2002, 08-20 Permit App: 02007177 DuplexProject Number: 02007177
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/20/02 Page 1 of 3
Project Information:
Permit Use: DUPLEX W/GARAGES - NATURAL GAS
Setbacks: Front`2 .12_ Left: 1 Right: 6 Rear:
Site Information:
Plat Key: 005942 Name: VALLEY RIDGE PUD
Contact: J S KIRKLAND CO
Address: 4005 S BEST CT
C - S - Z: VERADALE WA 99037
Phone: (509) 891-8211
Group Name:
Project Name:
District: G
Parcel Number: 45241.2016 Block: 2
SiteAddress: 731 S JERSTAD LN
VERADALE, WA USA 99037
Location:: VER
Zoning: UR -7
Water District:
Area: 11,622 Sq Ft
Nbr of Bldgs: 1
Review Information:
Review
Urban Residential -7
Lot: 16
Owner: Name:
Address:
GOOD SAMARITAN
17121 E 8TH AVE
GREENACRES, WA 99016-8556
Hold: ❑
Width: 90 Depth: 125 Right Of Way (ft): 30
Nbr of Dwellings: 2
Site Plan Review
Released By:
Plan Review
Critical Area Review
Released By
Approach / Drainage
Sewer Review
[Released 13y: i�r r • . '6 ""' 0
Operator: CKF Printed By: CKF
Print Date:
8/20/02
Project Number: 02007177
Permits:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/20/02 Page 2 of 3
Contractor: J S KIRKLAND CO
Address: 4005 S BEST
VERADALE WA 99037
Building Characteristics
Const Category: New
Nbr Of Dwellings:
Bldg W x D: x
Req Parking:
Description Grp
DECK R-3
GARAGE U-1
RESIDENCE R-3
Building Permit
Firm: J S KIRKLAND CO
Phone: (509) 879-4356
Group:
Occupant Load:
Building Sq Ft:
Handicap Parking:
Type Notes
VN
VN
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
Type:
Building Height: Stories:
Sprinlders: ❑
Critical Materials: 0
This Application: Total Project:
Su Ft Valuation Su Ft Valuation
450 $3,523.50 450 $3,523.50
1,100 $13,200.00 1,100 $13,200.00
2,626 $173,316.00 2,626 $173,316.00
Totals: 4,176 $190,039.50 4,176 $190,039.50
Units
1
1
1
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Mechanical Permit
Units
2
2
6
2
6
2
2
2
Operator: CKF Printed By: CKF
Fee Amount
$1,350.00
$4.50
$297.00
$1,651.50
Firm: AIR DESIGN INC
Phone: (509) 487-4328
Unit Desc Fee Amount
NUMBER OF $20.00
NUMBER OF $24.00
# OF UNITS $6.00
NUMBER OF $24.00
NUMBER OF $60.00
NUMBER OF $20.00
NUMBER OF $20.00
NUMBER OF $20.00
Permit Total Fees:
Print Date:
$194.00
8/20/02
Project Number: 02007177 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/20/02 Page 3 of 3
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 USING DEVICES
Notes:
Plumbing Permit
Firm: FRED'S PLUMBING
Phone: (509) 772-2846
Units Unit Desc
4 NUMBER OF
6 NUMBER OF
2 NUMBER OF
2 NUMBER OF
2 NUMBER OF
2 NUMBER OF
2 NUMBER OF
6 NUMBER OF
Fee Amount
$24.00
$36.00
$12.00
$12.00
$12.00
$12.00
$12.00
$36.00
Permit Total Fees: $156.00
Payment Summary:
Permit Type Fee Amount Invoice Amount
Building Permit $1,651.51 $1,651.51
Mechanical Permit $194.00 $194.00
Plumbing Permit $156.00 $156.00
$2,001.51 $2,001.51
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,651.51
$194.00
$156.00
$0.00 $2,001.51
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: 8/20/02
I t PROJECT APPLICATION WORK SHEET
_ SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
4�l� SPOKANE, WA 99260
01KA ME ( _n l ry 509-477-3675
SPECIFIC SITE INFORMATION
EHAddress: SI -IST LL 1 /
Assessor's Tax Parcel Number(s):
Legal Description:
SEC -TION Z4,
Project Description:
Building Permit
O Relocation
O Change in Use
O SIM
J 2. L4' . 2�,01
44 E, W , I� , - DoT 16 8 LO UL Z
2 CPL
O Grading O Manufactured Home Permit
O Tenant (New/Change) O Other
OWNER/APPLICANT INFORMATION
ECT INFORMATION
Building height 10 peak
b of stones Mara flooD fi l Unfinished basement sq. ft.
�000r y
Dirrtensl ns
�t
Total habitable s ace
P
Zoe floor sq. ft.
Finished basement sq. ft.
ancy group
Construction type
I L JUp�
Garage sq. ft. 100
Deck sq. ft4 5-6
ost of proje
-2, WI
Heat source (electric, gas, etc.)
rr14G
I
L
14
IU�antl
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
ear:
Make:
N of signs
Area of existing signs
� _
r '"COUN7'YFLStMri'CENCER =
_
ADDITIONAL SITE INFORMATION
Are there structures on the property? O YesNo What is the current property size? �O
Ekes, identify on site 1an (square feet or acres
ny part of the property within 250 feet of a shoreline? What is the current use of this pe y.)
1 Zes, identify on sue plan O Yes M No V
Is your property in a designated wildlife habitat area? I Will the site be served by a septic system? O Yes No
O Don't know Cl Yes XNO
Is any pan of the property within a 100 yr flood pain? Are or will there be wells located on the property?
If yes, identify on site plan If yes, identify on the site plan CI Yes No
O Maybe O Don't know D Yes No
Are there any wetlands, streams or ponds within 200 feet of the Is there evidence of fill or excavation on the proper >
property? O Yes No
I yes. identijy on site plan D Yes No
Are there slopes greater than 3096 on the property? (30 ft rise in 100 ft) Are critical or hazardous materials used or stored on st e?
�%) O Yes 'XNo O Yes V No
DEPARTMENT USE ONLY
Dvc Received:
METHOD OF PAYMENT
WASH ❑ CHECK F1 MOM El. _ - ❑
CED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BAN-KCARDNl1MBER: __ _—.------ ---- — ------ --
AUTHORIZED SIGNATURE:
SUBTOTAL
va
-
b17iSlhf CJM J'fFaJlT fE� JSS35 OCA I lF Aft.
�.iA�.CkiECICSPjiY1�Bt,ETOSPOSAPIE,
� _
r '"COUN7'YFLStMri'CENCER =
_
ADDRESS /?) N e�3'
L\
ZONE U
ROAD WIDTH
FRONT FLANKINd
COMMENTS C
REVIEWED BV �t ukA.!
L -N1
1131-1641 eii-0(--2-
sEfiON 241T2St )
1.c) i M
VkLL ( RibE Ruth,
being submit d for the purpose of
This site plan is ermit an. is a true and correct
obtainin a buiidln p o � no`wh"'�►'�i�
representation of the p Posa
linesJdimensions, curb lines, structures andtaements
have been identified. Also indicated are welds,
bodies of
r,s
steep pes ^r ther crit al are s•
SigneLd.---
_Daae•
125