2002, 04-24 Permit App: 02002925 ResidenceProject Number: 02002925 Inv: I ArDlicarion Date: 4/24/02 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: NORM WEBER/HOMELINE CONSTR
Address: 534 W 22ND AVE
C - S - Z: SPOKANE WA 99203
Setbacks: Front 40 Left: 5 Right: 25 Rear: 65 Phone: (509) 747-3278
Group Name:
Site Information:Project Name:
Plat Key: 005490 Name: MORNINGSIDE PUD PHASE I District: G
-- --- --- - ---- - --- -------- - - ----
Parcel Number: 55302.1306 Block: 5 Lot: 6
SiteAddress: 17021 E DAYBREAK LN
VERADALE, WA USA 99037
Location:: VER
Zoning: UR -7 Urban Residential -7
Water District: 010 VERA
Area: 16,922 Sq Ft Width: 97
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Owner: Name: WEBER, NORM
Address: 534 W 22ND AVE
SPOKANE WA 99203
Hold: ❑
Depth: 173 Right Of Way (ft): 35
Review Information:
Review
Site Plan Review� « "�
� Release '~
Plan Review
Approach / Drainage
IReleased By:
Released BY:
I
i
Sewer Review�oQ,� (-�F Released Bye
Permits:
CTIA,
L
Operator: JAS Printed By: JAS Print Date: 4/24/02
Project Number: 02002925 Inv: 1 Application Date: 4/24/02 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit -- -- - - - - __
Contractor: HOMELINE CONSTRUCTION Firm: NORM WEBER/HOMELINE CONS
Address: PO BOX 1430 Phone: (208) 661-3224
VERADALE, WA 99037
Unit Desc
1
NUMBER OF
Building Characteristics
NUMBER OF
Const Category: New
Group: R-3 Type: VN
6
Nbr Of Dwellings: 1
Occupant Load:
Building Height: 27
Stories: 2
Bldg W x D: 67 x 68
Building Sq Ft:
5148 Sprinklers: ❑
1
Req Parking:
Handicap Parking:
Critical Materials: ❑
This Application:
Total Project:
Description Grp
Type Notes
SQ Ft Valuation
Sa Ft Valuation
2ND FLOOR R-3
VN
824 $54,384.00
824 $54,384.00
BASEMENT R-3
VN
2,162 $26,592.60
2,162 $26,592.60
DECK R-3
VN
120 $939.60
120 $939.60
GARAGE U-1
VN
705 $8,460.00
705 $8,460.00
RESIDENCE R-3
VN
2,162 $142,692.00
2,162 $142,692.00
Totals:
5,973 $233,068.20
5,973 $233,068.20
Item Description
Units
Unit Desc
Fee Amount
RESIDENTIAL VALUATION 1
Y OR BLANK
$1,565.00
STATE SURCHARGE
1
Y OR BLANK
$4.50
RESIDENTIAL SURCHARGE 1
Y OR BLANK
$344.30
Permit Total Fees:
$1,913.80
Contractor: D & D HEATING A/C
Address: 6215C COMMERCE LOOP
POST FALLS, ID 83854
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE >100,000BTU
GAS PIPING
AIR CONDITIONER:4-15 TONS
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
Mechanical Permit
Firm: D & D HEATING A/C
Phone: (208) 765-7727
Units
Unit Desc
1
NUMBER OF
1
NUMBER OF
1
NUMBER OF
6
# OF UNITS
1
NUMBER OF
6
NUMBER OF
1
NUMBER OF
1
NUMBER OF
1
NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$10.00
$15.00
$6.00
$20.00
$60.00
$10.00
$10.00
$10.00
$151.00
Operator: JAS Printed By: JAS Print Date: 4/24/02
Project Number: 02002925 Inv: I AV- Iics'ition Date: 4/24/02 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: HARPOS INC
Address: 9416 GOVERNMENT WAY
HAYDEN ID 83835
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
CROSS CONNECTION DEVICES
WATER USING DEVICES
Plumbing Permit
Firm: HARPOS INC
Phone: (208) 772-9696
Units
Unit Desc
Fee Amount
4
NUMBER OF
$24.00
9
NUMBER OF
$54.00
2
NUMBER OF
$12.00
2
NUMBER OF
$12.00
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: $150.00
Notes:
.>� `„� a"nhxf di"1"�✓„ �i .. _... .,n .-. � x � .s 9'iF 9.q �v-rL
WATER APPROVED. FIRE DISTRICT 1 APPROVED FIRE DISTRICT 8 APPROVED OK TO
ISSUE SEWER PERMITS PR BILLY 1/1/9/95 CKF
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,913.80 $1,913.80 $0.00 $1,913.80
Mechanical Permit $151.00 $151.00 $0.00 $151.00
Plumbing Permit $150.00 $150.00 $0.00 $150.00
$2,214.80 $2,214.80 $0.00 $2,214.80
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and rinds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JAS Printed By: JAS Print Date: 4/24/02
lil PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 \VEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPFC'IFIC 4ITF 11VF(1Rk4AT1nM
Street ,address: /� ` D
Assessors Tax Parcel Number(s):
Legal Descnpti
Project Description:. e
Building PermitO Change in Use O Grading O Manufactured Home Permit
O Relocation —A O Sign O Tenant (New/Change) O Other
Department Use Only
Water District/Puncror.
Sewer Distract/Purveyor .
Road width
;•$et6ads -
wracwr_ t� Phone
Fax
FiMailing
❑ Architect/6nginecr Phonc
Front Rear.
School District
Fire District: _
Zoning
\C'.q Ctate Contnaor licrnse c
Contact name:
)
Loft . Right,
OWNER/APPLICANT INFORMATION
21 lndivle mho thou/d be t-ontaded re ding thr.r ptgn7
u tncr: ^`— ^r Phonc:N
Mailing` Addn ss:
--
Applicant Phone:
I:ac:
hailing Address:
(:in', Slate, Zip
City, State, Lip
wracwr_ t� Phone
Fax
FiMailing
❑ Architect/6nginecr Phonc
address
Mailing address
Cin', State rip
Cite, State Zip
\C'.q Ctate Contnaor licrnse c
Contact name:
ava�
Building Information
Building hciln txak
# of.,torics
Main Ocxtr sy. ti.
Unfini.,bcd ba.rrncnt xy_ ft.
A U-2—
Total habitable y?acc
ant fl(xsr sq. ft.
Finislwd bascmcnt.,y. ft.
Occupaney group
TCS
Construction rare
S'C"Cr
Garage sy.ft.
`"I(D5
Deck sy. ft.
(2-0
Cost of rrojcct
2 S?`A
1 Icat sr}t�rcc (cicctnc. gas, c(c.)
C�
cs
al-
Manufactured Home
car:
Relocation
Pre%-ious address
Proposed use
�Sign
_
Ixngth: What is the square footage of the sign How high is the sign?
face?
Make: # of signs Area of existing signs
Fire Safety
Value
Fire Sprinkler _
Paint booth _ Fire Alarm
Tent
Fireworks display
Special Inspections Required?
6 Tl
Non -Residential Energy Code Compliance?
Finn Name Phone
Plans 6saminer Phone
Inspectors:
nddre�s
1 et, ide/r[i on rife /a// O Yes [d No
Inspector Phone
O Concrete O Welding O Bolting O Reinforcement
Address
T%1TTd-% TA
Are there structures on the property? O Yes IT No
a1Vl�
V'hat is the current property sire?
I yes, identify on.rile laa
(square feet or acres) q 13_'5I
Is any part of the property within 250 feet of a shorcli
Whit is the current use of this property?
1 et, ide/r[i on rife /a// O Yes [d No
O No
Is your property in a designated wildlife habitat arca?
\Vill the site be served by a septic system? O Yes No
O Don't know O Yes 0--N.
Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the properm?
IJJet, I/IC/!f� on sale plan � �
O',Iaybe O Don't know Yes G�'Ncr
f yes, idenf� on The sale plan 11 Yes Yes Q
Are there any wetlands, streams or ponds within 200 f of the proper[?
1 r, idenfi on.rile la//
Is there evidence of fill or eccavation on the property?
O Yt. No
O Yes 6-FIo
Are there slopes greater than 30% on the property? (30 ft risme-n 100 fir)
Yes
Are critical or hazardous materials used or stored on site?
--�° ° O 1 /
Cl Yes 0--N.
TcnaT l
Is the property in a designated Storrrtwater Control Area?
. Is public sewer available to the site? O Yes O No
O Yes
O No
Is the property inside the ASA?. O Yes
O No
Is public water available to the site? O 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
Dare Received:
?tart Rcprcscntaticc:
Mrir HUD UP PAYMENT
VISA
p c:"1st t ❑ c1 u:c.K ❑ ! ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1):1"t•I •:: 1 •: \ I'l 1:1:5:
BANKC.IRD NU\IBI•:R:
AL"ll K)RI'ZED SICN.ITURF:
TOTAL FEE
MIN/MU.N PERMIT FEE is s35AOPLEASF
NUKE CHECKS P:\Y.\B1F
11" 5�
--I-