1999, 11-17 Permit App: 99011154 ResidenceProject Number: 99011154 Inv: 1
� � J
Application
Date: 11/17/19
THIS IS NOT A PERMIT
Penalties will be assessed for commencing_vyarit without a permit
Page 1 of 3
Project Information:
.rte �.•; ,.a,-:.. , �; .; .,,.., .< .1 r::-; k -al o,, - MIS
Pe,—" ",r: RESIDENCE W/GARAGE - GAS
Setbacks: Front 30 Left: 7.5 Right: 11. Rear: 42
Site Information:
VailtdiMMESUR
Plat Key: 005732 Name: MEADOWVIEW RANCH ESTATE
Contact: GRAY, ALAN
Address: PMB 260/415 N SULLIVAN,"C
C - S - Z VERADALE WA 99037
Phone: (509) 921-8077
District: G
Parcel Number: 55203.0902
SiteAddress: 809 S JOEL RD Owner: Name: GRAY, ALAN
GREENACRES, WA USA 99 Address: PMB 260/415 N SULLIVAN,"C"
Location:: GRE VERADALE WA 99037
Zoning: UNKN Unknown
Water District: 008 CONSOLIDATED IRRG #1 Holt ❑
Area: 13,231 Sq Ft Width: 118 Depth: 120 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department
BUILDING
Site Plan Review
BUILDING Plan Review
Comments:
LI 4034
ENGINEER
Comments:
UTILITIES
Comments:
Permits:
Approach / Drainage
11 -)?-1 .FAla 84
Sewer Review / f �1. _.[.) � 1
Project Number: 99011154
Inv: 1
s
Application
THIS IS NOT A PERMIT
Date: 11/17/19 Page 2 of 3
Penalties wl as sessed for commencing work without a permit
Sainting Permit
Contractor: OWNER
Address: 0
000000, 00 000000
Const Category: New
Nbr Of Dwellings: 1
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Occupant Load:
Bldg W x D: 31 x 81 Building Sq Ft:
Req Parking: Handicap Parking:
Description Grp Type
BASEMENT U R-3 VN
GARAGE U-1 VN
RESIDENCE R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
DUCT SYSTEMS
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
Building Height: 18 Stories: 1
2831 Sprinklers: ❑
Critical Materials: ❑
This Application: Total Project:
Su Ft Valuation Su Ft Valuation
1,414 $16,345.84 1,414 $16,345.84
1,457 $17,484.00 1,457 $17,484.00
1,417 $87,854.00 1,417 $87,854.00
Totals: 4,288 $121,683.84 4,288 $121,683.84
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,005.00
$4.50
$221.10
$1,230.60
Finn: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 # OF UNITS
1 NUMBER OF
4 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$10.00
$12.00
$3.00
$12.00
$40.00
$10.00
$10.00
$10.00
$117.00
Project Number: 99011154 Inv: 1
Application
Date: 11/17/19 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
CROSS CONNECTION DEVICES
WATER USING DEVICES
Plumbing Permit
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
3 NUMBER OF
6 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 NUMBER OF
Permit Total Fees:
Payment Summary: Alkelait11141,101051/1=11111WallillIMMINIMMINNIMEMMIIIIIWYMEIMP
Operator: JAS
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$18.00
$36.00
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$12.00
$114.00
Printed By: JAS Print Date: 11/17/1999
Fee Amount
$1,230.60
$117.00
$114.00
•Invoice Amount
$1,230.60
$117.00
$114.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,230.60
$117.00
$114.00
$1,461.60
$1,461.60
$0.00
Notes �.. .�.b�•,_.�, ... _. ti�>y<.r_,
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
$1,461.60
S p O K A N E
C O U N T Y
UTILrnF DIVISION A DIVISION OF THE PUBLIC WORKS DEPAKnENT
N. Bruce RawLs, PE., Utilities Director Gary Oberg, Director
GENERAL FACILITIES CHARGE (GFC)
PAYMENT OPTION SELECTION RECORD
PLEASE NOTE: Form must be filled out accurately and in its entirety, and signed, or a permit will not be issued.
4
Date: �' ` 1-7 — 7 s /�� Q zoo
Plat Name: I'' l �t`t ✓ y Ct�1 Lot No(s): _ Block No(s): z"
Site Address(es): Parcel No(s):
Owner Name: 4LOJ L' Flt y OR Builder Name:
Payment Option Selected (Check One):
1. ( ) GFC payment received at issuance of Sewer Connection Permit by
Division of Utilities
2. ( ) GFC to be paid at closing.
3. (`,-1 � GFC payment in 24 equal monthly payments upon establishment of Sewer Billing Account.
Complete one of the following statements. T)
a. Owner's Statement: I, Gunderstand that I will be
�
billed for the applicable GFC amount in 24 monthly installments. The monthly GFC installments will be
added to my monthly sewer service charges.
b. Builder's Statement: I, , understand that because
I am selecting this option for payment of the GFC, that the purchaser of the home will be responsible for
payment of the applicable GFC in 24 equal monthly installments. I agree to formally disclose to potential
buyers of the property that the GFC charges will be added to the monthly sewer service billings as soon as
billing comments.
rl,� �) 1 C
Owner's or Builder's Signature
Spokane County,
Division of Utilities
Date
GFC Payment Option Form
Revised 9113199
1026 W. Broadway • Spokane, WA 99260-0180 • (509) 477-3604 FAX: (509) 477-4715 TDD: (509) 324-3166
Spokane County
Public Works Department
Divison of Building & Planning
Receipt
Receipt Number: 10569
Projects
Customer Number
Full
Project Nbr Inv Nbr Fee Amt Ltv Amt Owing PAID Pmt
99011154 1 $1,461.60 $1,461.60 $1,461.60 $1,461.60 V
99011155 1 $100.00 $100.00 $100.00 $100.00 V
Total: $1,561.60 $1,561.60 $1,561.60 $1,561.60
Miscellaneous Items
Code Description Oty Price Amount Tax PAID
ZZE0003 APPROACH INSP 1 20.000/ NUMBER 20.00 0.00 20.00
Comment: 99 -FNA -861
ZZE0004 APPROACH PER 1 10.000/ NUMBER 10.00 0.00 10.00
Comment: 99 -FNA -861
ZZE0022 PERFORMANCE 1 300.000/ NUMBER 300.00 0.00 300.00
Comment: 99 -FNA -861
Tender
Totals: 330.00 0.00 330.00
Total PAID: $1,891.60
Type Check Acct Balance CC Nbr Exp Date TENDERED
Checkl 2737 1,891.60
Total TENDERED: 1,891.60
Over / (Short) $0.00
Change $0.00
Notes:
Tran Date / Time: 12/01/1999 10:29:32 A
By: GWendel
Logon User: gwendel
Station: GWENDEL
Override By:
Printed: 12/01/1999 10:30:00 AM
Page 1 of 1
POND A2
2' CURB DROPS BOTTOM EL = 2086.11
W/TYPE I INLETS
STA. 3+23.0, IE.=2086.69
STA. 3+31.0, IE.=2086.61
BOUNDARY OF LEVEL
19 2 FLAT BOTTOM AREA
� � DRAINAGE EASEMENT
� 130 2
SCALE: 1* - 30'
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EXPIRES
LOT 2, BLOCK2
MEADOWVIEW RANCH ESTATES SECOND ADDITION
HAHN ENGINEERING N. 8623 SUITE B DIVISION SPOKANE, WA. 99208