2001, 09-04 Permit App: 01007492 ResidenceProject Number: 01007492 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/4/2001 Page 1 of 3
Project Information:
Permit Use: RESIDENCE/ATTACHED GARAGE - FORCED
AIR GAS
Setbacks: Front 23 Left: 20+ Right: 5 Rear: 31
Site Information:
Plat Kcv: 005490 Name. MORNINCSIDE PUD PHASE 1 District: F
Contact: SULLIVAN HOMES
Address: 3004 N SULLIVAN, #A
C - S - Z: SPOKANE WA 99216
Phone. (509) 624-4598
Group Name.
Project Nanta
Parcel Number: 45251.1201
Block: 4 Lot. 1
SileAddress• 2219 S DUSK LN
VERADALE, WA USA 99037
Location:: VER
Zoning: SR -1 Suburban Residential 1
Water District
Area: 19,1141 Sy Ft
Nbr of Bldgs: 1 Nbr of Dwellings 1
Review Information: -
Owner: Nance: SULLIVAN HOMES, INC
Address: 311114 N SULLIVAN RD STE A
SPOKANE, WA 99216
Hold: ❑
Width: 111 Depth: 114 Right Of Way (ft): 30
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
ENGINEER
Hold Reasons:
Permit Conditions:
UTILITIES
Hold Reasons:
Permit Conditions:
Permits: .....
Review
Site Plan Review
Plan Review
...c .,. 09
Relcgscd By: � OK—
Approach / Drainage
.Released By:
Sewer Review
' ReldasedB} :
o1 C
Project Number: 01007492 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/4/2001 Page 2 of 3
Contractor: SULLIVAN HOMES INC
Address: 3004 N SULLIVAN RD, #A Phone: (509) 624-4598
SPOKANE WA 99216
Building Permit
Firm: SULLIVAN HOMES INC
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height. 28 Stories' 2
Bldg W x D: 65 x 65 Building Sq Ft: 2551 Sprinklers: ❑
Req Parking: 0 Handicap Parking 0 Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VN 741 $45,942.00 741 $45,942.00
DECK R-3 VN 81 $596.16 81 $596.16
GARAGE U -I VN 1,000 $12,000.00 1,000 $12,000.00
RESIDENCE R-3 VN 1,810 $112,220.00 1,810 $112,220.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: KELLER HEATING
Address: 7402 E 8TH AVE
SPOKANE, WA 99212
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
Totals: 3,632 $170,758.16 3,632 $170,758.16
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,250.00
$4.50
$275.00
$1,529.50
Firm: KELLER HEATING
Phone: (509) 926-3551
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
6 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$12.00
$3.00
$60,00
$10.00
$10.00
$105.00
Project Number: 01007492 Inv: 1
Application
Date. 9/4/2001 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: S T PLUMBING CO INC
Address: P.O. BOX 1817
AIRWAY HEIGHTS, WA 99011
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Purulent Summary: .:....
Operator: RMB
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Units
4
5
3
3
1
3
Printed By: RMB
Fcc Amount
$1,529.50
$105.00
$132.00
Firm: S T PLUMBING CO INC
Phone: (509) 244-5575
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$24.00
$30.00
$18.00
$18.00
$6 00
$6.00
$6.00
$6.00
$18.00
$132.00
Print Date: 9/4/2001
Invoice Amount
$1529.50
$105.00
5132.00
$1,766.50
$1,766.50
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,529.50
$105.00
$132.00
Notes:
WATER APPROVED FIRE DISTRICT 1 APPROVED FIRE DISTRICT 8
APPROVED OK TO ISSUE SEWER PERMITS PR BILLY 1/1/9/95 CKF
50.00
$1,766.50
SPOKAE COUNTY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC eg& SITE FORMAT K
Street Address: 16905-Gsunty Oe�t LJ
Assessor's Tax Parcel Number(s): 45251.1201
Legal Description: Lot 1, BLK 4, Morningside, Phase 1
Project Description: Single family home
® Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
0 Relocation
❑ Sign
O Tenant (New/Change)
O Other
Department Use Only
Phone. 624-4598
Fax: 624-4630
Water District/Purveyor
Sus er D,smct/Purveyor
uidth
RoadOOr/
Setbacks rr^��/.� /
Front. n// 1
"`•I�JJ
Left
Rear
- - \
Right 16141ri
School Dntr¢t.
Fire District.
Zoning -
OWNER/APPLICANT INFORMATION
S p,gea
l 11' 11� -19,0
0 Owner Sullivan Homes, Inc.
Phone. 624-4598
Fax: 624-4630
✓ Applicant.
SAME
Phone:
Fax
Mailing Address
3034 Nonh Sullivan Road, Saute A
Dimensions
65'x65'3
Mailing Address: SAME
2n1 floor sq. ft.. 741 s.f.
Gty, State, Zip
Spokane, WA 99216
Occupancy group: Single family
Gty, State, Zip SAME
Garage sq. ft.: 1,000 s.f.
0 Contractor Sullivan Fomes, Inc.
Phone
624-4598
Fax
❑ Aichnect/Engineer SAME
Phone
Fax
Mailing address SAME
Mailing address
Gty, State Zip SAME
Gty, State Zip
WA State Contractor license 6 SUndH1042JT
Contact name:
ROJECF INFORMATION
Building Information
Building height to peak
28'
# of stories: 2
Main floor sq. ft.: 1,810 s.f.
Unfinished basement sq. ft. NA (crawl
Space.
Dimensions
65'x65'3
Total habitable space : 2,551 s.f.
2n1 floor sq. ft.. 741 s.f.
Finished basement sq. ft.: NA
Occupancy group: Single family
Construction type- wood frame
Garage sq. ft.: 1,000 s.f.
Deck sq. ft.: 81 s.f.
Cost of project $162,000
Heat source (electnc, gas, etc): gas
Manufactured Horne
Sign
Width: NA
Length
What is the square footage of the sign
face?
I low high is the sign?
Year.
Make:
# of signs
Area of existing signs
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( /%) 0 Ycs ✓No
Proposed use
Value
Relocation
Fire Safety
Fuse Name
NO '
Previous address: NA
Phone
Fuc Sprinkler
Tent
Paint booth Fire Alarm
Fireworks display
_
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( /%) 0 Ycs ✓No
Proposed use
Value
Special inspections Required?
Non -Residential Energy Code Compliance?
Fuse Name
NO '
What is the current use of this property? Developed
Phone
Plans Examiner
Phone
Inspectors
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, tdentr(y at ill& plan 0 Yes ✓ No
Is there evidence of fill or excavation on the property?
0 Yes "No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( /%) 0 Ycs ✓No
Address
ncpectoc
Phone •
❑ Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes ✓ No
If yes, Identify on site plan
What is the current property size?
(square feet or acres) 19,828 S F.
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan 0 Yes ✓No
What is the current use of this property? Developed
Is your property ua a designated wildlife habitat arca?
0 Don't know 0 Yes /No
Will the site be served by a septic system? 0 Yes ./No
Is any part of the property within a 100 yr flood plain?
IJyes, identefr on site plan
0 \lavbe 0 Don't know 0 Yes ✓No
Are or will there be wells located 011 the property?
IIJ edentefr on the sae plan 0 Yes VNo
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, tdentr(y at ill& plan 0 Yes ✓ No
Is there evidence of fill or excavation on the property?
0 Yes "No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( /%) 0 Ycs ✓No
Are critical or hazardous materials used or stored on site?
0 Yes /No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
' '0 Yes
0 N
Is public sewer available to the site? 0 Yes 0 No
-
Is the property inside the ASA? _
0 Yes
0 Yes
0 No
0 No
Is public water available to the site? 0 Yes 0 No
Is the property inside the PSSA? -
0 Yes
0 No
Is the property located within 1000 feet of a Natural Resource Area?
❑ Yes 0 No
Dam Received
Staff Representativ
METHOD OF PAYMENT
VISA
9 C\SII 0 CHECK 0 0
ouc,vEe.
pelt= sin met
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE
EXPIRES
BANKCARD NUMBER
AUTHORIZED SIGNATURE
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT FEE 15 $J5.00PLEASE
.,IAKI! CI IECES PAYABLE TO SPOKANE
COUNTY PERMIT CENTER
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