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2002, 11-20 Permit App: 02010430 ResidenceProject Number: 02010430 Inv: 1 • Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 11/20/2002 Page 1 of 3 Project Information: Permit Use: RESIDENCE W/GARAGE - NATURAL GAS Contact: CRAPO, DENNIS Address: 15321 E MISSION AVE C - S - Z: VERADALE, WA 99037 Setbacks: Front 20 Left: 5 Right: 5 Rear: 30 Phone: (509) 924-8964 Group Name: Project Name: Site Information: Plat Key: 006265 Name: LONG VIEW PLACE PUD District: G Parcel Number: 55191.0650 Block: 1 SiteAddress: 619 S LONG RD SPOKANE, WA USA 00000 Location:: SPO Zoning: UR -3.5 Water District: Area: 7,000 Sq Ft Nbr of Bldgs: 1 Urban Residential 3.5 Lot: 4 Owner: Name: CRAPO, DENNIS Address: 15321 E MISSION AVE VERADALE, WA 99037 Hold: El Width: 70 Depth: 100 Right Of Way (ft): 40 Nbr of Dwellings: 1 Review Site Plan Review Plan Review Released By' Approach / Drainage & WOW :41110.1 111 Released By: "‘-'w° Ar.1.7311114BMIIIMILIVMfAr .N • @V.10,1L.1 Released By: 11 7-0 64 OA i•43. Sewer Review oui 0124LikiG Pc12J-111 ONY1 Released By:14--C4-0-4"-2,--' IZ.3,0Z, Operator: CKF Printed By: CKF Print Date: 11/20/2002 Project Number: 02010430 Permits: Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 11/20/2002 Page 2 of 3 Contractor: DIAMOND ROCK Address: 15706 E VALLEYWAY AVE VERADALE, WA 99037 Building Characteristics Const Category: New Nbr Of Dwellings: Bldg W x D: x Req Parking: Description G_pr BASEMENT U R-3 GARAGE U-1 RESIDENCE R-3 Building Permit Firm: DIAMOND ROCK CONSTRUCTIO Phone: (509) 218-8510 Group: Occupant Load: Building Sq Ft: Handicap Parking: Type Notes VN VN VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Type: Building Height: Stories: Sprinklers: ❑ Critical Materials: ❑ This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 912 $11,217.60 912 $11,217.60 437 $5,244.00 437 $5,244.00 1,243 $82,038.00 1,243 $82,038.00 Totals: 2,592 $98,499.60 2,592 $98,499.60 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Contractor: COMFORT CENTRAL HEATING Address: 7136 N FOTHERINGHAM SPOKANE, WA 99208 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER HOOD -TYPE II Fee Amount $886.25 $4.50 $194.98 Permit Total Fees: $1,085.73 Mechanical Permit Units 1 1 2 4 1 1 Operator: CKF Printed By: CKF Firm: COMFORT CENTRAL HEATING Phone: (509) 216-1234 Unit Desc NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $10.00 $12.00 $2.00 $40.00 $10.00 $10.00 $84.00 Print Date: 11/20/2002 Project Number: 02010430 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 11/20/2002 Contractor: ALPHA PLUMBING & HEATING Address: 13615 E. TRENT AVE SPOKANE, WA 99216 Item Description TOILETS/BIDETS SINKS TUBS DISH WASHERS CLOTHES WASHER FLOOR DRAINS WATER USING DEVICES Notes: :. Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Plumbing Permit Units 3 4 3 1 1 1 2 Page 3 of 3 Firm: ALPHA PLUMBING & HEATING Phone: (509) 535-0727 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount Invoice Amount $1,085.73 $1,085.73 $84.00 $84.00 $90.00 $90.00 $1,259.73 $1,259.73 Fee Amount $18.00 $24.00 $18.00 $6.00 $6.00 $6.00 $12.00 Amount Paid $0.00 $0.00 $0.00 $90.00 Amount Owing $1,085.73 $84.00 $90.00 $0.00 $1,259.73 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and fmds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: CKF Printed By: CKF Print Date: 11/20/2002 Adilik SPOKE COTNFY PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: cy v Assessor's Tax Parcel Numbcr(s): ? Legal Description: Project Description: ❑ Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other Department Use Only Water . District/Purveyor. Sewer District/Purveyor Road width Setbacks Front Rear. Left- Right. School District: Fire Distnct Zoning OWNER/APPLICANT INFORMATION 0 Indicate uhn should be wontaded reiitrdtnQ this project ❑ Owner: Phone: I ax: L i<t} /dant: / /l/yi C rP/hone 2'' 2 Yf �G} 6y �"�1�—' S / ''ax: �"t 2 D'✓ / ( Mailing Address Dimensions Mailing Address: /5 1 ' ,,-.17.a>i6, Ace- City, State, Lip Construction type Cite, State, Zip V - dei /—e /./q- ii4$ 7 ❑ Contractor Phone fax ❑ Architect/Engineer Phone Fax Mailing address Mailing address City, State Lip City, State Zip VCA State Contractor license # Contact name: PROTECT INFORMATION Building Information Building height to peak ie6 # of stories/ / /2- Main floor sq. ft. lZ 3 Unfinished basement sq. ft. `l)Z Dimensions Total habitable space 2"d floor sq. ft Finished basement sq. ft. Occupancy group.c..--_____,,.., Construction type Garage sq. 0...� Deck sq. ft. Cost of project Z /e- I leat source (electric, gas, etc.) CSS 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 Fireworks display Arc critical or hazardous materials used or stored on site? O Ycs O'No Address Proposed use Relocation Fire Safety Firm Name �X hat is the current use of this property? Previous address Will the site be served by a septic system? O Ycs © No Paint booth Fire Sprinkler Tent Fire Alarm Fireworks display Arc critical or hazardous materials used or stored on site? O Ycs O'No Address Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Firm Name �X hat is the current use of this property? Phone Will the site be served by a septic system? O Ycs © No Plans Examiner Phone Inspectors: Is there evidence of fill or excavation on the property? O Ycs No Are there slopes greater than 30% on the property? (30 ftc in 100 ft) ( /9/0) O Yes D No Arc critical or hazardous materials used or stored on site? O Ycs O'No Address Inspector Phone O Concrete 0 Welding O Bolting O Reinforcement Address DITIONAL SITE INFORMATION Arc there structures on the property? O Ycs Er -No If yes, identijj' on site plan What is the current property size? (square feet or acres) -7 >Z1 5 Is any part of thc property within 250 feet of a sho�rreli�nnc If yes, identi on site plan O Yes D''No �X hat is the current use of this property? Is your property in a designated wildlife habitat arca? 0 Don't know 0 Ycs (7K -lo Will the site be served by a septic system? O Ycs © No Is any part of thc property within a 100 yr flood plain? If yes, ident on site plan O Maybe O Don't know 0 Ycs No D Are or will there be wells located on the property? �� Ifj�es, identi on the site plan 0 Yes Cil No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, identf on site plan O Ycs O 1 Is there evidence of fill or excavation on the property? O Ycs No Are there slopes greater than 30% on the property? (30 ftc in 100 ft) ( /9/0) O Yes D No Arc critical or hazardous materials used or stored on site? O Ycs O'No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? O Yes O No Is public sewer available to the site? O Yes O No Is the property inside the ASA? O Yes O No 0 Yes 0 No Is public water available to the site? O 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 O No Date Received: Staff Representative: METHOD OF PAYMENT VISA ❑ C:1s1I ❑ CI INCK ❑IMMINION 0 ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DA11?: I:xPIRI,:S: BANKCARD NUMBFR: IORI/.l?D SIGN:111TRI:: SUBTOTAL TOTAL FEE MINIMUM PERMIT FEE IS $35.07 PLEASE MAKE CHECKS PAYABLE. TO SPOKANE COUNTY PERMIT CENTER