2002, 02-22 Permit App: 02001100 AdditionProject Number: 02001100 Inv: 1
Application
Date: 2/22/2002 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 2ND STORY MASTER BEDROOM ADD,
KITCHEN BUMP OUT & DECKS
Setbacks: Front 50 Left: 25 Right: 14 Rear: 20+
Site Information:
Plat Key: 0026112 Name: SWAN ACRES IST ADD
Contact:
Address:
C - S - Z:
Phone:
Group Naine:
Project Name:
DIAMOND ROCK CONSTRUCTION
15321 E MISSION
VERA DA LE, WA 99037
(509) 924-8964
District:
Parcel Number: 46353.1805
Block: 1
SiteAddress: 5409 N BEST RD
SPOKANE, WA 99206
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot: 5
Owner: Name:
Address:
MINJARES, SYLVIA
5409 N BEST RD
SPOKANE, WA 99206
Hold: LI
Area: 0 Sy Ft Width: 105 Depth: 160 Right Of Way (ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Mformation:
Review
Site Plan Res iew Released By
e 3L - -
Plan Review
Relea.
sed By- —
Septic System Review
Permits:
Released By
Operator: RNIB Printed By: RMB
Print Date:
2/22/2002
Project Number: 02001100
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/22/2002 Page 2 of 3
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE Phone: (509) 891-6240
VERADALE, WA 99037
Building Characteristics
Const Category: Addition Group: R-3
Building Permit
Firm: DIAMOND ROCK CONSTRUCTIO
Nbr Of Dwellings:
Bldg W x D: 28 s
Req Parking:
1 Occupant Load:
23 Building Sq Ft:
0 Handicap Parking:
Description Grp Type Notes
2ND FLOOR R-3 VN
DECK R-3 VN
RES ADD R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Item Description
VENTILATING FANS
MINIMUM FEE ADJUSTMENT
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
WATER USING DEVICES
Type: VN
0 Building Height: 211
1095 Sprinklers: D
0 Critical Materials: D
This Application:
SU Ft Valuation
661 $40,982.00
196 $1,44256
228 514,136.00
Totals: 1,085 556,560.56
Units Unit Desc
1 Y OR BLANK
I Y OR BLANK
I Y OR BLANK
Stories: 2
Total Project:
SU Ft Valuation
661 540.982.00
196 51,442.56
228 514.136.00
1,085 556,560.56
Fcc Amount.
5623.75
54.50
$137.23
Permit Total Fees: $765.48
Mechanical Permit
Finn: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 891-62411
Units Unit Desc
I NUMBER OF
I Select
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
525.00
535.00
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (5119) 891-6240
Fee Amount
56.00
$24.00
$6.00
$6.00
$6.00
Units Unit Desc
I NUMBER OF
4 NUMBER OF
I NUMBER OF
I NUMBER OF
1 NUMBER OF
Operator: RMB Printed By: RMB
Permit Total Fees:
548.00
Print Date: 2/22/2M12
Project Number: 02001100
Inv: /
Application
Date: 2/22/2002 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$765.48
$35.00
$48.011
Invoice Amount
$765.48
$35.00
$48.01)
$848.48 $848.48
Amount Paid
$0,00
$0.00
$0.00
Amount Owing
$765.48
$35.11(1
$48.110
$0.00 $848.48
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 he
complied with. Subsequent issuance of a permit shall not he contrued to he 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: 2/22/2002
2-11111011
SPOKt11\T COUNTY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROAD\CLAY AVENUE
SPOKANE, \VA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: 9 '761 A/ e's /- a
Assessor's Tax Parcel Number(s):2t:ft
Ye; g3 ego S
Legal Description:
Project Description: /7o1'G( 1'(eleti
0 nuilding Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
I'hone:
fa,:
# of stories
\ pfrane /n(�..e/ //Y� `1 I'hune:¥'!)%/7Z1(k 69
14'fl'LGit 01 "�' * etBST- Fax: 52-6S`"i
:
Dimonsions
Zarait i�3 t6 tt
A't er INanct/Puney r.-
.. .; ..
Sc er Distract/I
,,.
ncyor, �
..
:'.
'Road width'
...�
Setbacks
franc:
l t
,rt_O f
Rear
'
}tight
Scht al Drstnet
> Fire
\failing address
Zoon h
OWNER/APPLICANT INFORMATION r' v"6
�' 1Dro6 iM
0 1/4
Indicate rho should be ontiaed rrpnniinn tbir pryer `/ t.-AttLC- KI' t•.(^
❑Owner / // /-
S' 4,',. L1J . tits t�
I'hone:
fa,:
# of stories
\ pfrane /n(�..e/ //Y� `1 I'hune:¥'!)%/7Z1(k 69
14'fl'LGit 01 "�' * etBST- Fax: 52-6S`"i
Mail Add rrss:
Dimonsions
Zarait i�3 t6 tt
total habitable space
/o s " vdi:
Nailing Address:
/5321 £c idriSS,o i,tc
City, Stan, Zip
Occupano' gri
/
'//
l:rty',.tirite, Zip
tie. // Sec c W/f 2CO3%
❑ cnntrtr r� /�
�f4 SEI K�
PI::
Icat source (electric. ga: etc.)�a
c/'Ian 643
0 Architect
Architect/Engineer rm,nr 5a7_ Y 9Y C -2--7o
smes:lf,. Se:vf.ces N.v...t, Fax Li-('i-szti6
\failing address
Nailing address
5.-s -1/41C z !ydy N. ..•r cr.
City. Aarr 7..ip
Cin State Zip
5?01='!.,' N4- . Q??20.7_
\Pr\ Stam camrarnn lir.,„ a
i -/-c
Contact n,
OSce.r —Tay etc,
PROTECT INFORMATION
Building Information
Building height to peak
# of stories
\Iain (lour sq. ft. Z zS.A./d
w
Unfinished basrmu i st1. ft.
Dimonsions
Zarait i�3 t6 tt
total habitable space
/o s " vdi:
2nd flour sq. fl.
6 G 57- .
Finished basemen( sq. ft.
Occupano' gri
Constmctiun type
Garage sq. ft.
/
Deck sq. ft.
Cost of project
K
Icat source (electric. ga: etc.)�a
c/'Ian 643
Manufactared ibme I. "' '`
Sigh
width.
Length:
What is the square footage of the sign
face?
liow high is the sign?
V'car:
Nlake:
# of signs
Arca of existing signs •
Is there evidence of fill or excavation on the property?
0 Yes
Proposed use
Value
Relocation. =
-
Fire Safety
-
-
Previous address
Phone
Fire Sprinkler
Tent
Paint bruit II Fre Alarm
Fireworks display
_
Is there evidence of fill or excavation on the property?
0 Yes
Proposed use
Value
Special Inspections. Required?
Non -Residential Energy Code Compliance?
Firm Name
Phone
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes La'No
Plans Examiner
Phone
Inspectors:
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, ;dentin' on sift p(al 0 Yes 0' o
Is there evidence of fill or excavation on the property?
0 Yes
/rise. in 100 ft)
Are there slopes greater than 30% on the property? (30 RI -Ca
( -------1%) O Yes RI -Ca
Address
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0V i cs O No
If yes, ideu/ify on site plan
What is the current property size? //// //// ''\\ S
(square feet or acres) /QSx. x (6d lGbaV -'
1s any part of the property within 250 feet of a shoreline?\\gtut
If pet Mem*on site plan O Yes LN" INn
is this
the current use of property?
5r4
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes La'No
Will the site be served by a septic system? gfrrer 0 No
Is any part of the property within a 100 yr flood plain?
!fps, /de,dfr on sin puna -- //
0 Maybe 0 Don't know O Yes Iria'N'o
Are or will there be wells located on the property? � ,,�
Ify'es. Ile nt/lj' on the JI/e plan 0 Yes IO—IV O
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, ;dentin' on sift p(al 0 Yes 0' o
Is there evidence of fill or excavation on the property?
0 Yes
/rise. in 100 ft)
Are there slopes greater than 30% on the property? (30 RI -Ca
( -------1%) O Yes RI -Ca
Are criticmzar
al or Idous materials used or stored on site?
O Yes GY
DEPARTMENT USE ONLY
Is the propcity in a designated Stormwater Control Area?
- - ' O Yes
O No
Is public sewer available to the site? - O. Yes GT�No "
. .. _
Is the property inside the ASA?
0 Yes
OYes
0 No "
ONo
Is public water available to the site? - 0 --les ,O No
Is the propertyinside the PSSA?
O Yes
0 No -
Is the property located within 1000 feet of a Natural Resource Area?
O -Yes O. No -
Date Received:
Staff ltrpre.enulice:
METItOD OF PATIENT
VISA
{
❑ C:\SII ❑ (:IIIN:CK ❑ ❑ : . ❑
QItCiPVER
FAXED PERMITS WILL ONLY RE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1):A'I'1 is
1':NPI It1':S:
sANK(.AItI) NUiAIIISit:
:\UII IOIt1%Ill) SIGN:\ fUI21f:
SUBTOTAL
• TOTAL ITE
MINIMUM PEBM/T FEC /5 AS 001' I .I i A S It
MAKE CI IPCICS PAYABLE TO SPOKANE
COeN'IY PERMIT CENTER
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb l nes stroctures-arrd easementsified. At o indicated wetlands, -
have bee tified.
of t: slopes or r critical areas.
Signed:
Date:
4)
2 -z -oz
ADDRES�S�5t -0_9,. Pe5#- is
ZONE
ROAD WIDTHso
FRONT ,50_ H ANKING
COMMEIS -
REVIEW -
/05.00'
atid.
5+ory
Act
Deck
1-Fiovl -
5 (154 p15
5 V%Of
Sot
/
6<k-45
.2nct E1005
5+ory
rioldi+io`1 r.
_ _L t
5-6ry deck
N-›
5'109 N. 13e5+ Rd.
ekrc..e.I # : 'ROC?. J ?O5