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2002, 07-08 Permit App: 02005599 AdditionProject Number: 02005599 Inv: 1 Application Date: 7/8/02 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: 7 X 18 KITCHEN ADDN W/19.5 X 26 ATTACHED Contact: CAPSTONE CONSTRUCTION GARAGE & BASEMENT BATH Setbacks: Front 35 Left: 5 Right: NA Rear: 18 Site Information: Address: 2917 E FRANCIS C - S - Z: SPOKANE, WA 99216 Phone: (509) 468-4981 Group Name: Project Name: Plat Key: 001866 Name: ORCHARD AVENUE ADD (TR.1-228) District: Parcel Number: 45063.3208 Block: SiteAddress: 3421 N ELTON RD SPOKANE, WA USA 00000 Location:: SPO Zoning: UR -3.5 Water District: Urban Residential 3.5 Lot: Owner: Name: BADS, CHERYL L Address: 3421 N ELTON RD SPOKANE, WA 99212 Hold: ❑ Area: 6,108 Sq Ft Width: 82 Depth: 70 Right Of Way (ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released By: Plan Review Septic System Review I Released By: Landuse/7onin�� � Released By: lie..aaatw, _� F� s/ . F lLy.o s !S 3' ''rc Permits: Operator: CKF Printed By: CKF Arotir- Print Date: 7/8/02 Project Number: 02005599 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/8/02 Page 2 of 3 Building Permit Contractor: CAPSTONE CONSTRUCTION Firm: CAPSTONE CONSTRUCTION Address: PO BOX 388 Phone: (509) 326-0908 NINE MILE FALLS, WA 99026 Building Characteristics Const Category: New Group: R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: 14 Stories: 1 Bldg W x D: 7 x 18 Building Sq Ft: 126 Sprinklers: E Req Parking: Handicap Parking: Critical Materials: ❑ This Application: Total Project: Description Grp Tvpe Notes Sq Ft Valuation So Ft Valuation GARAGE U-1 VN 517 $6,204.00 517 $6,204.00 RES ADD R-3 VN 126 $8,316.00 126 $8,316.00 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Totals: 643 $14,520.00 643 $14,520.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Mechanical Permit Fee Amount $225.50 $4.50 $49.61 $279.61 Contractor: CAPSTONE CONSTRUCTION Firm: CAPSTONE CONSTRUCTION Address: PO BOX 388 NINE MILE FALLS, WA 99026 Item Description DUCT SYSTEMS VENTILATING FANS MINIMUM FEE ADJUSTMENT Contractor: FAUCETS N' STUFF LLC Address: PO BOX 813 VERADALE, WA 99037 Phone: (509) 326-0908 Units Unit Desc Fee Amount 1 NUMBER OF $10.00 1 NUMBER OF $10.00 1 Select $15.00 Permit Total Fees: $35.00 Plumbing Permit Firm: FAUCETS N' STUFF LLC Phone: (509) 924-8881 Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 1 NUMBER. OF $6.00 SINKS 1 NUMBER OF $6.00 SHOWERS 1 NUMBER OF $6.00 WATER PIPING - DWV 1 NUMBER OF $6.00 MINIMUM FEE ADJUSTMENT 1 Select $11.00 Operator: CKF Printed By: CKF Permit Total Fees: $35.00 Print Date: 7/8/02 Project Number: 02005599 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/8/02 Page 3 of 3 Notes: Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount Invoice Amount $279.61 $35.00 $35.00 $279.61 $35.00 $35.00 Amount Paid $0.00 $0.00 $0.00 Amount Owing $279.61 $35.00 $35.00 $349.61 $349.61 $0.00 $349.61 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be coutrued to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: CKF Printed By: CKF Print Date: 7/8/02 �?C1�tt�ly bz.ve-41 -I its`3' ArliDAt s., f...3.c4-.Z1 tOrN ZONE _. ROAD '`: r$ FRONT35 F� COMMENTS .This Oe plan is being submitted for the purpose of obtaining a building permit and is a true and correct. representation of the proposal. All known property lines/dimensions, curb lines. structures and easements. have been idefled. Al • ' dlcated are wetlands, bodies of w - steer $ - otherEritical areas. Signed: Date' 7- - l' oL. 34-21 11. ekroll S1. i.. l1 v; ._ c„