1999, 11-17 Permit App: 99011137 ResidenceProject Number: 99011137 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/17/19 Page 1 of 3
Project Information:
Permit Use: RESIDENCE W /GARAGE - GAS
Setbacks: Front 15 Left: 5 Right: 5 Rear: 20
Contact: BILL SMITH/WRS & ASSOC
Address: PO BOX 14084
C - S - Z SPOKANE WA 99214
Phone: (509) 922-0782
Site Information: JON'. _J rr
Plat Key: 005914 Name: DHAENENS SQUARE PHASE II District: F
Parcel Number: 45224.4103
SiteAddress: 1419 S AVALON LN
Spokane, WA USA 99216
Location:: SPO
Zoning: UNKN Unknown
Water District: 010 VERA
Area: 4,518 Sq Ft
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Owner: Name: W.R.S. & ASSOCIATES INC.
Address: 0 PO BOX .14084
SPOKANE, WA 99214 -0084
Hold: ❑
Width: 43 Depth: 90 Right Of Way (ft): 30
Review Information:
Department Review
BUILDING Site Plan Review
Comments:
BUILDING
Comments:
ENGINEER
UTILITIES
Permits:
Comments:
Comments:
Plan Review
Approach / Drainage
Sewer Review
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Project Number: 99011137 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/17/19 Page 2 of 3
Contractor: BILL SMITH
Address: P 0 BOX 14084
SPOKANE, WA 99214
Building Permit
Firm: W R S & ASSOCIATES
Phone: (509) 922 -0782
Building Characteristics
Const Category: New
Nbr Of Dwellings: 1 Occupant Load:
Bldg W x D: x Building Sq Ft:
Req Parking: Handicap Parking:
Description Grp, Tyne Notes
BASEMENT U R -3 VN
GARAGE U -1 VN
RESIDENCE R -3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: ALLIED HEATING INC
Address: 10213 E BUCKEYE LN
SPOKANE, WA 99206
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE <= 100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0 -3 TONS
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
Building Height: Stories: 1
2508 Sprinklers: ❑
Critical Materials: El
This Application:
Total Project:
Sq Ft Valuation Sq Ft Valuation
1,246 $14,403.76 1,246 $14,403.76
400 $4,800.00 400 $4,800.00
1,262 $78,244.00 1,262 $78,244.00
Totals: 2,908 $97,447.76 2,908 $97,447.76
Units Unit Desc Fee Amount
1 Y OR BLANK $880.00
1 Y OR BLANK $4.50
1 Y OR BLANK $193.60
Permit Total Fees: $1,078.10
Mechanical Permit
Firm: ALLIED HEATING INC
Phone: (509) 928 -8252
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
1 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Fee Amount
$10.00
$10.00
$12.00
$3.00
$12.00
$30.00
$10.00
$10.00
Permit Total Fees: $97.00
Project Number: 99011137 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/17/19 Page 3 of 3
Plumbing Permit
Contractor: ACTION PLUMBING SERVICE Firm: ACTION PLUMBING SERVICE
Address: 15412 E SPRAGUE AVE #9168 Phone: (509) 244 -4427
VERADALE, WA 99037
Item Description
TOILETS /BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER SOFTENER
WATER USING DEVICES
Payment Summary:
Operator: JAS
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Notes:
OK TO ISSUE SEWER PERMITS FOR BLOCK 1 - LOTS 1 TH 10, BLOCK 2 - LOTS 1 TH 12
PER ROGER 10/23/98
Units Unit Desc
3 NUMBER OF
4 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Printed By: JAS
Fee Amount
$1,078.10
$97.00
$108.00
$1,283.10
Permit Total Fees:
Fee Amount
$18.00
$24.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$108.00
Print Date: 11/17/1999
Invoice Amount
$1,078.10
$97.00
$108.00
$1,283.10
Amount Paid
$0.00
$0.00
$0.00
$0.00
DO NOT ISSUE SEWER PERMITS FOR BLOCK 3 - LOTS 1 TH 7, BLOCK 4 - LOTS 1 TH 5,
BLOCK 5 - LOTS I TH 6
Amount Owing
$1,078.10
$97.00
$108.00
$1,283.10
UTILITIES DIVISION
N. Bruce Rawls, P.E., Utilities Director
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
Gary Oberg, Director
GENERAL FACILITIES CHARGE (GFC)
PAYMENT OPTION SELECTION RECORD
PLEASE NOTE: Form must be tilled out accurately and in its entirety, and signed, or a permit will not be issued.
Date: / / / /7/4q
Plat Name: f04t.f./S4 (..1 Lot No(s): -3 Block No(s):
Site Address(es): /V/ 9 s d !r c 7'1 / .v �— Parcel No(s):
Owner Name: " /"SS'o c OR Builder Name:
Payment Option Selected (Check One):
1. ( ) GFC payment received at issuance of Sewer Connection Permit by
Division of Utilities
2. (>4 GFC to be paid at closing.
3. ( ) GFC payment in 24 equal monthly payments upon establishment of Sewer Billing Account.
Complete one of the following statements.
a. Owner's Statement: I, , understand that I will be
billed for the applicable GFC amount in 24 monthly installments. The monthly GFC installments will be
added to my monthly sewer service charges.
b. Builder's Statement: I, , understand that because
I am selecting this option for payment of the GFC, that the purchaser of the home will be responsible for
payment of the applicable GFC in 24 equal monthly installments. I agree to formally disclose to potential
buyers of the property that the GFC charges will be added to the monthly sewer service billings as soon as
billing comments.
Owner's or Builder's Signature Date
/// /f7
Spokane County, GFC Payment Option Form
Division of Utilities Revised 9/13/99
1026 W. Broadway • Spokane, WA 99260 -0180 • (509) 477 -3604 FAX: (509) 477 -4715 TDD: (509) 324 -3166
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