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2001, 04-19 Permit App: 01002698 ResidenceProject Number: 01002698 Inv: 1 Applic'tion THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/19/01 Page 1 of 3 Project Information: Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - GAS Contact: W.R.S. & ASSOCIATES INC. Address: PO BOX 14084 C - S - Z: SPOKANE, WA 99214-0084 Setbacks: Front 35 Left: 16 Right: 10 Rear: 41 Phone: (509) 922-0782 Group Name: Site Information: Project Name: Plat Key: 005857 Name: EVERGREEN POINT 9TH ADD District: F Parcel Number: 45263.5210 Block: 25 Lot: 10 SiteAddress: 3124 S BOLIVAR CT Owner: Name: W.R.S. & ASSOCIATES INC. VERADALE, WA USA 99037 Address: PO BOX 14084 Location:: VER SPOKANE, WA 99214-0084 Zoning: UR -3.5 Water District: Urban Residential 3.5 Hold: ❑ Area: 17,192 Sq Ft Width: 33 Depth: 120 Right Of Way (ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Department BUILDING Hold Reasons: Permit Conditions: BUIL Review Site Plan Review Hol Plan Revs w easons: r err (- r fir' �: Released By: Permit Conditions: ENGINEER Hold Reasons: Permit Conditions: Approach / Drainage Released By: _� / Project Number: 01002698 Inv: 1 Application Date: 4/19/01 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: OWNER Address: 0 000000, 00 000000 Const Category: New Nbr Of Dwellings: Bldg W x D: 68 x Req Parking: Description BASEMENT U DECK GARAGE RESIDENCE Building Permit Firm: OWNER Phone: (000) 000-0000 Building Characteristics Group: R-3 Type: VN Occupant Load: 42 Building Sq Ft: Handicap Parking: Grp R-3 R-3 U-1 R-3 Building Height: 20 2800 Sprinklers: ❑ Critical Materials: This Application: Type Notes Sq Ft Valuation VN 1,400 $16,184.00 VN 115 $846.40 VN 772 $9,264.00 VN 1,400 $86,800.00 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor: OWNER Address: 0 000000, 00 000000 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING HEAT PUMP OR A/C 0-3 TONS VENTILATING FANS CLOTHES DRYER HOOD -TYPE II Totals: 3,687 $113,094.40 Units Unit Desc 1 1 1 Y OR BLANK Y OR BLANK Y OR BLANK Permit Total Fees: Mechanical Permit Firm: OWNER Phone: (000) Units Unit Desc 1 NUMBER OF 1 NUMBER OF 2 # OF UNITS 1 NUMBER OF 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Stories: 1 Total Project: Sq Ft Valuation 1,400 $16,184.00 115 $846.40 772 $9,264.00 1,400 $86,800.00 3,687 $113,094.40 Fee Amount $965.00 $4.50 $212.30 $1,181.80 000-0000 Fee Amount $10.00 $12.00 $2.00 $12.00 $30.00 $10.00 $10.00 $86.00 Project Number: 01002698 Inv: 1 Applic Mion Date: 4/19/01 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: OWNER Address: 0 000000, 00 000000 Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER WATER USING DEVICES Plumbing Permit Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 2 NUMBER OF 5 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Permit Total Fees: Payment Summary: Operator: DMD Printed By: DMD Print Date: Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount $1,181.80 $86.00 $90.00 $1,357.80 Fee Amount $12.00 $30.00 $6.00 $6.00 $6.00 $6.00 $6.00 $18.00 Invoice Amount Amount Paid $1,181.80 $0.00 $86.00 $0.00 $90.00 $0.00 $1,357.80 $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 $90.00 4/19/01 Amount Owing $1,181.80 $86.00 $90.00 $1,357.80 SPOI 'yl✓ COUNII`Y PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: '31,2 C � 6u AA s se,. /-75'.7(03 jl c6 Assessor's Tax Parcel Number(s): Legal Description: Project Description: 10040 C,As+i'UC_ 17 IAF S : lit4++47k Building Permit ❑ Change in Use ❑ Grading El Manufactured Horne Permit ❑ Relocation Department; Use, Water District/Purveyor. School District: In Sign ❑ Tenant (New/Change) ❑ Other OWNER/APPLICANT INFORMATION Indicate who should be contacted regarding this project UZS 4- i4sSo ❑ luntreltUr 'O 45 ',C Phone U2-0 7 8'2. Fax 922-7`723 ❑ Applicant: Phone: Fax• Mailing Address: t, Stair, lip Se, lei -toe U3& 99214/ Phone Fax City, State, Zip ❑ Architect/Engineer Phone Fax atidi-es, Mailing address t u, titatr Zip City, State Zip A state Contractor license # Contact name: PROJECT INFORMATION Building Information l;t:tl.hng height IQ peak # of stories 1 Total habitable space Main floor sq. ft. or/ dflo4100 Unfinished basement sq. ft. /4/0o Finished basement sq. ft Construction type Garage sq. ft...19z Deck sqft ' 36'5— Heatat source (electric, gas, etc ) Cut..s Manufactured Home Width "fear Length: What is the square footage of the sign face? How high is the sign? Make: # of signs Area of existing signs Relocation Previous address Proposed use Fire Sprinkler Paint booth Fire Alarm Tent Fireworks display Value ADDITIONAL Are there structures on the property? 0 Yes r;it No Ijves, tdentzicv on site plan Is any part of the property within 250 feet of a shoreline? Il ties, uientzty on site plan 0 Yes I$ No Is your property in a designated wildlife habitat area? 0 Don't know 0 Yes No Is any part of the property within a 100 yr flood plain? Ifs es, identify on site plan O Maybe 0 Don't know O Yes "lf No SITE INFORMATION What is the current property size? (square feet or acres) What is the current use of this property? Will the site be served by a septic system? 0 Yes No Are there any wetlands, streams or ponds within 200 feet of the property? If vcs, :denti{y on site plan 0 Yes AI No Are or will there be wells located on the property? If yes, identify on the site plan 0 Yes No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ""I O Yes Cgi. No Is there evidence of fill or excavation on the property? O Yes 71. No Are critical or hazardous materials used or stored on site? O Yes 1$( No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? 0 Yes 0 No. Is the property inside the ASA? 0 Yes O No ` CI Yes 0 N Is the property inside the PSSA? O Yes 0 No Is public sewer available to the site? 0 Yes 0 No Is public water available to the site? 0 Yes O No (Jute keit,, rel Staff Representative Is the property located within 1000 feet of a Natural Resource Area? O Yes O No METHOD OF PAYMENT ❑ C:\SIF ❑ CHECK ❑ MEW❑ ❑ FAXED PERMITS WILL. ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE EXPIRES• 1IC•VEP BA:NKC:\RD NL'\IBER IORI/EJ) SIGNATURE• SUBTOTAL TOTAL FEE MINIMUM PERMFT FEE IS 535.00 PLEASE MAKE CHECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER Special Inspections Required? FirmVame RaEnergy Code Comesi p hane � Inspectors. Phone Plans Examiner Phone Address Inspector Phone O Concrete O Welding O Bolting 0 Reinforcement Address ADDITIONAL Are there structures on the property? 0 Yes r;it No Ijves, tdentzicv on site plan Is any part of the property within 250 feet of a shoreline? Il ties, uientzty on site plan 0 Yes I$ No Is your property in a designated wildlife habitat area? 0 Don't know 0 Yes No Is any part of the property within a 100 yr flood plain? Ifs es, identify on site plan O Maybe 0 Don't know O Yes "lf No SITE INFORMATION What is the current property size? (square feet or acres) What is the current use of this property? Will the site be served by a septic system? 0 Yes No Are there any wetlands, streams or ponds within 200 feet of the property? If vcs, :denti{y on site plan 0 Yes AI No Are or will there be wells located on the property? If yes, identify on the site plan 0 Yes No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ""I O Yes Cgi. No Is there evidence of fill or excavation on the property? O Yes 71. No Are critical or hazardous materials used or stored on site? O Yes 1$( No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? 0 Yes 0 No. Is the property inside the ASA? 0 Yes O No ` CI Yes 0 N Is the property inside the PSSA? O Yes 0 No Is public sewer available to the site? 0 Yes 0 No Is public water available to the site? 0 Yes O No (Jute keit,, rel Staff Representative Is the property located within 1000 feet of a Natural Resource Area? O Yes O No METHOD OF PAYMENT ❑ C:\SIF ❑ CHECK ❑ MEW❑ ❑ FAXED PERMITS WILL. ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE EXPIRES• 1IC•VEP BA:NKC:\RD NL'\IBER IORI/EJ) SIGNATURE• SUBTOTAL TOTAL FEE MINIMUM PERMFT FEE IS 535.00 PLEASE MAKE CHECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER MECHANICAL PERMIT APPLICATION ADDRESS: ADDRESS: 12(4 .ecu, &I;.kLe 64-, USEEMI„ # OF UNITS OWNER: 12 5 4- 75.56Cr PHONE (Daytime Contac�Lv 1,42- O 7j AMOUNT MALING D S: , y/y0 y — OR <100,.000 <' /VC✓Ii` W)-: - /( /7j 512 — (Street) (City/State) (Zip) CONTRACTOR: X 515 LICENSE: $ MAILING ADDRESS: UNLISTED APPLIANCE (ADDITIONAL CHARGE) — OR <400,.000 i7 PHONE: 550 — $ • UNLISTED APPLIANCE (ADDITIONAL CHARGE) (Street) (City/State) (Zip) Spokane County Division of Building & Code Enforcement 1026 West Broadway Avenue * Spokane, WA 99260-0050 Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133 DESCRIPTION OF WORK # OF UNITS MULTI- PL YD COST/ UNIT EQUALS AMOUNT 13021, FUEL BURNING APPLIANCE — OR <100,.000 1 X 512 — S % 2 $03`: FUEL BURNING APPLIANCE > 100,000 X 515 — $ B04 , UNLISTED APPLIANCE (ADDITIONAL CHARGE) — OR <400,.000 X 550 — $ ;804: UNLISTED APPLIANCE (ADDITIONAL CHARGE) >400,000 X 5100 — $ B06:. USED APPLIANCE (Must meet WSEC's min. AFUE rating) — OR <400,.000 X 550 — $ 307- USED APPLIANCE (Must meet WSEC's min. AFUE rating) >400,000 X 5100 — $ BO/E- BOILER/REFRIGERATION 1-100M BTU X 512 — $ B09'" BOILER/REFRIGERATION 101-500M BTU X 520 — $ B10 BOILER/REFRIGERATION 501-1,000M BTU X 525 — $ B11, BOILER/REFRIGERATION 1,001- 1,750M BTU X 535 — $ BIZ: BOILER/REFRIGERATION +1,750M BTU X 560 — $ B13. GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE - X 510 — $ B14 RANGE- X 510 — $ B15 DRYER- 1 X 510 — $ I0 B16, FUEL BURNING WATER HEATER- X 510 — $ /O B17 MISCELLANEOUS FUEL BURNING APPLIANCE- X 510 — $ B18 GAS PIPING (ea. Outlet)- X 51 — $ 2 B19 DUCT SYSTEMS- X 510 — $ B20 VENTILATING FANS- 3 X 510 — $ 3o B21 AIR HANDLER (DOES NOT include duct systems) — OR < 10,000 CFM X 512 — $ B22 AIR HANDLER (DOES NOT include duct systems) > 10,000 CFM X 515 — $ B23 EVAPORATIVE COOLERS- X 510 — $ B24 TYPE I HOOD- X 550 — 5 B25 TYPE II HOOD1 X 510 ,,$ 1 C B26 HEAT PUMP/AIR CONDITIONER 0-3 TONS ( X 512 — $ / 2_ B27 AIR CONDITIONER 3-15 TONS X 820 — $ B28 AIR CONDITIONER 15-30 TONS X 525 — $ B29 AIR CONDITIONER 30-50 TONS X 535 — $ B30 AIR CONDITIONER +50 TONS X 560 — 5 B31 LPG STORAGE TANK - X 510 — $ B32 WOOD OR PELLET STOVE/INSERT- X 525 — $ METHOD OF PAYMENT VISA - SUBTOTAL 8 0-0 PLUS PROCESSING FEE $ 25.00 'IlCfiI %f, • CASH • CHECK ■ ® ■ ■ FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD EXPIRES: DATE: BANKCARD AI ITHORIZED TOTAL PERMIT FEE DUE . MINIMUM PERMIT FEE IS $35.00 PLEASE MAKE CHECKS PAYABL-TO SPOKANE COUNTY PERMIT CENTER NUMBER: SIGNATURE: Spokane County Division of Building & Code Enforcement 1026 West Broadway Avenue * Spokane, WA 99260-0050 Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133 PLUMBING PERMIT AEPLICATION PROJECT 2 ADDRESS: i ( s� • J /t t/C.t". C14- USEMIT OWNER: 'OPS a- 4ssoc PHONE (Daytime Contact): 9,0-2--o-,6'.2 MAILING ADD S: O x / ett, gq 5rok4d4e°Y (...06:- `99,2/11 (City/State) (Zip) (Street) CONTRACTOR: ii� j aKie T/h P/C1l°N LJI elc' LICENSE: MAILING ADDRESS: PHONE: • (Street) (City/State) (Zip) PLUMBING FIXTURES DETAIL # OF UNITS MULTI- - PLIDESCRIPTION By COST/ UNIT EQUALS AMOUNT B02 TOILETS WATER CLOSETS, BIDETS oC x $6 — a B03'. URINALS x E6 — B04 TUBS - x $6 - B05:. SHOWERS (per trap) BATH, STALL, ON-SITE BUILD x S6 — C40 B06` SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD (PREP/CULINARY/MEAT 5 x S6 — 30 B07 DISHWASHER1 x $6 — (fa B08' CLOTHES WASHER l x $6 ..jp B09. GARBAGE DISPOSAL/GRINDER- I x $6 ..to B10 WATER SOFTENERx $6 — B11 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see mechanical) x $6 — B12 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE x $6 — B13 ROOF DRAINS/OVERFLOW DRAINS- (ea.) x $6 — B14 FOUNTAINS, DRINKING- x 56 — B15 WATER PIPING/DRAIN-IN WASTE- VENT/PLUMBING REVERSALS INSTALLATION, ALTERATION, REPAIR, REVERSALS x $6 — B16 SEWAGE EJECTORS GRINDER, SUMP PUMP x $6 — B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLERS 3 x $6 — /8' B18 CROSS CONNECTION DEVICES VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR : VATS, SUMPS, TANKS, BOILERS, & SPRINKLER SYSTEMS $6 — B19 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK x S6 — B20 MEDICAL GAS (per outlet/bottle station) NITROUS, OXYGEN x $6 - B21 MISCELLANEOUS FIXTURES $6 — METHOD OF PAYMENT VISA SUBTOTAL 70,, PLUS PROCESSING FEE $ 25.00 11CCOVE�' • CASH • CHECK • ® • FAXED PERMITS WILL ONLY BE ACCEPTED OF A MAJOR CREDIT EXPIRES: ■ WITH PAYMENT CARD DATE: BANKCARD AUTHORIZED TOTAL PERMIT FEE DUE MINIMUM PERMIT FEE IS $35.00 PLEASE MAKE CHECKS PAYABLETO SPOKANE COUNTY PERMIT CENTER NUMBER: SIGNATURE: Spokane County Division of Building & Code Enforcement 1026 West Broadway Avenue * Spokane, WA 99260-0050 Telephone No. (509) 477.3675 * Fax No. 477-7198 * TDD No. (509) 477-7133 3N\31A31:1 S.I.N3M100 .LNOId aVO'd 3NOZ SS31:100V TYPE "A" DRYWELL WITH TYPE 4 METAL FRAME & GRATE STA 0+92 RT 36' GRATE EL=2011.86 ; PAW *a eam lep!ipo la.o JO dde4 EM 10 salpoq 'spuenemaie pa)eotpu! os lv .patiquapi u gag alley guetuasea pue sainpruis •sau!! dna 'suoisuamp/satm Apedwd wows nodo.i qjo uopeluesaglai loo.uoo pue am) e s! pue r_wad 6u!pimq e6u!lpeiqo jo asoclincial.gioj pag!wqns 6uw, s, uerd ps s!qi :alea :pauEiS kg\ TYPE "A" CURB BOLIVAR COURT TYPE "X' DRYWELL WITH — TYPE 4 METAL FRAME & GRATE SAC STA 1+50 RT 7' GRATE EL=2012.57 CURB INLET SAC STA 1+36.41 2036.47 TC 5' TYP POND R1 BOTTOM EL=2012.07 1.... ----DRAINAGE EASEMENT laoo. iCTOo. -1 , , Gen 7 ( TYPE 2 CURB IN STA 0+53.96 2012.74 TC EVERGREEN ROAD 25' BUILDING SE. IHACK POND Q BOTTOM EL=2011.36 16' FUTURE ACQUISITION AR 133.82' SIDEWALK 32ND AVENUE "TYPE "B" CURB AND GUTTER EXP1 iiioiq&, 1 SCALE: 1" =20' f LOT 10, BLOCK 25 EVERGREEN POINT 9TH ADDITION RoAD KIAAAE 1evi5F-4) lie: too DATE: 5-16-95 1 INLAND PACIFIC ENGINEERING 707 West 7th • Suite 200 (509) 458-61340 Spokane. WA 99204 FAX (509) 458-61344