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2002, 02-20 Permit App: 02001026 RemodelProject Number: 02001026 Inv: 1 • Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 2/20/02 Page 1 of 3 Project Information: Permit Use: FINISH REC ROOM IN BASEMENT Contact: ZEBROSKI, JAY Address: 1915 S LIMERICK DR C - S - Z: VERADALE, WA 99037 Setbacks: Front Left: Right: Rear: Phone: (509) 228-0603 Group Name: Site Information: Project Name: Plat Key: 005868 Name: RIDGEMONT ESTATES NORTH 7TH ADD District: F Parcel Number: 45252.4503 Block: 2 Lot: 3 SiteAddress: 1915 S LIMERICK DR Owner: Name: ZEBROSKI, JAY VERADALE, WA USA 99037 Address: 1915 S LIMERICK DR Location:: VER VERADALE, WA 99037 Zoning: UR -3.5 Water District: Area: 0 Sq Ft Nbr of Bldgs: 1 Urban Residential 3.5 Hold: Width: 90 Depth: 135 Right Of Way (ft): 50 Nbr of Dwellings: 1 Review Information:, Review Plan Review Permits: Operator: CKF Printed By: CKF IgrASSOAMOMMONIMIzif Released -By:`f `v`- Z"' Print Date: 2/20/02 Project Number: 02001026 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 2/20/02 Page 2 of 3 Building Permit Contractor: OWNER Finn: OWNER Address: 0 Phone: (000) 000-0000 000000, 00 000000 Building Characteristics Const Category: Remodel Group: R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: Stories: Bldg W x D: x Building Sq Ft: 650 Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: 0 This Application: Total Project: Description Grp Tvpe Notes Sq Ft Valuation So Ft Valuation BASEMENT R R-3 VN 650 $2,730.00 650 $2,730.00 Totals: 650 $2,730.00 650 $2,730.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $75.50 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $16.61 Permit Total Fees: $96.61 Mechanical Permit Contractor: OWNER Finn: OWNER Address: 0 Phone: (000) 000-0000 000000, 00 000000 Item Description DUCT SYSTEMS MINIMUM FEE ADJUSTMENT Units Unit Desc 1 NUMBER OF 1 Select Operator: CKF Printed By: CKF Permit Total Fees: Fee Amount $10.00 $25.00 $35.00 Print Date: 2/20/02 Project Number: 02001026 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 2/20/02 Page 3 of 3 OK TO ISSUE SEWER PERMITS FOR: BLOCK 1 - LOTS 1 THROUGH 8 BLOCK 2 - LOT 1 BLOCK 3 - LOT 1 PER GENE REPP 7/9/97 Payment Summary Iry , '431, Permit Type Building Permit Mechanical Permit Fee Amount $96.61 $35.00 Invoice Amount $96.61 $35.00 . dkShm" EPNVZ fl E'w`G)4R^,-.3`=_ . .s ..^?'4 ....'$m': ...:,s, S.'f'4ntM Amount Paid Amount Owing $0.00 $96.61 $0.00 $35.00 $131.61 $131.61 $0.00 $131.61 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 contrued 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: CKF Printed By: CKF Print Date: 2/20/02 Date: Name aj �e Comments: v, 'Iv --1.11•I_ vvvI. s • DIVISION OF BUILDING AND CODE ENFORCEMENT 002 PERMIT CENTER PASSPORT Number: CI Building & Code Enforcement) Addressing Building Permit Code Information Commercial Review Conference Fire Safety Review anufactured Home # Mechanical Permits Plumbing Permits Private Road Information Residential Review Sewer Permits NO FEE REQUIRED Reviewer: CV Time Out: 1 Planning Administrative Exception Binding Site Plan Information Certificate of Exemption # Comprehensive Plan Conditional Use Permit Critical Areas Information Nonconforming Use Permit Review Shorelines Information Short Plat Information Subdivision Information Temporary Use Permit Variance Application Zone Check Zone Information NO FEE REQUIRED Reviewer: Time Out: Engineering & Roads Approach Permit Flood Plain Permit Public/Private Roads # Residential Bldg Permit Review Site Drainage Information Subdivision Review Utility Permit Zone Change Review NO FEE REQUIRED Reviewer: Time Out: Utilities Subdivision Review ULID/Sewer Information Zone Change Review Other: NO FEE REQUIRED Reviewer: Time Out: 2002 PERMIT CENTER EAST FEE SCHEDULE SEQ 28 # UNITS ISI( COST $66 t2EMT Py NN DESCRIPTION OF WORK Certificate of Exemption Pre -1978 29 30 31 $99 $99 $86 Between 5 & 10 Acres Minor Lot Line Adjustment All Others COMMENTS 79 $64 Conditional Use Permits - Renewal All PLANNING 80 $448 Conditional Use Permits All B36 $75 Environmental Checklist 60 $79 Home Profession Permit 137 $39 Preconference Fee - Conditional Use, Temporary Use, Variance 61 $295 Temporary Use Permit 73 $699 Variance - Before or After Construction INEEF ENGINEER'S $30 Administrative Variance E01 E02 $50 Appeals E03 $20 Approach Inspection E04 $10 Permit E05 $50 Change of Conditions Plat E06 $50 Zone E07 $50 Conditional Use E26 $30 Design Deviation E24 $75 Environmental Checklist E08 $20 Flood Plain Inspection E09 $10 Permit E18 $1,000 Performance Bond 208 E19 $100 Culvert E20 $250 Curbcut E22 $300 Flood E21 Bonds Only ($ Amt) E10 $200 Preliminary Binding Site Plan El 1 $200 Preliminary Plats Long E12 $100 Short E23 $100 Final E13 $10 Special Permit E29 $30 Construction w/in Co. Right of Way E15 $50 Variance E16 $100 + insp. fee Work in Right -of -Way Without Permit E17 $200 Zoning Permit E25 $10 NSF Charge E28 Misc. Road Fund ($ Amt) E30 Misc. Const in County RW($ Amt) E31 Harvard Road Mitigation DIVISION OF UTILITIES UTILITIES U01 $100 Planning Actions Within the PSSA UO2 $25 Planning Actions Outside the PSSA BACE/FORMS/MASTERS/2001 PASSPORT BACK l 4r11k41, SPOK l COUNTY 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: In I� -/ met ic.L .Assessor's Tax Parcel Number(s): Legal Description: Project Description: Fs0ii:,h. 660 sztfiL At) Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other Department Use Only Water District/Purveyor. Sewer District/Purveyor Road width Setbacks Front Rear. Lek Right: School District Fire Distrct: Zoning OWNER/APPLICANT INFORMATION 10 Indicate who should he ,onlaeIed ret'ardino this projeCI 7 El wwner: Phone: 2 2..8 -=.0,60.. �(,I ZifZ I. lax: ❑ Applicant Phone: Pas: ) Mailing : ess: /?/S S. Zi Mei' r)r;'ve - Mailing Address: Dimensions City, State, 7‘ p e_ 1e, ill q o 7 City, State, Zip Finished basement icy. ft. ❑ Contractor Phone Pas El Architect/ Phone Fax Mailing address Mailing address I Icat source (electric, gas, etc) City, State Zip City, State Zip WA State Contractor license # Contact name: PROTECT INFORMATION Building Information Building height to peak # of stones Main floor sq. ft. Unfinished basement sq. ft. Dimensions Total habitable space 2"I floor sy. ft. Finished basement icy. ft. ()ccupancy group Construction type Garage sq. ft. Deck sq. ft. Cost of pr t •et��,�J� _ /_�lj�'1 rx' I Icat source (electric, gas, etc)