2001, 08-16 Permit App: 01006947 ResidenceProject Number: 01006947 Inv: 1 Application Date: 8/16/01 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: RESIDENCE W/GARAGE - GAS Contact: CORNERSTONE HOMES — CLAYTON
Address: 5324 N WASHINGTON ST
C - S - Z: SPOKANE, WA 99205
Setbacks: Front 31 Left: 32 Right: 24 Rear: 40 Phone: (509) 3284890 GG 1 l 9 9 I., �b3�
Group Name:
Site Information: Project Name:
Plat Key: 005732 Name: MEADOWVIEW RANCH ESTATES 2ND ADD District: G
Parcel Number: 55203.0904 Block: 2 Lot: 4
SiteAddress: 819 S JOEL RD Owner: Name: PRUSA, GARY & MILLIE
GREENACRES, WA USA 9901 Address: 821 S JOEL RD
Location:: GRE GREENACRES WA 99016
Zoning: UNKN Unknown
Water District: 008 CONSOLIDATED IRRG #1 Hold: ❑
Area: 14,314 Sq Ft Width: 100 Depth: 120 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
ENGINEER
Hold Reasons:
Permit Conditions:
UTILITIES
Hold Reasons:
Permit Conditions:
Permits:
�r
Plan Review
r .
Project Number: 01006947 Inv: 1 Application Date: 8/16/01 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: CORNERSTONE HOMES Firm CORNERSTONE HOMES
Address: 5324 N WASHINGTON ST Phone: (509) 3284890
SPOKANE, WA 99205
So Ft
Valuation
Building Characteristics
Const Category: New
Group: R-3 Type: VN
Nbr Of Dwellings: 1
Occupant Load:
Building Height: 14
Bldg W x D: 54 x 64
Building Sq Ft:
3400 Sprinklers: El
Req Parking:
Handicap Parking:
Critical Materials: El
1
NUMBER OF
This Application:
Description Grp
Tvve Notes
So Ft Valuation
BASEMENT U R-3
VN
1,700 $19,652.00
GARAGE U-1
VN
760 $9,120.00
RESIDENCE R-3
VN
1,700 $105,400.00
Item Descriprion
RESIDENTIAL VALUATION
STATESURCHARGE
RESIDENTIAL SURCHARGE
Totals: 4,160 $134,172.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Contractor: COMPLETE HEATING & SHEET
Address: PO BOX 3934
SPOKANE, WA 99220
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
Stories: 1
Total Project:
So Ft
Valuation
1,700
$19,652.00
760
$9,120.00
1,700
$105,400.00
4,160 $134,172.00
Fee Amount
$1,070.00
$4.50
$235.40
Permit Total Fees: $1,309.90
Mechanical Permit
Firm: COMPLETE HEATING & SHEET
Phone: (509) 533-9528
Units
Unit Desc
Fee Amount
1
NUMBER OF
$10.00
1
NUMBER OF
$10.00
1
NUMBER OF
$12.00
3
# OF UNITS
$3.00
1
NUMBER OF
$12.00
5
NUMBER OF
$50.00
1
NUMBER OF
$10.00
1
NUMBER OF
$10.00
Permit Total Fees: $117.00
Project Number: 01006947 Inv: 1 Application Date: 8/16/01
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: O K PLUMBING
Address: 3818 E JOSEPH AVE
SPOKANE, WA 99207
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
CROSS CONNECTION DEVICES
WATER USING DEVICES
Payment Summa
Plumbing Permit
Firm: O K PLUMBING
Phone: (509)484-2011
Units Unit Desc
Fee Amount
2
NUMBER OF
$12.00
5
NUMBER OF
$30.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
3
NUMBER OF
$18.00
Permit Total Fees: $102.00
Page 3 of 3
Operator: JAS
Printed By: JAS
Print Date:
8/16/01
Permit Type
Fee Amount
Invoice Amount Amount Paid
Amount Owine
Building Permit
$1,309.90
$1,309.90 $0.00
$1,309.90
Mechanical Permit
$117.00
$117.00 $0.00
$117.00
Plumbing Permit
$102.00
$102.00 $0.00
$102.00
$1,528.90 $1,528.90 $0.00 $1,528.90
Notes:
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
CIFIC SITE INFORMATION
Street Address: Q l "? s'
Assessor's Tax Parcel NUUumbe/r(s):
Legal Description: / )'
Project Description:
d Building Permit ❑ Change in Use I ❑ Grading I ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant (New/Change) 1 ❑ Other
Department Use Only
Water District/Purveyor.
Sewer District/Purveyor
Road width
Setbacks
Mailing Address:
Front Rear.
School District
Fire District:
Zoning
I�ax
I:u
Mailing iddress
Left: Right:
OWNER/APPLICANT INFORMATION
0 Indi-le nhn rhnuld be mnla, ter] n•olydinn lhir hrnierl
❑(T
a '( CL enet ,/ �/ Phone: �--5 3
?Y -66,T
1❑ Applicant: / Phone: 3�,
/'-// <� Fas:
Fax:
Mailing ddress:
Mailing Address:
Irate, Zip
Crn-, State, %,p
pCrh,
U Contractor Phone�f
a� �
Phone
❑ Architcct!I(n}nnccr
I�ax
I:u
Mailing iddress
Mailing address
(:it,, State Zr
Z o s—
Cin', State Zip
lA A State Contractor license #
C,ciktj l-��06j7E-
Contact name
PROTECT INFORMATION
Building Information
Building height to pca�
# of stories
Main floor scl. ft.
Unfinished basement ,ay. ft.
Dimension,Total
habitable space
2-1 floor sq. It
Finishcd ba5CillCnt SLI. ft.
s x�y
Occupancy group
Construction tTC
Garagc -I. R.
Deck sy. ft.
O
v v�
Cost of project
I Icat�s7ource (elc0171C, gas, etc.)
G S
Manufactured Home
Sign
Width:
I,cngth:
What is the square footage of the sign
face?
I low high is the sign?
Year:
Make
# of signs
Area of existing signs
O Don't know O Yes K 1Go
Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the property?
Relocation Fire Safety
Previous address Dire Sprinkler _ Tent
Paint booth Dire Alarm fireworks display
Proposed use Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name Phone
Plans Examiner Phone
Inspectors:
Address
1 f yes, idenfi& on site lair O Yes � o
Inspector Phone
O Concrete O Welding O Bolting O Reinforcement
Address
ADDITIONAi. 4iT1F. INFORMATION
Are there structures on the property? (73 Yes o
What is the current property size?
1 yey identi_fiOil Jtte lan
(s uare feet or acres) f I O X Z U
Is any part of the property within 250 feet of a shoreline?
�
What is the current use of this.prope}�>
L- ,
1 f yes, idenfi& on site lair O Yes � o
a- A)T -f-
Is your property in a designated wildlife habitat area?
Will the site be served by a septic system? O Yes 4R-INc,
O Don't know O Yes K 1Go
Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the property?
1fjiP.f, idem on rite plan
1fjes, idenfift on the Jiteplan O Yes $-INo
O 1lavbe O Don't know O Yes 01-K—o
O Yes O No
Are there any wetlands, streams or ponds within 200 feet of the property?
Is there evidence of fill or excavation on the property?
If ,es, identi � on site lan O Yes 6-o
,��
O Yes VINo
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
Are critical or hazardous materials used or stored on site? �
6
°io O Yes Mifio
O Yes o
DEPARTMENT I ISF. ONT N
Is the property in a designated Stormwater Control Area?
Is public sewer available to the site? es O No
O Yes
O No
Is the property inside the ASA? O Yes
O No
Is public water available to the site? Yes O No
O Yes
O No
Is the property inside the PSSA? O Yes
O No
Is the property located within 1000 feet of a Natural Resource Area?
O Yes O No
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
❑ C:ASII III:CK El El F]FAXED P RMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DA1'1{:
B.WhCARD NUi11BFR:
VIII 1010XVI) SIGNA I'l-TV:
FXPIRFS:
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT FEE IS $39.00 PI..{?:1St:.
\I_\KC- C{IL•'CKS P:\S.\1311: TO SPO{::\\L•'
COCN'll' PI[R\Il"I' f;1�:V"li:R
PLUMBING PERMIT APPLICATION
PROJECT
ADDRESS: s .J U
l ` Gk
PERMIT
USE:
OWNERe
PHONE (Daytime Contact):
MAILING ADD SS:
Street
Cit /State
Zi
CONTR�C4?K,,_
LICENSE:
MAILING ADDRESS:
PHONE:
Street Cit /State
i
PLUMBING FIXTURES
DESCRIPTION
DETAIL
# OF
UNITS
MULTI
pBYD
COST/
UNIT
EQUALS
AMOUNT
B02
TOILETS
WATER CLOSETS, BIDETS
z
x
$6
—
B03
URINALS
x
$6
—
B04
TUBS
x
$6
—
B05
I SHOWERS(per trap)
BATH, STALL, ON-SITE BUILD
x
$6
—
B06
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD
REP/CULINARY/MEAT
x
$6
—
B07
DISHWASHER
/
x
$6
—
B08
CLOTHES WASHER
/
x
$6
B09
GARBAGE DISPOSAL/GRINDER
i
x
$6
—
B10
WATER SOFTENER
x
$6
B11
ELECTRIC HOT WATER TANKS
(NOTE: if gas water tank see
mechanical
x
$6
—
B12
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
x
$6
—
B13
ROOF DRAINS/OVERFLOW DRAINS
ea.
x
$6
—
B14
FOUNTAINS, DRINKING
x
$6
B15
WATER PIPING/DRAIN-IN WASTE-
VENT/PLUMBING REVERSALS
INSTALLATION, ALTERATION,
REPAIR, REVERSALS
x
$6
—
B16
SEWAGE EJECTORS
GRINDER, SUMP PUMP
x
$6
B17
WATER USING DEVICES
ICE AND/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
3
x
$6
—
B18
CROSS CONNECTION DEVICES
VACUUM BREAKER, CHECK
VALVE, AND R.P.B.P.D. FOR:
VATS, SUMPS, TANKS, BOILERS, &
SPRINKLER SYSTEMS
$6
—
B19
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
x
$6
—
B20
I MEDICAL GAS(per outlet/bottle station
NITROUS, OXYGEN
x
$6
B21 I
MISCELLANEOUS FIXTURES
$6
METHOD OF PAYMENT
❑ CASH ❑ CHECK ❑ ❑ ❑
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
PLUS PROCESSING FEE
S 25.00
TOTAL PERMIT FEE DUE
MINIMUM PERMIT FEE IS $35.00
PLEASE MAKE CHECKS PAYABLE TO
SPOKANE COUNTY PERMIT CENTER
Spokane County Division of Building & Code Enforcement
1026 West Broadway Avenue * Spokane, WA 99260-0050
Telephone No. (509) 477-3675 * Fax No. 477.7198 * TDD No. (509) 477-7133
MECHANICAL PERMIT APPLICATION
PROJECT Q
r
�" v
PERMIT
ADDRESS: U
COST/
UNIT E uALs
USE:
OWNER: 4�
l j// S�
!(
PHONE (Daytime Contact):
MAILING ADD S:
$12
$
B03
Street
Cit /State Zi
CON—TRACTOR:
$15 —
Q1 ✓1 LICENSE:
B04
UNLISTED APPLIANCE ADDITIONAL CHARGE
— OR <400,.000
MAILING ADDRESS:
$50 —
PHONE:
�6 `�
UNLISTED APPLIANCE ADDITIONAL CHARGE
> 400,000
X
Street
Cit /State Zi
Spokane County Division of Building & Code Enforcement
1026 West Broadway Avenue * Spokane, WA 99260.0050
Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133
DESCRIPTION OF WORK
# OF MULTI
PLIED
UNITS BY
COST/
UNIT E uALs
AMOUNT
B02
FUEL BURNING APPLIANCE
— OR < 100,.000
X
$12
$
B03
FUEL BURNING APPLIANCE
> 100,000
X
$15 —
$
B04
UNLISTED APPLIANCE ADDITIONAL CHARGE
— OR <400,.000
X
$50 —
$
B04
UNLISTED APPLIANCE ADDITIONAL CHARGE
> 400,000
X
$100 —
$
B06
USED APPLIANCE(Must meet WSEC's min. AFUE ratio
— OR <400,.000
X
$50 —
$
B07
USED APPLIANCE(Must meet WSEC's min. AFUE ratino
> 400,000
X
$100 —
$
B08
BOILER/REFRIGERATION
1-100M BTU
X
$12 —
$
B09
BOILER/REFRIGERATION
101-500M BTU
X
$20 —
$
B10
BOILER/REFRIGERATION
501-1,000M BTU
X
$25 —
$
B11
BOILER/REFRIGERATION
1,001- 1,750M BTU
X
$35 —
$
B12
BOILER/REFRIGERATION
+1,750MBTU
X
$60 —
$
B13
GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
f X
$10 —
$
B14
RANGE
X
$10 —
$
B15
DRYER
X
$10
$
B16
FUEL BURNING WATER HEATER
X
$10 —
$
B17
MISCELLANEOUS FUEL BURNING APPLIANCE
X
$10 —
$
B18
GAS PIPING ea. Outlet
X
$1 —
$
B19
DUCT SYSTEMS
X
$10 —
$
B20
VENTILATING FANS
-
X
$10 —
$
B21
AIR HANDLER(DOES NOT include ducts stems
— OR < 10,000 CFM
X
$12 —
$
B22
AIR HANDLER POES NOT include ducts stems
> 10,000 CFM
X
$15 —
$
B23
EVAPORATIVE COOLERS
X
$10 —
$
B24
TYPE I HOOD
X
$50 —
$
B25
TYPE II HOOD
X
$10 —
S
B26
HEAT PUMP/AIR CONDITIONER
0-3 TONS
X
$12 —
$
B27
AIR CONDITIONER
3-15 TONS
` X
$20 —
$
B28
AIR CONDITIONER
15-30 TONS
X
$25 —
$
B29
AIR CONDITIONER
30-50 TONS
X
$35 —
$
B30
AIR CONDITIONER
+50 TONS
X
$60 —
$
B31
LPG STORAGE TANK
X
$10 —
$
B32
WOOD OR PELLET STOVE/INSERT
X
$25 —
$
METHOD OF PAYMENT
❑ CASH ❑ CHECK ❑ � ❑ � ❑
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
PLUS PROCESSING FEE $ 25.00
TOTAL PERMIT FEE DUE
MINIMUM PERMIT FEE IS $35.00
PLEASE MAKE CHECKS PAYABLE TO
SPOKANE COUNTY PERMIT CENTER
Spokane County Division of Building & Code Enforcement
1026 West Broadway Avenue * Spokane, WA 99260.0050
Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133
ADDRESS j
f ZONE
ROAD WIDTH
ON"( FLANKI G -� /
COMMENTS
REVIEWED
3' CURB DROPS
I INLETS
STA. 1 POND A3
STA. i+41.0 IE=2090.14
sTA. 1+4$:0 IE -2089.94 BOTTOM EL = 2089.44
2' Z.
` BOUNDARY OF LEVEL
?4 8 FLAT BOTTOM AREA
SCALE: 1' = 30'
DRAINAGE EASEMENT
Q• �, •00*
• 01/F 2�/ This site Alan is 5r;in
3 �btaininc a �."i ding p mE" ''Ied for the,
m� P esentation of the , and Is a true a
lines/dimensions, e roposal. All known and
have been id CU lin s. s . prc
bodies o tifre . Also in ed resare and e
a r t + dicated are wetly
s.o^
Sign r - 9tother ritical
/ Date: �
SIG m i
EASE
0
L=31 `
\ SIG
\ ENT ` �k
00.00. y
EXISTING POND
��.L G. ` e BOTTOM EL = 2097.06
OF W�►S� �F / J8 1 DRAINAGE EASEMENT
BOU
Z `L
NDWY OF RE
BOTTOM AREA
FLAT
CV
`s/ONAL3.5' CURB DROP
W/TYPE I INLET
STA. 3+75.0 IE=2097.06
ExPla�s ; , BLOCK2
MEADOWVIEW RANCH ESTATES SECOND ADMON
HAHN ENINEERING N. 8623 SUITE B DIVISION SPOKANE, WA. 99208
of
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