2003, 03-14 Permit App: 03001647 ResidenceProject Number: 0:3001647 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/14/2003 Page 1 of 3
Project Information:
Permit Use: RESIDENCE W/GARAGE - NATURAL GAS Contact: LINDSEY CONSTRUCTION
Address: PO BOX 30792
C - S - Z: SPOKANE, WA 99223
Setbacks: Front 30 Left: 29 Right: 29 Rear: 67 Phone: (509) 879-3420
Group Name:
Project Name:
Site Information:
Plat Key:
Name: V\I&CtO ("NM TEIVA&E
District: D
Parcel Number: 35233.2613 Block: 26 Lot: 12
SiteAddress: 4820 E BEVERLY LN Owner: Name: LINDSEY CONSTRUCTION
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -3.5
Water District:
Area: 13,000 Sq Ft
Nbr of Bldgs: 1
Urban Residential 3.5
Width: 100
Nbr of Dwellings: 1
Address: PO BOX 30792
SPOKANE, WA 99223
Hold: El
Depth: 130 Right Of Way (ft): 0
Review
Site Plan Review
Plan Review
Special Reviews
Released Bv:
Approach / Drainage
Released
OZ
ND .)Vir)ocl
(Cr4ewer Review
Released By:
Operator: CKF Printed By: CKF
Print Date: 3/14/2003
Project Number: 03001647 Inv: 1
Application
Date: 3/14/2003 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Stormwater Control
Permits:
Special Inspection on basement
required and Record Drawings to
be submitted to stormwater utility
Released
y:
keib4+ /f/o3
prior to final approval/ire's )ec.t101>:<:>::>::>:::::«:>::»::>::>::>:<:>;::>:>::
Contractor: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792
SPOKANE, WA 99223
Const Category: New
Nbr Of Dwellings:
Bldg W x D: x
Req Parking:
Description Gfr
BASEMENT F R-3
GARAGE U-1
RESIDENCE R-3
Building Permit
Firm: LINDSEY CONSTRUCTION INC
Phone: (509) 879-3420
Building Characteristics
Group:
Occupant Load:
Building Sq Ft:
Handicap Parking:
Type Notes
VN
VN
VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Type:
Building Height: Stories:
Sprinklers: ❑
Critical Materials: ❑
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
754 $12,637.04 754 $12,637.04
462 $5,544.00 462 $5,544.00
1,003 $66,198.00 1,003 $66,198.00
Totals: 2,219 $84,379.04 2,219 $84,379.04
Units
1
1
1
Contractor: R & R HEATING & AIR COND
Address: 4019 E CENTRAL
SPOKANE, WA 99207
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
CLOTHES DRYER
HOOD -TYPE II
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Mechanical Permit
Units
1
1
2
1
3
1
1
Operator: CKF Printed By: CKF
Fee Amount
$798.75
$4.50
$175.73
$978.98
Firm: R & R HEATING & AIR COND IN
Phone: (509) 484-1405
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$2.00
$12.00
$30.00
$10.00
$10.00
$86.00
3/14/2003
Project Number: 03001647 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/14/2003
Contractor: DAVIS BROTHERS PLUMBING
Address: P 0 BOX 931
VERADALE, WA 99037
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Notes:
Plumbing Permit
Units
2
3
2
1
1
1
1
3
Page 3 of 3
Firm: DAVIS BROTHERS PLUMBING IN
Phone: (509) 927-4186
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
$84.00
CONTROL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Lots on the north side of 14th in the 4800 and 4900 block have fill. Soils investigation/foundation
engineering done by Strata (see plat file) requires: (1) footings = min. 24 inches wide (2) foundations
no closer than 12 ft from north edge of fill
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$978.98
$86.00
$84.00
Invoice Amount
$978.98
$86.00
$84.00
$1,148.98 $1,148.98
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$978.98
$86.00
$84.00
$0.00
$1,148.98
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.
Signature:
Operator: CKF Printed By: CKF
Print Date: 3/14/2003
4),4%C
PROJECT APPLICATION WORK SUEE1 ' �/y,,,
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT„
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street .Address:
og kev'eiriti tp e --
.Assessor's Tax Parcel Number(s):
S2 33. zfj 3 GaNd Legal Description:��� is i� 4- z /, K 24 1iaN,y1a/2d Thrra«
Project Description: 66%l/5T121/GT 5 10 b Fftm 1 U -f )S 1 dET? P
Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
0 Relocation
O Sign
O Tenant (New/Change)
O Other
Department Use Only
Water Distnct/Purveyor
Sewer District/Purveyor
Road width
Setbacks
Front Rear
Left: Right:
School District
Fire Distnct:
Zoning
OWNER/APPLICANT INFORMATION
Ei Indict& who ..bowld be , oneaeled neurdinc this pmied
Phone:
0 (n, n, r t._ , ` V S &Lr CO S I-- II-.
l.ax:
STRUT ION,
❑1 Applicant: (
41 n4i
(/� �f j��/ /
`tee Sv / ii
l 'Thune: vN/ 9
—
441.a.. l —It, I2—
•I-.
Mad"'.,
:\Iat]tr \Jdr.. -'.-----'2
.-" 2
�k01t4v '<ti•N
'R'A1Y
Mailing Address:
Box 30?` Z-
Total h;tbit.rblc spn_cc
%
(in Scut. /.q,
Finished b.,scm,nl sy. It.
7
City, State, Zip Sp
o ka ne
u/4
��
0 , . ntran,,r
same
('hunt
I.:,x
❑Architect Engineer
I'honc
l:t.
41 i1I1t .,,kir,..
Mailing address
t in. •13 , /y,
(:nr, Staa• Lip
\\ \ inn (.iinrracn,r hcensc n
Contact name:
PROTECT INFORMATION
Building Information
tiwIJ ng hucht u, peak
e'
# of stories
/
Main fluor sq. ft.
//V3
l'ntintshcJ bascmcnt sy II.
1)nn, nsn m>
Total h;tbit.rblc spn_cc
%
20t1 floor sq. ft.
Finished b.,scm,nl sy. It.
7
,„„!--,.,,,, group
Construction rypc
(iaragc sq. ft.
«6 z
Deck sq. ft.
0
( „..i .,I I)n,,,(L
11cat suurec (d brie. gas, etc.)
qa-S
Manufactured Home
Sign
Width:
Length:
What is the square footage of the sign
face?
flow high is the sign?
l car:
Make:
# of signs
Area of existing sipms
Are there slopes greater than 30°'o on the property? (30 ft rise in 100 ft)
( °'„) 0 Ycs SI No
Proposed use
Value
0 No
Relocation
Fire Safety
Linn Name
Prc\ious address
Phone
Fire Sprinkler
'fent
Paint booth Fire Alarm
_
Fireworks display
_
Are there slopes greater than 30°'o on the property? (30 ft rise in 100 ft)
( °'„) 0 Ycs SI No
Proposed use
Value
0 No
Is the property located within 1000 feet of a Natural Resource Arca?
0 Ycs 0 No
Special Inspections Required?
Non -Residential Energy Code Compliance?
Linn Name
What is the current use of this property?
Phone
Will the site be served by a septic system? O Ycs C No
Plans Examiner
l'hone
Impecmrs
Is there evidence of fill or excavation on the property?
0 Ycs jii No
Are there slopes greater than 30°'o on the property? (30 ft rise in 100 ft)
( °'„) 0 Ycs SI No
Are critical or hazardous materials used or stored on site?
0 Ycs 171 No
Address
0 No
Is the property located within 1000 feet of a Natural Resource Arca?
0 Ycs 0 No
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
.\re there structures 00 the property? O Ycs 111 No
1/ e.r. idenlih• on .rile plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
If yes, /dentinj. on file plan O Ycs MI No
What is the current use of this property?
Is your property in a dcsignatcd wildlife habitat arca?
0 Don't know 0 Ycs I$ No
Will the site be served by a septic system? O Ycs C No
Is any part of the property \vithin a 100 yr flood plain?
1/ mi. idenli/i' on site plan
0 :Maybe Ili Don't know 0 Ycs 0 No
Arc or will there be wells located on the property?
I[yes, identi on the site plan 0 Ycs q No
.\rc there any wetlands, streams or ponds within 200 feet of the property?
I/yes. Identity on sae plan 0 Ycs ili No
Is there evidence of fill or excavation on the property?
0 Ycs jii No
Are there slopes greater than 30°'o on the property? (30 ft rise in 100 ft)
( °'„) 0 Ycs SI No
Are critical or hazardous materials used or stored on site?
0 Ycs 171 No
DEPARTMENT USE ONLY
Is the property in a designated Stonnwater Control Area?
O Yes
O No
Is public sewer available to the site?
0 Ycs
0 No
Is the property inside the ASA?
0 Yes
O Yes
0 No
O No
Is public water available to the site?
0 Yes
0 No
Is the property inside the PSS;\?
0 Yes
0 No
Is the property located within 1000 feet of a Natural Resource Arca?
0 Ycs 0 No
1)a re Reach cd.
Staff Representative:
METHOD OF PAYMENT
❑ (: ASI I
VISA
❑(.111:(:K ❑- 0
CODE:
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I:\I'lltl?ti:
1) \\'h(:.\RI) "1l\IHO lt:
\t III()R1/.I:I) I(\ \II VIZI..
SI 01 (1I \l.
TOTAL FEE
MINIMUM PERMIT FEE /S $35.00 PI .IASF
'I \KE (:I IP.CKS p .0, /BLL 10 SI'UF\NI,
COUNT P15 \IIr C1..N.1.1.12
This s.`,e ;'r:r' is erg submitted for the purpose of
obtaining a bu{;:7ng permit and is a true and correct
representation of the proposal. All known property PROPOSED 'PLOT PLAN
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands, 481IX E. BEVERLY LANE
bodies of water, steep slopes «r other critical are OKANE COUNTY, WASHINGTON
Signed: ��, °n.'/ SCALE 1:20 I PUBLIC WATER 1 PUBLIC SEWER
A PORTION OF LT 11 & 12, BLK 26
Date: WOODLAND TERRACE
/ G 1-11 4vQ
G1J /J va- dpi)
rove 1214
ADDRESS c� L'" f5cr%^ Lit
ZONE (API- 7).
ROAD WIDTIh"3
FRONT jfij_-- F I:. INKING
COMMENTS
RFVIEWEP :? ► � � cLtk.z.),y
LN (.._PialVITt')
LINDSEY CONSTRUCTION, INC.
P.O. BOX 30792
SPOKANE, WASHINGTON