2003, 03-14 Permit App: 03001640 Residence'V' (A/LA-6,1,4,L 4_61,,t/a. •
Project Number: 03001640
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
Setbacks: Fr
Site Information:
Address:
C - S -Z:
ft: 8 Right: 22 R Phone:
roup Name:
Project Name:
Plat Key: Name:
on LA-r4o 7-022A
PO BOX 30792
SPOKANE, WA 99223
(509) 879-3420
District: D
Parcel Number: 35233.2615 Block: 26 Lot: 9-10
SiteAddress: 4824 E BEVERLY LN Owner: Name: LINDSEY CONSTRUCTION
SPOKANE, WA USA 00000 Address: PO BOX 30792
SPOKANE, WA 99223
Location:: SPO
Zoning: UR -3.5
Water District:
Area: 9,750 Sq Ft
Nbr of Bldgs: 1
Urban Residential 3.5
Hold:
Width: 75 Depth: 130 Right Of Way (ft): 0
Nbr of Dwellings: 1
Review
Site Plan Review Released By:
:r6 -at e‘ r tap ,i-inact
Plan Review
oapecial Reviews
Oitetr Sewer Review
_rr
Released
ettree,takaU
3.25 -0,3
Approach / Drainage
d. fL
Released By.
3/11-11c7)
Released
By:
Operator: CKF Printed By: CKF
Print Date:
3/14/2003
Project Number: 03001640 Inv: 1
4 .
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
Special Inspection on basement
required and Record Drawings to
Released By
be submitted to stormwater utility
Permits: prior to final approval,®,n5,,eriuyi.
Building Permit
Contractor: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792 Phone: (509) 879-3420
SPOKANE, WA 99223
Firm: LINDSEY CONSTRUCTION INC
Building Characteristics
Const Category: New Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: 0
Req Parking: Handicap Parking: Critical Materials: 0
This Application: Total Project:
Description Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 1,060 $13,038.00 1,060 $13,038.00
DECK R-3 VN 240 $1,879.20 240 $1,879.20
GARAGE U-1 VN 480 $5,760.00 480 $5,760.00
RESIDENCE R-3 VN 1,120 $73,920.00 1,120 $73,920.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 2,900 $94,597.20 2,900 $94,597.20
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
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
GAS LOG OR GAS INSERT
HOOD -TYPE II
Permit Total Fees:
Mechanical Permit
Units
1
1
3
1
4
1
1
1
Operator: CKF Printed By: CKF
Fee Amount
$861.25
$4.50
$189.48
$1,055.23
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
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$3.00
$12.00
$40.00
$10.00
$10.00
$10.00
$107.00
3/14/2003
Project Number: 03001640 - 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 Phone: (509) 927-4186
VERADALE, WA 99037
Plumbing Permit
Page 3 of 3
Firm: DAVIS BROTHERS PLUMBING IN
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Notes:
Units
3
4
2
1
1
1
1
1
3
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
$18.00
$24.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$102.00
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
Payment Summary
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$1,055.23 $1,055.23
$107.00 $107.00
$102.00 $102.00
$1,264.23 $1,264.23
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$1,055.23
$107.00
$102.00
$1,264.23
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
SPOKw COUNTY
PROJECT APPLICATION WORK SHEET``$4.
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
qg y get*iti /-ane
Assessor's Tax Parcel Number(s):
Street Address:
Legal Description:
12,01/4_( _e 1 g p F GC - 1 z of
d I:erra h') k ��
Project Description: &T/4T 5106 t Ff -m 1 L -( r --Es 112E"Y�G��
*Budding Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ 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 Distnct
Fire Distncc
Zoning
OWNER/APPLICANT INFORMATION
I ndiea/r id.fro ...bpi& be , onlat kd rrcardinc ibis prnirti
Yzd
n,
❑ ( n, r t_i r l 0 set/ ConS Phone,
• "STR1CTI4N, ►i._ Fax'
0 AppI cant:
1- I n d Se
v
Phone:
(0/JSi'vc416 A a, q y —1 0 12--
,
M3'1n,t -\JJ �;. ._r,�
a. $,1
Mailing Address:
Box 319 79 Z.
,r, Asti, ,�,,
l.utal habitable space
21 r(0
City, State, Rip
k‘
Z,Z 3
/ ia q9
0 t ,nuracn,r
SOine
',Inc
tax
❑ ; \rchitcct I .n}nncer
hone
I as
, t,te .,JJn.,
hlailing sddress
( ii, a, I, /q,
(ate, Stair /ip
,k \ Van. i.,,ntracu r license R
Contact name:
PROTECT INFORMATION
Building Information
liLnl,6ng It.l1ht in 1,,I<
/ r2-
# of stories
t
1\h -tin flour sq. ft.
/ / Z --e-,
Unfinished b:t>emcnt sq. ti
/.46,
1 )urs 1-i, iI,.
IPy.S.-14
l.utal habitable space
21 r(0
2"t flour sq. ft.
Finished h:Iscmcnt sy ft.
( i, u.p inc', .n iup
Cunstruclion rvpc
(iaraie sq. ft. l
4(bo
1)eck sq. fi. ��
Z
(. ,•I .,I I,ruµcl
I Ieat source (ekctrle, g.Is, Vic.)
62
Manufactured Home
Sign r'
\X'idth:
Length:
What is the square footage of the sign
face?
l low high is the sign?
Year:
Make:
# of signs
Area of existing signs
141
.\re there slopes greater than 309'0 on the propert'? (30 ft rise in 100 ft)
/' "0) fl Ycs V No
Proposed use
Value
Relocation
Fire Safety
I ,rm Name
Previous address
Phone
Fire Sprinkler
Tent
Paint booth _ Fire Alarm
Fireworks display
Is there evidence of fill or excavation on the property?
0 Ycs M No
141
.\re there slopes greater than 309'0 on the propert'? (30 ft rise in 100 ft)
/' "0) fl Ycs V No
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
I ,rm Name
What is the current use of this property?
Phone
Will the site be served by a septic system? 0 Ycs r.15No
Plans Examiner
Phone
In'pccs r'
Is there evidence of fill or excavation on the property?
0 Ycs M No
141
.\re there slopes greater than 309'0 on the propert'? (30 ft rise in 100 ft)
/' "0) fl Ycs V No
Arc critical or hazardous materials used or stored on site?
0 Ycs V No
Address
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
.\rc there structures on the property? O Ycs 'No
Ifyes. identyy on site plan
What is the current property size? q 7 �--/\
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
If yes, identj' on .site plan O YcsNo
What is the current use of this property?
Is your property in a designated wildlife habitat arca.
0 Don't know 0 Ycs Nis No
Will the site be served by a septic system? 0 Ycs r.15No
Is any part of the property within a 100 yr flood plain!
//yes. ideutilj' on site plan ••
0 \laybc �Y!)on't know 0 Ycs 0 No
Arc or will there be wells located on the property?
1/yes, ident jr on the site plan 0 Ycs IT No
Are there any wctlan s. streams or ponds within 200 feet of the property?
1/ yes, Iden/j on Site plan 0 Yes No
Is there evidence of fill or excavation on the property?
0 Ycs M No
141
.\re there slopes greater than 309'0 on the propert'? (30 ft rise in 100 ft)
/' "0) fl Ycs V No
Arc critical or hazardous materials used or stored on site?
0 Ycs V No
DEPARTMENT USE ONLY
Is the property in a designated Stonnwatcr Control Area?
OYes
ONo
Is public sewer available to the site? 0 Ycs 0 No
Is the property inside the ASA?
0 Yes
OYes
0 No
ONo
Is public water available to the site? 0 Yes 0 No
Is the property inside the PSS1\?
0 Yes
0 No
Is the property located within 1000 feet of a Natural Resource Area?
0 Yes 0 No
1).uc Rccci\cd.
METHOD OF PAYMENT
Staff Representative:
VISA
❑ r \:I I ❑ (:I II1(:h ❑ NM=❑
/Celt
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I).\l 1 :.
I(\PIRFS:
li V\h(: ARI) \l',\IIiIR:
\1 I I I(>lil/.lil) SIGN \'fl'RI(:
SI'li'1(1 \1.
TOTAL FEE
MINIMUM PERMIT FEE /S $35.00 PI .I :: \s I
SI:1KP: CI Ir(;Ks P: 11'.11111:10 SPOIs \XF:
C(1CN'f1' I'I'. loll' (:If\ l I:R
PROPOSED PLOT PLAN
4824 E. BEVERLY LANE
SPOKANE COUNTY, WASHINGTON
SCALE 1:20 1 PUBLIC WATER 1 PUBLIC SEWER
A PORTION OF THE EAST'/ OF LT 9 & 10, BLK 26
WOODLAND TERRACE
-7S
16 +h
v n� r��t ► o �O�
ZD
-14
t
V
1
13EVele.1..`f 1,.J C PkIVArE
J
This site plan is being submitted for tfr e purpose of
obtaining a building permit And is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines. structures and easements
have been identified. Also indicated are wetlands,
bodies of wa r, steep slopes or other critical areas.
Signed: X1,2,✓L11
Date: 'G �i L / ��'� '-ice P4 :7-
LINDSEY CONSTRUCTION, INC.
P.O. BOX 30792
SPOKANE, WASHINGTON
PROPOSED PLOT PLAN
4824 E. BEVERLY LANE
SPOKANE COUNTY, WASHINGTON
SCALE 1:20 1 PUBLIC WATER 1 PUBLIC SEWER
A PORTION OF THE EAST 34 OF LT 9 & 10, BLK 26
WOODLAND TERRACE
-7.r tom/
16 +h
vNc ''rope)
rNi
3f 1
7S
'}$Z4 E
This site 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 identified. Also indicated are wetlands,
bodies of e r, steep slopes or other critics
Signed:
Date:
i
CY) N A
Z w
E'w3
CA
A z R,, 4.4
AOOrTOa
Al
LINDSEY CONSTRUCTION, INC.
P.O. BOX 30792
SPOKANE, WASHINGTON