2001, 04-11 Permit App: 01002421 ResidenceProject Number: 01002421 Inv: 1
Appy cation
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/11/01 Page 1 of 3
Project Information:
7 Permit Use: RESIDENCE W/GARAGE -NATURAL GAS
Setbacks: Front Left: Right:
Site Information:
Contact: THE CUSTOM HOME STORE
Address: 39978 N SHORE LN
C - S - Z: LOON LAKE WA 99148
Rear,±74-- Phone: (509) 233-9188
Group Name:
Project Name:
V U TXRUTiEIVOINVer41/14.40M,pu-kv",4 iA""^ 741*.Pf :1..1%871.41112ti0 AkiinftJ:'L.'.gr77.44.1.." ,SY 00.1W4
Plat Key: 005732 Name: MEADOWVIEW RANCH ESTATES 2ND ADD District: G
Parcel Number: 55203.0804
Block: 1 Lot: 4
SiteAddress: 804 S JOEL RD
GREENACRES, WA USA 99016
Location:: GRE
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Owner: Name: HALLADAY, MICHAEL
Address: 5312 N VISTA GRANDE DR
OTIS ORCHARDS, WA 99027
Hold: ❑
Area: 15,670 Sq Ft Width: 135 Depth: 110 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
trI W.i:'417,49 ,11411WWSSi7l 7AAMIE.:ROSA.:>=PAIIn ;OONVAVE..'altl'.,k,t;+: ).11rNeni9 Ati'aX=
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
ENGINEER
Hold Reasons:
Permit Conditions:
UTILITIES
Hold Reasons:
Permit Conditions:
Review
Site Plan Review Released By: C c- . C -Q)u 4 ' 13
Plan Review
Released By:
Approach / Drainage
0i_ yAi/Vg 33
Sewer Review
J
- Q I
Permits: ..f- , mak.,. 1;.Q5:}76':..af;a,,. .:,", G. :. ,V LV, ::..1 .1 <..,rV.a.iurW'x PAa:Mc«arI
Project Number: 01002421
Inv: 1
pplication
Date: 4/11/01
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: THE CUSTOM HOME STORE
Address: 39978 N SHORE LN Phone: (509) 233-9188
LOON LAKE WA 99148
Building Characteristics
Const Category: New Group: R-3 Type: VN
Building Permit
Firm: THE CUSTOM HOME STORE
Nbr Of Dwellings:
Bldg W x D: 70
Req Parking:
1 Occupant Load:
x 52 Building Sq Ft:
Handicap Parking:
Description Gra
BASEMENT U R-3
COV DECK R-3
GARAGE U-1
RESIDENCE R-3
Tyne Notes
VN
VN
VN
VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Building Height: 20 Stories: 1
3552 Sprinklers: ❑
Critical Materials:
This Application: Total Project:
Sq Ft Valuation So Ft Valuation
1,776 $20,530.56 1,776 $20,530.56
152 $1,118.72 152 $1,118.72
693 $8,316.00 693 $8,316.00
1,776 $110,112.00 1,776 $110,112.00
Totals: 4,397 $140,077.28 4,397 $140,077.28
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Contractor: RON MORRIS HEATING & A/C
Address: 1922 E HOUSTON
SPOKANE, WA 99207
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,100.00
$4.50
$242.00
$1,346.50
Page 2 of 3
Firm: RON MORRIS HEATING & A/C
Phone: (509) 487-5058
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
1 NUMBER OF
5 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$12.00
$3.00
$12.00
$50.00
$10.00
$10.00
$10.00
$117.00
Project Number: 01002421 Inv: 1
Application
THIS IS NOT A PERMIT
Date: 4/11/01 Page 3 of 3
Penalties will be assessed for commencing work without a permit
Contractor: WEST ONE PLUMBING
Address: 3152 MOUNTAIN VIEW RD
CHEWELAH, WA 99109
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Payment Summary:
Operator: CKF
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Firm: WEST ONE PLUMBING
Phone: (509) 935-0393
Units Unit Desc
3 NUMBER OF
5 NUMBER OF
1 NUMBER OF
3 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Printed By: CKF
Fee Amount
$1,346.50
$117.00
$114.00
Permit Total Fees:
Print Date:
Invoice Amount
$1,346.50
$117.00
$114.00
Fee Amount
$18.00
$30.00
$6.00
$18.00
$6.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$114.00
4/11/01
Amount Owing
$1,346.50
$117.00
$114.00
$1,577.50
$1,577.50
$0.00
$1,577.50
Notes: WAIMICIIINUYA.,YANK,' ,,.. . ...... ... <.,«eamarnannataoxi., as,vmicamilmeratop,:,F:,x.,ptenimnisitsaww
OK TO ISSUE BUILDING PERMITS. DO NOT ISSUE SEWER PERMITS -
PER BILLY 3/31/98 OK TO ISSUE SEWER PERMIT PER BILLY FOR
FOLLOWING (6/23/98) BLOCK 1 - LOTS 1 THRU 6, 13, 14 BLOCK
2 - LOTS 1 THRU 4
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1 ► PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
!��i SPOKANE, WA 99260
0KA1,TCOUI,TTY 509-477-3675
SPECIFIC SITE INFORMATION
Street Address: S. 804 Joel Greenacres WA
Assessor's Tax Parcel Number(s):
Legal Description: p ��
Lot: 4, Block 1, Phase II, Meadow Ranch Estates - SW 1/4, Sec 20, T25, R45
Project Description: Single Family Home Construction
IX Building Permit O Change in Use O Grading O Manufactured Home Permit
O Relocation O Sien O Tenant (New/Chanee) O Other
OWNER/APPLICANT INFORMATION
R Indirate wbn chnuld by rnntartpd rpoardina this nrniprt
CX Owner: Phone: 924-6895
Michael Hallada Fax:
11 Applicant:
The Custom Home
Phone:5 0 9— 2 3 3— 918 8
Store Fax:509-233-9021
:_t
, v... ..
Unfinished basement sq. ft.
City, State, Zip
City, State, Zip
MI
13 Architect/Engineer
Phone
Fax
Mailing address
39978 N. Shore Lane
Mailing address
City, State Zip
Loon Lake, WA 99149
City, State Zip
WA State Contractor license ,Y
mm
v
OWNER/APPLICANT INFORMATION
R Indirate wbn chnuld by rnntartpd rpoardina this nrniprt
CX Owner: Phone: 924-6895
Michael Hallada Fax:
11 Applicant:
The Custom Home
Phone:5 0 9— 2 3 3— 918 8
Store Fax:509-233-9021
Mailing Address:
Mailing Address:
Unfinished basement sq. ft.
City, State, Zip
City, State, Zip
1776
❑ Contractor TT Phone 0 9— 33-9188
Ro & JeanCkusssel omeF. 33-9021
13 Architect/Engineer
Phone
Fax
Mailing address
39978 N. Shore Lane
Mailing address
City, State Zip
Loon Lake, WA 99149
City, State Zip
WA State Contractor license ,Y
Contact name:
PROTECT INFORMATION
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ka �� x 1^ i �ra�%'a s �tc �.a�. l.L� G{A:7.i.► iw atip -ar 3 7• 1 , ' vt v 5 Tr.'Pr:
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Building height to peak
N of stories
Main floor sq ft.
Unfinished basement sq. ft.
. 19' 11 -4:
1776
1776
Dimensions
Total habitable space
2"d floor sq. ft.
Finished basement sq. ft.
70' X 52'
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Wood
6 91
1 2
Cost of project
Heat source (electric, gas, etc.)
a. :`i�.r, as:`-' `c �.rs�d �`.'<t�>r=a
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(�`',:,.�•,. r�A;" _*a�'u''�:. .r ;L4�;^,„=; �F:
r R�~,'`i,=”
aVp.11v'app.-.;9...4?:,_•S�,f+T=%`s".15syX'x>•:°je
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Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs
Area of existing signs
Are critical or hazardous materials used or stored on site?
0 Yes 34 71 No
Previous address
Proposed use
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
Value
Inspectors:
Address
Inspector
Phone
O Concrete 0 Welding 0 Bolting 0 Reinforcement
Address
Are there structures on the property? 0 Yes a No
Ifyes, identify on site plan
What is the current property size?
(square feet or acres) 14,5 0 S F t
Is any part of the property within 250 feet of a shoreline?
Ifyes, identf on site plan O Yes IR No
4 .
What is the current use of this property?
e t
Is your property in a designated wildlife habitat area?
0 Don't know O Yes ($ No
Y ngle Fame &ae ngPropo.
Wil the site be serve by a septic system. LJ YesNO o
Is any part of the property within a 100 yr flood plain?
Ifyes, identify on site plan
0 Maybe 0 Don't know 0 Yes xO No
Are or will there be wells located on the property?
Ifyes, identify on the site plan 0 Yes fi No
Are there any wetlands, streams or ponds within 200 feet of the
property?
Ifyes, identify on site plan 0 Yes ft No
Is there evidence of fill or excavation on the property?
0 Yes XO No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(/ %) 0 Yes RI No
Are critical or hazardous materials used or stored on site?
0 Yes 34 71 No
DEPARTMENT USE ONLY
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
❑ CASH 9 CHECK ❑ NOM p
❑
`i1COVE
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
iHiJSP]MVM'PER tri; EIS $ ODPi£1iS
MAKE.6tEi KSMYABi. t.6.(3Klli�iB
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