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2002, 06-20 Permit App: 02004988 ResidenceProject Number: 02004988 Inv: I Application Da 6/20/20112 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Parcel Number: 45193.0805 Block: 7 Lot: 5 SiteAddress: 1215 S CENTER DR SPOKANE, WA USA 00000 Location:: SPO Zoning: UR -3.5 Urban Residential 3.5 Water District: Area: 22,008 Sy Ft Width: 131 Nbr of Bldgs: 1 Nbr of Dwellings: 1 evie-w R In ormataon: :. Review Site Plan Review Owner: Name: PETERSON, ARTHUR A & ALICE Address: 3714 E 23RD SPOKANE, WA 99223 Hold: ❑ Depth: 168 Right Of Way (ft): 50 .......................... ..... .... ....... I ....... ..... ...... ... ........ ............ .......... ....... . ... ... Plan Review � ReleasedsBY. ........ .. Appi O9 FNAr3W3 Stormwater Control Special Inspection on basement required and Record Drawings to be submitted to stormwater utility prior to final approval. Operator: RMB Printed-bY:' Released BY iLe — `7 OZ s , . RNIB Print Date: 6/20/20112 Project Number: 02004988 Inv: I Application Date: 6/20/2002 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Permits: ..... Building Permit Contractor: JOHN RUNYAN Firm: JOHN RUNYAN HOMES Address: 1112 E EXCELSIOR RD Phone: (509) 389-3663 SPOKANE, WA 99224 3,597 $151,383.90 Units Unit Desc Building Characteristics Const Category: New Group: R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 25 Bldg W x D: 38 x 56 Building Sq Ft: 22891 Sprinklers: El Req Parking: 1 Handicap Parking: Critical Materials: El 1 NUMBER OF $10.00 This Application: Description Grp Type Notes Sp Ft Valuation 2ND FLOOR R-3 VN 905 $59,730.00 BASEMENT U R-3 VN 1,093 $13,443.90 GARAGE U-1 VN 506 $6,072.00 RESIDENCE R-3 VN 1,093 $72,138.00 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Totals: 3,597 $151,383.90 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Contractor: DANCAR MECHANICAL INC. Address: 311 N HODGES RD GREENACRES, WA 99016 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 Stories: 2 Total Project: So Ft Valuation 905 $59,730.00 1,093 $13,443.90 506 $6,072.00 1,093 $72,138.00 3,597 $151,383.90 Fee Amount $1,155.00 $4.50 $254.10 Permit Total Fees: $1.413.60 Mechanical Permit Firm: DANCAR MECHANICAL INC. Phone: (509) 924-9921 Units Unit Desc Fee Amount I NUMBER OF $10.00 1 NUMBER OF $15.00 3 # OF UNITS $3.00 1 NUMBER OF $12.00 6 NUMBER OF $60.00 1 NUMBER OF $10.00 1 NUMBER OF $10.00 Permit Total Fees: $120.00 Operator: RMB Printed By: RMB Print Date: 6/20/2002 Project Number: 02004988 Inv: I Application Date: 6/20/2002 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: COUGAR MECHANICAL INC Address: E 3838 JOSEPH #A SPOKANE, WA 99217 Item Description TOILETSBIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS CROSS CONNECTION DEVICES WATER USING DEVICES Plumbing Permit Firm: COUGAR MECHANICAL INC Phone: (509) 484-6420 Units Unit Desc Fee Amount 3 NUMBER OF $18.00 6 NUMBER OF $36.00 1 NUMBER OF $6.00 2 NUMBER OF $12.00 1 NUMBER OF $6.00 1 NUMBER OF $6.00 1 NUMBER OF $6.00 1 NUMBER OF $6.00 1 NUMBER OF $6.00 2 NUMBER OF $12.00 Permit Total Fees: $114.00 Notes LOTS 12 & 16 BLOCK 6 HAVE SPECIAL DRAINAGE REQUIREMENTS PLEASE REFER TO ENGINEERS Pavment Summa Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,=113.60 $1,413.60 $0.00 $1,413.60 Mechanical Permit $120.00 $120.00 $0.00 $120.00 Plumbing Permit $114.00 $114.00 $0.00 $114.00 $1,647.60 $1,647.60 $0.00 $1,647.60 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 it 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: RMB Printed Bv: RMB Print Date: 6/20/2002 SPRCIFIC CiTR i1V17nAAcfeT11-XXr Street /\ddrCSs: - --- ------ assessor's Tax Parcel Numbcr(s): J • r Legal Description: Project Description: I�t�!/�U � , "JI r��iYll C���� � L ►'1•� ' Building Permit ❑ Changc in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other Y , Department Use Only F lk'tter llictrict/Pun cyor Sewer Dictnct/Puney�r " Road width �r ' Setbacks + r. r tr _ r Building, Information 'Rear Fax:', Mailing Address: 37 1!.23�4J4 School District Fire Distract n g t . . . t:iry, State, Zip rFontrictor OWNER/APPLICANT INFORMATION -,,' ,a,, Miii L) (LM\ o f r r (honer. t Phone: "'0I 13 Applicant: r Building, Information Mailing Address: '. Fax:', Mailing Address: 37 1!.23�4J4 # of storieti . City, State, Zip ..._ . . . t:iry, State, Zip rFontrictor phone Phone1 13..&7aArchitect/[inlhneer " Phone hh 2h -,n Fax - Iax Mailing address I Z E ior Pry, Mailing address t, city, State '/..ip . City, State Zip �I/ — i VVA 9Z2� J z \\ A State Contras >r license # Contact name: JOH M 6, L - ._ FKkJP-Ul 1NPORMATION r Building, Information Building hci;ht. to peak # of storieti Main floor sq. ft.Unfimchcd basement sy. ft. ' Dimensions t.r 3� 5 J Total habitable s ace tad _ Floor sq. ft Finished basement sq. ft. Uccupancc grout Construction h'pc Garagefl. y' Deck sq. ft. —k—YC> �I/ — Cost of project ; i I [eat source (electric, gas, etc.) Manufactured Tome < S> Width: ; Length.'" -i' ti.; What is the square footage of the sign How high is the sigm? face? Year: make:. # of sibms Arca of existing signs . ADDITIONAL SITE INFORMATION Are there structures on the property? - ❑ Yes No What is the current property size? 2 -�> 1f yes, idenlify on site plan (square feet or acres) a Is any part of the property within 250 feet of a shoreline? Vlhat is the current use of this property? lfjes, identify on sile lan ❑ Yes DgrNo U `� is your property in a designated wildlife habitat arca? \Fill the site be served by a septic system? ❑ Yes ��lo ❑ 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? 1f jes, identify on site plait 1, f yes, ldenfl# on the site plan C3 Yes �No C3 ala ybc 13 Don't know C3Yes No Are there any wetlands, streams or ponds within 200 feet of the property? Is.thcrc evidence of fill or excavation on the property? 1 ,er, idenli y on rile plan ❑ Yes >CNo ❑ Yes No Are there slopes greater than 30% on the property? (30 ft rise. in 100 ft) Are critical or hazardous materials used or stored on site? ❑ Ycs 9No ❑ Yes KINo DEPARTMENT USE ONLY Is the property in.a dcslated Stormwater Control:Area? Is public sewet,available to the site? O Yes 13 No gn ❑,.Ycs ❑ No Is the property inside tlic ASAI ❑-Ycs <-❑ No ' Is public,.watei available to the site?. O Ycs ❑ No ❑ Ycs-,', ❑ No Is the property; insidc tlie.,PSSA? 0-Y ❑ No Is the property located within 1000 feet of a Natural_Resourcc.Arca? ❑ Ycs .:'.:.❑ No Date Received: Staff Representative: ` METHOD OF PAYMENT VISA +',. FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATF.: I:Sp1Rl:S: BANKCAM) NUMBFIt: AUTI101UZ {D SIGNATURE: 1' SUBTOTAL TOTAL FEE MINIMUMPERMITFEEISfJS.ON - `PLl ASE HAKE CI 11:CXS Pal'AB L•' 10 .. ..$I1OK.•1NE COUNTYPGt:\IITCEN'I1LR . IADDRESS S. IaIS CfctNT_, ZONE ROAD WIDTH 540 FRONT LIS FLANKING I COMMENTS REVIEWNBY .:-,;This site plan is being submitted for the p rp � ��ose or obtaininc a building perrnit and is a true and ccrr : t I representation of the prop;:,.�al. All known property I lines/dimensions. curb lines, structures and easements have been iden i Iso indicated are .votlanda. bodies wa ep lopes or other critica areas. Signed: ^ IDate: J I I � � I 0 11 cagyr �. !Sb