1998, 01-16 Permit App: 98000312 Relocation of Resou
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PROJECT NUMBER= 98000312 APPLICATION DATE= 01/16/98 PAGE= 01
PROJECT NUMBER= 98000312 APPLICATION DATE= 01/16/98 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 11208 E GRACE AVE PARCEL#= 45092.0795
ADDRESS= SPOKANE WA 99206
PERMIT USE= RELOCATION OF RESIDENCE ON BASEMENT
PLAT#= 000767 PLAT NAME= FAIRACRES
BLOCK= LOT= 5600 ZONE= UR 3.5 DIST#= H
AREA= F/A= F WIDTH= 150 DEPTH= 300 R/W= 40
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= RUBERT, MIKE
STREET= 11208 E GRACE AVE
ADDRESS= SPOKANE WA
PHONE= 509 448 2720
CONTACT NAME= MIKE RUBERT PHONE NUMBER= 509 448 2720
BUILDING SETBACKS: FRONT= 200+ LEFT= 30 RIGHT= 60 REAR= 30
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
BUILDING SEWER PERMIT PENDING
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toot. aeaoLEcr rtzta At0281 ) is as&o.
COMMENTS: (-/oi61Fb-2-APPeDka-c. F�'t1 art LtTIES
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BUILDING JRE-RELOCATION INSPECTION /040.41 41°
COMMENT
ENGINEER
COMMENTS:
PLANNING
•
APPROACH/FLOOD PLAIN/DRAINAGE
ACTION REQ'D/INVOLVED
COMMENTS: aiefN c_q- i%AI CEL Cie-c)r .S /N6
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PROJECT NUMBER= 98000312 APPLICATION DATE= 01/16/98 PAGE= 02
******************************* BUILDING PERMIT *******************************
CONTRACTOR= MOUNTAIN HOMESTEAD ENTERPRISES PHONE= 509 448 2720
STREET= PO BOX 29
ADDRESS= SPANGLE WA 99031
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= 8 STORIES= 1
BLDG W X D = 24 X 40 SQ FT= 800 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT U R-3 VN 800 9248.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 163.00
RESIDENTIAL SURCHARGE Y 35.86
STATE SURCHARGE Y 4.50
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= MOUNTAIN HOMESTEAD ENTERPRISES PHONE= 509 448 2720
STREET= PO BOX 29
ADDRESS= SPANGLE WA 99031
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
GAS APPLIANCE<=100,000BTU 1 12.00
GAS WATER HEATER 1 10.00
GAS PIPING 2 2.00
******************************* RELOCATION PERMIT *****************************
CONTRACTOR= MOUNTAIN HOMESTEAD ENTERPRISES PHONE= 509 448 2720
STREET= PO BOX 29
ADDRESS= SPANGLE WA 99031
PREVIOUS ADDRESS:
STREET= 611 N PINES RD
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= MOUNTAIN HOMESTEAD ENTERPRISES PHONE= 509 448 2720
STREET= PO BOX 29
ADDRESS= SPANGLE WA 99031
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
TOILETS/BIDETS 1 6.00
SHOWERS 1 6.00
SINKS 1 6.00
CLOTHES WASHER 1 6.00
PROJECT NUMBER= 98000312 APPLICATION DATE= 01/16/98 PAGE= 03
PERMIT TYPE
BUILDING PERMIT
MECHANICAL PRMT
PLUMBING PERMIT
RELOCATION PRMT
FEE AMOUNT AMOUNT PAID AMOUNT OWING
203.36
24.00
24.00
50.00
301.36
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
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203.36
24.00
24.00
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******************************** THANK YOU ************************************
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This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of water, steep sloes or other critical areas.
Signed: T
Date:__ 1-1(,
— Q�
ADDRESS �, 12c3 �2A cF
ZONEZ
ROAD WIDTH
FRONT_) .FL_ANKING
COMMENTS
REVIEWED I3Y
99
0-C
LINE
o_q/
�� r
REFUND
Pv#` NV032.680002
Dept 030 _ & PLAN
VENDOR:
MOUNTIAN HOMESTEAD
PO BOX 29
SPANGLE WA 99031
Vendor Contact/Tel
FOB: PC
LGFS PAYMENT DOCUMENT
SPOKANE COUNTY AUDITOR
SHIP TO: BILL TO:
ACCTG. PERIOD: 03/911, DELIVERY DATE:
SITE: 11208 E. Grace Ave.
Spokane WA 99206
800, CANCELLEDi PRJu98-312
Dist: "H"
01 N20
675
r'1 406
030 0008
03 - 406
030 0008
406
030 0008
Confirming Order
WAREHOUSE:
2420 4-210
2420 2210
2420 2210
PV
Change Order #
Bid ID
Blanket#
RC#_
MV0.326800
19.20
1.e2C
159e09
4, 5C
PAGE
TOTAL:
201.99
DISCOUNT
TOTAL:
0.0
FREIGHT
TOTAL:
0.00
SALES TAX
TOTAL:
0.00
PURCHASE ORDER
VALUE:
201.99
USE TAX
TOTAL:
0.00
GRAND
TOTAL:
2-01.99
3700 4.50
02 159.09
07 19.20
03 19.20
DATE 03/27/98 DATE 03/97/98 DATE PAGE
ACCOUNTS PAYABLE
TOTAL TO VENDOR: 201.99
RECEIVIA'
RTIFICATION
PAYMENT CERTIFICAT ON
TRAVEL CERTIFICATION
Materials not d i, quantic
•.� have been
I, the u ersigned by certify under natty of perjury that sufficient funds have been budgeted for this claim, the
I hereby certify under penalty of perjury that this
rete ed in
onditio
r co acted f
ave been fur services ren ered or labor performed as described herein or contracted for, that the claim is
is a true and correct claim for necessary expenses
a jus a np n against pokane County or fund agency indicated above, that I am authorized to authenticate
incurred by me and that no payment has been received
SIGNE
and cert a
by me on account thereof.
CCT ECH 3
OFFICE ADMINISTRATOR
TITLE
SIGNED TITLE
SIGNED TITLE
DATE 03/27/98 DATE 03/97/98 DATE PAGE
ACCOUNTS PAYABLE
SPOKANE COUNTY DIVISION OF BUILDING AND PLANNING
1026 W. BROADWAY • SPOKANE, WA 99260-0050
(509) 456-3675
SITE INFORMATION PROJECT INFORMATION
SITE ADDRESS: 11208 E GRACE AVE
SPOKANE WA 99206
PARCEL NUMBER: 45092.0795
SUBDIVISION: FAIRACRES
LOT: 5600 BLOCK: ZONE: UR 3.5
INSPECTOR: GEORGE KRIENKE
WATER DIST:
OWNER: RUBERT, MIKE
PHONE: 509 448 2720
ADDRESS: 11208 E GRACE AVE
SPOKANE WA
PROJECT NUMBER: 98000312 ISSUE DATE: 01/23/98
PERMIT USE: ON BASEMENT
AP (CANT: MOUNTAIN HOMESTEAD
PHONE: 509 448 2720 Yi
ADDRESS: P.O. BOX 29
SPANGLE WA 99031
CONTACT: MIKE RUBERT
SE S -> FRQUI.-298
LENDER NAME:
PHONE:
ADDRESS:
/ PHONE: 509 448 2720
FT: 30 RIGHT: 60 REAR: 30
PERMITS)
BUILDING PERMIT MECHANICAL PERMIT I RELOCATION PERMIT I PLUMBING PERMIT
CONTRACTOR
MOUNTAIN HOMESTEAD ENTERPRISES
LICENSE #: MOUNTHE117C7
NEW BUILDING
DIM.= 24 X 40 1 STORIES
SQ FT = 800
BASEMENT U R-3 VN 800
TOTAL VALUE: $9,248.00
RESIDENTIAL VALUATION 163.00
RESIDENTIAL SURCHARGE 35.86
STATE SURCHARGE 4.50
TOTAL PERMIT FEE
$203.36
- q.so
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15q. o j
CONTRACTOR
MOUNTAIN HOMESTEAD ENTERPRISES
LICENSE #: MOUNTHE117C7
GAS APPLIANCE<=100,000B 1
GAS WATER HEATER 1
GAS PIPING 2
TOTAL PERMIT FEE $24.00
)C%
L)L��/o1- nctu
CONTRACTOR
MOUNTAIN HOMESTEAD ENTERPRISES
LICENSE #: MOUNTHE117C7
TOTAL PERMIT FEE $50.00
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SID -6a.
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as/0-
CONTRACTOR
MOUNTAIN HOMESTEAD ENTERPRISES
LICENSE #: MOUNTHE117C7
TOILETS/BIDETS 1
SHOWERS 1
SINKS 1
CLOTHES WASHER 1
TOTAL PERMIT FEE $24.00
PAYMENT SUMMARY NoTEs
PAYMENT DATE RECEIPT# PAYMENT AMOUNT PROJ NO OCCUPANCY UNTIL CONNECTED TO COUNTY SEWER
---------- -------------------- _
01/16/98 00000414 $50.00
01123/98 00000610 $251.36
TOTAL FEES AMOUNT PAID AMOUNT OWING
------$301.36 -----$301.36-------------
I-SSUED'PERMIT BY: BURRIS, ROBIN