2001, 05-15 Permit App: 01003605 DuplexProject Number: 01003605 Inv: 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 In formation:
Permit Use: DUPLEX W/GARAGES - NATURAL GAS
Setbacks: Front it" Left:6715 Right:66 Rear: 561 -
Site In formation:
Plat Key: 005942 Name: VALLEY RIDGE (PUD) District:
Contact: J S KIRKLAND CO
Address: 4005 S BEST C7'
C - S - Z: VERADALE WA 99037
Phone: (509) 879-4356
Group Name:
Project Name:
V
Parcel Number: 45241.2006
Block: 2 Lot: 6
SiteAddress: 706 S JERSTAD LN
VERADALE, WA USA 99037
Location:: VER
Zoning: UR -3.5
Water District
Urban Residential 3.5
Area: 22,844 Sq Ft Width: 90
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: 218 Right Of Way (ft): 30
Department Review
BUILDING Site Plan Review
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
ENGINEER
Hold Reasons:
Permit Conditions:
UT!LI'I'IES
Hold sons: (1 ' 3 OtQ
Permit C editions: � f Fri �Y ^i J � N ��,
V
Permits•
Released 13y
Plan Review
Released By.
Approach/ Drainage
Released By:
Sewer Review
Project Number: 01003605 Inv: 1
Application
Date: 5/15/01 Page 2 of 3
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
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: 2 Occupant Load: Building Height: 17 Stories: 1
Bldg W x D: 65 x 67 Building Sq Ft: 2614 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: E
This Application: Total Project:
Description Gro Type Notes Se Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 1,100 $13,200.00 1,100 $13,200.00
RESIDENCE R-3 VN 2,614 $162,068.00 2,614 $162,068.00
Building Permit
Firm: J S KIRKLAND CO
Phone: (509j879-4356
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: 3,714 $175,268.00 3,714 $175,268.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Units
2
2
6
2
6
2
2
2
2
Fee Amount
$1,275.00
$4.50
$280.50
$1,560.00
Firm: R T MECHANICAL
Phone: (208) 765-0433
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
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: 01003605 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
Contractor
Address:
FRED'S PLUMBING
146 AQUA CIR 3
COEUR D ALENE, ID 83814
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Payment Sunnnary•
Operator: CKF
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Notes:
Plumbing Permit
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
Printed By: CKF
Fee Amount
$1,560.00
$214.00
$156.00
Print Date:
Invoice Amount
$1,560.00
$214.00
$156.00
Amount Paid
$0.00
$0.00
$0.00
5/15/01
Amount Owing
$1,560.00
$214.00
$156.00
$1,930.00 $1,930.00 $0.00 $1,930.00
IAI
ML
111811
SPOIcA EC&UNFY
Street Address: -7 O t
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description:
STa4 4 c) P LEC WI 2- CIPt ,rk {ep G R s5
K Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
0 Relocation
O Sign
O Tenant (New/Change)
O Other
epartm t 6
q Vaic7Dwnn/tlrtver)lere-
• OWNER/APPLICANT INFORMATION
Indicate who should he rontaned rrrardine the
(`O Owner: Phone. /�Z,t,�.—(4)I
GO%) SM4PcSI Gk SOCK, '4 Fu: —gZ44'-47IW4
0 Applicant: Phone -
Fax
Mailing Address:
17121 E 1 STI} NE t
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Mailing Address
Ciry, Sum, Zip
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City, Sum, Zip
0 Contnemr CO,hone
S3 K4'� CLM L
928- (411-1-
Fax 3 p
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0 Architect/Engineer Phone
WEDQUiST Pftf-siNtlatiP Fax
Mailing address
+ZS se BEST CTI
(lour sq. ft.
Finished basement sq (t.
Mailing address
Ne to POST -SVS (001
Cuy. Sum Zip
VS24 D 1uJA1
ef051
Garage sq. ft.
l(100
City, State Zip
S9 fl4E LWftt 9q7.0(
WA Sum Contractor license 1
JSKI ILL* 0243
Flew source (electric, gss, etc.)
Conan name
PROJECT INFORMATION
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Main floor sq fi
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Vitt -unshed basement sq h.
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Total hsbj�ble s are
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(lour sq. ft.
Finished basement sq (t.
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Garage sq. ft.
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Deck sq (t.
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Width:
length:
What is the square footage of the sign
face?
How high is the sign?
Yen:
Make:
N of signs
Area of existing signs
Proposed use
Value
Phone
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Fire Sprinkler
Tent
Paint booth _ Fire Alarm
Fireworks display
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Proposed use
Value
Phone
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What is the current property size? ..��ee�� C 7 I r
(square feet or acres) l 1 t (XO
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)
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Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes No
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Phone
Plans Enminer
Phone
Inspectors:
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Address
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Inspector
Phone
0 Concrete
0 Welding
O Bolting
0 Reinforcement
Address
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ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes )21%No
If -yes,, identify on site plan
What is the current property size? ..��ee�� C 7 I r
(square feet or acres) l 1 t (XO
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)
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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?
1f yes, identify on site plan
0 Maybe 0 Don't know 0 Yes X No
Are or will there be wells located on the property?`y�
If y,, identify on the site plan 0 Yes I"` No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan 0 Yes X No -
Is there evidence of fill or excavation on the property?,
0 Yes No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(—/„b.,%] 0 Yes >'No
Are critical or hazardous rnaterials used or stored oqs{tje?
0 Yes No
DEPARTMENT USE ONLY
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Dice Received -
Staff Representative
ME'171O1) OF PAYMENT
Mani
• pact
❑ CASH ❑ CHECK ❑ ❑
CIION ER
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1)ATti:
EXPIRES:
11ANKCA RD NUMBER
Al ITl TORR LD SIGNATURE
SUBTOTAL
A'l~TYya.'bvati%SGrr�l[rn ,?<Ii
::•^ " Laid PERMIT -
NINLstUM'FF�15t;i 00 PlE.1SE==
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This s.te pian is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
linesidimensions. Curb lines. structures and easements
have been identified. Also indicated are wetlands,
bodies of water, str;ep slopes qrI they critical
Signed: �Itl`wU�, 'PV"
Date: S" 1 -'(7I
ADDRESS
ZONE ---
ROA D NN DTI4
FRONTh' _
WEL.ray�(inG
COMMENTS _
REVWED V'