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2001, 05-15 Permit App: 01003611 DuplexProject Number: 01003611 Inv: 1 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/15/01 Page 1 of 3 Project Information: - Permit Use: DUPLEX W/GARAGES - NATURAL GAS Contact: J S KIRKLAND CO Address: 4005 S BEST CT C - S - Z: VERADALE WA 99037 Setbacks: Front 30 Left: 6.5 Right: 6.5 Rear: 30+ Phone: (509) 879-4356 Group Name: Site Information: Project Name: Plat Key: 005942 Name: VALLEY RIDGE (PUD) Distrix S_ Parcel Number: 45241.2005 Block: 2 Lot: 5 SiteAddress: 702 S JERSTAD LN VERADALE, WA USA 99037 Location:: VER Zoning: UR -3.5 Water District: Urban Residential 3.5 Area: 22,968 Sq Ft Width: 0 Nbr of Bldgs. 1 Nbr of Dwellings: 1 Review Information: Owner: Name: GOOD SAMARITAN Address: 17121 E 8TH AVE GREENACRES, WA 99016-8556 Hold: ❑ Depth: 0 Right Of Way (ft): 30 Department BUILDING Hold Reasons: Permit Conditions: BUILDING Hold Reasons: Permit Conditions: ENGINEER I-Iold Reasons: Perrrut Conditions: UTILITIES 1 Hold easons. Perna nditions: Permits: Review Site Plan Review Released By: 04141.. uL1/4) ` Plan Review Released By: Approach / Drainage Released By: ( V V n1/4/., 5-- L701711 Sewer Review - 3Co(V (FG f) Si bMED Rele By 0,„W -e-435-191 Project Number: 01003611 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/15/01 Page 2 of 3 Building Permit Contractor: J S KIRKLAND CO Firm: J S KIRKLAND CO Address: 4005 S BEST Phone (509) 879-4356 VERADALE WA 99037 Building Characteristics Group: R-3 Type: VN 2 Occupant Load: Building Height: 17 Stories: I x 73 Building Sq Ft: 2535 Sprinklers: ❑ Handicap Parking: Critical Materials: n This Application: Total Project: Su Ft Valuation Sci Ft Valuation 1,100 $13,200.00 1,100 $13,200.00 2,535 $157,170.00 2,535 $157,170.00 Const Category: New Nbr Of Dwellings: Bldg W x D: 82 Req Parking: Description Grp Type Notes GARAGE U-1 VN RESIDENCE R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor: R T MECHANICAL Address: 6035 E 20TH POST FALLS, ID 83854 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: 3,635 $170,370.00 3,635 $170,370.00 Units Unit Desc Y OR BLANK Y OR BLANK Y OR BLANK Permit Total Fees: Mechanical Permit Fee Amount $1,250.00 $4.50 $275.00 $1,529.50 Firm: R T MECHANICAL Phone: (208) 765-0433 Units Unit Desc 2 NUMBER OF 2 NUMBER OF 6 # OF UNITS 2 NUMBER OF 6 NUMBER OF 2 NUMBER OF 2 NUMBER OF 2 NUMBER OF 2 NUMBER OF Fee Amount $20.00 $24.00 $6.00 $24.00 $60.00 $20.00 $20.00 $20.00 $20.00 Permit Total Fees: $214.00 Project Number: 01003611 Inv. 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/15/01 Page 3 of 3 Contracto Address: FRED'S PLUMBING 146 AQUA CIR 3 COEUR D ALENE, ID 83814 Item Description TOILETSBIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER WATER USING DEVICES Payment Soloman,. Plumbing Penni)* Firm. FRED'S PLUMBING Phone 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 Permit Total Fees: (509) 772-2846 Fee Amount $24.00 $36.00 $12.00 $12.00 $12.00 $12.00 $12.00 $36.00 $156.00 Operator: CKF Printed By: CKF Print Date: 5/15/01 Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount $1,529 51 $214.00 $156 00 Invoice Amount $1,529.51 $214.00 $156.00 $1,899.51 $1,899.51 Notes• , Amount Paid $0.00 $0.00 $0.00 Amount Owing $1,529.51 $214.00 $156.00 $0.00 $1,899.51 I�I AMR SowSpomNECownr PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: 11 Assessor's Tax Parcel Number(s): Legal Description: Project Description: l Sink, Loptes l/.il 2 Grate_. je €L 6AR-+47E5 fx Building Permit O Change in Use O Grading O Manufactured Home Permit 0 Relocation O Sign O Tenant (New/Change) O Other OWNER/APPLICANT INFORMATION ❑`' Indicate who should be rontacted rerardmg Ibis p>o%ect 13:1 o Crater. p��.�p��\ Cnr' Phone: 92-4-40(41 GODp e\Pel�r�11 OaSli Fa:-1Z14`t(IY4. 3 t hl ailing Adorns 1 t 2-I E t STA- /WE 1 .a3• '`"�'=• '` �"'�y"y ->s^`ieli's C ..Re7 ✓u'.-tea=Y-f? Mailing Address Ciry. Sine, Zip GlibEEOPcja I WDA t CO of lQ ®ep ert se O i ; p3 �f -1 W21"e- pisir tt<tinve or i..- - - -'A lb�T'Sa tclhst ittnI ve L� }• Th,- City. STMC Zip seoKn a 1 WA. quo( ;,,si u( proic zeo- I 000 Conun name '. ... sl- —4� -f ;.$`c6Rotlh2;stnit.t,a.' ..+vy Y eDtztn s •of-`Zun X.s-ten.-.�-"T�''s:�-k`,zT .e._ Y'YZ�v �e 3?'(.hr'i T'e+�6sa -rt/lFai 11 c f.33— • N .a'J-�3SCzi`[ < Y�:kit ' OWNER/APPLICANT INFORMATION ❑`' Indicate who should be rontacted rerardmg Ibis p>o%ect 13:1 o Crater. p��.�p��\ Cnr' Phone: 92-4-40(41 GODp e\Pel�r�11 OaSli Fa:-1Z14`t(IY4. 0 Applicant. Phone. Z973' Fa: hl ailing Adorns 1 t 2-I E t STA- /WE 1 .a3• '`"�'=• '` �"'�y"y ->s^`ieli's C ..Re7 ✓u'.-tea=Y-f? Mailing Address Ciry. Sine, Zip GlibEEOPcja I WDA t CO of lQ City, Scar. Zip 0 }ConntCtractovrr �1t/� ' ��t�, �t/n� Co.Phone i 6 C g.ALLA D CL 4' ... L('I Fax 8.j— gZ(1 0 Architect/Engineer p/�-�}��y����nPhone P-u►,DQu(ST Pflrt- (P Fax Mailing address 4005 s. BEST cr, Finished basement sq h. Mailing address N. (o Post — SurjE. Tool Gry, Som Zip \Set b� OA t 9c. 03.7 City. STMC Zip seoKn a 1 WA. quo( WA State Contractor license/ J'SKIRL*02-137 ;,,si u( proic zeo- I 000 Conun name PROTECT INFORMATION i t 4 'y:'�'�F .y"." :3.-133:_tii3 _s ctrl sa+ i.= '� ..• & Zt3.-- A X`:i�.^-F'�sn� v✓^.'SF'''�- UIIIIly��it011IliZCIOII �-.�-s:`_.r.x�-r.r.,;'r Vass `s.: ''.n"& 5r_ .a3• '`"�'=• '` �"'�y"y ->s^`ieli's C ..Re7 ✓u'.-tea=Y-f? Budding height to peak - . 11I 1 of stories 1 Main floor sq h. z,-535 Unfinished basement sq. ft. Dirns(s ES �1,( Total habitable space '4535 2°" floor sq ft.' Finished basement sq h. Jmipancy group Const tun ion type boutILE WA1A-- Garage sq. ft. ii 160 Deck sq h. ;,,si u( proic zeo- I 000 11rm source (electric. gas. etc ) rinf., a, _ r. - -. ._,_ . c_ -• r.()�ne� �t-.F �� - �.F .. _.: �41"�cF �'t{ rC' .',. `' ^rte..,` 1g . .1tJ..� Width: Length: What is the square footage of the sign face? How high is the sign? Year Make: N of signs Area of existing signs . Value Phone Inspectors: • R�e oc>i�r ` T317 ir•.e• tire-N,-_-.&��=� Previous address Fire Sprinkler Tent Paint booth _ Fire Alarm Fireworks display Are there any wetlands, streams or ponds within 200 feet of the property? Ifyes, identify on site plan 0 Yes XNo Phone Proposed use Value Phone �E1 ` T317 � 9�iibifd6 T'r-w .� � r ' 6 ii ` .,/,:t•• F 344, C0 e • �C 7 = Is any part of the property within a 100 yr flood pain? If y, identify on site plan 0 Maybe 0 Don't know 0 Yes X No Firm Name Are there any wetlands, streams or ponds within 200 feet of the property? Ifyes, identify on site plan 0 Yes XNo Phone Are there slopes greater than 30% on the property? (30 It rise in 100 ft) (_/ %) 0 Yes %!No Plans Examiner Phone Inspectors: • a s.p $Tia .,i v`sukt it y Address T __ . - � +t[h1n Inspector Phone 0 Concrete 0 Welding 0 Bolting 0 Reinforcement Address `sir Pr [;, 3'" � ADDITIONAL SITE INFORMATION Are there structures on the property? 0 Yes ,ikNo identify on site plan What is the current property size? I I //yyam� ScIf-yes, (square feet or acres) 1 l t WO 7 ! Is any part of the property within 250 feet of a shoreline? • If yes, identify on site plan 0 Yes No� What is the current use of this property? vPC •fr L' ,y�•• Is your property in a designated wildlife habitat area? 0 Don't know 0 Yes No Will the site be served by a septic system? 0 Yes XNo Is any part of the property within a 100 yr flood pain? If y, identify on site plan 0 Maybe 0 Don't know 0 Yes X No Are or will there be wells located on the property? Ifyrs, identify on the site plan 0 Yes )1(No • Are there any wetlands, streams or ponds within 200 feet of the property? Ifyes, identify on site plan 0 Yes XNo Is there evidence of fill or exeavation on the property?, 0 Yes No Are there slopes greater than 30% on the property? (30 It rise in 100 ft) (_/ %) 0 Yes %!No Are critical or hazardous materials used or stored ont sle? 0 Yes No DEPARTMENT USE ONLY Ss [hi :ten; �ies��gna et d'Siorm [e' 'un: 3,1Tiea y ' x -- si-iu. cse"'m enil`heI' oe'w,s[te)''`" `.r— r :. - q sem© ... .;,> -c'; .�" i=ii-" - 'E :- >'3. fl t�.: . -A !sche.P Q ie :--re neaCA.,r Y" _ e% ,2 • a s.p $Tia .,i v`sukt it y 32 `m ' B T __ . - � +t[h1n _ Ittthepiore n�. is rt TSS L7 h t •A `sir Pr [;, 3'" � 000 e'e"yso`iid r »fiw. ar ou'i[e- '-r,,,yc--;a'x.. g. ?" r 1S. .^,x Dave Received. Sufi Representative. METHOD OF PAYMENT VISA ❑ CASH ❑ CHECK ❑Mg= ❑ !� DI(CCVE< FAXED PERMITS WILL ONLY BE ACEPTED W171-1 PAYMENT OF A MAJOR CREDIT CARD DA1T- EXTIRES- BA NKCARD NUhIBER. ALIT}IORIZ ED SIGNATURE: SUBTOTAL px+. :FEE S. •*,;Jkc'F'j ar"'10..:Fc A °°.P£-F :_:`YIAPEGICPA.CE.tiR.%%.? - ,rS - `+:?FESIIS3s .YNINFUMU1PYARETOS�OSA[,: •-:?• ''''';.Yn..'�^r`_(•r."it�"'.`.'"._'„: .at:a,iCdin:T.YLUff:.�... - This site plan Is being submitted for the purpose of obtaining a building permit and is a true and correct representation of the proposal. All known property lines/dimensions, curb lines, structures and easements have . -n identified. Also indicated are wetlands, bodies . f •: r stee. sloaes Signed: Date: Of Ot ercrit'cal as. ADDRESS 7 0 2. 5. ..leT aft L, ZONE �i.5- ROAD WIDTH 33 FRONT %C) FLANKING COMMENTS REVIEWED BY eigAc t4 .k) Lot 5- >6-Z itos s kit 133:21 70 C2 J -STI lD /-1Q1