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2001, 05-21 Permit App: 01003825 ResidenceProject Number: 01003825 Inv: 1 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/21/01 Page 1 of 3 Project Information:aivaRgawawgnz"AVtfVtR<< Permit Use: RESIDENCE/ATTACHED GARAGE - FORCED AIR GAS Setbacks: Front 25 Left: 23 Right: 23 Rear: 20+ Site Information: Plat Key: 003426 Name: GREENACRES ESTATES Contact: DIAMOND ROCK CONSTRUCTION Address: 15315 E MISSION C - S - Z: VERADALE, WA 99037 Phone: (509) 924-8964 Group Name: Project Name: J District: G Parcel Number: 55073.0210 Block: 9 SiteAddress: 17614 E MONTGOMERY AVE SPOKANE, WA USA 00000 Location:: SPO Zoning: SR -1 Water District: Area: 13,530 Sq Ft Nbr of Bldgs: 1 Review Information: Suburban Residential 1 Lot: Owner: Name: NEIL, BRIAN & ETTA Address: 17614 E MONTGOMERY AVE SPOKANE, WA 99206 Hold: O Width: 110 Depth: 123 Right Of Way (ft): 60 Nbr of Dwellings: 1 Department BUILDING Hold Reasons: Permit Conditions: BUILDING Hold Reasons: Permit Conditions: Review Site Plan Review Plan Review HE THDISTRICT Septic System Review _ •' - Hold Reasons: Permit Conditions: ENGINEER Hold Reasons: Permit Conditions: Approach / Drainage vpu Permits: _ ._:)la3 i�,'_b`Pa?c.9Y <;R Released.. LReleased By: Project Number: 01003825 Inv: 1 Application Date: 5/21/01 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO Address: 15706 E VALLEYWAY AVE VERADALE, WA 99037 Building Characteristics Const Category: New Group: R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 14 Stories: 1 Bldg W x D: 64 x 50 Building Sq Ft: 1948 Sprinklers: Req Parking: 0 Handicap Parking: 0 Critical Materials: This Application: Total Project: Description Gra Type Notes Sq Ft Valuation So Ft Valuation GARAGE U-1 VN 420 $5,040.00 420 $5,040.00 RESIDENCE R-3 VN 1,948 $120,776.00 1,948 $120,776.00 Phone: (509) 891-6240 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor: DIAMOND ROCK Address: 15706 E VALLEYWAY AVE VERADALE, WA 99037 Item Description GAS WATER HEATER GAS APPLIANCE >100,000BTU GAS PIPING AIR CONDITIONER:4-15 TONS VENTILATING FANS Totals: 2,368 $125,816.00 2,368 $125,816.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Mechanical Permit Fee Amount $1,025.00 $4.50 $225.50 $1,255.00 Page 2 of 3 Firm: DIAMOND ROCK CONSTRUCTIO Phone: (509) 891-6240 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 2 # OF UNITS 1 NUMBER OF 4 NUMBER OF Permit Total Fees: Fee Amount $10.00 $15.00 $2.00 $20.00 $40.00 $87.00 Project Number: 01003825 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/21/01 Page 3 of 3 Plumbing Permit Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO Address: 15706 E VALLEYWAY AVE Phone: (509) 891-6240 VERADALE, WA 99037 Item Description TOILETSBIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS WATER USING DEVICES Payment Summary: Operator: RMB Permit Type Building Permit Mechanical Permit Plumbing Permit Notes: Units Unit Desc 2 NUMBER OF 4 NUMBER OF 2 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Permit Total Fees: Fee Amount $12.00 $24.00 $12.00 $12.00 $6.00 $6.00 $6.00 $6.00 $18.00 $102.00 Printed By: RMB Print Date: 5/21/01 Fee Amount Invoice Amount Amount Paid Amount Owing $1,255.00 $1,255.00 $0.00 $1,255.00 $87.00 $87.00 $0.00 $87.00 $102.00 $102.00 $0.00 $102.00 $1,444.00 $1,444.00 $0.00 $1,444.00 ii SPOKANE COUNTY PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIc SITE INFORMATION 17a/ ii\kcAkty.r.k Assessor's Tax Parcel Number(s): s- S o-7-3 3 02/p Vz/p Street Address: Q..V Legal Description: Project Description: O Building Permit O Change in Use O Grading O Manufactured Home Permit O Relocation O Sign O Tenant (New/Change) O Other OWNER/APPLICANT INFORMATION (� Indicate who should fie contacted r ardin this ro ed eK % P I ❑ Owner: �c+' / /�� Phone, ❑ Applicant: �1 ,� J J Phone, �2_4( V6� . 4^ . G g 1 `�U, 1 Fax T lt6i ).1,-,-), A t ` L. c„. 1 Fax: ti Zia ( J Mailing Address: Mailing Address: Ciry,State Zip /S 3 2 /—2,S/Uyt✓ �e v_ City, State, Zip 'Y / . {r WA— 5163 7 0 Contractor Phone 0 Architect/Engineer Phone Fax Fax Mailing address Mailing address City, Sntc Zip City, State Zip WA State Contractor licensed Contact name, PROJECT INFORMATION Building height w peak d of stories DAT g Diinen S O'y'/ Occupancy youp Total habitable space Construction type - 0111 Main floor sq. h. /9'(7'sf rd floor sq. h_ V risuLa t_5' 4ere_ Garage sq_ ft_ 41.2� Unfinished basement sq. h. Finished basement sq. h. Deck sq. h. Cost of project 1 Zs K Heat source (electric, gas, etc.) PROJECT INFORMATION Building height w peak d of stories DAT g Diinen S O'y'/ Occupancy youp Total habitable space Construction type - 0111 Main floor sq. h. /9'(7'sf rd floor sq. h_ V risuLa t_5' 4ere_ Garage sq_ ft_ 41.2� Unfinished basement sq. h. Finished basement sq. h. Deck sq. h. Cost of project 1 Zs K Heat source (electric, gas, etc.) Width: Year: Length: What is the square footage of the sign face? How high is the sign? Make_ K of signs Area of existing signs 0 Concrete 0 Welding 0 Bolting 0 Reinforcement ADDITIONAL Are there structures on the property? 0 Yes [7 No Ifyes, identify on site plan What is the current property size? (square feet or acres) %/O1 X 1 Z3.. Is any part of the property within 250 feet of a shoreeline? Ifyes, identify on site plan 0 Yes L -No What is the current use of this property? C� Is your property in a designated wildlife habitat area? 0 Don't know 0 Yes 171—N.---; Will the site be served by a septic system? B�Yes 0 No Is any part of the property within a 100 yr flood plain? If yes, identiy on site plan 0 Maybe 0 Don't know 0 Yes f -no Are or will there be wells located on the property? If yes, identib, on the site plan 0 Yes— Are there any wetlands, streams or ponds within 200 feet of the property? Ifyes, ident fy on site plan 0 Yes b No Is there evidence of fill or excavation on the property? 0 Yes 9-3do — Are there slopes greater than 30% on the property? (30 h rise in 100 ft) ( / %) 0 Yes 0 - No Are critical or hazardous materials used or stored on site? 0 Yes f9—No DEPARTMENT USE ONLY Due Received Staff Representative METHOD OF PAYMENT Ivy ❑ CASH ❑ CHECK ❑MIME❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: SUBTOTAL `.�..-• 0 Y nq ,ECtira ;ramp, 1 S s :t.{.�„h„-r Ft}SkEc >I*tE . xt-'45 31Y » Ct P Fi ADDRESS E.. )74, ZONE ROAD WIDTH (pp FRONT__? FLANKING COMMEN- REVIEWE 110( Th s beim a bm ; for he purpose of ohtair ',,' ,p p,;. rn an:, is a true and correct ropresen`ation of the proposal. All known property lines'd:r ensions. curb lines, structures and easements have bean identified Aiso indicated ; wetlands, bodie- ,;;r, supes es e other critical areas. Datn:—Z — 0 k.