2003, 02-19 Permit App: 03000977 Residence W/GarageProject Number: 03000977 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/19/2003 Page 1 of 3
Project Information:
...............................
Permit Use: RESIDENCE W /GARAGE - GAS
Setbacks: Front 32 Left: 5 Right: 5 Rear: 36
Site Information:
Plat Key: Name:,:::::.
Parcel Number: 55191.2501
litZe-4
ock: 2 Lot: 1
..........
Contact: DIAMOND ROCK CONSTRUCTION
Address: 15321 E MISSION
C - S - Z: VERADALE, WA 99037
Phone: (509) 924 -8964
Group Name:
Project Name:
t.C.j(1) District: G
SiteAddress: 603 S ARTIES LN
GREENACRES, WA USA 990
Location:: GRE
Owner: Name: CRAPO, DENNIS A & MELISSA A
Address: 15321 E MISSION AVE
VERADALE, WA 99037 -9552
Zoning: UR 3.5 Urban Residential 3.5
Water District: 134 CONSOLIDATED ID #19
Area: 9,420 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Hold: ❑
Depth: 0 Right Of Way (ft): 34
Released Bar:
Plan Review
Released Bv:
Special Reviews
Approach / Drainage
Sewer Review
Ot_to
(os
Operator: JAS Printed By: JAS
Released By.
Released By:
Print Date: 2/19/2003
Project Number: 03000977
Permits:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/19/2003 Page 2 of 3
Contractor: DIAMOND ROCK
Address:
Building Permit
Firm: DIAMOND ROCK CONSTRUCTIO
15706 E VALLEYWAY AVE Phone: (509) 218 -8510
VERADALE, WA 99037
Building Characteristics
Const Category: New Group:
Nbr Of Dwellings: Occupant Load:
Bldg W x D: x Building Sq Ft:
Req Parking: Handicap Parking:
Description Grp Type Notes
BASEMENT U R -3 VN
GARAGE U -1 VN
RESIDENCE R -3 VN
Item Description
STATE SURCHARGE
RESIDENTIAL SURCHARGE
RESIDENTIAL VALUATION
Type:
Building Height:
Sprinklers: ❑
Critical Materials:
This Application:
Sq Ft Valuation
1,429 $17,576.70
420 $5,040.00
1,402 $92,532.00
Totals: 3,251 $115,148.70
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Contractor: COMFORT CENTRAL HEATING
Address: 7136 N FOTHERINGHAM
SPOKANE, WA 99208
Item Description
GAS APPLIANCE <= 100,000BTU
GAS PIPING
CLOTHES DRYER
RANGE
HOOD -TYPE II
GAS WATER HEATER
Stories:
Total Project:
Sq Ft Valuation
1,429 $17,576.70
420 $5,040.00
1,402 $92,532.00
3,251 $115,148.70
Fee Amount
$4.50
$214.50
$975.00
Permit Total Fees: $1,194.00
Mechanical Permit
Units
1
3
1
1
1
1
Operator: JAS Printed By: JAS
Firm: COMFORT CENTRAL HEATING
Phone: (509) 216 -1234
Unit Desc
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$12.00
$3.00
$10.00
$10.00
$10.00
$10.00
$55.00
2/19/2003
Project Number: 03000977 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/19/2003
Contractor: MIKE & SONS PLUMBING
Address: 208 E 12TH
POST FALLS, ID 83854
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Notes:
Payment Summary: ; ..............
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Units
2
3
2
1
1
1
2
Fee Amount
$1,194.00
$55.00
$72.00
Page 3of3
Firm: MIKE & SONS PLUMBING
Phone: (208) 991 -0504
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Invoice Amount
$1,194.00
$55.00
$72.00
$1,321.00 $1,321.00
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
$6.00
$12.00
Amount Paid
$0.00
$0.00
$0.00
$72.00
Amount Owing
$1,194.00
$55.00
$72.00
$0.00
$1,321.00
Disclaimer:
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: JAS Printed By: JAS
Print Date: 2/19/2003
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ADDRESS ,r�
ZONE 1 • S
ROAD WIDTH 3
FRONT 3a-' FL.,ANkl
COMMENTS
REVIEWED BY
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SPOKARICOUVY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509- 477 -3675
SPECIFIC SITE INFORMATION
Street Address:
(:).a2, S /4 ( 4-,`eS Lin e
Assessor's Tax Parcel Number(s):
Legal Description:
Gd /
Project Description: I�
Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New /Change)
❑ Other
Department Use Only
Cl Applicant:
Phone:
Fax:
\\ 'Ater District /Purveyor
Sewer District /Purveyor
Road width
Cite, State, Zip
Setbacks
Front
Left
Rear:
Right:
School District
lure District
Zoning
3 r
OWNER /APPLICANT INFORMATION
0 Indicate who should he iontacted rerardins this brniect
❑ (,—cr Phone:
Fax:
Cl Applicant:
Phone:
Fax:
Mailing Address:
Mailing Address:
Dimensions
??
Cite, State, Zip
( n State, Zip
2"d floor sq. ft.
❑ C tractor _ I Phone R'Z 9 GI"!.� -f
j /.9i U 2, (c_ Fax fie- J✓O9`r
❑ Architect /Engineer
Phone
Fax
Mailing address
/ S— 2 [ "i i r SSA,•%-i A•t_
Mailing address
Cost of project
City, State Zip
V e kda fr _ I N A g 5)tt—t 7
City, State Zip
\Vi\ State Contractor license #
I <' 4-t Cca 3 .^, Q
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
/`1'
# of
Main floor sq. ft.
111a2—
Unfinished basement sq. ft.
/yzet
Dimensions
??
y±
Total habitable space
/ct 6z
2"d floor sq. ft.
Finished basement sq. ft.
---G
Occupancy groug
�
Con truction type 1 I
Garage sq. ft. ' l
Deck sq. ft.
Cost of project
1 leat source (electric, gas, etc.)
Manufactured Home
Sign
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs
Area of existing signs
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( %) ❑ Ycs
Proposed use
Value
Relocation
Fire Safety
1Srm Name
Previous address
Phone
Fire Sprinkler
Pent
Paint booth Fire Alarm
Fireworks display
_
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( %) ❑ Ycs
Proposed use
Value
Special Inspections Required?
Non - Residential Energy Code Compliance?
1Srm Name
What is the current use of this property?
Phone
Will the site be served by a septic system? ❑ Yes fallo
Plans 1Sxamincr
Phunc
Inspectors:
Is there evidence of fill or excavation on the property?
❑ Yes leTNo
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( %) ❑ Ycs
Arc critical or hazardous materials used or stored on site? _ , ,..-
❑ Yes t�r�o
address
Inspector
Phone
❑ Concrete
❑ Welding
❑ Bolting
❑ Reinforcement
address
ITIONAL SITE INFORMATION
Are there structures on the property? ❑ Yes H No
Ifyes, identib on site plan
What is the current property size?
(square feet or acres) q 11 Z D J E'
Is any part of the property within 250 feet of a shorclin ?
If yes, identify on site plan ❑ Yes O'No
What is the current use of this property?
Is your property in a designated wildlife habitat area?
❑ Don't know ❑ Yes No
Will the site be served by a septic system? ❑ Yes fallo
Is any part of the property within a 100 yr flood plain?
Ifyes, idente 0,1 site plan
❑ Maybe ❑ Don't know ❑ Yes 1'J No
Are or will there be wells located on the property? ��
Ifyes, ident on the site plan ❑ Yes Id�N o
Are there any wetlands, streams or ponds within 200 feet 9f the property?
If yes, identify on site plan ❑ Yes 0
Is there evidence of fill or excavation on the property?
❑ Yes leTNo
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( %) ❑ Ycs
Arc critical or hazardous materials used or stored on site? _ , ,..-
❑ Yes t�r�o
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
❑ Yes
❑ No
Is public sewer available to the site? ❑ Yes ❑ No
Is the property inside the ASA?
❑ Yes
❑ Yes
❑ No
❑ No
Is public water available to the site? ❑ Yes ❑ No
Is the property inside the PSSA?
❑ Yes
❑ No
Is the property located within 1000 feet of a Natural Resource Arca?
❑ Yes ❑ No
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
❑ CASH ❑ CHECK ❑ MN= ❑ W ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
EXPIRES:
DATE:
BANKCARD NUMBER:
AU'I`f IORIZED SIGNATURE:
SUBTO"1'AL
TOTAL FEE
MINIMUM PERMIT FEE IS $35.00PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
COUNTY PERMIT CENTER