2003, 03-25 Permit App: 03001913 ResidenceProject Number: 03001913 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Da Page 1 of 3
Project Information:
Permit Use: RESIDENCE W/GARAGE - NATURAL GAS
Setbacks: Front 317 Left: 20+ Right: 13 Rear: 30
Site Information:
Plat Key: Name: 39 g7e District: G
Parcel Number: 550 2.01 Block: Lot:
SiteAddress: �9 410 E BUCKEYE AVE Owner: Name: RIDER, DOUGLAS J & MARILYN
SPOKANE, WA USA 00000 Address: 11516 E MISSION AVE
Location:: SPO SPOKANE, WA 99206
Contact: LENHART CONSTRUCTION
Address: 12725 E 26TH
C - S - Z: SPOKANE WA 99216
Phone: (509) 924-8108
Group Name:
Project Name:
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 1.27 Acres
Width: 120
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Hold: ❑
Depth: 0 Right Of Way (ft): 60
�`t A
Released By: ek 25 .i 03
Plan Review
Released By:� 7 ` °-3 l
Critical Area Review Released By: -P-6 f% l
iPe/v 64-k-- 526 "601 b -e_ a? a -1)(7,141 t
Special t ws
r � d CSA 1
ail a)}'r, 4)3J_A
Approach / Drainage
Released By:
Released By:
Operator: CKF Printed By: CKF Print Date: 3/25/2003
Project Number: 03001913
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/25/2003 Page 2 of 3
Septic System Review
Permits:
Contractor: LENHART CONSTRUCTION
Address: 12725 E 26TH AVE
SPOKANE, WA 99216
Const Category: New
Nbr Of Dwellings:
Bldg W x D: Y
Req Parking:
Description
DECK
GARAGE
RESIDENCE
Grn
R-3
U-1
R-3
Building Permit
Firm: LENHART CONSTRUCTION
Phone: (509) 924-8108
Building Characteristics
Group:
Occupant Load:
Building Sq Ft:
Handicap Parking:
Type Notes
VN
VN
VN
Item Description
RESIDENTIAL VALUATION
STA FE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: THE BARTON BOYS INC
Address: 11401 E MONTGOMERY #2
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
GAS LOG OR GAS INSERT
HOOD -TYPE II
Type:
Building Height: Stories:
Sprinklers: P1
Critical Materials: LI
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
240 $1,879.20 240 $1,879.20
728 $8,736.00 728 $8,736.00
1,928 $127,248.00 1,928 $127,248.00
Totals: 2,896 $137,863.20 2,896 $137,863.20
Units
1
1
1
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Mechanical Permit
Units
1
1
3
1
4
1
1
1
Operator: CKF Printed By: CKF
Fee Amount
$1,085.00
$4.50
$238.70
$1,328.20
Firm: THE BARTON BOYS INC
Phone: (509) 922-5000
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$3.00
$12.00
$40.00
$10.00
$10.00
$10.00
$107.00
3/25/2003
Project Number: 03001913 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/25/2003
Contractor: UNITED PLUMBING INC
Address: 11802 E MANSFIELD DR #6
SPOKANE, WA 99206
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER SOFTENER
WATER USING DEVICES
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Units
3
4
2
1
1
1
1
1
4
Page 3 of 3
Firm: UNITED PLUMBING INC
Phone: (509) 922-5000
Unit Desc Fee Amount
NUMBER OF $18.00
NUMBER OF $24.00
NUMBER OF $12.00
NUMBER OF $6.00
NUMBER OF $6.00
NUMBER OF $6.00
NUMBER OF $6.00
NUMBER OF $6.00
NUMBER OF $24.00
Permit Total Fees:
Fee Amount
$1,328.20
$107.00
$108.00
Invoice Amount
$1,328.20
$107.00
$108.00
Amount Paid
$0.00
$0.00
$0.00
$108.00
Amount Owing
$1,328.20
$107.00
$108.00
$1,543.20 $1,543.20
$0.00
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 be
complied with. Subsequent issuance of a permit shall not be construed to be 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: CKF Printed By: CKF Print Date: 3/25/2003
Spow.T Coate
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCENtENT
1026 WEST BROADWAY AVENUE
SPOKANE, \VA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address:
g,
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description:
t
'r c,d
Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
Water District/Purveyor.
Sewer District/Purveyor
Road width
Setbacks
Front: Rear.
Left: Right:
School District:
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
!nd ule uhn rbnuld 1,, ioet -i j re „r,Gr, !/rir nen e •
❑ Owner:
CDC54.3-1 +i rN--
Phone: C12 is _ c. S /
lax: ✓ 7
❑ ApPSicanu
Phone:
fax
Mail it><g :\ddres.:
I 4, E . ici .
"/
t ,; ,-.
Marling .Address.
2°ul floor sq. ft.
CS
(.Itv, State, tip
5 � .' UG.)r".--7
972.0C
Cin, State, Zip
tiy. ft. ? t Q
> jt-,. tc�dr��V'l
❑ Contractor
[
j t
Phone
Fax 'tag — 1W ica Q.
❑ Architect/ Engineer
Phone
I ;u
Rlailing address
i 2:1.>_5- '=•-• 24 �
{ailing ad re
City, State lap
City, State Zip
\\ A State (, tractor license #
Contact name:
PROLE
Building Information
Building height to peak
I-1
# of stories
/
Main floor sq. ft.
/' z 8
Unfinished basement sq. ft.
G
Dimensions CO ;J—t
•A•24:; F 3%
'Total habitable space
/7.2a
2°ul floor sq. ft.
CS
Finished basement sq. ft.
( )cc ip, RCy group
Construction typeira7'lat;t•
LPF.,.a �b3 rn-,_
tiy. ft. ? t Q
> jt-,. tc�dr��V'l
Deck sq. 6.
2 `lG
Gust u(rn,jret-77
Z.(s.Gid , CU e.
1 kat so cr (elsctric. gas, etc.)
9 GI-
Manufactured Home
Sign
Width:
Length:
What is the square footage of the sign
face?
1 low high is the sign?
Year:
Make:
# of signs
Area of existing signs
Fireworks display
Are critical or hazardous materials used or stored on site?
in YesNo
Address
Proposed use
Relocation
Fire Safety
Finn Name
What is the current use of this property?
: -4-
.-4 � . e:-4"
Previous address
Will the site be served by a septic system?Vk Yes ❑ No
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
Are critical or hazardous materials used or stored on site?
in YesNo
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Finn Name
What is the current use of this property?
: -4-
.-4 � . e:-4"
Phone
Will the site be served by a septic system?Vk Yes ❑ No
Plans Examiner
Phone
In<pectors-
Is there evidence of fill or excavation on the property?
❑ Yes XI -No
Are there slopes greater than 30'1) on the property? (30 ft rise in 100 ft)
°'°) ❑ Yes 7i`No
Are critical or hazardous materials used or stored on site?
in YesNo
Address
Inspector
Phone
❑ Concrete
El Welding
In Bolting
❑ Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? ❑ Yes "Nr.No
If yes, identz, on site plan
What is the current property size?
(square feet or acres) 0,-1 K c--15-15
Is any part of the property within 250 feet of a shoreline?
If yes, idem ' on site plan ° Yes ❑ No
What is the current use of this property?
: -4-
.-4 � . e:-4"
Is
Is your property in a designated wildlife habitat area?
❑ Don't know ❑ Yes '.No
Will the site be served by a septic system?Vk Yes ❑ No
Is any part of the property within a 100 yr flood plain?
I f yes, ident , on site plan
❑ Maybe Don't know ❑ Yes ❑ No
Are or will there be wells located on the property?
Ilyes, yes, identify on the site plan ❑ Yes NJ o
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, idem' on site plan Yes ❑ No
Is there evidence of fill or excavation on the property?
❑ Yes XI -No
Are there slopes greater than 30'1) on the property? (30 ft rise in 100 ft)
°'°) ❑ Yes 7i`No
Are critical or hazardous materials used or stored on site?
in YesNo
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
❑Yes 0 N
Is public sewer available to the site? ❑ Yes ❑ No
Is the property inside the ASA? ❑ Yes ❑ No
❑ Yes ❑ No
Is public water available to the site? ❑ Yes ❑ No
Is the property inside the PSSA? ❑ Yes ❑ No
Is the property located within 1000 feet of a Natural Resource Area?
❑Yes 0 N
Date Recon cd:
Staff Representative.
METHOD OF PAYMENT
VISA
❑ (:.\SII ❑ CIII(CK ❑
0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
B \NKC.\R1) NUMBER:
EXPIRES:
\UTI 1012.1 VIM SIGN.\TURI?:
SUBTOT:\l.
TOTAL FEE
MINIMUM PERMIT FEE IS S35. 57PLEASE
\LAKE CI IE CKS PAY 13LE TO SPOKANE
COUNTY PERMIT CENTER
ADDRESS E Iq � i o rJuG �j
ZONE r 1,0, -3, .S5"
ROAD «'1DTII
FRONT 17 ITANKING
COMMENTS
REVIEWED BY C,c PL 'WA)
y r04—r I� p
(i+)
re.' ; �.�, d
This site plan is being submitted for tie ^urpose of
obtaining a buiid.ng permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines. structures and easements
have been identified. Also indicated are wetlands,
bodes of w r_ steep slope or other critical areas.
Signed:
Date: 3 — 25 — cr3