2000, 07-20 Permit App: 00006174 ResidenceProject Number: 00006174
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/20/2000 Page 1 of 3
Project Information:
Permit Use: RESIDENCE/ATTACHED GARAGE - FORCED
AIR GAS
Setbacks: Front 25 Left:25 Right:/2. Rear: y
Site Information:
Plat Key: 005857
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
Name: EVERGREEN POINT 9TH ADD
Parcel Number: 45263.5211 Block: 25
SiteAddress: 3116 S BOLIVAR RD
VERADALE, WA USA 9903
Location:: VER
Zoning: UR -3.5
Water District:
Area: 12,941 Sq Ft
Nbr of Bldgs: 1
Review Information:
Department
BUILDING
old Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
ENGINEER
Urban Residential 3.5
Width: 0
Nbr of Dwellings: 1
Review
Site Plan Review
Lot: 11
Owner: Name:
Address:
W.R.S. & ASSOCIATES INC.
PO BOX 14084
SPOKANE, WA 99214-0084
(509) 922-0782
District: F
W.R.S. & ASSOCIATES INC.
PO BOX 14084
SPOKANE, WA 99214-0084
Hold: ❑
Depth: 0 Right Of Way (ft): 50
Released By:
Plan Review
h / Drainage
Released By:
Released By:(\
Permit Conditions:
UTILITIES
Hold Reasons:
Permit Conditions:
Permits:
c �.cL�tsch=
Sewer Review
4149
7--d6_.-490
cif? ripar QQ 'ry\ c -t c—
Released By: CC) ) T1 S
e_-PLI 1 ss
e9
Project Number: 00006174 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/20/2000 Page 2 of 3
Building Permit
Contractor: WRS & ASSOCIATES Firm: BILL SMITH/W R S & ASSOCIATE
Address: P 0 BOX 14084 Phone: (509) 922-0782
SPOKANE, WA 99214
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 17
Bldg W x D: 0 x 0 Building Sq Ft: 2625 Sprinklers: E
Req Parking: 0 Handicap Parking: 0 Critical Materials: ❑
Description Grp Type 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
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
This Application:
Sq Ft Valuation
1,300 $15,028.00
600 $7,200.00
1,325 $82,150.00
Totals: 3,225 $104,378.00
Units Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Mechanical Permit
Units
1
1
5
1
5
1
1
1
Stories: 1
Total Project:
Sq Ft Valuation
1,300 $15,028.00
600 $7,200.00
1,325 $82,150.00
3,225 $104,378.00
Fee Amount
$920.00
$4.50
$202.40
$1,126.90
Firm: ALLIED HEATING INC
Phone: (509) 928-8252
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$12.00
$5.00
$12.00
$50.00
$10.00
$10.00
$10.00
$119.00
Project Number: 00006174
Inv: 1
Application
Date: 07/20/2000 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: ACTION PLUMBING SERVICE
Address: 15412 E SPRAGUE AVE #9168
VERADALE, WA 99037
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER SOFTENER
WATER USING DEVICES
Payment Summary:
Operator: RMB
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Finn: ACTION PLUMBING SERVICE
Phone: (509) 244-4427
Units Unit Desc
3 NUMBER OF
6 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: RMB
Permit Total Fees:
Fee Amount
$18.00
$36.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$120.00
Print Date: 07/20/2000
Fee Amount Invoice Amount
$1,126.90 $1,126.90
$119.00 $119.00
$120.00 $120.00
$1,365.90 $1,365.90
Amount Paid
$0.00
$0.00
$0.00
$0.00
Notes:
OK TO ISSUE SEWER PERMITS FOR: BLOCK 24 - LOT 1 BLOCK
25 - LOT 1, 2, 3, 5, 6, 7 OK TO ISS BUILDING PERMITS FOR ALL
OTHER LOTS, BUT DO NOT ISSUE SEWER PERMITS PER GENE REPP
6/5/97 OK TO ISSUE SEWER PERMITS ON ALL LOTS PER BILLY 7/27/97
Amount Owing
$1,126.90
$119.00
$120.00
$1,365.90
111111
SPOKARE CoUXIY
'PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260 �� `�-' C
509-477-3675
Project Description: ---15; 4/C ist /'/5//77/1 f"J'/D2rYC GC/ Mrnege S;90
TYPE OF APPLICATION
fr Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
0 Relocation
O Sign
O Tenant (New/Change)
O Other
SPECIFIC SITE INFORMATION
StreetAddress: cam? //.4 i Cd/',e 7. `4/-G?' 44A_ ' 2<'/? d 3 3
,e0/16/h'1L
Assessor's Tax Parcel Number(s):
h:f"Z..GS, S-z./It
Legal Des iption:
A07— a' 1/j /i/ac r< .241- c/40A- '/Z -F y' fol4li 7 4`e,;(1.7-,„_
Department Use Only
Water District/Purveyor:
Sewer District/Purveyor
Road width
Setbacks
Front: Rear:
Left-. Right:
School District:
Fire District:
Zoning
V v * t5
ezf(7 - - p \
OWNER/APPLICANT INFORMATION
IZI Indicate who should he contacted regarding this project
/a, R y
FrO' nner: /7p //". Phone: 91,24,, 0 ,26(---'2__
'-` 2.3
e " OC Fax: 1.2 /9
❑ Applicant:
Phone:
Fax:
/
Mai 'ng Address:
Mailing Address:
Dimensions
Witty, State, Zip
City, State, Zip
Finished basement sq. ft.
,-.a .--
Lgrontractor�/ Phone p�L. 0{7�L__
e S x 4%49 C l'/VC Fax 922 '� / p%__.s
❑ Architect/Engineer
Phone
Fax
Mail' g address P
d )( Z' . 'V
Mailing address
Heat source (electric, gas, etc.)
City, State Zip
C er.--7.-t.A.— 6-(,-/C? 51,...2-/ Yi
City, State Zip
WA State Contractor license #
//eS At J .4 d »n 6; -
Contact name:
PROJECT INFORMATION
Building Information
Building height to peak
# of stories
/
floor sq. ft.
r3 2.4--
Unfinished basement sq. ft.
leo
Dimensions
Total habitable � space
o(626.-/
2"d floor sq. ft.
— ®—"
Finished basement sq. ft.
,-.a .--
Occupancy group
Construction type
JT!'CK /-7,41,7-,-1—
Garage sq. ftCo�
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc.)
Manufactured Home
Sign
Width:
Length: o
What, is the square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs
Area of existing signs
Relocation
Fire Safety
Firm Name
Previous address
Fire Sprinkler
Tent
Paint booth Fire Alarm
Fireworks display
_
Is there evidence of fill or excavation on the property?
O Yes O No
Proposed use
Value
Address
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
What is the current use of this property?
Phone
Will the site be served by a septic system? O Yes O No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
O Yes O No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( - %) OYes 0 N
Are critical or hazardous materials used or stored on site?
OYes 0 N
Address
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes O No
If yes, identify on site plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan O Yes O No
What is the current use of this property?
Is your property in a designated wildlife habitat area?
O Don't know O Yes O No
Will the site be served by a septic system? O Yes O No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
O Maybe O Don't know O Yes O No
Are or will there be wells located on the property?
If yes, identify on the site plan O Yes O No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan O Yes O No
Is there evidence of fill or excavation on the property?
O Yes O No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( - %) OYes 0 N
Are critical or hazardous materials used or stored on site?
OYes 0 N
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
OYes ONo
Is public sewer available to the site? O Yes O No
Is the property inside the ASA?
O Yes
O Yes
O No
O No
Is public water available to the site? O Yes O No
Is the property inside the PSSA?
O Yes
O No
Is the property located within 1000 feet of a Natural Resource
Area? O Yes O No
Date Received:
Staff Representative:
zI trio
13 0
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= el' re
lines,
g r,have
h.adi
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Z
n
s ahe purpose of
an ':s :, E fig s'uF ;"�itte 1 a ;rue and correct
i�+.ri 1`Jl1,C.} peri,, Ilt ,Yri� is tO?
ei `]
r the proposal. All mown e,hW
asement`
ion o linestructures and
cions, curb Also indicated are wetlands,
identified• Also a or other critical areas.
er. st: 1
ADDRESS..
ZONE:
ROAD WIDTH..
FRONT.
CONE -N rS:Y'