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
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