2002, 09-30 Permit App: 02008497 DuplexProject Number: 02008497 Inv: IA -Date: 9/30/2002 Page i of 3
plication
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Parcel Number: 45241.2014 Block: 2 Lot: 14
SiteAddress: 739 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: Hold: ❑
Area: 14,614 Sq Ft Width: 100 Depth: 150 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: :.
Plan Review Released By yam -
Approach /Drainage Released By: �'.• ' �►1_ M IP
Sewer w Released By
Permits: _......
Operator: RMB Printed By: RMB Print Date:
9/30/2002
Project Number: 02008497 Inv: 1A I I' atlOn Date: 9/30/2002 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: J S KIRKLAND CO Firm: J S KIRKLAND CO
Address: 4005 S BEST Phone: (509) 879-4356
VERADALE WA 99037
4,074 $179,351.94
Units
Unit Desc
Building Characteristics
Y OR BLANK
Const Category:
New
Group:
Type:
Nbr Of Dwellings:
$6.00
Occupant Load:
Building Height:
Bldg W x D:
x
Building Sq Ft:
Sprinklers: El
Req Parking:
NUMBER OF
Handicap Parking:
Critical Materials: F-1
NUMBER OF
$20.00
2
This Application:
Description
Grp
Type Notes
Su Ft Valuation
DECK
R-3
VN
518 $4,055.94
GARAGE
U-1
VN
1,100 $13,200.00
RESIDENCE
R-3
VN
2,456 $162,096.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: J S KIRKLAND CO
Address: 4005 S BEST
VERADALE WA 99037
Item Description
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
Totals:
4,074 $179,351.94
Units
Unit Desc
1
Y OR BLANK
1
Y OR BLANK
1
Y OR BLANK
Permit Total Fees:
Mechanical Permit
Stories:
Total Project:
Su Ft
Valuation
518
$4,055.94
1,100
$13,200.00
2,456
$162,096.00
4,074 $179,351.94
Fee Amount
$1,295.00
$4.50
$284.90
$1,584.40
Firm: J S KIRKLAND CO
Phone: (509) 879-4356
Units
Unit Desc
Fee Amount
2
NUMBER OF
$20.00
2
NUMBER OF
$24.00
6
# OF UNITS
$6.00
2
NUMBER OF
$24.00
6
NUMBER OF
$60.00
2
NUMBER OF
$20.00
2
NUMBER OF
$20.00
2
NUMBER OF
$20.00
2
NUMBER OF
$20.00
Permit Total Fees:
$214.00
Operator: RMB Printed By: RMB Print Date: 9/30/2002
Project Number: 02008497 Inv: 11 . Date: 9/30/2002 Page 3 of 3
IA 1*
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
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:
Pavment Summa
Plumbing Permit
Firm: J S KH; KLAND CO
Phone: (509) 879-4356
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
NUMBER OF
$12.00
2
NUMBER OF
$12.00
2
NUMBER OF
$12.00
2
NUMBER OF
$12.00
6
NUMBER OF
$36.00
Permit Total Fees:
$168.00
Permit !We
Fee Amount
Invoice Amount
Amount Paid
Amount Owing
Building Permit
$1,584.40
$1,584.40
$0.00
$1,584.40
Mechanical Permit
$214.00
$214.00
$0.00
$214.00.
Plumbing Permit
$168.00
$168.00
$0.00
$168.00
$1,966.40
$1,966.40
$0.00
$1,966.40
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 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: RMB Printed By: RMB Print Date: 9/30/2002
t PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
Spp m (pj jy 509-477-3675
SPEC 1F1C- Ci'TF iNFC1R"Alnnm
Street Address:
Assessor's Tax Parcel Number(s): / j t '
Legal Description: 4
Project Description: 5ID1(
' Building Permit I O Change in Use O Grading O Manufactured Home Permit
O Relocation O Sign O Tenant (New/Chanee) I O Other
Jt7t F..
Mailing address
City, State Z
WA State Contractor license F
OWNER/APPLICANT INFORMATION
PROJECT INFORMATION
lrCA, ice;
R�
udding height to peak
N of Stones Main floors h
Unfinished basement sq. ft_
hmensions
Total habitable s ace
_ P ` �+, _l.
2"a floor sq. h.
Finished basements h_
>ccupancy group
Co^^nstn,ctaion type a
Garage sq.
Deck sq h. f
ost of projetjl
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