2000, 09-11 Permit App: 00008081 ResidenceProject Number: 00008081 Inv: 1 Application , Date: 09/11/2000
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/GARAGE - FA GAS
Setbacks: Front 25 Left: 10 Right: 25 Rear: 60
Site Information:
Plat Key: 003987 Name: SP -317
Parcel Number: 55072.0409 Block:
Contact: HOME RUN CONSTRUCTION
Address: 5408 N BEST RD
C - S - Z: SPOKANE,WA 99216
Phone: (509) 389-2915
Group Name:
Project Name:
Lot: B
District: G
SiteAddress: 17607 E MONTGOMERY A Owner: Name: LYBBERT, KEVIN & TERESA
GREENACRES, WA USA 99 Address: 4517 N SULLIVAN #1
Location:: GRE SPOKANE, WA 99216
Zoning: SR -1
Water District:
Suburban Residential 1
Hold: ❑
Area: 0 Sq Ft Width: 84 Depth: 125 Right Of Way (ft): 60
Nbr of Bldgs: 1
Review Information:
Nbr of Dwellings: 1
Department Review
BUILDING Site Plan Review
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
HEALTHDISTRICT
Hold Reasons:
Permit Conditions:
ENGINEER
Hold Reasons:
Permit Conditions:
Permits:
Plan Review
Septic System Review
Sew a system tr- r-
bedracrs cn'j
Approach / Drainage
ADp ik5q
Page 1 of 3
Released B
Released By:
Released By:.
v-11 5'¢- 00 '1t51
I Released By
Project Number: 00008081 Inv: 1
Applieatio
THIS IS NOT A P RMIT
Penalties will be assessed for commencing work without a permit
Date: 09/11/2000 Page 2 of 3
Building Permit
Contractor: HOME RUN CONSTRUCTION Firm: HOME RUN CONSTRUCTION
Address: 5408 N BEST RD Phone: (509) 389-2915
SPOKANE, WA 99216
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: 24
Bldg W x D: 40 x 38 Building Sq Ft: 2213 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials:
Description Grp Type Notes
BASEMENT U R-3 VN
GARAGE U-1 VN
RESIDENCE R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
HOOD -TYPE II
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
This Application:
Sq Ft Valuation
905 $10,461.80
361 $4,332.00
1,253 $77,686.00
Totals: 2,519 $92,479.80
Units Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Mechanical Permit
Stories: 2
Total Project:
Su Ft Valuation
905 $10,461.80
361 $4,332.00
1,253 $77,686.00
2,519 $92,479.80
Fee Amount
$848.75
$4.50
$186.73
$1,039.98
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
3 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$10.00
$10.00
$12.00
$2.00
$30.00
$10.00
$84.00
Project Number: 00008081 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/11/2000 Page 3 of 3
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER USING DEVICES
Payment Summary:
Operator: DMD
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Notes:
Plumbing Permit
Firm: OWNER
Phone: (000) 000-0000
Units
2
3
2
1
1
1
2
Printed By: DMD
Fee Amount
$1,039.98
$84.00
$72.00
$1,195.98
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$18.00
$12.00
$6.00
$6.00
$6.00
$12.00
$72.00
Print Date: 09/11/2000
Invoice Amount
$1,039.98
$ 84.00
$72.00
$1,195.98
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,039.98
$84.00
$72.00
$0.00 $1,195.98
l 1
444
SPO Cove u
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project Description: 5-,t, r f -e
gem
TYPE OF APPLICATION
,ligi Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
In Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
SPECIFIC SITE INFORMATION
Street Address: cow 4,04 eA .t o
C� �l--J \ `cn l /` At I
Phone:
Fax
Assessor's Tax Parcel Number(s):.5-3---a—
/g - 0 11 E7
Mailing Address:
Legal Description:
Gre-ev�Crps rr. p:s�'Y•1r4, , I-,ef-1A -troc-/ t3 -F .5- 706 -if
317
Department Use Only
finished basement sq. ft.
Water District/Purveyor.
Sewer District/Purveyor
Road width
Setbacks
Front
Left
Rear.
Right
School District
(ot'
Fire District:
Zoning
OWNERCD 9
/APPLICANT INFORMATION
El Induule u -ho should be conladed moardini; this projed
I t
❑ Owner: i� -i Phone 97 706 3
el/ 4'1 V ( ✓Plait 4 Lei' (-�I ax:
Applicant:
(r.41-CC.0 I1 P i-
Phone:
Fax
Mailing Address: /
ifs -17 Ai• SL//I vee11
Mailing Address:
Dimens ms
City, State, Zip
5..eka'ne /4 79/
City, State, Zip
finished basement sq. ft.
Contractor / / Phone 3 ''-Z? /3-
1 stn Fax
❑ Architect/Engineer
Phone
Fax
Mailing address
SYo- ,v. /jam Al
Mailing address
1 leat source (electric, gas, cy.) �l
aS F4re ed /v i
Cih•, State Zip
t�
Spo re rip / 7o7/b/
City, State Zip
City,
\V ,\ :tate Contractor license #
Contact name:
PROJECT INFORMATION
Building Information
Building height to peak/
iCIp 0>` 2 e/
# of stories
Main floor Sq. ft.
M/Z.5-3
Unfinished basement sq. ft.
C 03----
Dimens ms
'Total habitable space
2"1 floor sq. ft.
finished basement sq. ft.
Occupancyroup
St rfl i� 7cwv ..
Construction type
54- k_ eir
Garage sq. ft.
36/
Deck sy. ft.
/./ 4
Cost of project
1 leat source (electric, gas, cy.) �l
aS F4re ed /v i
Manufactured Home
Sigi?
Width:
Length:What
is the square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs A
Area of existing signs
Relocation
Fire Safety
Firm Name
Previous address
Phone
Fire Sprinkler
Tent
Paint booth _ Fire Alarm
Fireworks display
Is there evidence of fill or excavation on the prop
0 Yes NO No
Are there slopes greater than 30% on the property?0 ft rise in 100 ft)
( _____,...-• %) O Yes No
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
What is the current use of this property?
Ki? r 7F'e�
Phone
Will the site be served by a septic systertl Yes 0 No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the prop
0 Yes NO No
Are there slopes greater than 30% on the property?0 ft rise in 100 ft)
( _____,...-• %) O Yes No
Are critical or hazardous materials used or stored site?
0 Yes NP No
Address
Inspector
Phone
0 Concrete
0 Welding
O Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes NZ, No
Ifyes, identi 0n site plan
What is the current property size?
(square feet or acres) /4'Z.S_ O
Is any part of the property within 250 feet of a oreline?
Des, ident� on site plan 0 YesNo
What is the current use of this property?
Ki? r 7F'e�
Is your property in a designated wildlife habitat are?
0 Don't know 0 Yes `pl No
Will the site be served by a septic systertl Yes 0 No
Is any part of the property within a 100 yr flood plain?
Thies, identi on site plan \�.,
0 Maybe 0 Don't know 0 Yes `O No
Are or will there be wells located on the prop
Ifyes, ident on the site plan 0 Yes No
Are there any wetlands, streams or ponds wit 2000 feet of the property?
Ifyes, identifi on site plan O Yes No
Is there evidence of fill or excavation on the prop
0 Yes NO No
Are there slopes greater than 30% on the property?0 ft rise in 100 ft)
( _____,...-• %) O Yes No
Are critical or hazardous materials used or stored site?
0 Yes NP No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
OYes 0 N
Is public sewer available to the site? 0 Yes O No
Is the property inside the ASA?
0 Yes
DYes
O No
0 N
Is public water available to the site? 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:
SEPTIC/
DOSING -----____
TANK
4" DRYLINE —
SEWER
UTILITY EASEMENT
18./ 48' PPE'l;i-_,I,J,RE
DISTRIBUTION 8E6
EA'ST 75.85'
0 0 0
PROPOSED
3 BEDROOM
HOUSE
13.2'
SETBACK LINE
(
\03
0 10 20 40
SCALE: 1-= 20
UTILITY & DRAINAGE EASEMENT
EAST 84.25'
ZONE:
AE 0? . Mt4(9-/n
FRONT - 5miL,LKI
COMMENTS.
REVIEWED
rh ;4 1'tTr DW
D. . f nd c mast
repiesentation of the propc:sai, AH known prop rty
E rAntlfiefts;ons, curb knss, structures and ease entE
have been identifiod. Also indicated are wetla
bodies of wafe- s‘L.e.p Tops,:r Other criticara s.
Signed:
Date:_
Ld
z
z
m
0
1\lETRO ENGINEEPTNC4 IN
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3..y4
AriL , 1,Ad•
) 624-
094WH B
CHECK ED 9. JIL
0441: u4/
nJJECT
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