HomeMy WebLinkAbout2003, 04-02 Permit App: 03002192 ResidenceProject Number: 03002192 Inv 7
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date 4/2/21103 Page 1 of 3
Project Inforntrttion:
Permit Use RESIDENCE W/GARAGE - GAS
Setbacks: Front 311 Left: 20 Right: 19 Rear: 49
Site Information:
Plat Key:
Nance:
Parcel Number: 55303.91176
Contact' SULLIVAN HOMES, INC
Address 311114 N SULLIVAN RD, STE A
C - S - Z: SPOKANE WA 99216
Phone: (509) 624-4598
Group Name:
Project Name:
District: G
Block. 1 lly Lot 7
SiteAddress. 17212 E MORNINGSIDE LN
GREENACRES, WA USA 9911
Location:: GRE
Zoning: UR -7 Urban Residential -7
\Vater District: 010 VERA
Owner: Name: SULLIVAN HOMES, INC
Address: 3004 N SULLIVAN RD, STE A
SPOKANE WA 99216
Hold: ❑
Arca: 15,438 Sq Ft Width: 90 Depth: 176 Right Of Way (ft): 28
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
I Released y:'
_ ^ n
7
Plan Review
Released ByJ' 7 91- -3- 0
Approach / Drainage
Released By:..
Sewer Revie'
Permits:
A)
tO
Operator JAS Printed By .IAS
Released By:.
Print Date: 4/2/2003
Project Number: 03002192 Inv: 7
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date. 4/2/2003 Page 2 of 3
Contractor: SULLIVAN HOMES INC
Address: 3004 N SULLIVAN RD, #A
SPOKANE WA 99216
Building Permit
Firm: SULLIVAN HOMES INC
Phone: (509) 624-4598
Building Characteristics
Const Category New Group:
Nbr Of Dwellings: Occupant Load:
Bldg W x D: x Building Sq Ft:
Req Parking: Handicap Parking:
Description Grp Dm Notes
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
Contractor: KELLER HEATING
Address: 7402 E 8TH AVE
SPOKANE, WA 99212
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
Type:
Building Height: Stories:
Sprinklers: ❑
Critical Materials: ❑
This Application: Total Project:
SU Ft Valuation Sii_Ft Valuation
1,968 $24,206.40 1,968 $24,206.40
160$1,25280 160 $1,252.80
825$9,900.011 825 $9,9
2,093 $138,138.00 2,093 $138,138.00
Totals: 5,046 $173,497.20 5,046 $173,497.20
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Units
1
1
3
4
1
1
Operator JAS Printed By: JAS
Fee Amount
$1,265.00
$4.50
$278.30
$1,547.80
Firm: KELLER HEATING
Phone: (509) 926-3551
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$3.00
$40.00
$10.00
$10.00
$10.00
$95.00
4/2/2003
Project Number' 03002192 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Dale: 4/2/2003 Page 3 of 3
Plumbing Permit
Contractor: ARTISTIC LANDSCAPING INC Firnr ARTISTIC LANDSCAPING INC
Address 18323 E BOW Phone- (509) 924-8850
GREENACRES WA 991116
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 3 NUMBER OF 518 00
SINKS 7 NUMBER OF $4200
SHOWERS 3 NUMBER OF 518.00
TUBS 3 NUMBER OF 518.00
DISH WASHERS 1 NUMBER OF 56.00
GARBAGE DISPOSAL I NUMBER OF 56.00
CLOTHES WASHER 1 NUMBER OF 56.00
FLOOR DRAINS 1 NUMBER OF 56 00
CROSS CONNECTION DEVICES 1 NUMBER OF 56.00
WATER USING DEVICES 3 NUMBER OF $18 00
Notes:
Payment Suntntnry:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Permit Total Fees: $144.00
Fee Amount Invoice Amount
$1,517.80
595.00
5144.00
$1,547.80
$95.00
$144 00
$1,786.80 $1,786.80
Amount Paid
$0,00
$0.00
$0.00
Amount Owing
$1,547.80
$95.00
$144.00
$0.00 $1.786.80
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds 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 haws or ordinances.
Signature:
Operator: JAS Printed By: ,IAS
Print Date' 4/2/2003
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, ICDA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: 17212 E Morningside Lane. Greenacres, Wa.
Assessor's Tax Parcel Number(s):
Legal Description: Lot 7 Block 1
Project Description: Residential Construction
\
El Building Permit
❑ Change in Use
O Grading
❑ Manufactured [-Tonne Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Othet
Department Use Only
\\'amt Diatnct/Punesor
Sewer Drsrnc /Pun cp,r
Road width
Setbacks
Fronr Bear
Left Right
School Distnct
Fire Distract,
Zoning
OWNER/APPLICANT INFORMATION
Q lmlrrute uha thou/I be oaIa e I to la inti Mt, fueled
❑ Oaner
Sullivan [-Iomes, Inc.
Phone:624-4598
Fax 624-463(1
❑ Applicant:
SANE
1'hone
Pre.
Mailing Address
3004 North Sull van Road, Suite A
Dimensions
65'-3 X 54'-11
Nailing Address
SANE
241 floor sq. ft
N/A
City, State, Zip
Spokane, WA 99216
Occupancy group
Soglc Fundy Residential Construction
City, State, Zap
SAME
Garage sg ft
825 S.F.
❑ Contractor Sullivan Homes, Inc
Phone SAME
Fax
ax
0 Architect/Engineer.
SAME
Phone
Fax
Mailing address SAME
Mailing address
Obi. State Zip SAME
City, Stam Zip
\l'A State Contractor license # SULLIH1042J1'
Contact name
DreF1yF®
PROTECT INFORMATION
he 7 8 2003
Building Information
Budding height to peak
# of stones
1
Mao floor sq. R
2,093 S.I1
Unfinished basement sy. ft.
1,978 S.F
Dimensions
65'-3 X 54'-11
Total habitable apace
4,061 5 F.
241 floor sq. ft
N/A
Finished basement sg ft.
N/A
Occupancy group
Soglc Fundy Residential Construction
Construction type
Double Wall Residential
Garage sg ft
825 S.F.
Deck sg ft
160 S I'
Cuss of prnlect
$232,9110.00
Beat source (clectnc, gas, etc )
GAS
DIIOWER,
Manufactured Home
Sign
Width:
Length:
What is the square footage of the sign
face?
How Iugh is the sign'
Year.
Blake:
# of signs
Area of e>sung signs
Are thele any wetlands, streams or ponds within 200Rfeet of the propel ty'
Ifyei. identify on ate plan 0 Yes No
Proposed use
Value
Are critical or ha?ardous matcuals used or stared on site?
�
0 Yes F=1 No
Relocation
Fire Safety
Pimm Name
Previous address
Phone
Fire Sprinkler
Tent
_
Pant booth Fire Alarm
Fireworks display
_
Are thele any wetlands, streams or ponds within 200Rfeet of the propel ty'
Ifyei. identify on ate plan 0 Yes No
Proposed use
Value
Are critical or ha?ardous matcuals used or stared on site?
�
0 Yes F=1 No
Special Inspections Required?
Non -Residential Energy Code Compliance?
Pimm Name
What is the current use of this property?
Residential
Phone
y
Will the site be served by a septic system? ❑ Yes ti No
Plans E'aminer
Phone
l nspecton
Is the property inside the PSSA?
Are thele any wetlands, streams or ponds within 200Rfeet of the propel ty'
Ifyei. identify on ate plan 0 Yes No
Is there evidence of fill or excavation on the property'
❑ yes q h7 No
Address
Are critical or ha?ardous matcuals used or stared on site?
�
0 Yes F=1 No
Inspector
Phone
❑ Concrete
❑ Welding
❑ Bolting
❑ Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? ❑ Yes 0 No
If yes, idem on site plan
What is the currant property size?
(square feet or acres) 15,438 S F.
Is any part of the property within 250 feet of a shoreline?
Yes F9 No
If yes, identify on site plan El Yes
What is the current use of this property?
Residential
Is your property in a designated wildlife habitat area?�
N1
0 Don't know 0 Yes No
y
Will the site be served by a septic system? ❑ Yes ti No
Is any part of the property within a 100 yr flood plain?
!hes, idem& on site planIfyes,
14i
0 Maybe 0 Don't know 0 Yes FNo
Are or will there be wells located on the property?
idents on the site plan 0 Yes No
Is the property inside the PSSA?
Are thele any wetlands, streams or ponds within 200Rfeet of the propel ty'
Ifyei. identify on ate plan 0 Yes No
Is there evidence of fill or excavation on the property'
❑ yes q h7 No
Arc thine slopes greater than 30°A on the property? (30 ft rise in 100 ft)
( / Ye) 0 Yes PI No
Are critical or ha?ardous matcuals used or stared on site?
�
0 Yes F=1 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwatcr Control Area?
0 Yes
El
No
Is public sewer available to the site% 0 Yes 0 No
Is the property inside the ASA?
0 Yes
0 Yes
0
0
No
No
Is pubhc 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
Dare Received
Staff Representative
METHOD OF PAYMENT
gni
VISA
❑ CASA ❑ CHECK ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE:
EXPIRES
BANKCARD NUMBER
AUTHORIZED SIGNATURE.
SUBTOTAL
TOTAL FEE
MINIMUM PRKtUT FEE b JEW PLEASE
hlAKI: CHECKS PAS.\PLP'I U SP'OR.\NI!
COUNTY I'EINl l 1' CISH i CR
HOME
www.sullivanhomes.com
1.509.624.4598
2 \
Address:
17212 E. Morningside Ln.
Location:
Morningside
Lot / Block: Lot 7 Block 1
'Date.
Plan
03/10/03
` Sheet Title
MCC
Ostheimer PLZf '
2 2 \