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