2001, 05-03 Permit App: 01003189 ResidenceProject Number: 01003189 Inv: 1
Applicat1ion
Date: 5/3/01 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE W/GARAGE - NATURAL GAS
Setbacks: Front 40 Left: 29 Right: 10 Rear: 48
Site Information:
Contact: DEARHEART DESIGN HOMES
Address: 11518 E ALKI
C - S - Z: SPOKANE WA 99206
Phone: (509) 927-7279
Group Name:
Project Name:
Plat Key: 003423 Name: FOREST MEADOW 2ND ADD
Parcel Number: 45333.1708 Block: 3 Lot: 8
SiteAddress: 4221 S BOWDISH RD
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -3.5
Water District:
Area: 10,128 Sq Ft
Nbr of Bldgs: 1
Review Information:
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
ENGINEER
Hold Reasons:
Permit Conditions:
UTILITIES
Hold Reasons:
Permit Conditions:
Permits:
Urban Residential 3.5
Owner: Name:
Address:
SWANSON, ELAINE
11518 E ALKI AVE
SPOKANE, WA 99206
District: F
Hold: [J
Width: 76 Depth: 125 Right Of Way (ft): 50
Nbr of Dwellings: 1
Review
Site Plan Review
Approach / Drainage
Sewer Review
OK. To 155
5.
Released By:
Released By:
Project Number: 01003189 Inv: 1
'Applitati
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/3/01
Contractor: DEARHEART DESIGN HOMES
Address: 11518 E ALKI AVE
SPOKANE, WA 99206
Const Category: New
Nbr Of Dwellings: 1 Occupant Load:
Bldg W x D: 45 x 41 Building Sq Ft:
Req Parking: Handicap Parking:
Building Permit
Firm: DEARHEART DESIGN HOMES
Phone: (509) 927-7279
Building Characteristics
Group: R-3 Type: VN
Building Height: Stories:
2212 Sprinklers: II]
Critical Materials: Eli
This Application: Total Project:
Notes Si Ft Valuation Su Ft Valuation
722 $8,346.32 722 $8,346.32
144 $1,059.84 144 $1,059.84
660 $7,920.00 660 $7,920.00
1,490 $92,380.00 1,490 $92,380.00
Totals: 3,016 $109,706.16 3,016 $109,706.16
Units Unit Desc Fee Amount
1 Y OR BLANK $945.00
1 Y OR BLANK $4.50
1 Y OR BLANK $207.90
Permit Total Fees: $1,157.40
Description gip Type
BASEMENT U R-3 VN
DECK R-3 VN
GARAGE U-1 VN
RESIDENCE R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: M & L MECHANICAL
Address: PO BOX 10126
SPOKANE, WA 99205
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,00OBTU
GAS PIPING
AIR CONDITIONER:4-15 TONS
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
Mechanical Permit
Firm: M & L MECHANICAL
Phone: (509) 326-2677
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$12.00
$3.00
$20.00
$40.00
$10.00
$10.00
$10.00
$115.00
Page 2 of 3
Project Number: 01003189 Inv: 1
Al3plication
THIS IS NOT A PERMIT
Date: 5/3/01
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: GOLD SEAL MECHANICAL INC Firm: GOLD SEAL MECHANICAL INC
Address: 5524 E BOONE AVE Phone: (509) 535-5944
SPOKANE, WA 99212
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
CROSS CONNECTION DEVICES
WATER USING DEVICES
Payment Summary:
Operator: CKF
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Notes:
Units Unit Desc
3 NUMBER OF
5 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Printed By: CKF
Permit Total Fees:
Print Date:
Fee Amount Invoice Amount
$1,157.40 $1,157.40
$115.00 $115.00
$114.00 $114.00
$1,386.40 $1,386.40
Fee Amount
$18.00
$30.00
$6.00
$12.00
$6.00
$6.00
$6.00
$ 6.00
$6.00
$18.00
$114.00
5/3/01
Amount Paid
$0.00
$0.00
$ 0.00
$0.00
Amount Owing
$1,157.40
$115.00
$114.00
$1,386.40
Page 3 of 3
N.
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s): 5 33 tl 7 Q 3
Legal Description:
7yLd /- U L -f- 'S X3) k- 3
Project Description:
`Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
0 Relocation
O Sign
O Tenant (New/Change)
O Other
OWNER/APPLICANT INFORMATION
Ei Indicate who should be contacted reeardinp this nroiect
❑ Owner: Phone:
Fax_
tgi Applicant:
V a. (i
'= r
Phone: q 1 -*7 ---1.D-7c
q-�)—g j 64,
�
,
Mailing Address -
1 1si'q 6- .A 1 L
f of stories
City, State, Zip
Main floor sq ft.
1 LI 4 o
„i MP3'
Dirrtensiors�
Ci State, Zip
l(
WT
(./c C .
5t_d$SE12F t`-6-6zJ>'x
(:)v
k.Contractor Phone 4
tl rikr ear(- 1®e cci as
-,_--,
-C
_ -7
.---7i -
..; ft
lost of project
CCU I
Phone
Fax
s
Mailing address `` y-�S
N`i
Mailing address
Ci State Zip �/ cj
- l f
City, State Zip
•.v'#_
.n. rF
:tyF?Y
WA S ate Contractor License N
DEPrRfr)H-ol 1 AJ
Contact name,
S`�.t. 2
t$�.. _'"F
-} '^f
_Y.�`�cxvi.i' n` Y
,"'—_1_.s..
4�iia. �€m�P �i
4'-L
.:4 ..
OWNER/APPLICANT INFORMATION
Ei Indicate who should be contacted reeardinp this nroiect
❑ Owner: Phone:
Fax_
tgi Applicant:
V a. (i
Phone: q 1 -*7 ---1.D-7c
q-�)—g j 64,
Mailing Address:
Mailing Address -
1 1si'q 6- .A 1 L
f of stories
City, State, Zip
Main floor sq ft.
1 LI 4 o
Unfinished basement sq. ft.
`72,7--
Dirrtensiors�
Ci State, Zip
l(
A/`$2
(./c C .
C('
(:)v
k.Contractor Phone 4
tl rikr ear(- 1®e cci as
-,_--,
-C
_ -7
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,..--,5
7{o
0 Architect/Engineer
lost of project
CCU I
Phone
Fax
Mailing address `` y-�S
Heat so rce (electric, gas, etc.)
6a./�-
Mailing address
Ci State Zip �/ cj
- l f
City, State Zip
WA S ate Contractor License N
DEPrRfr)H-ol 1 AJ
Contact name,
PROTECT INFORMATION
-,_
Building height to peak
f of stories
Main floor sq ft.
1 LI 4 o
Unfinished basement sq. ft.
`72,7--
Dirrtensiors�
rgpp
I�/J`1`
Total habitable ble space
2_ �
2°d floor sq. h.
Garage sq.,h- O
l/t�l�S2
Finished basement sq. h.
Deck(s�q'1
1'4'1
ContX
�N
ton lle-
,JCI 1iY'�i-VLt
Jccu nc
��//
lost of project
CCU I
-
XC
Heat so rce (electric, gas, etc.)
6a./�-
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
N of signs
Area of existing signs
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tem
Fireworks display
Proposed use
Value
Firm Name
Phone
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
0 Concrete 0 Welding 0 Bolting 0 Reinforcement
Address
AD»ITIONAL SITE
NFORMA
ON
Are there structures on the property? 0 Yes cYNo
If yes, identify on site plan
What is the current propertysize�?7 )2-S
(square feet or acres) D ( ! Z S
Is any part of the property within 250 feet of a shore1 e?
If yes, identify on site plan 0 Yes1 No
What is the current use of this property?
e i'v-- l p t—
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes fi"No
Will the site be served by aseptic system? 0 Yes 121iNo
1s any pan of the property within a 100 yr flood plain?
If yes, identify on site plan 1
0 Maybe 0 Don't know 0 Yes (3/ No
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes i No
Are there any wetlands, streams or ponds within 200 feet of the
property? /
//yes, idcnt i on site plan 0 Yes f3" No
Is there evidence of fill or excavation on the properly?
0 Yes M1/"No
Are there slopes greater than 30% on the property? (3 ft rise iu 100 h)
(/%) 0 Yes No
Are critical or hazardous rnaterials used or stored on sit
0 Yes f No
DEPARTMENT USE ONLY
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Dare Received:
METHOD OF PAYMENT
VISA
❑ CASH ❑ CHECK ❑ n
ICOVE
FAXED PERMITS WILL ONLY I3E ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE
BANKCARD NUMBER:
AUT110R17.1 D SIGNATURE -
EXPIRES:
11�_TL_�IfJM,pEt2aff7'F_E ,4;13:.!. 00 4A
C17tINTYPI�IZM!'I"CEN1'i '. .
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ADDRESS
ZONE
"I au) I DTH
11,‘' RONT_N-- FL ANION G
COMMENTS _t
REVIEWED BY
s s subm.Itted for the purpose of
c*:;!ain.ng nL,I.J•ng permit and is a true and correct
represerta!,o^ of the proposal. All known property
lines d:rre".sars, curb lines, structures and easements
havc t)ecr. :4entified. Also indicated are wetlands,
bodies of steep slopes other
critical areas.
Signed' z
Dew -5/3/G/
T3 0 to r.-) 3H
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