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2002, 05-06 Permit App: 02003364 Residence
Project Number: 02003364 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE W/GARAGE - GAS Setbacks: Front Left: 27. Right: 15 Rear: 40 Site Information: Plat Key: 005403 Name: SP -878-93 Parcel Number: 55082.0146 Block: Lot: B Page 1 of 4 Contact: RIDER, LARRY T & CATHERINE A Address: 1225 N SKIPWORTH C S - Z: SPOKANE, WA 99203 Phone: (509) 892-4102 Group Name: Project Name: District: G SiteAddress: 19324 E BUCKEYE AVE Owner: Name: RIDER, LARRY T & CATHERINE OTIS ORCHARDS, WA USA 9 Address: 1225 N SKIPWORTH Location:: OTI SPOKANE, WA 99203 Zoning: UR -3.5 Urban Residential 3.5 Water District: 008 CONSOLIDATED IRRG #1 Hold: LI Area: 1.45 Acres Width: 134 Depth: 557 Right Of Way (ft): 60 Nbr of Bldgs: 1 Review Information: Review Site Plan Review Nbr of Dwellings: 1 Critical Area Review CI C4 Shoreline Review Approach / Drainage 40 40-F04,4216 ,.&. 4144.31 Operator: JAS Printed By: JAS Released By: Released By: Released By: Print Date: 5/6/02 -5- 7 -DZ Project Number: 02003364 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/6/02 Flood plain o,;_1/43-7.) 43 0.) f•J A Septic System Review Permits: Released By: Released By: �r; n _ ntriticT : Z - ---- --. . `uns per day. ALLOWED mid system ;,'"TT' argI-stPqi Contractor: GARCO CONSTRUCTION Address: P.O. BOX 2946 SPOKANE, WA 99220-2946 Building Characteristics New Group: R-3 Type: VN 1 Occupant Load: Building Height: 18 x 74 Building Sq Ft: 2285 Sprinklers: E Handicap Parking: Critical Materials: 0 Const Category: Nbr Of Dwellings: Bldg W x D: 58 Req Parking: Building Permit Page 2 of 4 h sl7/ °j Firm: GARCO CONSTRUCTION Phone: (509) 535-4688 Description Grp Type Notes GARAGE U-1 VN RESIDENCE R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE This Application: Su Ft Valuation 1,008 $12,096.00 2,285 $150,810.00 Totals: 3,293 $162,906.00 Units Unit Desc Operator: JAS Printed By: JAS Y OR BLANK Y OR BLANK Y OR BLANK Permit Total Fees: Print Date: Stories: 1 Total Project: Sq Ft Valuation 1,008 $12,096.00 2,285 $150,810.00 3,293 $162,906.00 Fee Amount $1,210.00 $4.50 $266.20 $1,480.70 5/6/02 Project Number: 02003364 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/6/02 Page 3 of 4 Contractor: OWNER Item Description DUCT SYSTEMS GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING AIR CONDITIONER:16-30 TON VENTILATING FANS CLOTHES DRYER GAS LOG OR GAS INSERT Contractor: OWNER Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS CLOTHES WASHER FLOOR DRAINS WATER USING DEVICES Operator: JAS Mechanical Permit Firm: OWNER Phone: Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 4 # OF UNITS 1 NUMBER OF 3 NUMBER OF 1 NUMBER OF 2 NUMBER OF Permit Total Fees: Plumbing Permit Firm: OWNER Phone: Units Unit Desc 2 NUMBER OF 5 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Permit Total Fees: Printed By: JAS Print Date: Fee Amount $10.00 $10.00 $12.00 $4.00 $25.00 $30.00 $10.00 $20.00 $121.00 Fee Amount $12.00 $30.00 $12.00 $6.00 $6.00 $6.00 $6.00 $18.00 $96.00 5/6/02 Project Number: 02003364 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/6/02 Notes: VERIFICATION THAT WATER REQ. HAVE BEEN MET. VERIFICATION THAT FIRE DIST. REQ. HAVE BEEN MET. Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount $1,480.70 $121.00 $96.00 Invoice Amount $1,480.70 $121.00 $96.00 $1,697.70 $1,697.70 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $1,480.70 $121.00 $96.00 $1,697.70 r Page 4 of 4 Disclaimer: Submittal of this application certifies the (Miler (or per sou(s) authorized by the orsner) 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 contrued 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: JAS Printed By: JAS Print Date: 5/6/02 PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 \VEST BROADWAY AVENUE SPOKANE, \VA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: G `2J lssessor's Tax Parcel Number(s): /7( /r/<' l%&2 7 Legal Descrip n: • /11 ry i /-6';,<-,-e.26 p‘,/` 71 -eve, Project Description: i fJ"guilding Permit O Change in Use 0 Grading 0 Manufactured Home Permit 0 Relocation 0 Sign 0 Tenant (New/Change) Cl Other Department Use Only 0 .\pphcant. Phone lac Water District/Purveyor: Sewer District/Puneyor Road width c.„, State, Zip �( h`t Vim"""! Z� 'U Setbacks Front: Rear. Right School District Fire District: Zoning+� , r7 •SL.eft OWNER/APPLICANT INFORMATION © Ind/'<ik u110 abonll /0 :nnla.Jed rmird/e! //c;r Jur ea Et.r? nee: Phone: s -i- 5-/e,/oo Z 4.." .LeeN tj L (/ L / 4,L1/r...2 "GI.CN' Pax: 0 .\pphcant. Phone lac Nlathng , dress /1/,' f /2 2 JC .11d.",,,44-74 t\tathng Address. Dimensions 6 X 7Y c.„, State, Zip �( h`t Vim"""! Z� 'U City, State, tip Finished basement sq. ft. Phone 7_ Z ^' (amtractor � ) �jei`-e lax 0 Architrcr EngineerPhone I'8\ NI ailing addres, .Wry�f 1.7 1lathng address I teat s„urcc (electric. tc.) (.tn, State /,tip/_ / 9'9 5 e-y[�lrn� '/1 1%2- (atv State /tp W. Stan C,enactor license# Con tactname PROTECT INFORMATION Building Information Building height to peak / d # of st ,tics Mainn Uo r sq. ft �-' Z t�i Unfinished basement sq. R. Dimensions 6 X 7Y l' t al habitable space 2 Z. 8- 2".t floor sy. ti. Finished basement sq. ft. ( kcupancy grottp Construction type Garage sq. ft. /Coil Deck sq. ft. Cost of prole I teat s„urcc (electric. tc.) Manufactured Home - Sign ' width: I wngth: What is the square Footage o the sign Face? How high is the sign? Year: Make: ' # of signs .\rca of existing signs Fireworks display _, Address Proposed use Relocation Fire Safety Fitrn Name What is the current use of this property? Previous address Will the site be served by a septic system? O Yes O No Paint booth Fire Sprinkler Tent Fire Alann Fireworks display _, Address Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Fitrn Name What is the current use of this property? Phone Will the site be served by a septic system? O Yes O No Plans 6sammer Phone Inspectors: Is there evidence of 01 or excavation on the property? 0 Ycs ❑ No Are there slopes greater than 30°70 on the property? (30 ft rise in 100 ft) ( / °O) ❑ Yes ❑ No Are critical or hazardous materials used or stored on site? ❑ Yes O No Address 1 Inspector Phone 0 Concrete 0 Welding ❑ Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes O No If yes, ident5r on site plan What is the current property sire? (square feet or acres) Is any part of the property within 250 feet of a shoreline? If yes, identify on site plan O Yes ❑ No What is the current use of this property? Is your property in a designated wildlife habitat area? ❑ Don't know 0 Ycs 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 ❑ Maybe O Don't know ❑ Ycs 0 No 1re or will there be wells located on the property? I f 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, identIb, on site plan ❑ Yes ❑ No Is there evidence of 01 or excavation on the property? 0 Ycs ❑ No Are there slopes greater than 30°70 on the property? (30 ft rise in 100 ft) ( / °O) ❑ Yes ❑ No Are critical or hazardous materials used or stored on site? ❑ Yes O No DEPARTMENT USE ONLY Is the property in a designated Stormwarer Control Area? D Ycs O No Is public sewer available to the site? O Ycs O No Is the property inside the ASA? ❑ Ycs O No OYes ONo Is public water available to the. site? O Ycs O No Is the property inside the PSSA? ❑ Ycs ❑ No Is the property located within 1000 feet of a Natural Resource Area? OYcs 0 N t)atc Received: Staff Representative. METHOD OF PAYMENT 0 (:ASI 1 VISA 0'0111?Ch ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD FYPI RI{S: BAN KCARD NU\IBI?R: \Ul"I IORI%1 I) SIGN .VEIL SUBTOTAL TOTAL FEE MINIMUM PERMIT FEE. 15 535151 PLF_ \SE M \ NE CI I I,.CES PAYABLE TO SK R: \N F. C(1CNl e PERMIT CENTER MECHANICAL PERMIT APPLICATION PROJECT ADDRESS: /G� c� / / I Q �JLcc//� [ s i� PERMIT USE: COST/ UNIT OWNER:/ G�<A/f," / - %-e1:4,0- FUEL BURNING APPLIANCE / PHONE (Daytime Contact): 692- V/a Z _ "<75-r- 7 2 z MAILING ADDRESS: — $ B03 FUEL BURNING APPLIANCE > 100,000 X 515 (Street) (City/State) (Zip) CONTRACTOR: — OR <400,.000 © X 550 LICENSE: $ MAILING ADDRESS: UNLISTED APPLIANCE (ADDITIONAL CHARGE) >400,000 0 X PHONE: — $ B06 USED APPLIANCE (Must meet WSEC's min. AFUE rating) - OR <400,.000 () (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- PLED BY COST/ UNIT EQUALS AMOUNT B02 FUEL BURNING APPLIANCE — OR <100,.000 / X $12 — $ B03 FUEL BURNING APPLIANCE > 100,000 X 515 — $ B04 UNLISTED APPLIANCE (ADDITIONAL CHARGE) — OR <400,.000 © X 550 — $ B04 UNLISTED APPLIANCE (ADDITIONAL CHARGE) >400,000 0 X $100 — $ B06 USED APPLIANCE (Must meet WSEC's min. AFUE rating) - OR <400,.000 () X 550 — $ B07 USED APPLIANCE (Must meet WSEC's min. AFUE rating) > 400,000 X 5100 — $ B08 BOILER/REFRIGERATION 1-100M BTU i) 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 (1 X 535 $ B12 BOILER/REFRIGERATION +1,750MBTU X 560 $ B13 GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE - Z X 510 — $ B14 RANGE - / X 510 — $ B15 DRYER - / X 510 — $ B16 FUEL BURNING WATER HEATER - / X 510 — $ B17 MISCELLANEOUS FUEL BURNING APPLIANCE - p X 510 — $ B18 GAS PIPING (ea. Outlet) X 51 — $ B19 DUCT SYSTEMS / X 510 — $ B20 VENTILATING FANS - X 510 = $ 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 .0 %) X $15 — $ B23 EVAPORATIVE COOLERS - © X 510 = $ B24 TYPE I HOOD - ci X $50 — $ 1325 TYPE II HOOD - X 510 = $ B26 HEAT PUMP/AIR CONDITIONER 0-3 TONS 0 X 512 — $ B27 AIR CONDITIONER 3-15 TONS !} X 520 = $ B28 AIR CONDITIONER 15-30 TONS / X 525 = $ B29 AIR CONDITIONER 30-50 TONS 2T X 535 $ B30 AIR CONDITIONER +50 TONS Q X $60 — $ B31 LPG STORAGE TANK - © X 510 — $ B32 WOOD OR PELLET STOVE/INSERT X 525 $ METHOD 0 CASH DATE: BANKCARD AUTHORIZED OF PAYMENT VISA HECK 0 0 ❑ FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD EXPIRES: SUBTOTAL PLUS PROCESSING FEE $ 25.00 TOTAL PERMIT FEE DUE MINIMUM PERMIT FEE IS $35.00 PLEASE MAKE CHECKS PAYABLE 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 APPLICATION PROJECT ADDRESS: • ./ 9jt 2 f' 4,6.y� OWNER: / PERMIT USE: MAILING ADDRESS: /l! /2 2C 5/9 74 L,/k4 (Street) ONTRACTOR: PHONE (Daytime Contact): rr'92-V/O2- /75r-- 7zz (City/State) LICENSE: (Zip) MAILING ADDRESS: PHONE: (Street) (City/State) (Zip) PLUMBING FIXTURES DESCRIPTION DETAIL # OF UNITS MULTI- PLIED BY COST/ UNIT B02 TOILETS WATER CLOSETS, BIDETS Z x 56 EQUALS AMOUNT B03 URINALS x $6 B04 TUBS x $6 B05 SHOWERS (per trap) BATH, STALL, ON-SITE BUILD Z x $6 306 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD (PREP/CULINARY/MEAT x $6 B07 DISHWASHER x $6 B08 CLOTHES WASHER x $6 B09 GARBAGE DISPOSAL/GRINDER 0 x $6 B10 WATER SOFTENER O x $6 BI1 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 0 x $6 B15 WATER PIPING/DRAIN-IN WASTE- VENT/PLUMBING REVERSALS INSTALLATION, ALTERATION, REPAIR, REVERSALS x $6 B16 SEWAGE EJECTORS GRINDER, SUMP PUMP 0 x $6 B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLERS 3 x $6 B18 CROSS CONNECTION DEVICES VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR : VATS, SUMPS, TANKS, BOILERS, & SPRINKLER SYSTEMS D $6 B19 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK O x $6 B20 MEDICAL GAS (per outlet/bottle station) NITROUS, OXYGEN v x $6 B21 MISCELLANEOUS FIXTURES c $6 METHOD OF PAYMENT ❑ CASH DATE: VISA VI/CHECK 0 0 FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD BANKCARD NUMBER: EXPIRES: AUTHORIZED SIGNATURE: SUBTOTAL PLUS PROCESSING FEE $ 25.00 TOTAL PERMIT FEE DUE MINIMUM PERMIT FEE IS $35.00 PLEASE MAKE CHECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER 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 (Borce. ,22.2 01,10) 9 LEGAL DES(1:2:PTION 4 ARCHITECTURAL SITE PLAN SCALE : 1. = 38-0. nvgavE,N, VICINITY MAP NOT TO SCALE SHORT PLAT 878-93 autodesk® Architectural Desktop 4( /7Z•Qzz 5- - RIDER RESIDENCE 19.324 E. DUCK LYE_ S=KKANE, WA. 99207 SITE PLAN 1-81-18.2.4.1f NUMBER: 4022.80122 01,2,21 902 -- B 2121B,11:: Al