2003, 03-07 Permit App: 03001446 ResidenceProject Number: 03001446 Inv: 1 A]JpilCat1011
rtc:3/7/2(0)(0)3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: RESIDENCE W/GARAGE - NATURAL GAS Contact: KENNETH KATO
Address: 4920 S BELLA VISTA DR
C - S - Z: VERADALE, WA 99037
Setbacks: Front 35 Left: 12 Right: 12 Rear: 100 Phone: (509) 922-1226
Group Name:
Site Information: / Project Name:
Plat Key: Nam
Parcel Number: 55302.1511 lock: 4
SiteAddress: 17104 E DAYBREAK LN
VERADALE, WA USA 99037
Location:: VER
Zoning: UR -7* Urban Residential -7*
Water District:
Area: 21,204 Sq Ft Width: 100
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Approach / Drainage
District: G
Lot: 11
Owner: Name: KENNETH KATO
Address: 4920 S BELLA VISTA DR
VERADALE, WA 99037
Hold: ❑
Depth: 206 Right Of Way (ft): 35
Page 1 of 3
Released By:
Released By:
- 1
Sewer Review Rcicascd By
Permits:
Operator: CKF Printed By: CKF Print Date: 3/7/2003
Project Number: 03001446 Inv: l Application Date: 3/7/20113 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
-- ----- --- - Building Permit -- -- ----
Contractor: KETO CONSTRUCTION Firm: KETO CONSTRUCTION
Address: 4920 S BELLA VISTA DR Phone: (509) 922-1226
VERADALE, WA 99037
Building Characteristics
Const Category: New Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height:
Bldg W x D: x Building Sq Ft: Sprinklers:
Req Parking: Handicap Parking: Critical Materials:
Description
2ND FLOOR
BASEMENT U
GARAGE
RESIDENCE
Grp
Type Notes
R-3
VN
R-3
VN
U-1
VN
R-3
VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
This Application:
Sg Ft
Valuation
1,014
$66,924.00
1,403
$17,256.90
660
$7,920.00
1,403
$92,598.00
$4.00
5
Totals: 4,480 $184,698.90
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Contractor: DANCAR MECHANICAL INC
Address: 311 N HODGES RD
GREENACRES, WA 99016
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Stories:
Total Project:
Sci Ft
Valuation
1,014
$66,924.00
1,403
$17,256.90
660
$7,920.00
1,403
$92,598.00
4,480 $184,698.90
Fee Amount
$1,320.00
$4.50
$290.40
Permit Total Fees: $1,614.90
Mechanical Permit
Firm: DANCAR MECHANICAL INC.
Phone: (509) 924-9921
Units
Unit Desc
Fee Amount
1
NUMBER OF
$10.00
1
NUMBER OF
$12.00
4
# OF UNITS
$4.00
5
NUMBER OF
$50.00
1
NUMBER OF
$10.00
1
NUMBER OF
$10.00
1
NUMBER OF
$10.00
1
NUMBER OF
$10.00
Permit Total Fees: $116.00
Operator: CKF Printed By: CKF Print Date: 3/7/2003
Project Number: 03001446 Inv: I Application Date: 3/7/2003 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: ALPHA PLUMBING & HEATING
Address: 13615 E. TRENT AVE
SPOKANE, WA 99216
Plumbing Permit
Firm: ALPHA PLUMBING & HEATING
Phone: (509) 535-0727
Item Description
Units
Unit Desc
Fee Amount
TOILETS/BIDETS
4
NUMBER OF
$24.00
SINKS
7
NUMBER OF
$42.00
SHOWERS
1
NUMBER OF
$6.00
TUBS
3
NUMBER OF
$18.00
DISH WASHERS
1
NUMBER OF
$6.00
GARBAGE DISPOSAL
1
NUMBER OF
$6.00
CLOTHES WASHER
1
NUMBER OF
$6.00
FLOOR DRAINS
1
NUMBER OF
$6.00
WATER USING DEVICES
3
NUMBER OF
$18.00
Permit Total Fees:
$132.00
Notes:
Pavment Summa
Permit Type
Fee Amount
Invoice Amount
Amount Paid
Amount Owing
Building Permit
$1,614.90
$1,614.90
$0.00
$1,614.90
Mechanical Permit
$116.00
$116.00
$0.00
$116.00
Plumbing Permit
$132.00
$132.00
$0.00
$132.00
$1,862.90
$1,862.90
$0.00
$1,862.90
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: 3/7/2003
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
PU 1026 WEST BROADWAY AVENUE
"finfa SPOKANE, WA 99260
p 509-477-3675
SPFC lFW CTTF TT%TFnRtit A'rTI-%XT
Street Address: _ _
ICi_- Y 3 RE (< t4 N � �- t ,� , . , tCj,
Assessor's Tax Parcel Number(s): —� Z
Legal Description:
L 1 -2-01
Project Description: /n.1(r LE �ja I y S7IJ`WlJAZ—
KI Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other
De artment Use Onl �:� . ,�, � � ���
WaterDisrrict/Pwveyur; ;Sewer I>isiricilPuiveyor ` �^`"�?�oadwldlfi��� n backs.''.
k-Nrol I�istnu Dire I)istritt:
OWNER/APPLICANT INFORMATION
Owner:
Phone:S b� 1 77 — J �L ❑ Applicant: Phone:
= N N b l"y"O
.;0
Fax,:9 O— (� S2
Fax:
t atirng Address:
5^ LELLA
Mailing Address:
!
5T- `11 1 C
2"'t floor sq. ft.
U ,tl�-
`Ciity, State, Zip f
V mA1�!
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/ W
City, State, Zip
Contractor
Phone
Architect/Engineer Phone
�a ivy
Fax
ti
�� Ml Ve , 616 Fax
[Mailing address
�ity,
Mailing address
State Zip
City, State Zip
WA State Contractor license #
Contact name:
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VRvlLk-1 INI.ORMA CION
Building Information
Building height to pea
H of stories
I t.un flora "1 ft.
V6
Uuhni.hcd baserncnt ml. ft.
Dimensions
Dimensions a P
-7� K C,Ct
Total habitable space
t y
2"'t floor sq. ft.
U ,tl�-
Finished basement sq. fr.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
//
Cost of project
Heat source (electric, gas, etc.)
• �-•-.ti,'`�. z � � t- �s � �_ §ti s� �, � s� sem=' �' � � k.G� -� :::� , `rc�.
I,• , What
/, ssquare footage
''Area of existing signs
ADDITIONAL SITE INFORMATION
Are there structures on the property? A Yes O No
What is the current property size?
I Yes, identify on site plan
(square feet or acres
Is any part of the property within 250 feet of a shoreline?
What is the current use of this property?
1 es, identify on site plan O Yes P1 No
Is your property in a designated wildlife habitat area?
Will the site be served by a septic system? O Yes $1 No
O Don't know O Yes Cf No
Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the property?
If yes, identify on site plan
If yes, identify on the site plan O Yes A No
O Maybe O Don't know O Yes ® No
Are there any wetlands, streams or ponds within 200 feet of the
Is there evidence of fill or excavation on the property?
property?
O Yes 10 No
1 es, identify on site plan O Yes JM No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
Are critical or hazardous materials used or stored on site?
% O Yes 0 No
O Yes CR No
DEPARTMENT USE ONLY
Date Received: Staff Representative:
METHOD OF PAYMENT
❑ CASH ❑ CHECK ❑ ❑3' ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
a
a�
0
V V I I U I YY %J1 rk 1
one
nspec oris nc
-'roperty size
Right ot way width
Water district
Building
Building height
# of stories
a
Contractor
6:71� C(-,N-5 i v c l e
Dimensions j G
I '� x
TOTAL SQUARE FOOTAGE
Jq 1
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
2nd fl or area
� -
6/
Finished basement area
Architect/Engineer
_ ) / S'
Garage area
("o
Size of decks, etc.
What is the hetet source?
What is the cost of your project?
Manufactured Home
Sign
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Fire Safety
Previous address
Fire Sprinkler Tent
Paint booth _ Fire Alarm Fireworks display
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuer Storage Tank; :.swimminn
Pool
(Circle one) Above-ground Underground
Size / gallons
Private
Contents of tank(s)
Size /gallons
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA 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.
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