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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