1995, 08-10 Permit App: 95006141 ResidencePROJECT NUMBER= 95006141
APPLICATION?
THIS IS NOT A,PERMIT
DATE= i?/ PAGE= 01
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 18406 E DESMET AVE PARCEL#= 55181.3207
ADDRESS= GREENACRES WA 99016
PERMIT USE= NEW RESIDENCE/GARAGE - GAS
PLAT#= 002730 PLAT NAME= VALLEY VIEW ADD
BLOCK= 14 LOT= 3 ZONE= UR -3.5 DIST#= G
AREA= F/A= F WIDTH= 55 DEPTH= 290 R/W= 40
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = VERA
OWNER= BARTELS, STEVEN A.
STREET= 13121 S CAMPBELL RD
ADDRESS= ROCKFORD WA 99030
PHONE= 509 291 5222
CONTACT NAME= STEVEN A. BARTELS PHONE NUMBER= 509 291 5222
BUILDING SETBACKS: FRONT= 30 LEFT= 5+ RIGHT= 5 REAR= 100+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: J FORRY DATE: 08/10/95
ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE
APPROVAL: S LIGHTFOOT DATE: 08/10/95
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 16 STORIES= 1
BLDG W X D = 28 X 56 SQ FT= 940 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
PROJECT NUMBER= 95006141 APPLICATION
DATE= 08/10/95 PAGE= 02
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT U R-3 VN 940 10340.00
DECK R-3 VN 100 700.00
GARAGE U-1 VN 484 5808.00
RESIDENCE R-3 VN 940 54520.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 513.50
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 92.43
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
GAS APPLIANCE<=100,000BTU 1 12.00
GAS LOG OR GAS INSERT 1 10.00
RANGE 1 10.00
CLOTHES DRYER 1 10.00
GAS WATER HEATER 1 10.00
GAS PIPING 3 3.00
VENTILATING FANS 3 30.00
HOOD -TYPE II 1 10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS/BIDETS 2 12.00
TUBS 1 6.00
SHOWERS 1 6.00
SINKS 3 18.00
DISH WASHERS 1 6.00
CLOTHES WASHER 1 6.00
GARBAGE DISPOSAL 1 6.00
FLOOR DRAINS 1 6.00
WATER USING DEVICES 2 12.00
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 610.43 .00 610.43
MECHANICAL PRMT 95.00 .00 95.00
PLUMBING PERMIT 78.00 .00 78.00
783.43 .00 783.43
Bo p'
PROCESSED BY: DAWN DOMPIER
PRINTED BY: DAWN DOMPIER
******************************** THANK YOU ************************************
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
Dc r) -t -e 7- J lA
OWNER:
MAILING ADDRESS:
CONTRACTOR:
1312.1 Si
(street)
PHONE: DAYTIME CONTACT
Rip P o c:.k c19/03 0
(zip)
(city/state)
LICENSE:
MAILING ADDRESS:
(street)
PHONE: Z-Gl 1 — 2 ZZ,
(city/state)
(zip)
PLUMBING FIX]. UkES
DESCRIPTION DETAIL
# OF
UNITS
MULTI -
LRD a
TOILETS
WATER CLOSETS, BIDETS
URINALS
1
x
COST
/UNIT tEQUALS
$6
AMOUNT
$
x
$6
$
TUBS
BATH, JACUZZI, SPA, GARDEN
x
$6
$
SHOWERS (per trap)
BASE, STALL, ON-SITE BUILD
x
$6
$
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY. JANITOR. PHOTO,
X-RAY, FOOD (PREP/CULINARY/MEAT)
x
$6
$
DISHWASHER
x
$6
$
CLOTHES WASHER
/
x
$6
$
GARBAGE DISPOSAL/GRINDER
x
$6
$
B1
WATER SOFTENER
x
$6
$
ELECTRIC HOT WATER TANKS
(NOTE: if gas water tank, see mechanical)
x
$6
$
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
x
$6
$
ROOF DRAINS/OVERFLOW DRAIN
x
$6
$
FOUNTAINS, DRINKING
x
$6
$
WATER PIPING/DRAIN-WASTE-VE
PLUMBING REVERSALS
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
x
$6
$
SEWAGE EJECTORS
GRINDER, SUMP PUMP
x
$6 =
$
WATER USING DEVICES
ICE AND/OR COPrrs: MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
x
$6 =
$
CROSS -CONNECTION DEVICES
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, SUMPS,
TANKS, BOILERS, & SPRINKLER SYSTEMS
x
$6
$
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
x
$6
$
MEDICAL GAS (per outlet/bottle stati
NITROUS, OXYGEN
x
$6 =
$
MISCELLANEOUS FIXTURES
x
$6 =
$
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE:
x/&44 ---
Subtotal
PLUS: PROCESSING FE
$25.00
TOTAL PERMIT FEE DU $
Spokane County Department of Building & Planning
1026 W. Broadway Avenue Spokane, WA 99260 ...................................
Po
Tel. No. (509) 456-3675 * Fax No. (509) 324-3198 * TDD No. (509) 324-3166
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
7/6ro3 \rr.Apiomprs.6d
....• ICANEMOUNTYVERMIVICENTERI
RECEIVE?
SPOKANE COUP
he JOB SITE address?
r '
APPLICATION INFORMATION
%gal descn ion as it appears on tie property deed
ASSESSOR'S tax parcel number?
5a/ .),3Z0 7
OWNER or OCCUPANT
S T e venl /3i/Mie 3
Mailing address
/ 3( z / 5, C r9 -v, -t ph.
Who should we contact regarding this project?
Phone
—2c//,- '2aa.
City, state Zip
Phone
What work is being done under this permit?
`s
Y
0.
m
0
Building
Building height 0
/6
Contractor
C
WA State Contractor license #
Dimensions
Z_ x 5-G
# of stories
TOTAL SQUARE FOOTAGE
Main floor area
Mailing address
Architect/Engineer
2nd floor area
Unfinished basement area
Finished basement area
What is the heat source?
Garage area
/76617(
What is the cost of your project?
Size of decks, etc.
/Oo�� iT=
Manufactured Home
Sign
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Previous address
Fire Safety
Fire Sprinkler _
Paint booth _ Fire Alarm
Tent
Fireworks display _
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuel Storage Tanks
Swimming Pool
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
1.
SPOKANE COUNTY COURT NOUSE
APPLICATION FOR
CERTIFICATE OF EXEMPTION
APPLICATION NO. CE--- 2s - 9.67
COMPANION FILE NO. (` t✓'� — /Z -- 9 C gt 4/E-1/-9-5
Business Phone:
Applicant's Name: C L/9 /Re- 'JCE A • 6-CHAKE Home Phone:' (.-- 70 3 Y
Address: /0 )-2 41, &,ZEC'u A C
City: G -Y € /� c2CS State: _ W/4 . Zip: i9? /6
2. LEGAL DESCRIPTION of property for which this "Certificate of Exemption" is being applied:
NOTE: if the property is being divided or changed - - - provide the NEW LEGAL DESCRIPTION below.
1S Township ,A;S Range `(S
lJ � .moi%.
Win- z.te
within Spokane County, Washington.
. continued on back
3. Existing tax parcel number(s) SS / g/ , 3 zo S g SS / ?s' /. 3 20 7
4. Total existing acreage 4f H, S z g 5. New property size: (sq.ft. or acres) 44n , 2 9 L
6. Zoning: 4-t 2- 3. S 7. Comprehensive Plan Category: big 8 A2 r✓
8. Existing or intended use of property: S .n/= L� SAM % l2�s I DCi✓Ct7
. continued on back
9. Existing road frontage name:(�2t x�i✓ /3-c 2 cs 21� Feet of Frontage // 2.
NOTE: Minimum Road Frontage must extend into or be adjacent to the property as required per ZONING. If access is
by Private Road, a copy of recorded Private Road Easement must be provided with this application and the AUDITOR
RECORDING NUMBER entered as "Existing road frontage name" above.
10. I, ez,4/ /1/c.' 1 R lie (print name), swear under penalty of perjury that
the above responses are made truthfully and to the best of my knowledge. 1 also agree to
furnish any further documentation that may be required by the Planning Department. I also
understand that, should there be any willful misrepresentation or willful lack of full
disclosure on my part, Spokane County may withdraw any approval that it might issue in
reliance on this application. I also have provided written permission from both property
owners, if this application is f a " 3 inor lot line adjustment."
SIGNED:
7— 9
Applicant Date
STAFF ONLY
THE PLANNING DEPARTMENT ISSUES THIS "CERTIFICATE OF EXEMPTION" AS INDICATED
BELOW FOR THE PROPERTY DESCRIBED ABOVE, PURSUANT TO SPOKANE COUNTY
SUBDIVISION ORDNANCE, SECTION 3 , 3 4
THIS CERTIFICATE OF EXEMPTION SHALL BE SUBJECT TO THE FOLLOWING
CONDITIONS AND/OR FINDINGS:
0 The applicant shall comply with all requirements and regulations of the ZONING CODE of Spokane County.
The applicant shall comply with all requirements of the Spokane County Health District and/or Utilities
Division and/or County Engineering Division regarding wastewater disposal, on-site water or public water
systems and access and roads, respectively.
If above legal is new, the applicant shall file SEGREGATION APPLICATION with the County Assessor as
soon as possible after this application is approved. Not required when denied.
4. If private road is used, no building permit can be issued until the standards Chapter 3.05.050 of the County
Code have been complied with for the location and construction of the private road.
The applicant shall comply with the following additional conditions: -TA "
C 2`l
t
.continued on bac
THIS CERTIFICATE OF EXEMPTION IS FOR AND SHALL RUN WITH THE LAND, AND SHALL
LE TO THE APPLICANT OWNER, HEIRS, SUCCESSORS OR ASSIGNS.
/ DENIED THIS s- DAY OF , 19 95
APPROVE
/o
RECEIPT NUMBER
THIS CERTIFICATE OF EXEMPTION ISSUED BY SPOKANE COUNTY, WASHINGTON
SPOKANE COUNTY PLANNING DEPT., 721 N. JEFFERSON, SPOKANE, WA 99260 (509)456-2205
THIIS CERTIFICATE MUST AcCcCOmPAgy YOUR I::U]ILDIING pERmrr APPLICATION
Spok'an'e County Planning Department
Ft.Cntr: Applications/Forms CE APPMSTR(ncw): rev4/93
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Building
Planning
Engineer
, Reviewer Date
29
ADDRESS: 1 to40(.. t—T-)e6vvte--r
ZONE.
ROAD WIDTH:
FRONT. FLANKING:
COMMENTS.
REVIEWED BY