Loading...
2003, 01-27 Permit App: 03000478 Shop into Residence, Add GarageProjecl Number: 03000-178 Inv. / Application.• Date. 1/27/20113 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use. REMODEL SHOP INTO RESIDENCE & ADD ATTACHED GARAGE TO CREATE DUPLEX Setbacks: Frons 39 Left 25 Right: 17 Rear: 20+ Site R,forwation: Plat Key: 11115917 Name: SP -1142-97 Contact. MOYER. TIM P. Address: 11617 E REGO CT C - S - Z: SPOKANE, WA 99206 Phone: (509) 922-6000 Group Name: Project Name: District. F Parcel Number 45233.1932 Block SitcAddress: 1321 S EVERGREEN RD VERADALE, WA 991137 Location:: VER Zoning UR -3.5 Water District: Area: ',1211.011 Acres Urban Reside Width 107 Nbr of Bldgs: 3 Nbr of Dwellings 1 Review /nforn,ntion: . Review Plan Review Name: MOVER, TIM P. Addres : 11617 E REGO CT 07 SPOKANE, WA 99206 1 C7 Hold: ❑ Depth: 1611 Right Of Way (ft): 61) (Go till ':%j,. -cJ1 .;ice SITC R+W 14,u.Review Septic System Review _000E0%0 wtfred by E. Released By: - - Released Bv. Lan Buse/Zoning �fl©OD4'fl RcIs ased 13v: � /a 7lop Permits: D 9 Nt Operator: RMB Printed By. RMB Print Date 1/27/2003 Project Number: 03000478 Ina. 1 . Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 1/27/2003 Page 2 of 3 Contractor: OWNER Const Category Remodel Nbr Of Dwellings: BldgWxD: s Req Parking Building Permit Firur OWNER Phone Building Characteristics Group Type: Occupant Load: Building Height: Building Sq Ft' Sprinklers: Handicap Parking: Critical Materials: ❑ This Application: Description Grp Type Notes Sq Ft Valuation 2ND FLOOR 12-3 VN SAME AS 0 $62,208.00 ABOVE GARAGE U-1 VN 400 $4,800.00 RESIDENCE R-3 VN $12 0 $31,104.00 CREDIT GIVEN FOR EXIS SHOP Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor: OWNER Item Description GAS APPLIANCE<=100.000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER Totals: 400 $98,11200 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK I Y OR BLANK Permit Total Fees: Mechanical Permit Units 1 2 4 1 Operator: RMB Printed By RMB Stories: Total Project: Sq Ft Valuation 0 $62,208.00 400 $4,800.00 0 $31,104.00 400 598,112.00 Fee Amount $886.25 $4.50 $194 98 $1,085.73 Firm: OWNER Phone: Unit Desc NUMBER OF # OF UNITS NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $12.00 $2.00 $40.00 $1000 $64.00 Print Date 1/27/2003 Project Number: 03000478 Inv: l Applications THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 1/27/201)3 Page 3 of 3 Contractor: OWNER Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS CLOTHES WASHER Notes: . Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Pcrnut Plumbing Permit First: OWNER Phone' Units Unit Desc 3 NUMBER OF 4 NUMBER OF 1 NUMBER OF I NUMBER OF 1 NUMBER OF 1 NUMBER OF Fcc Amount $1,085.73 $64.00 $66.00 Permit Total Fees: Invoice Amount $1.085.73 $64.00 $66.00 Fee Amount $18.00 $24011 $6.(10 $6 00 $6.00 $6.00 Amount Paid $0 00 $O 00 $0 (1O $66.00 Amount Owing $1,085.73 $64.00 $6600 $1.215.73 $1,215.73 $0 00 $1.215 73 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. Signatu re: Operator RMB Printed By RNIB Print Dale 1/27/21103 nis. da SPomm: COU<nr PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION /%) S:. J k Y4 )7 9502 »SQ Legal Dcscriptton:A:et 7 // r� / Street Address: Assessor's Tax Parcel Number(s): Project Description: /� •4 n 0-4,---,7 -rt ocfr� /ri' r 6 ®3 tf a, 7 'L Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ 'Tenant (New/Change) Cl Other Department Use Only, ..': Phone 7 /� .600-/f ➢ / ba. /g%2' 7..+C /77LLLV \\'aer Drnnct/Punrpur. - , Sex er Diunct/Purrehdr :S. _ - C.' Road nidlh .. ''Rear Setbacks . . . . - Icft .. R�ghi on Sch1 District: . r , - huDistrict_ strict-. - - - .. .. Zomng 11y�, - up-� 5- l OWNER/APPLICANT INFORMATION El Indicate nbo ,bnu/d he, onl:jel mdnlinlop nmtt 12' Ucn/cry. _ / //'Jy � Phone 7 /� .600-/f ➢ / ba. /g%2' 7..+C /77LLLV 0 Apphc.anl Main Ili ur mil 0. Phone I:.,. Mailing Address //4 / yet 4 ‘ Ri.C: 0 G Mailing Add re's ISnnhcd basement sq. It Occupancy group (,n\', tilale,%Ip V Lir y / / —9/Q Citi, St Zip 1 Icat source (electric, gas. etc) ❑ Com Lmn,r NonePlaint❑ /Pas Architect/I' ' n las Mailing address Mailing addles. Citi, Sure Zip City, Stam Zip \\'A Stave Contractor licence n Contact name nk4 PROJECT INFORMATION 1 y - - Building Information . . " Building bright to peak # of stones Main Ili ur mil 0. UnAnishcd basement sq. ft Dnnensu MS \1 TuttI habitable space m"l Ilei it- sq. ft ISnnhcd basement sq. It Occupancy group Construction tlpc Garages. 0 DrcL ay ft c... prujeet 1 Icat source (electric, gas. etc) ManLifactured,Home (Sign \VId th 1 cnglh R'hat is the square Footage of the sign face' 11o' high is the sign? Year \lake: # of .signs Area of existing signs _ - Proposed use Value ✓\ Reloe'atigri\ FireSafety 'Non -Residential Energy Code Compliance?:, Prious address _ Fire Spnnkler 'Pent Paint booth Fire Alarm Fireworks display _ _ - Proposed use Value ✓\ .Special Inspections-Re9uiied? -- 'Non -Residential Energy Code Compliance?:, Firm Name _ Phone Is your property m a designated wildlife habitat area? ❑ Dont know" ❑ Yes No Will the site be served by a septic system? ❑ Yes No Plan Examiner • Phone Inspecnmv Is there evidence of fill or excavation on the property? ❑ Yes .)Er No Are there slopes greater than 30° on the property? (30 ft rise in 100 Ft) ( /%) 0 Yes� No .\re cntical or hacardous mate ds used or stored on saute?, 0 Yes .--"I"No No Address -Is the property inside the PSSA? 0 Yes 0 No ' Is the property located within 1000 feet of aNatural Resource Area?-,' , . I n.pecmr Phasic ❑ Concrete O Welding ❑ Bolting ❑ Reinforcement Address ADDITIONAL SITE INFORMATION Are there stnlctures on the property? 13. Yes ❑ No If pea', ,de/,1� on site plan- Whata the current property sale' ^ t/ (square feet or acres) U ✓! � Is any part of the property within 250 feet of a shoreline? t1, 1'eJ- sdiwt�' on site pl,// ❑ 1 es No What is the current u f this property' I l /i'� �S ) O fl J / /J Is your property m a designated wildlife habitat area? ❑ Dont know" ❑ Yes No Will the site be served by a septic system? ❑ Yes No Is any part of the property within a 1000 yr flood plain> lip's. lite/tidy on site plan ❑ Maybe ❑ Don't know ❑ YesNo Are or will there be wells located on the property? I!f e.r, /deu/rf y on the site p/u/ O Yes ]2r No Are there any wetlands, sticams or ponds within 200 feet of the properry> If yes. ,denhfp on sae plan ❑ Yes EY No Is there evidence of fill or excavation on the property? ❑ Yes .)Er No Are there slopes greater than 30° on the property? (30 ft rise in 100 Ft) ( /%) 0 Yes� No .\re cntical or hacardous mate ds used or stored on saute?, 0 Yes .--"I"No DEPARTMENT USE ONLY Is the property in a designated Stormwaier Control Area? ❑ Yes .❑ No '- Is public sewer av:ulable to the site? • "❑ .Yes.❑ No" -- - - Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? ^. - `'6- - ❑- Yes, , 0 No 0 Yes 0 No -Is the property inside the PSSA? 0 Yes 0 No ' Is the property located within 1000 feet of aNatural Resource Area?-,' , . -.. - 0 Yes .0 No Date Reamtd Staff Peprt.cntnm METHOD OF PAYMENT VISA 9 CASI1 9 CI II?CIC ❑ DIICOVER at== FAXED PERMITS WILL ONLY BE ACEPTED WITI I PAYMENT OF A MAJOR CREDIT CARD EXPIRES: B.\NKCARD NUMBER AUTHORIZED SIGNATURE SUBTOTAL -TOTAL FEE MINI MU11PERM!TFEE IS $35.00PLEASE MAKE CHECKS PAYABLE TO SPOKANE . " COUNYPEA1IIr CENTER ' _ m D n N O APPLICATION INFORMATION hat is the JOB SITE address? . ASSESSOR'S tax parcel number? 132.1 S Ever reg-yi Legal description as it app ars onproperty deed OWNER or OCCUPANT Phone Frain k Sm(.'4-k, Raz -5030 Mailing addressC Zip i3zl 5, Ev&r9 reea►q—R Veracaale WA c19037ho should we contact regarding thidproject? Phone c What work is being done under this pent r AA ice C.- Cigl1,. q Cons-,�ruc* nem 30 c�e,A-'a aya_9e Ir •nen� spa rlci� ^^"; Drapesize,:". yn : ‘iii.i.Mighu way wl mr .,...r afar district.. ` ...:L - :. Building. Building height / 24 # of stories O n e_ Contractor•; Dimensions•3'.z.x3C TOTAL SQUARE FOOTAGE //5'2.x2. WA State Contractor license # tl:a ca. of � 1 . �" . Main floor area 3.2 x36 Unfinished basement area No v► e Mailing ad rens / /53c;.a E ,. \ a- " 2nd floor area Alt' 5)-K36 Finished basement area Non e ,7674- • - h C- Architect/Engineer - o-.• Garage area Size Aof )decks, etc. What is the he source? What is the cost-of_your projectl Manufactured Horne- Sign Width: Length: i What is the square • e 6V the sign-face7 How high is the sign? Year: Make: / _ Installer / Contractor We State Contractor license # / ('- Wa State Contractor license # Mailing address —'__ Mailing address Relocation \ Fire Safet. Previous address Fir- pnnkler _ Tent Paint booth _ Fire .t - Fireworks display VALUE Contractor Contractor WA State Contractor license # WA State Contractor license # Mailing address i Mailing address - Fuel S ',rage, Tanks Swimml Pool (Circle one) Abo . •round Underground Size / gallons Private Contents of tank(s) . Size / gallons Public/semi-private Contractor Contractor Wa State Contractor license # A State Contractor license # Mailing address Mailing address COMPLETE ALL APPLICABLE INFORMATION Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. d N d 0.14*0 CALg INCLUDE THE FOLLOWING: ❑ All roadways, driveways & easments ❑ Distances from center of roads, right of ways, private roads & property lines O All existing & proposed buildings ❑ Underground utilities ❑ North arrow 0 Septic tanks & wells •)LAT MAI' t DDENDUI'"� wer Moyer rty Address 1 321 South Evergreen Road Veradale County Spokane a/Client Horizon Mortgage & Investments Oen° 200350B state WA zip Code99037 Address 104 South Fl rya Street, Ste 1 1 7a, Spokane, WA 99202 11 ATOM EVERGREEN ROAD 1'Z0"E 00' gf ORK HUL TRACT BOUNDARIES le' r ne( AqusSmON 2 NB9'51'20nE t eo.00 $ I TRACT g B - 12,800 S.F. i it /317 5- EVERGRIEN N6T5f'20*E 1 80.00 8 s TRACT „Ar, 17,120 S.F. /32/S.EVLRG1FIW 1 (19 0 8 0 31.88' i 8 SEWER CAM/1E111 SB9' 51'00'W 310.81' 16th AVEN FM) 1/2` REBNZ PER© 120.13' /3Z4 5. BpurAR TRACT "D 11 ,656 S.F. I_ TRAC1 uCr, 14,117 S.F. 1.31 b . . BDLJIA 1 saw' S89'51'20'W 100.73' 11' PrIEIE DRPOTAY ENT 16' PRIVATE U11Ut ( \\ SEM 191SIL1EN1 4 26' LW ET1ACK N89'51'20"E \ ' 52.15' 264.73' DETAIL "A" start: t• - S00138'18 E 50:00' 1 V(15 ONO 00 OF MAY 'TED eY INSE % - ClickFORMS Peal Estate Appraisal Software by nradlool Iechnnkn,r•s (.' "'r rt: ' (4777 4' SPRIT DEDICATION 748 S.F. EVERGREEN ROAD N89'S 1'20t 30.00' 16' FUTURE AQUISITION N89•51 '20"E 316.81' REBAR PER / 180.00' 5I TRACT 0 � 12,800 S.F. i /3/7 S EVERGREEN 31.88 ya 120.93' 6t �� /324 5 BOL/VAR N89'51'20'E 180.00' TRACT A 17,120 S.F. n /32/S.EW-RGREEA/ NI 180.00' TRACT ..pr. 11,856 S.F. 15' UTILITY & SEWER EASEMENT \ 12' PRNATE DRIVEWAY EASEMENT TRACT rr^n 14,117 S.F. 1326 3. SOL/V. 100.73' \ \ 15' PRIVATE UTILITY & SEWER EASEMENT. 25' BLDG SETBACK I N89'51 '20"E / 1 NI S89'51 '20"W 264.73' DETAIL -"A" SCALE 1' a 50' 52.15 S00'06'18"E 50.00' EXISTING RIGHT OF WAY VACATED BY MST # BI THE FINAL WAS _ N89'51'20't 316 61' en a I3Z4 S. ®OLJVJ J TRACT ©„ • 12,1300 it /317 5. EVER( "At Jr?: 8 I4 lu N87`51'20'F :CC_ ,.�. 100.00' 120.03 TRAC "D" 11 .856 f c' jTRACT tri "A" 17,120 S.F. er /32/ SCVLWGKITAI ba co' S89 -511204W 12' FfWAT I EASE 16' PRI\ SEVIE 28' a N89` 264.73' 500'06'18mE 5000' 2 — 13- 2-002 Ph —2-e ; d- t - - 717 / , e AC ids : ig-zl S: --um-r- - °- y o fFm L -t- :- -er Y Z 3 3. 1329 ya si-r . /o-7__ 1,0 (7 PLC) EP 7_e -, , -1 LLr 'c -f- 1 VIZ 3 e C Lc) t. i e ?„ 0 1 a u - c a__4v lS 2-01 66a 1 c — t i we Fact Sheet for Property Number 45233.1906 Data As of 2/23/2002 Reportl Site Address 1321 S EVERGREEN RD TCA n/a Parcel Status Inactive Owner SMITH, FRANK 8 DAISY Taxpayer AL-DUAIJ, ANNICK Owner 1321 S EVERGREEN RD Taxpayer 1317 S EVERGREEN RD Address VERADALE, WA 99037-8600 Address VERADALE, WA 99037-8600 Market Values 2002 Acreage Land 0 Exempt 0 Land Sq Feet Value Impvmts 0 Personal 0 Property Class Code n/a Total Value 0 Property Exempttion Year Active Exemptions Legal Description VERA S137FT OF W1/2 B173 Sales History (prior to 1999) Sale Date Sale Price Sale Instrument 07/09/1998 06/15/1998 08/27/1996 02/17/1994 $124,820.00 WARRANTY DEED $120,000.00 WARRANTY DEED $95,000.00 WARRANTY DEED $84,000.00 WARRANTY DEED Qualified/ Unqualified Unqualified - Unqualified Qualified Qualified Vacant/ Improved Improved Improved Improved Improved Transfer RESIDENTIAL RESIDENTIAL MULTIPLE RES MULTIPLE RES Verification PORTION SALE PORTION SALE UNKNOWN VERIFIED Improvements Improvement ID 01 Improvement Type Other Improvement Description Year Built Size Unit of Measure 1948 1 SF Page 1 of 1 Report Date Friday, March 01, 2002 0 ress/Legal Description: ubdivisiori/Bliick/L ot: FINAL AS -BUILT INSTAL Ti( S• / W"2611:: 2ectf3 'A4e, ROAD 5 ? ILII 74,1 :,: '" :, ;` ApPlidation #: q 7 - D // y6 SPOKANE REGIONAL DISTRICTLT H Donald L. Copley ENVIRONMENTAL HEALTH SPECIALIST ENVIRONMENTAL HEALTH dcapley@spokanecountyorg 1101 West College A v°enue # 402 Spokane, WA 99201 095 509.324.1584 1 meat 509.324.3603 I FAX www.SRHD.org Note: The location of the on-site sewage system represented by the drawing is not to be construed as an exact location of the system. Remarks: Signature: D� Date- to a. final final 2 Septic Tank Size: SD o £ K/5; . gals. Drainfield: Leachbed_ ydo Density is based on soil type- ft. sq. ft. 3 Doubie;Piumbing: ( 1 Yes No — 3q, 31.1' tv% 4.5.5 Lt E It\1 01 LSD S aO Lor LI 2..E.Bo sr 5 eol Roo' -Tc2.1\c..T SP -q1-1 142. Wax 1(06 EA5f-ME-I‘TC Pt_ -r* ‘" = /(0/- • CilL.J 12..ot /S.L.0 Pe PuNo.) ‘k./ led Gisdc6. €7c1JEU 1.1)&-s 11°7 7 it 1 VS '5 irri 1.1‘0 CASs ts &CEA R 0 1...Q P • 0 guar NO6EkIN5 Th 0,604 E.-1,151106 6131.1_3,1/SC5 l'f2m55-0) To M.M-Cfr I '5 \-07E, 0( E taJG GL..•)6, - 4" ck, 4oJLo z(4 Fob -'J6 rc:A CoLoiliA ALL f-ooft CoV.I‘Er&S E-4.s.-Ctk)(0 Tlt...t)co g3c714,3&6 To MkT(14 \LX -Vvio ku— DES . Co ffC RooNkNro kAl it L6Pg 5/8 3iV Z6c..k • E./LW flO of. END. Ise 17Oi1+ 54 3'/t col3c.'ct..00& v•ii )(,. to io STI_Ine.5t4 fie Swrkr9C.t. C.o LW -Pm), : OL)12-Ce...1R.L9ELS / L2 IL" cuosuot)<eittni &MD '8 oc, si-tzuciucE. V4 -is 11-b" / Ljrd.&I" .52 q7--.1/47_ (6ot:11N N.f.J.N. PiNg-cer, ic%. 45233- iti3t. 13 LI 5 eAteCk.GCLG: A/0..-* qlo-vr ItAo-Y cc, 1)ELcDVj?.S LC 3 at 5 Exietzr.a..e.,E.1.3.td. zoz aDGE.10G. V. C7t, s 35o4. VEI.MG.sr OTI S 1,0,/ 0 689 - Zt7 — • 8,007