2002, 12-16 Permit App: 02011079 ResidenceProject Number: 02011079 Inv: 1 Application Date: 12/16/2002 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Parcel Number: 45224.4404 Block: 5 Lot: 4
SiteAddress: 1421 S DAVIS LN
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -7 Urban Residential -7
Water District:
Area: 5,001 Sq Ft Width: 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Owner: Name: CURRY, GORDON
Address: 14313 E TRENT
SPOKANE, WA 99216
Hold: ❑
Depth: 100 Right Of Way (ft): 30
Review Information: :. ................
Review
Site Plan Review
Plan Review
Approach / Drainage19 1
Sew(
Permits:
Released By. s
Released By: _v1
"A AA
Operator: CKF Printed By: CKF Print Date: 12/16/2002
Z -
Project Number: 02011079 Inv: I Application Date: 12/16/2002 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: EXCELL CONSTRUCTION Firm: GORDON CURRY/EXCELL CONS
Address: 14313 E TRENT AVE Phone: (509) 928-0600
SPOKANE, WA 99206
Building Characteristics
Const Category: New Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height:
Bldg W x D: x Building Sq Ft: Sprinklers: EJ
Req Parking: Handicap Parking: Critical Materials: ❑
Description
Grp
Type Notes
BASEMENT U
R-3
VN
GARAGE
U-1
VN
RESIDENCE
R-3
VN
Item Description
RESIDENTIAL VALUATION
STATESURCHARGE
RESIDENTIAL SURCHARGE
This Application:
So Ft
Valuation
1,396
$17,170.80
440
$5,280.00
1,396
$92,136.00
Totals:
3,232 $114,586.80
Units
Unit Desc
1
Y OR BLANK
1
Y OR BLANK
1
Y OR BLANK
Contractor: SMITH HEATING & COOLING
Address: 102 E NORA AVE
SPOKANE, WA 99207
Stories:
Total Project:
Sg Ft
Valuation
1,396
$17,170.80
440
$5,280.00
1,396
$92,136.00
3,232 $114,586.80
Fee Amount
$970.00
$4.50
$213.40
Permit Total Fees: $1,187.90
Mechanical Permit
Firm: SMITH HEATING & COOLING
Phone: (509) 328-4431
Item Description
Units
Unit Desc
Fee Amount
GAS WATER HEATER
1
NUMBER OF
$10.00
GAS APPLIANCE=100,000BTU
1
NUMBER OF
$12.00
GAS PIPING
3
# OF UNITS
$3.00
AIR CONDITIONERA-15 TONS
1
NUMBER OF
$20.00
VENTILATING FANS
4
NUMBER OF
$40.00
CLOTHES DRYER
1
NUMBER OF
$10.00
GAS LOG OR GAS INSERT
1
NUMBER OF
$10.00
HOOD -TYPE II
1
NUMBER OF
$10.00
Permit Total Fees:
$115.00
Operator: CKF Printed By:
CKF
Print Date:
12/16/2002
Project Number: 02011079 Inv: I Application Date: 12/16/2002
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: ALPHA PLUMBING & HEATING Firm: ALPHA PLUMBING & HEATING
Address: 13615 E. TRENT AVE Phone: (509) 535-0727
SPOKANE, WA 99216
Item Description
Units
Unit Desc
Fee Amount
TOILETS/BIDETS
3
NUMBER OF
$18.00
SINKS
5
NUMBER OF
$30.00
SHOWERS
1
NUMBER OF
$6.00
TUBS
2
NUMBER OF
$12.00
DISH WASHERS
1
NUMBER OF
$6.00
GARBAGE DISPOSAL
1
NUMBER OF
$6.00
CLOTHES WASHER
1
NUMBER OF
$6.00
FLOOR DRAINS
1
NUMBER OF
$6.00
WATER USING DEVICES
3
NUMBER OF
$18.00
Permit Total Fees:
$108.00
Notes:
Payment Summa
Page 3 of 3
Permit Type
Fee Amount
Invoice Amount
Amount Paid
Amount Owing
Building Permit
$1,187.90
$1,187.90
$0.00
$1,187.90
Mechanical Permit
$115.00
$115.00
$0.00
$115.00
Plumbing Permit
$108.00
$108.00
$0.00
$108.00
$1,410.90
$1,410.90
$0.00
$1,410.90
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: CK.F Printed By: CKF Print Date: 12/16/2002
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
1 ANN - i 509-477-3675
SPOKANE CANTY
a><r.�.><r>«. �><ir, >llvrvluvitiiivly
Street Address:
Assessor's Tax Parcel Number(s):
Legal Description: � . ,
e-9 %Lc"I S U 'n7 d'2 �vl�
q5 2- L-IL464
Project Description:
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other
Department Use Only
Water District/Puneyor.
Sewer District/Purveyor
Road width
Setbacks
Fac
Ntailmg Addreec
3
Main floor sq. ft.
Front: Rear.
School District
Fire District:
"Zoning
Cit" State,
kelv
Gn, State, %,p
Left Right.
OWNER/APPLICANT INFORMATION
❑ O r
Phone �r�J'�Cti d
❑ Applicant:-- phone
I as:
Fac
Ntailmg Addreec
3
Main floor sq. ft.
Mailing Address:
/Y 3/
c�
Cit" State,
kelv
Gn, State, %,p
Con for
Phone de,^ a
❑ Architectd'.rignicer Phone
i
I as
I as
Mailing address
Garage sq. ft.
Mailing address
/x%3/9 I-
0tv, ~tate %ip
Cite, State Zip
711, A State Contractor license #
Contact name
PROTECT INFORMATION
Building Information
Building height to Pca�
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
3C
Total habitable space
z 3
2-1 floor sq. ft.
finished bascmmt sq. ft.
OeeuPnney grouP
Construction tvPc
Garage sq. ft.
Deck sq. ft.
Cost of pro et
I Icat source (electric, gas, etc.)
Manufactured Home Sign
Width:
Length: What is the square footage of the sign
face?
I low high is the sign?
Year:
Make: # of signs
Area of existing signs
Inspector Phone
❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement
Address
Relocation Fire Safety
Previous address Fire Sprinkler 'fent
Paint booth hire Alarm Fireworks display
Proposed use Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name Phone
Plans Examiner Phone
Inspectors:
Address
I yes, identi , on site plan ❑ Yes ® No
Inspector Phone
❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? ❑ Yes OR No
What is the current property size?
I yes, identi , on site lan
(square feet or acres) �'�><% G C'
Is any part of the property within 250 feet of a shoreline?
What is the currentyse of this prop rty?
I yes, identi , on site plan ❑ Yes ® No
P --C' el�f1
Is your property in a designated wildlife habitat area?
Will the site be served by a septic system? ❑ Yes 4N No
❑ Don't know ❑ Yes ® No
Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the property?
I fyes, idenfib, on site plan
Ifyes, identifi, on the site plan ❑ Yes ® No
❑ i\la be ❑ Don't know ❑ Yes IM No
❑ Yes ❑ No
Are there any wetlands, streams or ponds within 200 feet of the property?
Is there evidence of fill or excavation on the property?
1f yes, ido lih, on site plan ❑ Yes ® No
❑ Yes ® No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
I
Are critical or hazardous materials used or stored on site?
% ❑ Yes 9 No
❑ Yes 10 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
Is public sewer available to the site? ❑ Yes ❑ No
❑ Yes
❑ No
Is the property inside the ASA? ❑ Yes
❑ No
Is public water available to the site? ❑ Yes ❑ No
❑ Yes
❑ No
Is the property inside the PSSA? ❑ Yes
❑ No
Is the property located within 1000 feet of a Natural Resource Area?
❑ Yes ❑ No
Date Received: Staff Representaticc:
METHOD OF PAYMENT
VISA
❑ CASI1 ❑ CI1FICK ❑ � ❑ 19 ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DA17:: VXPIRFIS:
BANKCARD NUIIBFIZ:
AU I10R1'/,I-:D SIGN_ TURF:
SUBTOTA .
TOTAL FEE
MINIMUM PERMIT FEE IS $31WPLEAS E
NLXKE CHECKS PAYABLE To SPOKANE
COUNTY PERMIT CI?,NITR
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ADDRESS 5 • !L42"
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ZONE _ • /
ROAD VVIDTA
FRONT Z FLANKING
COMMENTS 04 N4 1
RF`'TFWFD BY
i> � Cl T T T7 "T A A T
LAWN
This s"e flan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
linesldimensions, b lin tructures =,etlandss.
have been iden dicatedbodies of wate slopes or er
Sign :�
Da e: — / - -
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