2001, 09-20 Permit App: 01008166 ResidenceProject Number: 01008166 Inv: 1
Application
Date: 9/20/2001 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use. RESIDENCE/ATTACHED GARAGE - FORCED
AIR GAS
Setbacks' Front 20 Left. 8 Right: 5 Rear: 28
Site Information:
Plat Key: 005942 Name: VALLEY RIDGE (PUD) District: - G
Contact: J S KIRKLAND CO
Address: 4005 S BEST CT
C - S - Z: VERADALE WA 99037
Phone: (509) 891-8211
Group Name:
Project Name:
Parcel Number: 45241.2104
Block: 3 Lot: 4
SiteAddress. 709 S JERSTAD LN
VERADALE, WA USA 99037
Location:: VER
Zoning UR -7
Water District
Urban Residential -7
Owner: Nance: GOOD SAMARITAN
Address: 17121 E 8TH AVE
GREENACRES, WA 99016-8556
Hold: ❑
Area 11,222 Sq Ft Width: 79 Depth: 113 Right Of Way (ft): 30
Nbr of Bldgs' 1 Nbr of Dwellings: 1
Review Information:
Department Review
BUILDING Site Plan Review
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
ENGINEER
Hold Reasons:
Permit Conditions:
UTILITIES
Permits:
Plan Review
Approach / Drainage
Released By:
Sewer Review
Permit Conditions•
Released By�
Lk -TA c75 109,-- cr I Co')
Project Number: 01008166 Inv I
1
Application
Date: 9/20/2001 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
Group: R-3 Tvpc: VN
Const Category: New
Nbr Of Dwellings.
Bldg W x D: 97
Req Parking.
Description
GARAGE
RESIDENCE
Building Permit
Firm: J S KIRKLAND CO
Phone: (509) 879-4356
1 Occupant Load:
x 62 Building Sq Ft:
0 Handicap Parking:
Grp
U-1
R-3
Type Notes
VN
VN
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
EVAPORATIVE COOLERS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
0 Building Height: 17 Stories: 1
2456 Sprinklers: ❑
0 Critical Materials:
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,100 $13,200.00 1,100 $13,200.00
2,456 5152,272.00 2,456 $152,272.00
Totals: 3,556 $165,472.00 3,556 $165,472.00
Units Unit Desc
1
1
1
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,225.00
54.50
$269.50
$1,499.00
Firm: J S KIRKLAND CO
Phone: (509) 879-4356
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 Fces: $214.00
Project Number. 01008166 Inv. 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date. 9/20/2001 Page 3 of 3
Plumbing Permit
Contractor .1 S KIRKLAND CO Firm J S KIRKLAND CO
Address: 4005 S BEST Phone: (509) 879-4356
VERADALE WA 99037
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 4 NUMBER OF 524.00
SINKS 6 NUMBER OF $36.00
SHOWERS 2 NUMBER OF $12.00
TUBS 2 NUMBER OF 512.00
DISH WASHERS 2 NUMBER OF 512.00
GARBAGE DISPOSAL 2 NUMBER OF $12.00
CLOTHES WASHER 2 NUMBER OF 512.00
WATER PIPING - DWV 2 NUMBER OF 512.00
WATER USING DEVICES 6 NUMBER OF $36.00
Payment Summar,;
Operator: RMB
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Notes:
Permit Total Fees: $168.00
Printed By: RMB Print Date: 9/20/2001
Fee Amount Invoice Amount Amount Paid Amount Owing
$1.498.99 $1.498.99 $0.00 $1,498.99
5214.00 $214.00 50.00 5214.00
5168.00 $168.00 50.00 5168.00
$1,880.99 51.880.99
$0.00 51,880.99
PRdJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Marling Address
5004
OWNER/APPLICANT INFORMATION
0 Indicate who should be contacted r .a
Phone: /9z (,(I 1
Fu: 9z - I
din rbcs
0 Applicata:
en
-o e(cJ
Marling Address
City, Stne, Zrp
O Contactor
Phony
PFax
PRO ECT INFORMATION
Budding beigbr to peal
yin ensions
)ccupaucy group
ost of pruj1
P° floor sq. ft.
Unfinished hurmrnt sq. ft.
Finished basemen, sq h.
Garage sq. h. Deck sq ft.
' I^h 0
Heat source (electric, gas, etc.)
a\l
12f
ER -N E.
709 ,TEQ-STh b LN
DRIVE
This On nIen is being submitted for the purpose of
obtaining a hui:dlou perm.t and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines. structures and easements
have been identified Also indicated are wetlands,
bodies of wgteq steep slop- , r o er ntical . reas.
Signed
Date'
ADDRESS S )09 `ecomscj L(\ ZONE Ula --1_
ROAD WIDTH/36
'�FRONT t D FLANKING
COMM
REVIE
VALE WJY.E R u r D
Lor�F gLock 3
5Ectto» 2417. -LEN
K144E., W.M.