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2001, 12-05 Permit App: 01010645 DuplexProject Number: 01010645 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: DUPLEX W/GARAGES - NATURAL GAS Setbacks: Front 22 Left: 28 Right: 10 Rear: 27 Site Information: Plat Key: 005942 Name: VALLEY RIDGE (PUD Parcel Number: 45241.2018 Block: 2 SiteAddress: 723 S JERSTAD LN VERADALE, WA USA 99037 Location:: VER Zoning: UR -7 Water District: Urban Residential -7 Area: 14,645 Sq Ft Width: 109 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Contact: JOHN KIRKLAND Address: 4005 S BEST CT C - S - Z: VERADALE WA 99037 Phone: (509) 926-9422/ Group Name: Project Name: Page 1 of 3 Lot: 18 Owner: Name: GOOD SAMARIT Address: 17121 E 8TH AVE GREENACRES, WA 99016-8556 Hold: ❑ Depth: 123 Right Of Way (ft): 30 Review Site Plan Review Plan Review Approach / Drainage Sewer Review OV- issog Released B Z•5 • Permits:,-.«u�,:,F,�.h,«t.Jr.axr:,s..�.:A .vrk 1,7A1041:« Operator: CKF Printed By: Print Date: Project Number: 01010645 Inv: 1 AWN Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 12/5/01 Contractor: J S KIRKLAND CO Address: 4005 S BEST VERADALE WA 99037 Building Characteristics Group: R-3 Const Category: New Nbr Of Dwellings: 2 Occupant Load: Bldg W x D: 82 x 73 Building Sq Ft: Req Parking: Handicap Parking: Building Permit Page 2 of 3 Firm: J S KIRKLAND CO Phone: (509) 879-4356 Description Grp Type Notes GARAGE U-1 VN RESIDENCE R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor: AIR DESIGN INC Address: 1807 E FRANCIS AVE 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 Operator: CKF Printed By: Type: VN Building Height: 17 Stories: 1 2621 Sprinlders: ❑ Critical Materials: This Application: Total Project: Su Ft Valuation Sq Ft Valuation 1,100 $13,200.00 1,100 $13,200.00 2,621 $162,502.00 2,621 $162,502.00 Totals: 3,721 $175,702.00 3,721 $175,702.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Mechanical Permit Units 2 2 6 2 6 2 2 2 Fee Amount $1,275.00 $4.50 $280.50 $1,560.00 Firm: AIR DESIGN INC Phone: (509) 487-4328 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 $20.00 $24.00 $6.00 $24.00 $60.00 $20.00 $20.00 $20.00 $194.00 Project Number: 01010645 Inv: 1 Application Date: 12/5/01 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: FRED'S PLUMBING Address: 146 AQUA CIR 3 COEUR D ALENE, ID 83815 Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER WATER PIPING - DWV Notes: Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Plumbing Permit Firm: FRED'S PLUMBING Phone: (509) 772-2846 Units 2 6 2 2 2 2 2 6 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount Invoice Amount $1,559.99 $1,559.99 $194.00 $194.00 $144.00 $144.00 Page 3 of 3 Fee Amount $12.00 $36.00 $12.00 $12.00 $12.00 $12.00 $12.00 $36.00 Amount Paid $0.00 $0.00 $0.00 $144.00 Amount Owing $1,559.99 $194.00 $144.00 $1,897.99 $1,897.99 $0.00 $1,897.99 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 contrued 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: Print Date: i :PROJECT APPLICATION WORK SHEET AM SPOKACOUNTY DIVISION OF BLT LDING & CODE ENFORCEMENT 1026 WEST BROAI)WAY- AVENUE AW„� SPOKANE, WA 99260 509-477-3675 Street Address:S}PECIFIC SI I'E F` 'ORMATION Assessor's Tax Parcel Number( Legal Description: L �%� Z`t' F �1 / -�+Z�l�t `, 7�� Project Description:15. 2 n Building Permit O Change in Use O Relocation Grading O Manufactured Home Permit O Sign O Tenant (New/Change) O Other M2ihn[ addrr Cirp. State Zip tkxV ilding height to pealk rrtensions Iupancy group -- ;t of pro}eCJ-1 OWNER/APPLICANT INFORMATION INFORNIATION .c . ITS use Firm Nan, Inspectors: O Concrete O Welding O Boiling ®Rai Are there strucrtsres oa the r ) nisi�Y [t )Nt ' 1 es, rdenti on site plan P ®Yex No + Isany pan of the property within 250 feet of a shoreline? es, identi on site plan 0 Yes Is your property to a designated wildlife babitat area? No O Don't know O Yes No Is any pan of the property within a 100 yr food P aK> ifyes, identify on site plan D Ma be O Don't know O Yes property? No Are there auy wetlands, streams or ponds within 200 feet o{�` ? , identi on site plan O Yes Are tftere slopes greater than 30% on the No property? (30 ft rise in 100 O Yes hrrv„ -TROD OF PAYMENT v 031 u the `T—C footage of the sign How high is the sign% of signs Area of existing signs Paint booth _ Fire Alarm Address --- Insp�or J'hone Fireworks display SITE INFORMATION What is the current property size> s care feet or acre What is the current use of this r°perry? Will the site be served by a septic system? DYes No Are or will there be wells located on the properly— df yes, identify on tare site plan i7 Yes No Is there evidence of fill or excavation on the propert ? O Yes No Are critical or hazardous materials used or stored o sP e? O Yes Q No rlr7n a r— _—_ ___ CASH El CHECK ❑ ❑ i ❑ =AXFD PERMITS WILL ONLY BE ACF_PTTD WITH PAYMENT OF A MAJOR CREDIT CARD TF — _ EXPIRES: "K CARD NUMBER: MORIZED SIGNATiJRE Lam' I h B LOC_. . 2 S ac_Ti©N 21-4)725N. R..44 E., W M, .J1k.5T4D