2000, 07-10 Permit App: 00005759 ResidenceProject Number: 00005759 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/10/2000 Page 1 of 3
Project Information:
Permit Use: RESIDENCE W/GARAGE - NATURAL GAS
Setbacks: Front 26 Left: 12 Right: 5 Rear: 45
Site Information:
1
Plat Key: 005859 Name: RIVERWALK 8TH ADD
Parcel Number: 55083.5205 Block: 3
Contact: SHOREWOOD HOMES
Address: 3901 SCHRIEBER WAY
C - S - Z: COEUR D' ALENE, ID 83815
Phone: (208) 665-9400
Group Name:
Project Name:
Lot: 5
District: G
SiteAddress: 19404 E FLAT ROCK RIVER Owner: Name: SHOREWOOD HOMES
GREENACRES, WA USA 99 Address: 3901 SCHRIEBER WAY
Location:: GRE COEUR D' ALENE, ID 83815
Zoning: UR -7 Urban Residential -7
Water District:
Hold: ❑
Area: 7,952 Sq Ft Width: 72 Depth: 110 Right Of Way (ft): 35
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: „
Department Review
BUILDING
Site Plan Review
Hold Reasons: Nut:),
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
ENGINEER
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
PLANNING
Hold Reasons:
Permit Conditions:
Permits:x
Plan Review
It •
Released
Approach / Drainage
Special Reviews
Landuse/Zoning
Released By '
Released By
614,- - Abr5 i +- 2.
VO/
Project Number: 00005759 Inv: 1
AppTlcation
THIS IS NOTA PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/10/2000 Page 2 of 3
Contractor: SHOREWOOD HOMES
Address: 3901 SCRIBNER WAY Phone: (208) 665-9400
COEUR D'ALENE, ID 83815-8395
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height:
Bldg W x D: 52 x 26 Building Sq Ft: 3152 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application:
Building Permit
Firm: SHOREWOOD HOMES
Description Grp Type Notes Sq Ft Valuation
2ND FLOOR R-3 VN 1,055 $65,410.00
BASEMENT U R-3 VN 1,055 $12,195.80
GARAGE U-1 VN 420 $5,040.00
RESIDENCE R-3 VN 1,042 $64,604.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: UNKNOWN
Address: UNKNOWN
UNKNOWN, WA UNKNOWN
Item Description
HOOD -TYPE II
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
Totals: 3,572 $147,249.80
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Units
1
1
1
2
4
1
Stories: 2
Total Project:
Sp Ft Valuation
1,055 $65,410.00
1,055 $12,195.80
420 $5,040.00
1,042 $64,604.00
3,572 $147,249.80
Fee Amount
$1,135.00
$4.50
$249.70
$1,389.20
Firm: UNKNOWN
Phone: (000) 000-0000
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
Fee Amount
$10.00
$10.00
$12.00
$2.00
$40.00
$10.00
Permit Total Fees: $84.00
Project Number: 00005759
Inv: 1
Application
Date: 07/10/2000 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencingwork without a permit
Contractor: UNKNOWN
Address: UNKNOWN
UNKNOWN, WA UNKNOWN
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Payment Summary:
Operator: CKF
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Notes: wasuatomefigan,w.:
Plumbing Permit
Firm: UNKNOWN
Phone: (000) 000-0000
Units Unit Desc
3 NUMBER OF
4 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
Printed By: CKF
Fee Amount
$1,389.20
$84.00
$96.00
$1,569.20
Permit Total Fees:
Print Date:
Invoice Amount
$1,389.20
$84.00
$96.00
$1,569.20
Fee Amount
$18.00
$24.00
$18.00
$6.00
$6.00
$6.00
$6.00
$12.00
$96.00
07/10/2000
Amount Paid Amount Owing
$0.00 $1,389.20
$0.00 $84.00
$0.00 $96.00
$0.00 $1,569.20
IA
Mili
SPOKANE COUNTY
PROJECT APPLICATION
SPOKANE COUNTY Di'VISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: it i,
J-- k -
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description:
TYPE OF APPLICATION
72 AI ft
Elf Building Permit
0 Grading
0 Manufactured Home Permit
0 Timber Harvest
0 Relocation
0 Change in Use
0 Other
Are or will there be wells located on the property? /
If yes, identify on the site plan 0 Yes t ' No
OWNER/APPLICANT INFORMATION
dOwner:
'kb :.E.,t J3 G C(
Phone:
W4-J/Fa„:
62 ti C.:73— —5Lzk G
' (ILI;' 244'3
0 Applicant: Phone:
Fax:
Mallin d els:,
6 15' C_.1 1.--i-
c�
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
0 Maybe 0 Don't know 0 Yes 0 No
Are or will there be wells located on the property? /
If yes, identify on the site plan 0 Yes t ' No
Mailing Address:
City, S te, Zip(
Zip'
.�ti et I
1
,t
Y
JS
City, State, Zip
0 Contact:
Phone:
Fax:
El Indicate who should be contacted regarding this project
Mailing Address:
City, State, Zip
ADDITIONAL INFORMATION
Are there structures on the property? 0 Yes !f No
If yes, identify on site plan
What is the current property size? _' t
(square feet or acres) V, 9' 5 V // D • 6 4
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan 0 Yes 0 No
What is the f irrent use of this pro erty?
(/Q `y ,Q :-F d a_te (,,,)/. VID-
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes 0 No
Will the site be served by a septic system? 0 Yes O No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
0 Maybe 0 Don't know 0 Yes 0 No
Are or will there be wells located on the property? /
If yes, identify on the site plan 0 Yes t ' No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan 0 Yes 0 No
Is there evidence of fill or excavation on the property? /
O Yes O' No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(/ %) 0 Yes 0 No
Are critical or hazardous materials used or stored on sit
0 Yes No
SPOIcARE COUN FY
1
PROJECT APPLICATION - Detail Information
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
102''6 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project Number:
Building height to peak
Width:
# of stories
Contractor
Unfinished basement sq. ft.
Architect / Engineer
f4 .
Contract
2" floor sq. ft./
Garage sq. ft.
-)-1 ' x_....----
Architectt n'giineeer -
l
)
Phone`�
ILWO
Heat source (ele ,ic, as, etc.)
lax
Phone
Fax
Inspector
Mailitaddress
SOI‘ 61 t��t',/.
t ex.-&.,.,.—� t Jc;
Mailing address
6 7 ' .
(7)c
L-()
City ate Zip
Address
City, le Zip
WA State Contractor license #
Conta t n me: V
Building Information
Building height to peak
Width:
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions'4QTotal
f4 .
hab4e sgace
Construction type
L....^,
2" floor sq. ft./
Garage sq. ft.
-)-1 ' x_....----
Finished basement sq. ft.
Deck sq. ft.
O cupancy
Cost of oject
Heat source (ele ,ic, as, etc.)
Manufactured H r e
Sign
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Yea
Make:
M of signs
Area of existing signs
Relocation
Fire Safety
Firm Name
Previous address
Phone
Paint booth
Fire Sprinkler
Fire Alarm
Tent —
Fireworks display
Inspectors:
Proposed use
Value
Address
Special Inspections ' - : 8 red?
Non -Residential Energy Code Compliance?
Firm Name
Phone
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
0 Concrete
0 \Velding
0
Boltin,
0 Reinforcement
Address
PLUMBING PERMIT APPLICATION
PROJECT
ADDRESS:
PERMIT
USE:
OWNER:
PHONE (Daytime Contact):
MAILING ADDRESS:
(Street) (City/State) gip)
CONTRACTOR:
LICENSE:
MAILING ADDRESS:
PHONE:
(Street) (City/State) (Zip)
PLUMBING FIXTURES
DESCRIPTION
DETAIL
# OF
UNITS
MULTI-
PL YD
COST/
UNIT
EQUALS
AMOUNT
B92 :
TOILETS
WATER CLOSETS, BIDETS
x
$6
—
B03''
URINALS
x
$6
—
B04
TUBS-
3
x
$6
—
B05
SHOWERS (per trap)
BATH, STALL, ON-SITE BUILD
x
$6
—
B06 `
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD
(PREP/CULINARY/MEAT
4
x
$6
—
B07
DISHWASHER-
i
x
$6
—
B08
CLOTHES WASHER-
i
x
$6
—
B09
GARBAGE DISPOSAL/GRINDER-
(
x
$6
—
B10
WATER SOFTENER-
x
$6
—
B11''
ELECTRIC HOT WATER TANKS
(NOTE: if gas water tank see
mechanical)
x
$6
—
B12
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,(
CONDENSATE
t
x
$6
=
B13
ROOF DRAINS/OVERFLOW DRAINS
(ea.)
-
x
$6
—
B14
FOUNTAINS, DRINKING-
x
$6
—
B15
WATER PIPING/DRAIN-IN WASTE-
VENT/PLUMBING REVERSALS
INSTALLATION, ALTERATION,
REPAIR, REVERSALS
x
$6
—
BI6
SEWAGE EJECTORS
GRINDER, SUMP PUMP
x
$6
—
B17
WATER USING DEVICES
ICE AND/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
x
$6
B18
CROSS CONNECTION DEVICES
VACUUM BREAKER, CHECK
VALVE, AND R.P.B.P.D. FOR :
VATS, SUMPS, TANKS, BOILERS, &
SPRINKLER SYSTEMS
$6
—
B19
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
x
$6
—
B20
MEDICAL GAS (per outlet/bottle station)
NITROUS, OXYGEN
x
$6
—
B21
MISCELLANEOUS FIXTURES
$6
—
METHOD OF PAYMENT
VISA",..
�_
SUBTOTAL
PLUS PROCESSING FEE
$ 25.00
• CASH
• CHECK ■ 11111111111 •
FAXED PERMITS WILL ONLY BE ACCEPTED
OF A MAJOR CREDIT
EXPIRES:
- •
WITH PAYMENT
CARD
DATE:
BANKCARD
ATJTHC)RJ7FD
TOTAL PERMIT FEE DUE
MINIMUM PERMIT FEE IS $35.00
PLEASE MAKE CHECKS PAYABLE TO
SPOKANE COUNTY PERMIT CENTER
NUMBER:
SIGNATIIRE:
Spokane County Division of Building & Code Enforcement
1026 West Broadway Avenue * Spokane, WA 99260-0050
Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133
MECHANICAL PERMIT APPLICATION
PROJECT
ADDRESS:
DESCRIPTION OF WORK
PERMIT
USE:
# OF
UNITS
OWNER:
COST/
UNIT
PHONE (Daytime Contact):
AMOUNT
MAILING ADDRESS:
FUEL BURNING APPLIANCE
— OR < 100,.000
`
(Street) (City/State)
(Zip)
CONTRACTOR:
$
LICENSE:
FUEL BURNING APPLIANCE
MAILING ADDRESS:
PHONE:
$15
—
$
B04
(Street) (City/State)
(Zip)
Spokane County Division of Building & Code Enforcement
1026 West Broadway Avenue * Spokane, WA 99260-0050
Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133
DESCRIPTION OF WORK
# OF
UNITS
MLn-
BY
COST/
UNIT
EQUALS
AMOUNT
B02 ;
FUEL BURNING APPLIANCE
— OR < 100,.000
`
X
$12
—
$
B03
FUEL BURNING APPLIANCE
> 100,000
X
$15
—
$
B04
UNLISTED APPLIANCE (ADDmONAL CHARGE)
— OR <400,.000
X
$50
—
$
B04
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
>400,000
X
$100
$
B06
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
— OR <400,.000
X
$50
—
$
B07
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
>400,000
X
$100
=
$
B08 `
BOILER/REFRIGERATION
1-100M BTU
X
$12
—
$
B09
BOILER/REFRIGERATION
101-500M BTU
X
$20
—
$
B10
BOILER/REFRIGERATION
501-1,000M BTU
X
$25
—
$
B11'':
BOILER/REFRIGERATION
1,001- 1,750M BTU
X
$35
—
$
B12
BOILER/REFRIGERATION
+1,750M BTU
X
$60
—
$
B13
GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
-
X
$10
—
$
B14
RANGE
-
X
$10
=
$
B15
DRYER
-
X
$10
—
$
B16
FUEL BURNING WATER HEATER
-
1
X
$10
—
$
B17
MISCELLANEOUS FUEL BURNING APPLIANCE
-
X
$10
—
$
B18
GAS PIPING (ea. Outlet)
-
9%
X
$1
=
$
B19
DUCT SYSTEMS
-
X
510
—
$
B20
VENTILATING FANS
-
X
$10
=
$
B21
AIR HANDLER (DOES NOT include duct systems)
— OR <10,000 CFM
X
$12
—
$
B22
AIR HANDLER (DOES NOT include duct systems)
>10,000 CFM
X
$15
—
$
B23
EVAPORATIVE COOLERS
-
X
$10
—
$
B24 `
TYPE I HOOD
-
X
$50
—
$
B25
TYPE II HOOD
-
X
510
—
$
B26
HEAT PUMP/AIR CONDITIONER
0-3 TONS
X
512
—
$
B27
AIR CONDITIONER
3-15 TONS
X
$20
—
$
B28
AIR CONDITIONER
15-30 TONS
X
$25
—
$
B29
AIR CONDITIONER
30-50 TONS
X
$35
—
$
B30
AIR CONDITIONER
+50 TONS
X
560
=
$
B31
LPG STORAGE TANK
-
X
510
—
$
B32
WOOD OR PELLET STOVE/INSERT
-
X
$25
a
$
METHOD OF PAYMENT
VISA
SUBTOTAL
PLUS PROCESSING FEE
$ 25.00
;TOW.
■ CASH
■ CHECK • 111.111111111 ■ . ■
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD
EXPIRES:
DATE:
BANKCARD
AUTHORIZED
TOTAL PERMIT FEE DUE
MINIMUM PERMIT FEE IS $35.00
PLEASE MAKE CHECKS PAYABLE TO
SPOKANE COUNTY PERMIT CENTER
NUMBER:
SIGNATURE:
Spokane County Division of Building & Code Enforcement
1026 West Broadway Avenue * Spokane, WA 99260-0050
Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133
la'\
'
DO'
cc
Ni
ADDRESS C- Igo OSI l`1c'4
ZONE '-4\ler
ROAD \\
FRONT -Z- FLANKING
COMMENTS
jlct
REVIEWED BY z'atJ
This s.'e ;;'an is being submitted for the purpose of
obtaining a b ,d,ng permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines. structures and easements
have been identified. Also indicated are wetlands,
bodies of watK1teep slo or other critical areas.
Signed:
Date: 2
q4- o 4 FLAA-i20c-k_ A_<J-eA
81_,K_ 3
gw-eA,walz- VIN adet
UTILITIES DIVISION
N. Bruce Rawls, P.E., Utilities Director
A DIVISION OF THE PUBLIC WORKS DEPARTMFW
Gary Oberg, Dirc_ 1`
GENERAL FACILITIES CHARGE (GFC)
PAYMENT OPTION SELECTION RECORD
PLEASE NOTE: Form must be filled out accurately and in its entirety, and signed, or a permit will not be issued.
Date:
Plat Name: / -)t (,( )�-��% 11 "� C.[../1. Lot No(s): Block No(s): 3
Site Address(es): l� 4�-t r"`0C 1-/2W{k Parcel No(s):
Owner Name: OR Builder Name: $alp td.0C j f 6i/ire-S-
PRINT Owner's Name PRINT Builder's Name
Payment Option Selected (Check One):
1. ( ) GFC payment received at issuance of Sewer Connection Permit by
Division of Utilities
2. (✓) GFC to be paid at closing, at the GFC rate in effect at the time of closing.
3. ( ) GFC payment in 24 equal monthly payments upon establishment of Sewer Billing Account.
Complete one of the following statements.
a. Owner's Statement: I, , understand that I will be
billed for the applicable GFC amount in 24 monthly installments. The monthly GFC installments will be added
to my monthly sewer service charges.
b. Builder's Statement: I, 44.cJ , understand that because I
am selecting this option for payment of theGFC; that the purchaser of the home will be responsible for
payment of the applicable GFC in 24 equal monthly installments. I agree to formally disclose to potential
buyers of the property that the GFC charges will be added to the monthly sewer service billings as soon as
billing commences.
Special Conditions: ( r�No ( ) Yes - See Reverse Side of Form
Spokane County, GFC Payment Option Form
Division of Utilities Revised 03/06/00
1026 W. Broadway • Spokane, WA 99260-0180 • (509) 477-3604 FAX: (509) 477-4715 TDD: (509) 324-3166