2001, 09-19 Permit App: 01008073 ResidenceProject Number: 01008073 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - GAS
D t- /19/2001 ) Page 1 of 3
Setbacks: Front 190 Left: 50 Right: 50 Rear: 60
Site Information:
Plat Key: 006016 Name: SP -1177-98 District: G
Contact: CHURCH, JASON
Address: 2225 N LONG
C - S - Z: GREENACRES, WA 99016
Phone: (509) 230-6740
Group Name:
Project Name:
Parcel Number: 55073.0110 Block:
SiteAddress: 2203 N LONG RD
GREENACRES, WA USA 990
Location:: GRE
Zoning: SR -1 Suburban Residential 1
Water District:
Area: 49,658 Sq Ft Width: 157
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
ENGINEER
Hold Reasons:
Permit Conditions:
Review
Site Plan Review
Lot: B
Owner: Name: CHURCH, DONALD L & LINDA C
Address: 4119 5 CONIFER CT
SPOKANE, WA 99206-9664
Hold: 111
Depth: 314 Right Of Way (ft): 35
Release'
Approach / Drainage
HEALTHDISTRICT Septic System Review
*(S' Hold Reasons:
Permit Conditions:
Released Bv:
Project Number: 01008073 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/19/2001 Page 2 of 3
Building Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000, 00 000000
Const Category: New
Nbr Of Dwellings: Occupant Load:
Bldg W x D: 60 x 60 Building Sq Ft:
Req Parking: Handicap Parking:
Building Characteristics
Group: R-3 Type: VN
Building Height: 22 Stories: 2
1663 Sprinklers: 0
Critical Materials: ❑
This Application:
Description Type Notes Sq Ft Valuation
2ND FLOOR R-3 VN 518 $32,116.00
BASEMENT U R-3 VN 1,100 $12,716.00
COV DECK R-3 VN 500 $4,730.00
GARAGE U-1 VN 509 $6,108.00
RESIDENCE R-3 VN 1,145 $70,990.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
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
Totals: 3,772 $126,660.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Units
1
3
1
4
1
1
1
Total Project:
Sq Ft Valuation
518 $32,116.00
1,100 $12,716.00
500 $4,730.00
509 $6,108.00
1,145 $70,990.00
3,772 $126,660.00
Fee Amount
$1,030.00
$4.50
$226.60
$1,261.10
Firm: OWNER
Phone: (000) 000-0000
Unit Desc
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$3.00
$12.00
$40.00
$10.00
$10.00
$10.00
$97.00
Project Number: 01008073 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/19/2001 Page 3 of 3
Plumbing Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000, 00 000000
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 3 NUMBER OF $18.00
SINKS 5 NUMBER OF $30.00
SHOWERS 2 NUMBER OF $12.00
TUBS 1 NUMBER OF $6.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
WATER USING DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $96.00
Operator: DMD Printed By: DMD Print Date: 9/19/2001
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,261.10 $1,261.10 $0.00 $1,261.10
Mechanical Permit $97.00 $97.00 $0.00 $97.00
Plumbing Permit $96.00 $96.00 $0.00 $96.00
$1,454.10 $1,454.10 $0.00 $1,454.10
1
SPOKANE COUN FY
•
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 \VEST BROADWAY :AVENUE
SPOKANE, WA 99260
509-477-3675
o(-
SPECIFIC SITE INFORMATION
Street Address: ti (90
Assessor's Tax Parcel Number(s): _ � � cl
c7G3.
Legal Description:
Project Description: w e= w R6-5/ N e
Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Depaiunent Use Only
Water T)istrict/Purveyor.
Sewer District/Purveyor
Road width
Setbacks
Front Rear:
Left: Right:
School Distnct:
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
Indiia/e who should be rotlutled niardint r -a; d
❑ Owner:
Phone:
Pax:
❑ Applicants
Phone:
lax:
Nlailing \ddress:
I)imensions
Mailing Address:
2"d floor sq. ft.
Sig
`tate, Zip
Occupancy group
City, State, Zip
Garage sq. ft.
5-0
�OCity,
JJ Contractor
3 4,6f/ c,><<L'/'(/I
Phone Z30 -(ej7y
Fax
❑ Architect Lngincer
Phone
Paz
Mailing address
2-2- Z 5 Lcn-)C' RD
Mailing address
city, State zip
6/26'Z-v\--1r3-c_2. C.: , WA
950/.6
City, State Zip
VA :A State Contractor license iF
.J"-;cNoC*-0Z94L
Contact name
PROTECT INFORMATION
Building Information
Building height to peak
2Z
# of stories
;\ lain floor sq. ft.
// ii 5-
Unfinished basement sq. If.
g00
I)imensions
'total habitable space
/6 3
2"d floor sq. ft.
Sig
Finished basement sq. ft.
C>
Occupancy group
(:onstruction type
wooD FRf,
Garage sq. ft.
5-0
Deck sq. ft.
Cost of protect
1 kat source (electric, gas, etc.)
6 A 5 -- Foe-ct-A igll..
Manufactured Home
Sign
Width:
length: ,
What is the square footage of the sign
face?
I low high is the sign?
Year:
Make:
# of signs
,Arca of existing signs
Fireworks display
:Are critical or hazardous materials used or stored on site?
O Ycs a. No
Address
Proposed use
Relocation
Fire Safety
Firm Name
What is the current use of this property?
Previous address
Will the site be served by a septic system?,1$1 Yes ❑ No
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
:Are critical or hazardous materials used or stored on site?
O Ycs a. No
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
What is the current use of this property?
Phone
Will the site be served by a septic system?,1$1 Yes ❑ No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
0 Ycs N. No
.Are there slopes greater than 30'6 on the property? (30 ft rise in 100 ft)
( ---------°'0 ❑ Ycs gi No
:Are critical or hazardous materials used or stored on site?
O Ycs a. No
Address
Inspector
Phone
0 Concrete
❑ Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? ❑ Ycs 174 No
'lies, identifi on site plan
What is the current property size?
(square feet or acres) /, / /9 2 e—
ls
is any part of the property within 250 feet of a shoreline?
Ifyes, identifj. on site plan 0 Yes a No
What is the current use of this property?
Is your property in a designated wildlife habitat arca?
0 Don't know 0 Ycs rgi No
Will the site be served by a septic system?,1$1 Yes ❑ No
Is any part of the property within a 100 yr flood plain?
Ilyes, relent{[' on sae plan
❑ Maybe ❑ Don't know ❑ Ycs a No
Are or will there be wells located on the property?
I/yes, identify on the szie plan ❑ Yes A No
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, identify on site plan 0 Ycs a No
Is there evidence of fill or excavation on the property?
0 Ycs N. No
.Are there slopes greater than 30'6 on the property? (30 ft rise in 100 ft)
( ---------°'0 ❑ Ycs gi No
:Are critical or hazardous materials used or stored on site?
O Ycs a. No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Arca?
❑Ycs 0 N
Is public sewer available to the site? O Ycs 0 No
Is the property, inside the ASA? 0 Yes 0 No
0 Yes ❑ No
Is public water available to the site? 0 Ycs 0 No
Is the property inside the PSSA? 0 Ycs 0 No
Is the property located within 1000 feet of a Natural Resource Area?
0Yes 0 N
1)ate Rrcrived:
Staff Representative:
METHOD OF PAYMENT
VISA
0 (:.\SII ❑ (i 1":Ik ❑ ❑
0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D:\7'I?:
I :SP1 RFS:
B.\NKC \RD NUNfBI•:R:
\UTI l(RI/.I :l) SIGN.A'I'URI::
SUB"l'O'I'.A1.
TOTAL FEE
MINIMUM PERMIT FEE IS $35.00
P1 1-:550 \I.\Fp. CI IEGis I':'NAME "10
SPOk VXt.: coI NTY PEltNIIT CEN 71 0
MECHANICAL PERMIT APPLICATION
PROJECT
ADDRESS:
PERMIT
USE:
OWNER:
PHONE (Daytime Contact):
COST/
UNIT
MAILING ADDRESS:
AMOUNT
(Street) (City/State)
(Zip)
CONTRACTOR:
(i C/4v/(rl CC,Si
LICENSE:
Ji.JCHOC *-029L(
X
MAILING ADDRESS:
22- , Z.ort) v 26
Q-cl.i ac%r ,5 , 1.0A c `!G/ 6
PHONE:
Z 30 .. 61 ,10
$
B03
FUEL BURNING APPLIANCE
(Street) (City/State)
(Zip)
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
UNITS
MULTI-
Par
COST/
UNIT
EQUALS
4
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
8100
—
$
B06
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
— OR <400,.000
X
$50
—
$
B07
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
>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
825
—
$
B11
BOILER/REFRIGERATION
1,001- 1,750M BTU
X
$35
—
$
B12
BOILER/REFRIGERATION
+1,750M BTU
X
$60
—
$
B13
GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
-
/
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)
-
3
X
$1
-
$
B19
DUCT SYSTEMS
-
X
$10
—
$
B20
VENTILATING FANS
-
Ai
X
$10
—
$
B21
AIR HANDLER (DOES NOT include duct systems)
— OR <10,000 CFM
X
$12
—
$
B22
AIR HANDLER (DOES NOT include duct systems)
> 10,000 CFM
X
$15
—
$
B23
EVAPORATIVE COOLERS
-
X
$10
—
$
B24
TYPE I HOOD
-
X
$50
—
$
B25
TYPE II HOOD
-
/
X
$10
—
$
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
VISA
e
SUBTOTAL
PLUS PROCESSING FEE
$ 25.00
SCVr
• CASH
• CHECK • MEN • ■
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD
EXPIRES:
DATE:
BANKCARD
ATTTITCPT7FTl
TOTAL PERMIT FEE DUE
MINIMUM PERMIT FEE IS $35.00
PLEASE MAKE CHECKS PAYABLE TO
SPOKANE COUNTY PERMIT CENTER
_.
NUMBER:
RT(_NT A TT TRT+.•
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
PLUMBING PERMIT APPLICATION
PROJECT
ADDRESS:
PERMIT
USE:
OWNER:
oma'' C/ /ZC.,j7I
PHONE (Dime Contact):
2.,6'-67i,r)
MAILING ADDRESS: 2 2 n to A (irk)/ - �' Lo.l; C. /p G/u-e m ,2 r-5
(Street) (City/State) (Zip)
CONTRACTOR:
LICENSE:
MAILING ADDRESS:
PHONE:
(Street) (City/State) (Zip)
PLUMBING FIXTURES I
DESCRIPTION
DETAIL
# OF
UNITS
MULTI-
pBY
COST/
UNIT
EQUALS
AMOUNT
B02
TOILETS
WATER CLOSETS, BIDETS
3
x
56
—
B03
URINALS
x
56
—
B04
TUBS
-
/
x
$6
—
B05
SHOWERS (per trap)
BATH, STALL, ON-SITE BUILD
x
$6
—
B06
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD
(PREP/CULINARY/MEAT
x
$6
—
B07
DISHWASHER
-
/
x
$6
—
B08
CLOTHES WASHER
-
/
x
56
—
B09
GARBAGE DISPOSAL/GRINDER
-
x
56
—
B10
WATER SOFTENER
-
x
56
—
B11
ELECTRIC HOT WATER TANKS
(NOTE: if gas water tank see
mechanical)
x
S6
—
B12
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
x
56
—
B13
ROOF DRAINS/OVERFLOW DRAINS
(ea.)
-
x
56
—
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
x
$6
—
B18
CROSS CONNECTION DEVICES
VACUUM BREAKER, CHECK
VALVE, AND R.P.B.P.D. FOR :
VATS, SUMPS, TANKS, BOILERS, &
SPRINKLER SYSTEMS
56
—
B19
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
x
56
—
B20
MEDICAL GAS (per outlet/bottle station)
NITROUS, OXYGEN
x
56
—
B21
MISCELLANEOUS FIXTURES
$6
—
METHOD OF PAYMENT
VISA
*
SUBTOTAL
PLUS PROCESSING FEE
$ 25.00
1C+�Y,
e_
• CASH
• CHECK • ■
FAXED PERMITS WILL ONLY BE ACCEPTED
OF A MAJOR CREDIT
EXPIRES:
••
WITH PAYMENT
CARD
DATE:
BANKCARD
AUTHORIZED
TOTAL PERMIT FEE DUE
MINIMUM PERMIT FEE IS $35.00
PLEASE MAKE CHECKS PAYABLE TO
SPOKANE COUNTY PERMIT CENTER
NUMBER:
SIGNATURE:
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
WlN.ailu111vu
6d11iui1vaa
/ t >oz
.moo=`
0 0 0o
3
_PI
D
2v
wir r, k\ C 7
157.48'
629.92'(PROP) 630.
NO'01'37"W 314.96'(PR(
This site plan is being sibmitted for theaurpose of
obtaining a building per ,it and is a true and correct
representation of the pr posal. All known property
tines/dimensions, curb tees. structures and easements
have been identified. Ailo indicated are wetlands,
bodies of wale steep spes r other critical areas.
Signed:
00
01
c0
P1
ADDRESS
ZONE
ROAD WIDT
FRONT
COMMENTS —
REVIEWED Er
N
0
LJ4
c0
0)
z
co
c0
(00
O
3
m
12`.
SEWER AND UTILITIES, INGRESS/EGI
N0'00'52'W
157.49'
SEP -27-2001 13:5y
Project Number: 01008073 Inv; 1
App on
THIS IS NOT A PERMIT
Datc: 9/19/2001
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - GAS Contact: CHURCH, JASON
Address: 2225 N LONG
C - S - Z: GREENACRES, WA 99016
Setbacks: Front 190 Left: 50 Right: 50 Rear: 60 Phone: (509) 230-6740
• Group Name:
Project Name:
Site Information:
Page 1 c
I....•...•.•..•..•.•.•.•.,•.•......,.......<..:..>...[..•>,. , .....•.•.•:.. ::.:.:.• •........:......,,.swdx •:a.ew4•:4•*[k.W,d,•PF,... �..,x' rY.3...�.:�:..:............:.,a....%,o-»:o:e.:a:a.:e;.>.:,>.•:r:i.J•-: r: ... .
Plat Key: 006016 Name: SP -1177-98 District: G
Parcel Number: 55073.0110
Block:
SiteAddress: 2203 N LONG RD
GREENACRES, WA USA 990
Location:: GRE
Zoning: SR -1
Water District
Area: 49,658 Sy Ft
Nbr of Bldgs: 1
Suburban Residential 1
Width: 157
Nbr of Dwellings: 1
Lot: B
Owner: Name: CHURCH, DONALD L & LINDA C
Address: 4119 S CONIFER CT
SPOKANE, WA 99206-9664
Hold: 0
Depth: 314 Right Of Way (ft): 35
Review Information:
:..a.....[.Y,![�`9'.....y,:*,;,i,Ur',1,:!.....�......,.:::✓:1:�:a....�::eex.>:a�[do S. :k:93R.3FT.°iP.°4T:3• Fi'?i,'�.......•,i�b»r...e %�7x•'.,t%a::>::.............:.........,...........:......
Department Review
BUILDING Site Plan Review
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
ENGINEER
Hold Reasons:
Permit Conditions:
• HEALTHDISTRICT
Hold Reasons:
Permit Conditions:
Approach / Drainage
AVurl
Septic System Review
Sew a by i m OFJI jnw7
f w haelrewans .,i,1
Permits:T>'
:N.1'J.iI.:..........:n.:^i�b»:a�a�:.::<:.r �r:.:J.ti� i..#'i:................:.....................r.:.xn....:..ni�iY.::.:is1��.2if'YwCa2�1/1Y26>LM•A.CiL>b1YiY:P7lk:t.�. �!i.[ lKY.�i� •'/i
j�% :. ; •#>:n.i::.�t::[.% }iY.:a> %�:i!a::: >:: i.Y.: �iiv:::>;:;.