2003, 04-03 Permit App: 03002193 Residence W/GarageProject Number: 03002193 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE /ATTACHED GARAGE - FORCED
AIR GAS
Date: 4/3/2003 Page 1 of 3
Setbacks: Front 20 Left: 10 Right: 5 Rear: 20
Site Information:
Plat Key:
Name: LONG VIEW PLACE PUD
Parcel Number: 55191.2503 Block: 2
SiteAddress: 611 S ARTIES LN
GREENACRES, WA USA 990
Location:: GRE
Zoning: UR -3.5
Water District:
Area: 6,791 Sq Ft
Nbr of Bldgs: 1
Review Information:
Review
Urban Residential 3.5
Contact: DIAMOND ROCK CONSTRUCTION
Address: 15321 E MISSION
C - S - Z: VERADALE, WA 99037
Phone: (509) 924 -8964
Group Name:
Project Name:
District: F
Lot: 3
Owner: Name: CRAPO, DENNIS A & MELISSA A
Address: 15321 E MISSION AVE
VERADALE, WA 99037 -9552
Hold: ❑
Width: 70 Depth: 97 Right Of Way (ft): 34
Nbr of Dwellings: 1
Site Plan Review
.k t
Plan Rev'
� - "q r -( ens
Approach / Drainage
Sewer Review
Permits:
Rel aseedd By: DV. e x
Released By:
Released By:
Released By:
G,11L(e v - _-
1.
k
LitZ p}Atcs-t.)
Operator: RMB Printed By: RMB
Print Date: 4/3/2003
Project Number: 03002193
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218 -8510
Date: 4/3/2003 Page 2 of 3
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Description Grp Type Notes
2ND FLOOR R -3 VN
BASEMENT U R -3 VN
COV DECK R -3 VN
GARAGE U -1 VN
RESIDENCE R -3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Item Description
GAS WATER HEATER
GAS APPLIANCE <= 100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
650 $42,900.00 650 $42,900.00
650 $7,995.00 650 $7,995.00
120 $1,208.40 120 $1,208.40
528 $6,336.00 528 $6,336.00
650 $42,900.00 650 $42,900.00
Totals: 2,598 $101,339.40 2,598 $101,339.40
Units
1
1
1
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Mechanical Permit
Units
1
1
2
4
1
Operator: RMB Printed By: RMB
Fee Amount
$905.00
$4.50
$199.10
$1,108.60
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218 -8510
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$2.00
$40.00
$10.00
$74.00
4/3/2003
Project Number: 03002193 Inv: 1
Application Date: 4/3/2003 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO
Address: 15706 E VALLEYWAY AVE Phone: (509) 218 -8510
VERADALE, WA 99037
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
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
Permit Total Fees:
Fee Amount Invoice Amount
$1,108.60
$74.00
$72.00
$1,254.60
$1,108.60
$74.00
$72.00
$1,254.60
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
$1,108.60
$74.00
$72.00
$0.00 $1,254.60
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: RMB Printed By: RMB Print Date: 4/3/2003
SPOIK COUNTY
Street Address: 6
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260 ' i S
I`�
509- 477 -3675
SPECIFIC SITE INFORMATION
s
Assessor's Tax Parcel Number(s):
Legal Description:
B-
Project Description:
uilding Permit
❑ Relocation
r
FFN,c09CF
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Sign
❑ Tenant (New /Change)
❑ Other
Department Use Only
❑ Applicant:
Phone:
Fax:
Water District /Purveyor:
Sewer District/Purveyor
Road width 31_1
Setbacks
Front
Left:
l
D
Rear.
Right:
School District:
Fire District:
Zoning
L �j 35
O
OWNER/APPLICANT INFORMATION "7inl '7 �1 qj
lndiiule who rhnuld be onda
• dhi
!ed n urdin r p •
❑ Owner. Phone:
Fax:
❑ Applicant:
Phone:
Fax:
Mailing Address:
Mailing Address:
Dimensions I/O
C/
Cite, State, Zip
City, State, Zip
Finished basement sq. ft.
❑ Phos ne
❑ Architect /Engineer
Phone
Fax
Contractor C/ G C/ 7j% y
/%t 7n 0! K
y
Mailing address
/c 2 / /0 "31 ■ s'- ' ' 111"(-
Mailing address
I feat source (electric, gas, ctc.)
5
City, State Zip � `
'l/e rezo,a %e v 4 q ?C %
City, State Zip
WA State Contractor license #
Contact name:
PROJECT INFORMATIO
Building Information
Building height to peak
2z
# of stories
Z
Main floor sq. ft.
�gb
Unfinished basement sq. ft.
657
Dimensions I/O
C/
Total habitable space
3az�
2'd floor sq. ft. i L
7.�'�
Finished basement sq. ft.
-e-- —
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
Y 0 Y-
I feat source (electric, gas, ctc.)
5
# of signs
Manufactured Home
Width:
Year:
Length:
Make:
Sign
What is the square footage of the sign
face?
flow high is the sign?
Area of existing signs
Relocation
Fire Safety
Finn Name
Previous address
Fire Sprinkler
Tent
Paint booth _ Fire Alarm
Fireworks display
Inspectors:
Is there evidence of fill or excavation on the property?
0 Yes E'r o
Proposed use
Value
: \ddress
Special Inspections Required?
Non - Residential Energy Code Compliance?
Finn Name
.,/-="
What is the current use of this property?
Phone
Will the site be served by a septic system? 0 Yes 13-1C17; o
Plans lisammer
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
0 Yes E'r o
Are there slopes greater than 30% on the property? (30 ft rise. 00 ft)
( %) 0 Yes o
Are critical or hazardous materials used or stored on site ??
0 Yes $No
: \ddress
Inspector
Phone
0 Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
Are there structures on the property? 0 Yes No
Ifyes, identi on site plan
Whaf is the current ro size?
property
(square feet or acres) � 7? 1
Is any part of the property within 250 feet of a shoran ?."
Ifyes, identi3O on site plan 0 Yes No
.,/-="
What is the current use of this property?
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes No
Will the site be served by a septic system? 0 Yes 13-1C17; o
Is any part of the property within a 100 yr flood plain?
Ifyes, identifil on site plan
O Maybe 0 Don't know 0 Yes o
�D N
;ire or will there be wells located on the property?
Ifyes, ident; on the site plan 0 Yes iT No
Are there any wetlands, streams or ponds within 200 feet of the property?
Ifyes, identify on site plan 0 Yes 0 N
Is there evidence of fill or excavation on the property?
0 Yes E'r o
Are there slopes greater than 30% on the property? (30 ft rise. 00 ft)
( %) 0 Yes o
Are critical or hazardous materials used or stored on site ??
0 Yes $No
DEPARTME
Is the property in a designated Stormwater Control Area?
OYes ONo
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No
O Yes O No
Is public water available to the site? 0 Yes 0 No
Is the property inside the PSSA? 0 Yes 0 No
Is the property located within 1000 feet of a Natural Resource Area?
OYes ONo
Date Received:
Staff Representative
METHOD OF PAYMENT
VISA
❑ CASI1 ❑ CHECK ❑ ❑
0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE:
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE::
SUBTO'I'AI ,
TOTAL FEE
MINIMUM PERMIT FEE IS S35.LV/PLEASE
MAKE CHECKS PAYABLE '10 . SPOKANE
COUNTY PERMIT CENTER