2002, 08-06 Permit App: 02006690 DuplexProject Number: 02006690 Inv: I Application Date: 8/6/02 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Plan Review
Released By.
Approach / Drainage Released By:
Sewer Review ��Q (Jt' 1 Released By:
Permits:
Operator: JAS Printed By: JAS Print Date: 8/6/02
Permit Use: DUPLEX W/GARAGES - GAS
Contact: J S KIRKLAND CO
Address: 4005 S BEST CT
C - S - Z: VERADALE WA 99037
Setbacks: Front 22 Left: 6 Right: 6 Rear: 42
Phone: (509) 891-8211
Group Name:
Site Information:
Project Name:
Plat Key: 005942 Name: VALLEY RIDGE (PUD)
District: F
Parcel Number: 45241.2015 Block: 2
Lot: 15
SiteAddress: 735 S JERSTAD LN
Owner: Name: GOOD SAMARITAN
VERADALE, WA USA 99037
Address: 17121 E 8TH AVE
Location:: VER
GREENACRES, WA 99016-8556
Zoning: UR -7 Urban Residential -7
Water District: 008 CONSOLIDATED IRRG #1 Hold: ❑
Area: 12,367 Sq Ft Width: 90
Depth: 141 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
,
_ y
ReleasedBy.,
Plan Review
Released By.
Approach / Drainage Released By:
Sewer Review ��Q (Jt' 1 Released By:
Permits:
Operator: JAS Printed By: JAS Print Date: 8/6/02
Project Number: 02006690 Inv: 1 Application Date: 8/6/02 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: J S KIRK -LAND CO Firm: J S KIRKLAND CO
Address: 4005 S BEST Phone: (509) 879-4356
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: ❑
This Application:
Description
Grp
Type Notes
Sci Ft Valuation
CARPORT
U-1
VN COVPATIO
382 $1,719.00
GARAGE
U-1
VN
1,100 $13,200.00
RESIDENCE
R-3
VN DUPLEX
2,786 $183,876.00
Totals:
4,268 $198,795.00
Item Description
RESIDENTIAL VALUATION
RESIDENTIAL SURCHARGE
Contractor: AIR DESIGN INC
Address: 1807 E FRANCIS AVE
SPOKANE, WA 99207
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=I00,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
Stories:
Total Project:
Sq Ft Valuation
382 $1,719.00
1,100 $13,200.00
2,786 $183,876.00
4,268 $198,795.00
Fee Amount
$1,390.00
$305.80
Permit Total Fees: $1,695.80
Mechanical Permit
Firm: AIR DESIGN INC
Phone: (509) 487-4328
Units Unit Desc
2 NUMBER OF
2 NUMBER OF
2 NUMBER OF
6 # OF UNITS
2 NUMBER OF
6 NUMBER OF
2 NUMBER OF
2 NUMBER OF
2 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
$214.00
Operator: JAS Printed By: JAS Print Date: 8/6/02
Project Number: 02006690 Inv: I Application Date: 8/6/02 Page 3 of 3
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
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Notes:
Payment Summa
Plumbing Permit
Firm: FRED'S PLUMBING
Phone: (509) 772-2846
Units
Unit Desc
Fee Amount
4
NUMBER OF
$24.00
6
NUMBER OF
$36.00
2
NUMBER OF
$12.00
2
NUMBER OF
$12.00
2
NUMBEROF
$12.00
2
NUMBER OF
$12.00
2
NUMBER OF
$12.00
6
NUMBER OF
$36.00
Permit Total Fees:
$156.00
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,695.80 $1,695.80 $0.00 $1,695.80
Mechanical Permit $214.00 $214.00 $0.00 $214.00
Plumbing Permit $156.00 $156.00 $0.00 $156.00
$2,065.80 $2,065.80 $0.00 $2,065.80
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: JAS Printed By: JAS Print Date: 8/6/02
k9ffff
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
A1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
spomw Qwy 509-477-3675
zorrn-.srtt, XtIh 11Vrvt(MA11VN
Street Address- S i • L 17ELS .4)IV
L� 1 t
Assessor's Tax Parcel Number(s): !
Legal Description: 5EC-- i O N Z41 F► Z5 N t r A E—! ILOT IS S LOiO 4( 2.
Project Description:, S -Maul bQPW/ Z CK. ,rn e -44M (2P6J�f.S
Building Permit O Change in Use O Grading O Manufactured Home Permit
O Relocation O Sign O Tenant (New✓Chanze) ❑ Other
OWNER✓APPLICANT INFORMATION
0 Indicate who should be contacted repardinr this Aroieet
U Owner
Maim floor sg ft., — �TRUnfinished
Phone: Z `)
O Applicant_
Phone:
GO%r
�p�
5Ct
Fax:
Occupancy group ConsIniaion type
Garage sq_ ft.
Fax:
Mailing Address:
l 1( e t
�)
ANS
L�—
Mailing Address:
}seat sot et(elearic, gas, etc.)
Ciry, State, Zip
City, State, Zip
❑tContract��orr
Phone — ;
C1pA�rc�bit�ect/Etngiineer
J ( 1 V-4
/ �� /��
LA * )b (2b r
Fa:
C'`'�%J UIS
{�
i P*70
j(}Phone
* r Fax
Mailingaddress
Mailing address
S.
'S
. io
-- 5v
% /�
60:/ 1
City, State Zip
v b
—
�t
—f -f.J~
City,
City, State Zip
w#rt
1L.C�t
WA State Contractor license I
JS a2
Contact name -
PROJECT INFORMATION
Building height to peak N of stories
Maim floor sg ft., — �TRUnfinished
basement sq. ft_
'
Ditnenstuns Total habitable space''
2°4 floor sq. ft.
Finished basement sq. k.
Occupancy group ConsIniaion type
Garage sq_ ft.
1 1b0
L�—
;ost of proje �wh
}seat sot et(elearic, gas, etc.)
ADDITIONAL SITE INFORMA77ON
Are there structures on the property? O YesNo
What is the current property size?
1 es, identify on site plan , ``
,, ^
(square feet or acres =
Is any part of the property within 250 feet of a shoreline?
What is the currentuse of this roperty?
1 es, identifyon site plan O Yes No
Lzr
Is your property in a designated wildlife habitat area?
Will the site be served by a septic system? O YesNo
O Don't know O Yes No
Is any pan of the property witbin a 100 yr flood pain?
Are or will there be wells located on the property?
If yes, identify on site plan
ff yes, identify on the site plan O Yes No
O Maybe O Don't know O Yes No
Are there any wetlands, streams or ponds within 00 feet of the
Is there evidence of fill or excavation on the property?
property?
O Yes' No
ff yes, identify on site plan O 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 o� sije?
°� O Yes o
O Yes ,!� No
DEPARTMENT USE ONLY
lime Kecejved:
METHOD OF PAYMENT
YltStf -
❑ CASH ❑ CHECK ❑ 1 ❑ ❑
FAXED PERMITS WILL ONLY BE ACEFTED WITH PAYMENT OF A, MAJOR CREDIT CARD
DATE: _-- EXPIRES:
BANK CARD NUMBER:
AUlT1OR1ZED SIGNATURE
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