
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OCT -15 -1999 10:53
Project Number: 99009885
Z': 1 Application
P.01
Date: 10/15/19 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proieef Infi r,,wt gn.•
Permit MO: RES ADD • GARAGEMBEDHOOMIDDIING
AREA,FAMILY ROOM,BATH,LAIINTDRY
Setbacks: Front 25 Left: NA Right 17 Rear: NA
Plat Key: 001014 Name: GLENN TERRACE 4TB AD
Contact: TODD KIIBICZK/ThTEGRrr
Address: PO BOX 1556
C - S - Z SPOKANE WA 99209
Phone: (509) 455 -4395
District:
Parcel Number: 55183.1106
SiteAddtess: 17307 E ALIQ AVE Owner. Name: DAVIS, JEFFREY L & WAWA
GREENACRES• WA 99016 Address: 17307 B ALYI AVE
Location:: GEE GRZKNACRES, WA 99016
Zoning: U8-3.5 Urban Raldential 3.5
Water District
Hold: ❑
Arca: 77,040 Sq Ft Width: 107 Depth: 270 Right Of Way (ft): 60
Nbr of Rldgs: 1 Nbr of Darelliaga 1
BUILDING
Cots:
BUILDING
Comeau:
BZALTHDISTRICT
Comments:
Review
Site Plan Review
Plan Review
Septic System ReviewSe" ge system rte
for= bed`°oms otk
p
TOTAL P.01
'0
I
i
f I �
This sit.,
obtairr r;
- -I 0 7.4 z - - - - - --
being submitted for the purpose of
•••ing permit and is a true and correct
repre at:,,•: of the proposal. All known property
lines,'oir a :1 1s, curb lines, structures and easement$
have be, :.,1 identified. Also 'indicated r,4. v tlands,
bodies of wa'er, steep slop0.s o: er critical .arQ.bs.
!2.O
Signed:
Date:
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APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
//66.1
Legal description as it appears on the property deed
OWNER or OCCUPANT Phone
ailing address City, state Zip
/730 2 -'• e-/ 442:1/71-6146--3 t( 14- 6/ 6
Who should we contact regarding this project? Phone
Q,e,ld Kid c' y55- 4-(393
What work is being done under this permit?
Lone
Inspector district -
Property size
Right of way width
a
u
Water district
Building
Building height sn
l�
# of stories
Contractor
'
Dimensions
IGVL^
TOTAL SQUARE FOOTAGE
WA State Contractor license #
y/v-re6 R A 011J ii
Main floor area
i )C- Z1P
Unfinished basement area
Mailing address
o, 04)>< SSC,
2nd floor area
Finished basement area
Architect/Engineer
Garage area
h�s
Size of decks, etc.
What is the heat source?
What is the cost of your project?
Manufactured Home
Sign
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Fire Safety
Previous address
Fire Sprinkler Tent
Paint booth _ Fire Alarm Fireworks display
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
IFS CAI Storage Tanks
Swimmina Pool
(Circle one) Above - ground Underground
Size / gallons
Private
Contents of tank(s)
Size / gallons
Public /semi- private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
Y
Q
a%
Site Plan
INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
❑ All existing & proposed buildings
❑ Underground utilities
❑ North arrow
❑ Septic tanks & wells