2002, 07-05 Permit App: 02005567 ResidenceProject Number. 02005567 Inv 7
o •
Aitl i catl011
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Da
Page 1 of 3
Project Information:
Permit Use- NEW RESIDENCE W/ATTACHED GARAGE - GAS Contact: ALDERETE, MARTIN & RONDA
Address: 17510 MONTGOMERY AVE
C - S - Z: GREENACRES, WA 99016
Setbacks: Front 318 Left: 37 Right: 15 Rear- 100 Phone: (509) 924-2978
Group Name
Site Information: Project Name
Plat Key: 002044 Name: PLAT"A" GREENACRES IRR.DISTRICT District: G
Parcel Number: 55073.0209 Block.
SitcAddress: 175111 E MONTGOMERY AV
GREENACRES, WA 99016
Location. GRE
Zoning: UR -7
Water District.
Urban Residential -7
Lot
Owner: Name. ALDERETE. MARTIN & RONDA
Address 175111 MONTGOMERY AVE
GREENACRES, WA 99016
Hold. ❑
Arca: 1 Sy Ft Width 1111) Depth. 630 Right Of Wap (ft): 60
Nbr of Bldgs. 2 Nbr of Dwellings -
Revery information:
Review
Site Plan Review
[ Released
Plan Review
Released By
Elil
Sz
Septic System Review' �I ��) /�
Sew9y�9-system-desipm0
of o / 3�2'c /f /��irL t
Permits:
Operator DNID Printed By DMD
Rcle. sed B, 7 AR
Print Date: 7/5/2002
Project Number 02005567 Inv 1
App jication
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/5/2002 Page 2 of 3
Contractor OWNER
Const Category: New
Nbr Of Dwellings:
Bldg W x D. 48 x 55
Req Parking:
Building Permit
Firm: OWNER
Phone'
Building Characteristics
Group: R-3 Type: VN
Occupant Load: Building Height 20
Building Sq Ft: 3288 Sprinklers: ❑
Handicap Parking: Critical Materials:
DescriptionGrp Type Notes
BASEMENT F R-3 VN
BASEMENT U R-3 VN
DECK R-3 VN
GARAGE U-1 VN
RESIDENCE R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor OWNER
Item Description
GAS WATER HEATER
GAS PIPING
HEAT PUMP OR A/C 0-3 TONS
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
This Application:
So Ft Valuation
1,168 $19.575 68
500 $6,150.00
200 $1,56600
400 $4,800.00
L620 $106.920.00
Totals: 3,888 $139,011.68
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Finn: OWNER
Phone
Units Unit Dcsc
1 NUMBER OF
3 # OF UNITS
1 NUMBER OF
5 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: DMD Printed By: DMD
Permit Total Fees:
Print Date'
Stories: 1
Total Project:
Sq Ft Valuation
1,168 $19,57568
500 $6, 150.00
200 $1,566 00
400 $4,800.00
1,620 $106.920 00
3,888 $139.011.68
Fee Amount
$1,095 00
$4.50
$240.90
$1,340.40
Eec Amount
$10.01)
53.00
$12.00
$50.00
$10.00
$10.00.
$10.00
$10.00
$1 15.00
7/5/21)112
Project Number. 02005567
Inv: 1
r • '
Ap 1ication
Date: 7/5/2002
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor. OWNER
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER SOFTENER
WATER USING DEVICES
Notes: -
Payntent Sunman,: .
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Peewit
FirstOWNER
Phone.
Units Unit Desc
4 NUMBER OE
5 NUMBER OF
3 NUMBER OF
2 NUMBER OF
1 NUMBER OF
I NUMBER OF
I NI!M13Ek OF
I NUMBER OF
I NUMBER OF
2 NUMBER OF
Fee Amount
$1.341) 40
$1150(
$126 00
Permit Total Fees:
lin owe Amount
$1.340.40
$115.00
$126 00
Page 3 of 3
Fee Amount
$24.00
530.00
$18.00
$12.00
56.00
$6.00
$6.00
$6.00
5600
$12.00
Amount Paid
$0.00
$0.00
$0 00
$126.00
Amount Owing
$1,340.40
$115 00
$126.00
$1.581 40
51,581 40 $0.00
$1.581.40
Uisclainrer:
Submittal of this application certifies the on ser for person(%) authnriied by the owner) has both exatnined and finds the information
contained a ithin to be true and correct, and agrees that all provisions of lass s and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not he cons rued 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 lass s or ordinances.
Signatu re:
Operator' DM D Printed By. DMD Print Date: 7/5/201)2
Project Number: 01005995
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/23/2001 Page 1 of 3
Project Infortnation:
Permit Use: RESIDENCE/ATTACHED GARAGE - ELECTRIC
BASEBOARD
Setbacks: Front 318 Left 37 Right: 15 Rear: 100
Site Information:
Plat Key: 002044 Name:
css
-S - Z
Phone
Gro t1R Namc
Project
PLAT"A" GREENACRES IR [STRICT
ALDERETE, MARTIN & IWNDA
17510 MONTGOMERY AV
GREENACRES, WA 99016
(509) 924-2978
Parcel Number: 55073.0209 Block:
SiteAddress: 17510 E MONTGOMERY AVE
GREENACRES, WA
Location:: GRE
Zoning: SR -1
Water District:
Suburban Residential 1
Area: 1 Sy Ft
Nbr of Bldgs: 1 Nbr o
Review Information: .,..
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
HEALTHDISTRICT
Hold Reasons:
Permit Conditions:
Permits:
Review
Width: 109
Dwel lin\gs: 0
Site Plan Review
tre-
Lot:
District: G
Owner: Nance ALbE`RETE, MARTIN & RON
Address: 17510TGOERYAVE
GREENS,MWA 99016
Depth
Hold:
630 Right Of Way (ft): 60
Plan Review
Released By •.`
Septic System Review
—Sen'o W-rystma-dnni9Red
for 3 bedrooms only.
Released By:,,
Project Number: 01005995 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/23/2001 Page 2 of 3
Contractor: OWNER
Address. 0
000000,0[1 000000
Const Category: New
Nbr Of Dwellings: 1
Bldg W x D: 51 x 44 Building Sq Ft:
Req Parking 0 Handicap Parking:
Building Permit
Firm. OWNER
Phone: (000) 000-0000
Building Characteristics
Group: R-3 Type VN
Occupant Load: 0 Building Height: 20
3000 Sprinklers: ❑
11 Critical Materials: 0
Description GQr Type
BASEMENT F R-3 VN
BASEMENT U R-3 VN
DECK R-3 VN
GARAGE U -I VN
RESIDENCE R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Stories: 1
This Application: Total Project:
Notes Sq Ft Valuation Sq Ft Valuation
Nabri,000 $15,760.00 1,000 $15,760.00
$5,780.00 500 $5,780.00
200 $1,472.00 200 $1,472.00
400 $4,800.00 400 $4,800.00
620 1,500 $93,000.00 1,500 $93,000.00
Totals: 3,600 $120,812.00 3,600 $120,812.00
Units Unit Desc Fee Amount
1 YORBLANK $1,000.00
1 Y OR BLANK $4 50
1 Y OR BLANK $220.00
Contractor: OWNER
Address: 0
0110000, 00 000000
Item Description
GAS WATER HEATER
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
Permit Total Fees:
Mechanical Permit
Firm: OWNER
Phone: (000) 000-0000
Units
1
4
5
1
1
1
$1,224.50
Unit Desc
NUMBER OF
4 OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Fee Amount
$10.00
$4.00
$50.00
$10.00
$10.00
$10.00
Permit Total Fees: $94.00
I�I
1.1.1
tin
SPO COUNTY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 \VEST BROADWAY AVENUE
SPOKANE, \VA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address:
/7g /0 f,
/i%,ti/h0n2F�G
Assessors Tax Parcel Number(s): 5 ,) 3 /02.01 o2.o f
Legal Description:
/.L/E fQ sf /00 fee
t of 1-44 Goes f ilial -P a'C i lad / .o -f l'ie'f ' 14
Project Description:
tiefa h,� s,P wf sepf/e 5
57e
• 13uilding Permit
O Change in Use
O Grading
O Manufactured Home Permit
O Relocation
O Sign
O 'Tenant (New/Change)
O Other
Department Use Onl}'.
O Applicant
91 j j
Phone
as
\\'Aar l)ianct/Nun el or
.
. -
Sewer District/Pun elur, i - .
-
-'
thud width -
Setback.
Front. tii -
left. ._
Rcir'
.'"Right
School Drstricr:.
_
`,.
Fire Iixncc -.
_
Zoning -
OWNER/APPLICANT INFORMATION
hnimllr n lin ,boon be andaded neurit, 110, pmei
❑ 0„„„ ('hone ‘9^ jJ n O
%%%RRA/AJ S, L2/ pER!=/c Ira. / 7" 9 O
O Applicant
91 j j
Phone
as
Mailing Address
/7 5/o 1%p2%u / L
hinting Address'
Alain floor scl 6 / ZD
gp➢aox.
Gin State, zip
�oi2Er=n1 igefc5 thl- 99010
Cin, Smnw, zip
1)imensiuns
S/'— </`./e
❑ (iiinrac un Phone
CIIJAt)? //1,9v7 a fi eioga,
❑ Architect/I .nginccr
I'lirn¢
[as
mailing address
Mailing address
On State Yip
Cin • StateZip
e-
o A State Contractor Mena n,
�Rf \ i WS 06 i 3 6
cnntaai nainr
1)11k sq. in.
2o0
PROTECT INFORIIIATION
Building I"n formation
%
-
Building hmght to peak
fPPRoy - a o'
# of eb
4i 7
Alain floor scl 6 / ZD
gp➢aox.
Du iuuhul but mann ny 11.
/ COJ 111°`64
1)imensiuns
S/'— </`./e
Total habitable space
3- h.9
2nd floor sq ft.
2
Finished basement xl n.
( )ccupancr group
Consirurnim type
35',ck —dhCv.
e-
( ragu' I ft
4/0v T
1)11k sq. in.
2o0
Cit- of pit cc,_q1
o. (900
lean source (thanc, gas. etc.)
�c
c
Manufactured Home '
Sign
IXidth
length-
What is the square footage of the sign
lace?
I Inv high is the sign?
Year
Make
# of signs
Area of existing signs
Are there slopes greater than 30n/o on the property? (30 ft rise in 100 ft)
( _.------%) ❑ Yes ❑ No
Proposed use
Value
Relocation:.
Fire Safe
I.irm Name
Pre, usus address
Phone
hire Spnnkler
Tent
Paint booth hire Alarm
Fireworks displav
_
Are there slopes greater than 30n/o on the property? (30 ft rise in 100 ft)
( _.------%) ❑ Yes ❑ No
Proposed use
Value
Special,Inspections Required?,
Non -Residential Energy Code Cornplianee?-
I.irm Name
What is the current use of this property?
Phone
Will the site he served by a septic system? ❑ Yes ❑ No
flan. I:\amu cr
Phone
Inspectot..
Is there evidence of fill or excavation on the property?
❑ Yes ❑ No
Are there slopes greater than 30n/o on the property? (30 ft rise in 100 ft)
( _.------%) ❑ Yes ❑ No
Are critical or hazardous materials used or stored 00 site?
0 Yes 0 No
Address
I n.pwtnr
Phone
❑ Concrete
❑ Welding
❑ Bolting
❑ Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? ❑ \'es ❑ No
If per. irfentifj' on ole plan
\\''hat is the current property site?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
If Ives, identify on site plan ❑ \es ❑ No
What is the current use of this property?
Is your property m a designated \vtldhfe habitat area?
❑ Don't know ❑ Yes ❑ No
Will the site he served by a septic system? ❑ Yes ❑ No
Is any part of the property within a 100 yr flood plain?
Ifper, uknlj' on sr/Pp/an
❑ Maybe ❑ Don't know ❑ Yes ❑ No
Are or will there he wells Incased on the pnspeuy?
Ifu'er, ideutrfl' on the site phm ❑ Ycs ❑ No
Are there any wetlands, streams or ponds within 200 feet of the property?
If pet, den Ili on site plan ❑ Yes ❑ No
Is there evidence of fill or excavation on the property?
❑ Yes ❑ No
Are there slopes greater than 30n/o on the property? (30 ft rise in 100 ft)
( _.------%) ❑ Yes ❑ No
Are critical or hazardous materials used or stored 00 site?
0 Yes 0 No
DEPARTMENT USE ONLY
Is the property m a designated Stonnwater Control Area?
. '❑Yes
0 N
Is public sewer available to the site? 0 Yes ❑' No `_ ' ".
-
Is the property inside the ASA?
'
0 Yes
- ❑Yes
0 No '
0 No
Is public water available to the site? 0 \'es_ 0 -No- '
Is the property inside the PSS:\)
0 \'es
0 No
Is the property located within 1000 feet of a Natural Resource Area?
❑ Yes ❑ No .
Dale Resent.
Star Ilepicsa
ME'rI IOD OF PAYMENT
❑ (::\SII ❑ CI IP:(:KEl
O
FAXED PERMITS WILL ONLY BEACEYIF:'cat I PAYMENT OFA MAIOR CREDIT CARL)
DUCOVER-oral: eta ,
O.\'I'I-: C_ - .-- -
BAN K(:.\RU NU\IBI-li
\ UTI I(HtIZN.D SIGN.\ I URI•:
This document—originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN G52014-030.
SUBTOTAL
' TOTAL FEE
MINIMUM PERMIT 171E LS SJ5 LGPLE'Sr'
' MAKE CHECKS I'. V'III.C10 :WOK \NE
CUCNI\ Plill\il r CL\I P.It'
N ;CCAlots Cott
2551 1ini
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Lia -ter \,
(i P uiet
A
cu ja o a om=3co 0- -
rlikl Van?:
d ry, D- O. N J_ ,n.
Err
318/3)
T� bE ',tap
313'
L1051 440' 1-113`
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v
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60+