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2002, 12-02 Permit App: 020110705 Relocate ResidenceProject Number: 02010705 Inv: 1 Application Date: 12/2/2002 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RELOCATE RESIDENCE/GARAGE ON FULL BASEMENT - GAS Setbacks: Front 25 Left: 35 Right: 45 Rear: 42 Site Information: ........................................................ Plat Key: 006229 Name: CHRISTINS ADD ........... Contact: RUBERT, MIKE & KRIS Address: PO BOX 29 C - S - Z: SPANGLE, WA 99031 Phone: (509) 448-2720 Group Name: Project Name: .................................... ..................................... .............................. .. District: H Parcel Number: 45092.0718 Block: SiteAddress: 2809 N JOHNSON CT SPOKANE, WA 99206 Location:: SPO Lot: 2 Owner: Name: RUBERT, MIKE & KRIS Address: PO BOX 29 SPANGLE, WA 99031 Zoning: UR 3.5 Water District 026 IRVIN Hold: ❑ Area: 0 Sq Ft Width: 137 Depth: 114 Right Of Way (ft): 36 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: :. Review Site Plan, Review Releas Plan Review Special Inspections Released By: creek Approach / Drainage o9.E,ge.IS1 Sewer ReviewAUL (off -l6-Roq Operator: JAS Printed By: JAS Released By: Wag F00*-11-rti&Ity Print Date: 12/2/2002 Project Number: 02010705 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 12/2/2002 Page 2 of 3 Contractor: MT HOMESTEAD INC Address: P.O. BOX 29 SPANGLE, WA 99031 Const Category: New Nbr Of Dwellings: Bldg W x D: x Req Parking: .. ............... . .. ................. Building Permit Firm: MT HOMESTEAD INC Phone: (509) 448-2720 Building Characteristics Group: Type: Occupant Load: Building Height: Stories: Building Sq Ft: Sprinklers: Handicap Parking: Critical Materials: 0 This Application: Total Project: Notes Sq Ft Valuation Su Ft Valuation 988 $12,152.40 988 $12,152.40 GARAGEFN 520 $1,040.00 520 $1,040.00 DTNONLY Description Grp Type BASEMENT U R-3 VN FOUNDATION R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor: MT HOMESTEAD INC Address: P.O. BOX 29 SPANGLE, WA 99031 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER Totals: 1,508 $13,192.40 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Mechanical Permit Units 1 1 2 1 1 Operator: JAS Printed By: JAS 1,508 Fee Amount $213.00 $4.50 $46.86 $13,192.40 $264.36 Finn: MT HOMESTEAD INC Phone: (509) 448-2720 Unit Desc NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF Permit Total Fees: Print Date: Fee Amount $10.00 $12.00 $2.00 $10.00 $10.00 $44.00 12/2/2002 Project Number: 02010705 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 12/2/2002 Page 3 of 3 Plumbing Permit Contractor: MT HOMESTEAD INC Firm: MT HOMESTEAD INC Address: P.O. BOX 29 Phone: (509) 448-2720 SPANGLE, WA 99031 Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 1 NUMBER OF $6.00 SINKS 1 NUMBER OF $6.00 TUBS 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 MINIMUM FEE ADJUSTMENT 1 Select $11.00 Permit Total Fees: $35.00 Relocation Permit Contractor: MT HOMESTEAD INC Firm: MT HOMESTEAD INC Address: P.O. BOX 29 Phone: (509) 448-2720 SPANGLE, WA 99031 Item Description Units Unit Desc Fee Amount RELOCATION INSPECTION 1 NUMBER OF $50.00 Permit Type Building Permit Mechanical Permit Plumbing Permit Relocation Permit Fee Amount $264.36 $44.00 $35.00 $50.00 Permit Total Fees: Invoice Amount $264.36 $44.00 $35.00 $50.00 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $264.36 $44.00 $35.00 $50.00 $393.36 $393.36 $0.00 $393.36 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: JAS Printed By: JAS Print Date: 12/2/2002 PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 i Affirl- i 509-477-3675 SPO SPECIFIC SITE INFORMATION Street Address:VO X541 z Assessors Tax Parcel Number(s): Legal Description: ` Project Description: 117C11� J u G / k AQ X) A&Z "4&116Q Setbacks Fa.: ! ��7-(� `. /u 1.1.� front Rear: School District I nr District r.rBuflding Permit Finished basement sq. ft. ❑ Change in Use ❑ Grading City, State, Zip ❑ Manufactured Home Permit 57'R'—elocation Cin•, State, Zip ❑ Sign ❑ Tenant (New/Change) ❑ Other Department Use Only water District/Purveyor Sen er District/Purveyor Road width Setbacks Fa.: ! ��7-(� `. /u 1.1.� front Rear: School District I nr District ung Finished basement sq. ft. ' X �q t I rlt Ki�ht: OWNER/APPLICANT INFORMATION 0 /ndi vie who rhnulr/ he mn6r-led "Pardinn thir Dmiett cl Owner. Phone. ' /'! I �Z '7].(� ❑ Applicant: Phone: / s q37 cwt is / ��%i i Fa.: ! ��7-(� `. /u 1.1.� Mailing Addres . Dimensions Total habitable space Mailing Address: Finished basement sq. ft. ' X �q t — City, State, Zip )ccupaney group Construction type Cin•, State, Zip Deck sq. ft. w vv� --W�C�t . c� ❑ ontraetor Phone L/�, '�7..-�� ❑ Architect/Engineer 1�1ion' L�J't ra. L �. Pa. Ma g address 0. Azv % y Mailing address City, State Zip City, State Zip Itate Contractor license # Contact name vc't/ '' PROTECT INFORMATION Building Information Building height to peak # of stories Alain tlo(r sy. I- Unfirtishe basements . Dimensions Total habitable space 2"d Floor sq. ft. Finished basement sq. ft. ' X �q t — — )ccupaney group Construction type Garage sq. ft. _- Deck sq. ft. w vv� --W�C�t . c� Cost of proje I Icat source (electric, gas, etc.) U (J Manufactured Home Sign Width: Length: What is the square footage of the sign face? 1 low high is the sign? Year. Make: # of signs Area of existing signs O Don't know O Yes L3—Ko 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 Fire Sprinkler Tcnt / 0 L 'V. Al -4141'(1 �. / �T c7 �t' Paint booth _ Fire Alarm _ Fireworks display Proposed use �s tjl clue Special Inspections Required? Non -Residential Energy Code Compliance? Firm Name I'hnne Plans Examiner Phone Inspectors: Address I f es, identifi on site plan O Yes C3 --Ko Inspector Phone 0 Concrete O Welding 0 Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes o What is the current property size? 1 es, identi on site plan (square feet or acres) Is any part of the property within 250 feet of a shoreline? What is the current use of this property? I f es, identifi on site plan O Yes C3 --Ko 0 No Is your property in a designated wildlife habitat area? \Vill the sitelye served by a septic system? O Yes o O Don't know O Yes L3—Ko Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? dyes, identifi, on site plan Ifyes, identlr on the site plan 0 Yes [3-Iffo O Mavbe O Don't know 0 Yes O -Mo 0 Yes 0 No Are there any wetlands, streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property? Ifyes, identify on site plan O Yes 13—No 0 Yes O -o 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? % 0 Yes 0-K-0 O Yes 0-5-0 DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No 0 Yes 0 No Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No 0 Yes 0 No Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area? 0 Yes 0 No Date Received: Staff Representative: METHOD OF PAYMENT VISA [I CAST I El CI u.cK El❑ . ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATI?: BANKCARD NUMBER: AU'I'1I0RI'L1?D SIGNATURE: EXPIRI?S: SUBTOTAL, TOTAL FEE ,M1IINIMUM PERMIT FEE IS $35.00PI1iASE .\I.\KI3 C1W('KS PAYABLE TO SPOKANE COUNTY PER'NIT CrNWR INSPECTION REPORT SPOKANE COUNTY TYPE: DIVISION OF BUILDING AND CODE ENFORCEMENT _BUILDING 1026 WEST BROADWAY AVENUE _CRITICAL AREAS SPOKANE, WA 99260 _EROSION/SEDIMENT PHONE: (509) 477-3675 • FAx: (509) 4774703 _FIRE PREVENTION _REPEAT _SHORELINES SIGN DATE: OTHER: Property Address: Al S_�y A11-4 Ay 7 c_ Phone: Business Name: Contact Person: VIOLATION / REQUIRED CORRECTIONS H0k-'p 6 TJ z' ' Al. ,l CA14AtSuf✓. u 7 t S`J At 69W AEC k Av i IL74/VS rd/' 414 r".0 g uu•--1 < /k- yL -� ✓'AJ /Jr' 'r- Aey ci,00 i AA .9 _T1-7 � v' /� r i".�, /Ai AP Pw <3 PR l 4 TZ L vim. ,—, v.v S . This inspection has been conducted pursuant to the ordinances and laws adopted by Spokane County. Your cooperation in correcting the above-mentioned hazards and/or violations is appreciated. The above -listed items must be corrected and will be reinspected on or after accordingly. failure to comply may result in further action. If you have any questions concerning this inspection or if you feel you the reinspection date is not adequate for compliance, please contact this office at 477-367S. PAGE It INSPECTED BY: 16ACIL'I-4E 1.5 RACE INSPECTION REPORT (CR) REVISED 1/99 1. . '- This site plan is being submitted for !-j is a tr;lie t"purpose of obtaining a i; -.g pe-,.- � , - 'and correct representation of the Prot"rosal. All known property lines/dimensions, curb iins structures and easements have been identified.�,,e J bodies of water, steep areas. "t� Signe Date Y1 i r---, <---' AnnppqR a- 69 0,-- (6 ZO IN E LLL - -� , c--,, ---_j ROAD WIDTH SO" FRONT aS- I FLANKI G COMMENTS REVIEWEDE��--