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2002, 03-04 Permit App: 02001310 Duplex
Project Number: 02001310 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/4/2002 Page 1 of 3 Project Information: Permit Use: NEW DUPLEX W/ATTACHED GARAGE - GAS Setbacks: Front 20 Left: 10 Right: 7 Rear: 15 Site Information: Contact: GOOD SAMARITAN Address: 17121 E 8TH AVE C - S - Z: GREENACRES, WA 99016-8556 Phone: (509) 924-6161 Group Name: Project Name: • . ...................•••••••........• ..... ........ .*.".".".'.'.'.*.'.'.'.*.'""' " Plat Key: 005942 Name: VALLEY RIDGE (PUD) District: F Parcel Number: 45241.2009 Block: 2 Lot: 9 SiteAddress: 720 S JERSTAD LN VERADALE, WA USA 99037 Location:: VER Zoning: UR -3.5 Water District: Urban Residential 3.5 Owner: Name: GOOD SAMARITAN Address: 17121 E 8T11 AVE GREENACRES, WA 99016-8556 Hold: LI Area: 11,000 Sq Ft Width: 100 Depth: 110 Right Of Way (ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Plan Review Released By: r Critical Area Review Released By: Approach / Drainage Sewer Review Released By: Operator: DMD Printed By: DMD Print Date: 3/4/2002 Project Number: 02001310 Permits: Inv: 1 Al5plication THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/4/2002 Page 2 of 3 Contractor: J S KIRKLAND CO Address: 4005 S BEST VERADALE WA 99037 Building Characteristics Const Category: New Group: R-3 Building Permit Firm: J S KIRKLAND CO Phone: (509) 879-4356 Nbr Of Dwellings: Bldg W x D: 83 Req Parking: Occupant Load: x 73 Building Sq Ft: Handicap Parking: Description Gtr DECK R-3 GARAGE U-1 RESIDENCE R-3 Type Notes VN VN VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor: J S KIRKLAND CO Address: 4005 S BEST VERADALE WA 99037 Item Description DUCT SYSTEMS GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING HEAT PUMP OR A/C 0-3 TONS VENTILATING FANS CLOTHES DRYER RANGE GAS LOG OR GAS INSERT HOOD -TYPE II Type: VN Building Height: 17 Stories: 1 3721 Sprinklers: 0 Critical Materials: 0 This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 450 $3,312.00 450 $3,312.00 1,100 $13,200.00 1,100 $13,200.00 2,621 $162,502.00 2,621 $162,502.00 Totals: 4,171 $179,014.00 4,171 $179,014.00 Units 1 1 1 Unit Desc Y OR BLANK Y OR BLANK Y OR BLANK Permit Total Fees: Mechanical Permit Units 2 2 2 6 2 6 2 2 2 2 Operator: DMD Printed By: DMD Fee Amount $1,295.00 $4.50 $284.90 $1,584.40 Firm: J S KIRKLAND CO Phone: (509) 879-4356 Unit Desc NUMBER OF NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $20.00 $20.00 $24.00 $6.00 $24.00 $60.00 $20.00 $20.00 $20.00 $20.00 $234.00 Print Date: 3/4/2002 Project Number: 02001310 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/4/2002 Page 3 of 3 Contractor: J S KIRKLAND CO Address: 4005 S BEST VERADALE WA 99037 Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER WATER PIPING - DWV WATER USING DEVICES Notes: Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Plumbing Permit Units 4 6 2 2 2 2 2 2 6 Firm: J S KIRKLAND CO Phone: (509) 879-4356 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 Invoice Amount $1,584.40 $1,584.40 $234.00 $234.00 $168.00 $168.00 $1,986.40 $1,986.40 Fee Amount $24.00 $36.00 $12.00 $12.00 $12.00 $12.00 $12.00 $12.00 $36.00 Amount Paid $0.00 $0.00 $0.00 $168.00 Amount Owing $1,584.40 $234.00 $168.00 $0.00 $1,986.40 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, anti 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 contrued to be a permit for, or an approval of, any violation of any of the provisions of th co or of any other tate or cal la or ordinances. Signature: Operator: DMD Printed By: DMD Print Date: 3/4/2002 f PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: S17-0 Assessor's Tax Parcel Number(s): s/ 2 -c�j�� Legal Description: / FC -Ti C) Z ( F t Z5 Project Description: CAlL O Gradin O Manufactured Home Permit Building Permit O Change in Use g O Relocation O Sign O Tenant (New/Change) O Other OWNER/APPLICANT INFORMATION 0 Indicate wbo should be contacted repardinp this promct INFORMATION Dimrn Jccupancy group :osF 6f projeCA is the square footage of the sign lHow high is the sign? signs ,Area of existing signs ADDITIONAL SITE INFORMATION Are there structures on the property? O YesNo What is the current property size? ! c f es, identi ons ite lan (square feet or acres d [ 00o 7 Is any pan of the property within 250 feet of a shoreline? What is the currentuse of this ropeny? /f yes, identi1y on site plan O Yes No V Is your property in a designated wildlife habitat area? Will the site be served by a septic system? f7 Yes No O Don't know O YesNo Is any part of the property within a 100 yr flood pain? Are or will there be wells located oa the property? Ifyes, identify on sire plan If yes, identify on rbe site plan O Yes No O Maybe O Don't know O Yes No Are there any wetlands, streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the propert � Io es, identify on site Lan ClO Yes No O Yes Are there slopes greater than 30% on the property? (30 It rise in 200 ft) Are critical or hazardous materials used or stored o ss e? % O Yes trNO 1 O Yes JQ No DEPARTMENT USE ONLY ,ice necetvea: IETHOD OF PAYMENT IWO ] CASH ❑ CHECK ❑ ❑ ❑ FAXED PERMITS WILL ONLY BE ACEPTED V611717i PAYMENT OF A MAJOR CREDIT CARD ATE EXPIRES: ANKCARD NUMBER: U'TTiORIZED SIGNAIIJRE: PLUMBING PERMIT APPLICATION PROJECT -113 —)'EU 01USSEE: ADDRESS: OWNER:G�D n�-y[� PHONE ontact)- 1�i_�►�T1 MAILING�Api SS: ! I1T /�`�� . ��'�+GI� /1 AIS t (AA t q Di Street (Cit /State CONCT : / ' LICENS �, W* 4)ZqZl MAILING ADDRESS: PHONE: Street) (City/State)i PLUMBING FIXTURES 1 N OF .MUL77. COST/ AMOUNT DESCRIPTION DETAIL UNITS rayo UNIT e UAcs B02 TOILETS WATER CLOSETS, BIDETS x S6 B03 URINALS x $6 B04, TUBS x $6 105- SHOWERS r trap) BATH, STALL, ON-SITE BUILD x $6 B06 SINKS LAVS/BASINS, BAR, FLOOR, It $6 – 3i KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD REP/CULINARY/MEAT B07-] DISHWASHER x $6 B08" CLOTHES WASHER x $6 B09 GARBAGE DISPOSAL/GRINDER x $b 12. B10 WATER SOFTENER x $6 B:(I': ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see x $6 – mechanical B12 FLOOR DRAINS AREA, CASE, COIL, TRENCH, x $6 – CONDENSATE B13 ROOF DRAINS/OVERFLOW DRAINS x $6 – ca. -B14 FOUNTAINS, DRINKING x $6 BIS ; WATER PIPING/DRAIN-IN WASTE- INSTALLATION, ALTERATION, x $6 - 12 VENT/PLUMBING REVERSALS REPAIR, REVERSALS B16 SEWAGE EJECTORS GRINDER, SUMP PUMP x $6 917 WATER USING DEVICES ICE AND/OR COFFEE MAKER, x 56 - HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLERS `818 CROSS CONNECTION DEVICES VACUUM BREAKER, CHECK $6 – VALVE, AND R.P.B.P.D. FOR: VATS, SUMPS, TANKS, BOILERS, dt SPRINKLER SYSTEMS $19, . INTERCEPTORS GREASE TRAP, SAND TRAP, It $6 – CHEMICAL HOLDING TANK -820 ` MEDICAL GAS(per outlet/bottle station NITROUS, OXYGEN x $6 Wt MISCELLANEOUS FIXTURES $6 METHOD OF PAYMENT SUBTOTAL PLUS PROCESSING FEE S 25.00 ❑ CASH ❑CHECK ❑ = ❑ - ❑ FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUE y 7 DATE: EXPIRES: 'PLS LIAR CI>rCKS P P►YABI E,'iQ BANKCARD NUMBER: S}B} p AUTHORIZED SIGNA'T'URE: Spokane County Division of Building 8t Code Enforcement 1026 West Broadway Avenue * Spokane, WA 992600050 Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133 A. 1=r n PROJECT ��jj hh rr ADDRESS:ADDRES OtX'NER:�� Srr[�t��ky MAILINTDDP Z.1 SS:E t 1 #T t MECHANICAL PERMIT APPLICATION PERMIT USE: CONTRACTOR: -t-" t �j --- j15w.j (,d &n .,� Ji F MAILING ADDRESS: PHONE: 405 �i �i� 4N/T 37 (scree[} (city/Seise} i f OF MUL17 COSTI AMOUNT DESCRIPTION OF WORK UNITS pBy UNIT E UALs FUEL BURNING APPLIANCE - OR < 104,.000 X X S1 2 S 15 S «- b FUEL BURNING APPLIANCE > 100,000 X $50 S UNLISTED APPLIANCE {ADDITIONAL CHARGE - OR <400,.000 $ ?'�F? UNLISTED APPLIANCE ADDITIONAL CHARGE > 400,000 X $ 100 I . USED APPLIANCE Muss meet WSEC's min. AFUE nein - OR <400,.000 X ,{ $50 S100 $ $ { USED APPLIANCE lust meet WSE C's min. AFUE rain > 400,0 00 X $12 - 3 BO1LER/REFRIGERATION 1-100M BTU X $20 $ y BOILER/REFRIGERATION 101-500M BTU b BOILER/REFRIGERATION 501-1,000M BTU X E25 - $35 b BOILER/REFRIGERATION 1,001. 1,750M BTU X $ ;812:; BOILER/REFRIGERATION T 1,750M BTU _ X $10 S 10 S GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE X X sic $ '.. RANGE X SIG - S 15',i DRYER __ k S 10 - S X6,,,FUEL. BL-RNING WATER HEA TER X $ $ 817 MISCELJANEOTjS FUEL BURNING APPLIANCE S �x8 GAS PIPING (ea. Outlet)X X S1 - $1 S]0 b DUCT SYSTEMS X S]0 f H$21'} VENTILATING FANS AIR HANDLER FS NOT include duct systems - OR < 10,000 CFM X $12 $ Z; AIR HANDLER (DOES NOT include ducts sums) > 10,000 CFM X $15 310 - $ b EVAPORATIVE COOLERS X S X TYPE I HOOD X $10 S 10 S TYPE II HOOD HEAT PUMP/AIR CONDI'T'IONER 0.3 TONS X $ 12 S S AIR CONDITIONER 3.15 TONS X S20 - b AIR CONDITIONER 15-30 TONS X $25 - S AIR CONDITIONER 30.50 TONS X $35 - $ ; 530 AIR CONDITIONER +50 TONS X X $60 310 $ 'B31' LPG STORAGE TANK X $25 $ 'iWOOD 32 OR PELLET STOVEANSERT SUBTOTAL METHOD OF PAYMENT PLUS PROCESSING FEE S 25.00 ❑CASH ❑ CHECK ❑ ❑ ; _. .. _ ❑ FAXED PERW'M VIM ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUE EXPIRES: �IT FEE iSS3S AO DATE: _ CKS �I PrIlk RANKCARD NUMBER: 0 (%� r — —� O n M Eno> zZry ZmZ D y z 0�or- 00 O r C::ZC0 M Z N Z r � N � _ ? r to Ci z' U rTl OxK O1,rTiZ Z m � EMBANKMENT -- -- 100.00' -- --�- 10'-1" 7'-0' 15' REAR YARD SETBACK —————————— — — — — —— — P O O M K -4 U) 0 O D Z M chis s`'e nlan is being submitted for thepurpose of ebt�;inng 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 er, eep si s or t r c tic ! rea Signed' '— — — — — —— — —— --- — -- 50' Gate.r©� 100.00' _ ADOR ZON F R04,3 it COI N RE�IE _ 20'_BU LDING 11 SETBA K 10' U TI I TY I EASEM NT VALLEY RIDGE DUPLEXES lNHUIJ®1ST 1'rBTtEtHHlr inc. BLOCK2, LOT 9 MM 10 PMn. �E 101 SPOKOAL M » 1 509-638-4M FAX 50-� wt SPOKANE COUNTY, WASHINGTON architecture and other good things