The URL can be used to link to this page

2002, 07-25 Permit App: 02006294 DuplexProject Number: 02006294 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/25/2002 Page 1 of 3 Project Information: Permit Use: NEW DUPLEX W/ATTACHED GARAGES - GAS Setbacks: Front 23 Left: 16 Right: 25 Rear: 24 Site Information: Plat Key: 005942 Name: Contact: J S KIRKLAND CO Address: C - S - Z: Phone: Group Name: Project Name: 4005 S BEST CT VERADALE WA 99037 (509) 891-8211 VALLEY RIDGE (PUD) District: F Parcel Number: 45241.2017 Block: 2 SiteAddress: 727 S JERSTAD LN VERADALE, WA USA 99037 Location:: VER Zoning: UR -7 Water District: Area: 15,415 Sq Ft Nbr of Bldgs: 1 Review Information: Review Site Plan Review Urban Residential -7 Width: 94 Nbr of Dwellings: 1 Lot: 17 Owner: Name: Address: GOOD SAMARITAN 17121 E STH AVE GREENACRES, WA 99016-8556 Hold: 0 Depth: 113 Right Of Way (ft): 30 Approach / Drainage Sewer Review Released By:! Operator: DMD Printed By: DMD Print Date: 7/25/2002 Project Number: 02006294 Inv: 1 Application THIS IS NQT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/25/2002 Page 2 of 3 or)tractor: UNKNOWN Adress: UNKNOWN UNKNOWN, WA UNKNOWN Building C acteristics Group: R-3 Type: VN Occupant Load: Building Height: 17 62 Building Sq Ft: 3556 Sprinklers: ❑ Handicap Parking: Critical Materials: El This Application: Total Project: gm Type Notes Sq Ft Valuation Sq Ft Valuation R-3 VN 518 $4,055.94 518 $4,055.94 U-1 VN 1,100 $13,200.00 1,100 $13,200.00 R-3 VN 2,456 $162,096.00 2,456 $162,096.00 Cons ategory: New Nbr Of Dwellings: Bldg W x D: 87 x Req Parking: Description DECK GARAGE RESIDENCE ........................ . ................................. Building Permit Finn: UNKNOWN Phone: (000) 000-0000 Stories: 1 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Totals: 4,074 $179,351.94 4,074 $179,351.94 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Contractor: UNKNOWN Address: UNKNOWN UNKNOWN, WA UNKNOWN Item Descn Permit Total Fees: Mechanical Permit DUCT SYSTEMS GAS WATER HEATER GAS APPLIANCE<=100.000BTU GAS PIPING HEAT PUMP OR A/CTONS • `CLOTHES DRYER 4 RANGE GAS LOG OR GAS INSERT HOOD -TYPE II nits 2 2 2 6 2 Fee Amount $1,295.00 $4.50 $284.90 $1,584.40 Firm: UNKNOWN Phone: (000) 000-0000 Unit Desc NUMBER OF NUMBER OF NUMBER OF # OF UNITS ER •F ‘+ NUMBR •F 2 NUMBER OF 2 NUMBER OF 2 NUMBER OF Permit Total Fees: Fee Amount $20.00 $20.00 $24.00 $6.0? $24.00; $20.(10 0)0.00 520.0( 521) 00 $234.00 Operator: DMD Printed By: DMD Print Date: 7/25/2002 Project Number: 02006294 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/25/2002 Page 3 of 3 ontractor: OWN Address: NKNOWN UNKNOWN, WA UNKNOWN Item Description TOILETSBIDETS S 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 Firm: UNKNOWN Phone: (000) 000-0000 Units U i Desc NUMBER OF 6 NUMBER OF 2 NUMBER OF 2 NUMBER OF 2 NUMBER OF 2 NUMBER OF 2 NUMBER OF 2 NUMBER OF 6 NUMBER OF Permit Total Fees: Fee Amount $24.00 $36.00 $12.00 $12.00 $12.00 $12.ou $12.00 $12.00 $36.00 Fee Amount Invoice Amount Amount Paid $1,584.40 $1,584.40 $0.00 $234.00 $234.00 $0.00 $168.00 $168.00 $0.00 $1,986.40 $1,986.40 $0.00 $168.00 Amount Owing $1,584.40 $234.00 $168.00 $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, and agrees that all provisions of laws and/or regulations gu% erning this type of work will be complied with. Subsequent issuance of a permit shall not he 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: DMD Printed By: DMD Print Date: 7/25/2002 1 PROJECT APPLICATION WORK S u HEFT SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SI'OI(I COLII�I Y SPOKANE, WA 99260 509-477-3675 Street Address: SSP.EECIFIC SITE INFO- TION Assessor's Tax Parcel Number(s): Legal Description: 5Ec'noN Z4T.ZSNt R, # L-07 QLoU� 2 Project Description: Building Permit O Relocation City, state, ziF Con== Zt 1 4ailins amrtss try, State zip VeRAI a-- 110 peak apancy group of prof CA O Change in Use O Sion 1101 stones— Tota] babitablc vv Constnlaion is Z --c fL O Grading 0 Tenant 7 Manufactured Home Permit O Other OWNER/APPLICANT 1NFnunre-r•1t-%,., INFORMATION un floorAg. h. floor sq fi. rage sq. ft. _ Ob0 n source`(clectric, gas, etc.) 'fished basement sq. h. ted buement sq. h. i sq. h5-1 S M � Firm Name Phone Phos Esaminer Phone Inspectors: Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? D Yes No What is the current property size? 1 es, identifyonsite !an `� s uare feet or acres WLJ Is any part of the property within 250 feet of a shoreline? What is the current use of this r aperty? 1 es, identify 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? O Yes No O Don't know O Yes No Is any part of the property within a 100 yr flood pain? IJy�, identify on site plan Are or will there be wells located on they) P I'c O Maybe O Don't know D Yes No !f yes, identify on the site plan D Yes No Are there any wetlands, streams or ponds within 200 feet of the Is there evidence of fill or excavation on the propert ? property? 1 es, identify on site plan O Yes No D Yes � No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) Are critical or hazardous materials used or stored D Yes o o si .> O Yes No DEPARTMENT USE ONLY Dve Received_ YIETHOD OF PAYMENT J CASH ❑ CHECK ❑ FAXFD PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD WTE ___--- EXPIRES: ANKCARD NUMBER: UTTiORIZED SIGNATURE: MECHANICAL PERMIT APPLICATION PROJECT ADDRESS: �. a t �-� t I{J..1 u -j PERMIT USE: # OF m"n- UNITS pBYD OWNER:r� sotm Vrty PHONE ayti C taa MAILIN D ESS: t eTA- X f. V E& O fats �JA 990 4P 3'.. Strcet Cit /State i CONTRACTOR: ` y I LICENSE: ,6,, , OZq t �••C� $51: $ MAILING ADDRESS: UNLISTED APPLIANCE. ADDITIONAL CHARGE PHONE: IZ -11 4co5 �i3' , i c•!', lteod t2& ! �A 3m j Street Cit /Stue Zi Spokane County Division of Building & Code Enforcement 1026 West Broadway Avenue * Spokane, WA 99260.0050 Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477.7133 n XJ 1:71z- DESCRIPTION OF WORK # OF m"n- UNITS pBYD COST✓ UNIT 8 g.%Ls AMOUNT FUEL BURNING APPLIANCE - OR <100..000 X $12 S 3'.. FUEL BURNING APPLIANCE > 100,000 X $15 $ iWj UNLISTED APPLIANCE ADDITIONAL CHARGE - OR <400,.000 X $51: $ 141 UNLISTED APPLIANCE. ADDITIONAL CHARGE > 400,000 X $100 $ j USED APPLIANCE(Must meet WSEC's min. AFUE ruin - OR <400,.000 X $50 S USED APPLIANCE ust suet WSEC's ruin. AFL'E rain > 400,000 X $100 S BOILER/REFRIGERATION 1.100M BTLT X $12 $ BOILER/REFRIGERATION 101-SOOM BTU X $20 S BOILER/REFRIGERATION 501-1,OOOM BTU X $25 $ BOILER/REFRIGERATION 1,001. 1,750M BTU X $35 $ 812; BOILER/REFRIGERATION +1,750MBTU X $60 $ GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE X S10 $ RANGE X $ 10 $ Sl$.il DRYER X 510 m $ 6s FUEL BURNING WATER HEATER X $10 S 0 1 MISCELLANEOUS FUEL BURNING APPLIANCE X $10 m $ S ' GAS PIPING ea. Outlet X $1 S '919 DUCT SYSTEMS X S 10 $ B20- VENTILATING FANS Lo I X S10 S 1 AIR HANDLER(DOES NOT include ducts stems - OR < 10,000 CFM X $12 $ AIR HANDLER(DOES NOT include duns ems > 10,000 CFM X $15 $ EVAPORATIVE COOLERS X $10 $ 'i TYPE I HOOD X $50 $ TYPE 11 HOOD X S1U S '1 HEAT PUMP/AIR CONDITIONER 0.3 TONS X $12 S AIR CONDITIONER 3-15 TONS X $20 $ AIR CONDITIONER 15-30 TONS X $25 $ AIR CONDITIONER 30.50 TONS X $35 $ Wil AIR CONDITIONER +50 TONS X - $60S ,1'1 LPG STORAGE TANK X $10 S 2°-1 WOOD OR PELLET STOVEANSERT X $25 S METHOD OF PAYMENT , ' [I CASH ®CHECK ❑ ❑ _ . _:. _..! ❑ FAXED PERMITS WILL ONLY BE ACCEPTED VITH PAYMWr OF A MAJOR ORE= CARD DA'L'E: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: SUBTOTAL 2311_ PLUS PROCESSING FEE S 25.00 TOTAL PERMIT FEE DUE � zp i1lFNJ%1,f I.V17TSh;i35.Q0 1'i EASE CFiL G1SSW'1ABLE TO 5 �KANI~ CQUIJ 11r PERkIT CEI�"TER -- Spokane County Division of Building & Code Enforcement 1026 West Broadway Avenue * Spokane, WA 99260.0050 Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477.7133 n XJ 1:71z- iri,ycwr"19y v YhKMI I APPLICATION )ATE: __-- ,ANKCARD NUMBER: .UTHORIZED SIGNATURE: TOTAL PERMIT FEE DUE EXPIRES: $dl I"F.II?M' T FEE IS $31,00 P"i1ll E CHECKS PAYABLE TO SPDXANE COUTNTY PEAIv1TT CP1�r—j' `. Spokane County Division of Building & Code Enforcement 1026 West Broadway Avenue * Spokane, WA 992600050 Telephone No. (509) 477-3675 * Fax No. 477.7198 * TDD No. (509) 477.7133 PLUMBING FIXTURES I #F Muz UNITS Pay COST/ UNIT AMOUNT DESCRIPTION DETAIL B02 'B03 TOILETS WATER CLOSETS, BIDETS x EQUALS URINALS $6 ' B04 TUBS x $6 B05 SHOWERSrtr BATH, STALL, ON-SITE BUILD x x 56 $6 B06 SINKS LAVS/BASINS, BAR, FLOOR, x $6 KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD REP/CULINARY/MEAT B07 DISHWASHER BOO . CLOTHES WASHER _ x S6 B09 ` GARBAGE DISPOSAL/GRINDER x S6 _ B10 WATER SOFTENER x $6 Bll ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see x i6 mechanical x $6 $6 B12' FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE $13 ROOF DRAINS/OVERFLOW DRAINS ea. $6 B14 FOUNTAINS, DRINKING Ax 815, WATER PIPING/DRAIN-IN WASTE- INI STALLATION, ALTERATION, S6 VENT!PLUMBING REVERSALS REPAIR, REVERSALS $6 $6" B16 SEWAGE EJECTORS GRINDER, SUMP PUMP $17 'CATER USING DEVICES ICE AND/OR COFFEE MAKER, x $6 HOSE BIB, STEAMER, PROOFER, 3 CARBONATOR, SWAMP COOLERS Big CROSS CONNECTION DEVICES VACUUM BREAKER, CHECK S6 _ VALVE, AND R.P.B.P.D. FOR: VATS, SUMPS, TANKS, BOILERS, & SPRINKLER SYSTEMS X19 INTERCEPTORS GREASE TRAP, SAND TRAP, x S6 CHEMICAL HOLDING TANK MEDICAL GAS outlet/bottle station NITROUS, OXYGEN lll' MISCELLANEOUS FIXTURES x S6 $6 METHOD OF PAYMENT SUBTOTAL CASH ® CHECK ❑ ._ PLUS PROCESSING FEE $ 25.00 FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT T OF A MAJOR CREDIT CARD )ATE: __-- ,ANKCARD NUMBER: .UTHORIZED SIGNATURE: TOTAL PERMIT FEE DUE EXPIRES: $dl I"F.II?M' T FEE IS $31,00 P"i1ll E CHECKS PAYABLE TO SPDXANE COUTNTY PEAIv1TT CP1�r—j' `. Spokane County Division of Building & Code Enforcement 1026 West Broadway Avenue * Spokane, WA 992600050 Telephone No. (509) 477-3675 * Fax No. 477.7198 * TDD No. (509) 477.7133 � 9 n m csa� >9 0+ Ol n N.O co CD tf CL c p N -al =o v to v 7 [n U A a ill tv v m n D CD CL E m iu o v j3 m m C v � n m d m rn CO m � r4 � � 4 Q � 9 n m csa� >9 0+ Ol n N.O co CD tf CL c p N -al =o v to v 7 [n U A a ill tv v m n D CD CL E m iu o v j3 m m C v � n m d m rn CO m U STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois 949E-89 JC insures the following policyholder for the coverages indicated below: Name of policyholder J S kIRKLAND CO Address of policyholder 4005 S BEST CT VERADALE WA 99037-8228 Location of operations SAME Description of operations The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is subject to all the terms, exclusions, and conditions those of policies. The limits of liability shown may have been reduced by any paid claims. POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD Effective Date I Expiration Date LIMITS OF LIABILITY 98-E 9470-6 (at beginning of policy period) Comprehensive 04/19/02 I 04/19/03 REPL 98 -ED -5936-3 Business LiabilitZr I BODILY INJURY AND This insurance includes: Products - Completed Operations ------------------------------ PROPERTY DAMAGE Contractual Liability Underground Hazard Coverage Each Occurrence $ 300, 0 0 ( Personal Injury Advertising Injury Explosion Hazard General Aggregate $ 600,00( Coverage Collapse Hazard Coverage Products - Completed $ General Aggregate Limit applies to each project 600,00C Operations Aggregate }C CONTRACTORS POLICY EXCESS LIABILITY POLICY PERIOD Effective Date Expiration Date BODILY INJURY AND PROPERTY DAMAGE (Combined Single Limit) Umbrella I Each Occurrence $ Other I Aggregate $ Workers' Compensation I Part 1 STATUTORY Part 2 BODILY INJURY and Employers Liability I Each Accident $ Disease Each Employee $ I Disease - Policy Limit $ POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD Effective Date Expiration Date LIMITS OF LIABILITY (at beginninq of Dolicv txricAl Name and Address of Certificate Holder STATE OF WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES CONTRACTORS REGISTRATION SECTION PO BOX 44450 OLYMPIA WA 98504-4450 558-994 a.3 Rev. 12-98 Printed in U.S.A. If any of the described policies are canceled before its expiration date, State Farm will try to mail a written notice to the certificate holder 4 5 days before cancellation. If however, we fail to mail such notice, no obligation or liability will be i p ed on Farm or its ag- nt r representa- tives. Signature o thon ed R entatrve Sunerintendent 2 7 2002 LD Title Date Agent's Code Stamp pc�paelmenl LA13OR AND INDUSTRIES �4 V, CONSTRUCTION CONTRACTOR Renewal Step 1 2 3 4 5 Receipt Date: 7/29/2002 Payment Receipt Status: ACTIVE UBI: 601 730 288 Structure: CORPORATION Industrial NO Insurance: Specialty: GENERAL ,3_ Flfl= -= �r! moi_ :;:?CIL' IF°=.T.;_i�,?- PRINT THIS PAGE! +; n- id _:D�„ Keep it as your proof of pa L& `r't�. This is a receipt for payment of the construction contractor registration and renewal fee and will serve as a temporary registration. The Contractor Registration Program will mail a renewed registration card to you. License Number: JSKIRC"029J7 License Name: J S KIRKLAND CO Address: 4005 S BEST CT City, State: VERADALE, WA Zip Code: 99037 Ty Payer Detail Trans. Id Amoun Endo Valid Chec Doc. CH JS KIRKLAND 7689 CO 99888868 $50.00 Tin! BShblUse of this web site, it's applications and connections subject to LEtI Web Usage Policy, including ashinggtotate Access Agreem n , formatlon b Services Privacy Et Secudty Statement, Intended OselExteinat Content Policy http://quickcards.apps.lni.wa.gov/Payment/PayReceipt.asp?G={ 86681393-0223-4CE6-BFEB•.. 7/29/02 t 4//I4 CHANGE RIDER TO: DEPARTMENT OF LABOR & INDUSTRIES CONTRACTORS REGISTRATION SECTI PO BOX 44450 OLYMPIA,, WA 985044450 ............... flg[on North 901 Monroe Suite 340 Spokane, WA 99201 (509)326-2244 (800) 368-CBIC (509) 325-4462 FAX To be attached to and form a part of Type of Bond: CONTRACTORS LICENSE BONDS: ULTRA PREFERRED PREMIUM: GENERAL Bond Number: FA3817 Executed by: J.S. KIRKLAND CO. as Principal, and by Contractors Bonding and Insurance Company as Surety, In favor of DEPARTMENT OF LABOR & INDUSTRIES and dated: In consideration of the premium charged for the attached bond, it is hereby agreed to change: PENAL SUM From: $6,000.00 To: $12,000.0o The attached bond shall be subject to all its agreements, expressly modified. limitations and conditions except as herein This rider is effective: 17 -Apr -02 Signed and Sealed Principal: J.S. KIRKLAND CO. By: DING t •41 Surety: Contractors Bonding and Insurance '�%, oIkPORq�y�li94 Company, : Q ; _ = SEAQ. ' T By: �� y; •.,1979. � r B,dRIDE.05-US081595 26 -Dec -01 BF000056 08/12/1999