2001, 11-14 Permit App: 01010052 ResidenceProject Number: 01010052 Inv: 1
'Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
D
Project Information:
Page 1 of 3
Permit Use: RESIDENCE W/GARAGE - GAS Contact: J.T.S. DEVELOPMENT CORPORATION
Address: 4029 S TERRA VERDE
C - S - Z: VERADALE, WA 99037
Setbacks: Front 25 Left: 31. Right: 5 Rear: 15 Phone: (509) 939-7670
Group Name:
Site Information: Project Name:
Plat Key: 006124 Name: KEYSTONE MEADOWS District: F
Parcel Number: 45222.3605
Block: 1 Lot: 5
SiteAddress: 207 S MORROW LN
SPOKANE, WA USA 99216
Location:: SPO
Owner: Name: J.T.S. DEVELOPMENT CORPORA
Address: 4029 S TERRA VERDE
VERADALE, WA 99037
Zoning: UR -7 Urban Residential -7
Water District: 011 MODERN Hold: ❑
Area: 6,000 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 24
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Released By: / . — _X l / / Vila I
Approach / Drainage
Released By:
D/Ya$1/6
Sewer Review /& ) e....tructi
Released By:
(51-1 aos4) I
Permits:
Operator: JAS Printed By: JAS
rs
Print Date: 11/14/01
Project Number: 01010052
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/14/01 Page 2 of 3
Contractor: JTS DEVELOPMENT INC
Address: 4029 S TERRA VERDE DR Phone: (509) 927-3879
VERADALE, WA 99037
Building Characteristics
Group: R-3 Type: VN
Occupant Load: Building Height: 14
Building Sq Ft: 2016 Sprinklers: ❑
Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Tvpe Notes Sq Ft Valuation Sq Ft Valuation
VN 1,008 $11,652.48 1,008 $11,652.48
VN 462 $5,544.00 462 $5,544.00
VN 1,008 $62,496.00 1,008 $62,496.00
Building Permit
Firm: JTS DEV INC - JERRY STOLP
Const Category: New
Nbr Of Dwellings: 1
Bldg W x D: 60 x 28
Req Parking:
Description Grp
BASEMENT U R-3
GARAGE U-1
RESIDENCE R-3
Stories: 1
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: S & R HEATING
Address: 15501 N YALE RD
• MEAD, WA 99021
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
Totals: 2,478 $79,692.48 2,478 $79,692.48
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Fee Amount
$767.50
$4.50
$168.85
$940.85
Firm: S & R HEATING, INC
Phone: (509) 467-3960
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
2 # OF UNITS
2 NUMBER OF
1 NUMBER OF
Operator: JAS Printed By: JAS
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$2.00
$20.00
$10.00
$54.00
11/14/01
Project Number: 01010052 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/14/01
Contracto
Address:
S T PLUMBING CO INC
P.O. BOX 1817
AIRWAY HEIGHTS, WA 99011
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
CLOTHES WASHER
WATER USING DEVICES
Notes:
Plumbing Permit
Page 3 of 3
Firm: S T PLUMBING CO INC
Phone: (509) 244-5575
Units Unit Desc
2 NUMBER OF
1 NUMBER OF
3 NUMBER OF
2 NUMBER OF
1 NUMBER OF
I NUMBER OF
3 NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$6 00
$18.00
$12.00
$ 6.00
$ 6.00
$18.00
$78.00
Payment Summary:
Permit Type Fee Amount
Building Permit $940.85
Mechanical Permit $54.00
Plumbing Permit $78.00
Invoice Amount
$940.85
$54.00
$78.00
$1,072.85 $1,072.85
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$940.85
$54.00
$78.00
$0.00 $1,072.85
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 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: 11/14/01
SPOMNECoU?Cn
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address:
Assessor's Tax Parcel
L*1 s: McUc..)
Number(s):
1% -6QS
Legal Description:
k5 b, L. -v. 1
Project Description:
Z vim+ aestA
7 Building Permit
O Relocation
O Change in Use
O Grading
O Manufactured Home Permit
O Sign
O Tenant (New/Change)
O Other
�Departin�it��'
..,1b;IfnalHnveWe
OWNER/APPLICANT INFORMATION
21 Indimte wbo should be contacts r ardor this inert
0 Owner- Phone: M ;1'1010
�S Lai, I.o!Ma Fax, ` Ca. 0 0
R &
O Applicant,
P 1
Phone-
tax:
i
Mailing Address- q�6z9 s. �-; J �.SAVVZ..
:stalling Add:ess
sem. =i^
Building height to peak 1
R' i
City, stat ;Zip
JL4e, '4.M ' `i� a3�
City, State, Zip
.
Unfinished basement sq. h.
t ac)?
Dimensions
12 Go w 26
0 ContnoorI Phone
Fax
0 Architect/Engineer
`L
i%7 ip ,r
Phone
VIA
ax
Mailing address S i
Mailing address
Deck sq. ft.
Cost UIC1 rV
F 1 (
�
City, State zip
City, state Zip
WA State Contractor license 0
j 1S DIS if o'Z'1Lt
Contact name:
PRO JECT INFORMATION
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Building height to peak 1
R' i
N of stories
I
Main floor sq. ft
Idd
.
Unfinished basement sq. h.
t ac)?
Dimensions
12 Go w 26
Total habitable space
tell, Til
tad floor sq ft.
4._____.
Finished basement sq ft.
Occupancy group '
- -
Construction type
Garage sq. ft.
Deck sq. ft.
Cost UIC1 rV
F 1 (
�
Iem '
I source (electric, gas,etc.)
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anu{astureclIoine#rf
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Sl n, `. i
. per..
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year
Make:
M of signs
Area of existing signs
Fireworks display
Are there any wetlands, streams or ponds within 200 feet of the
property? 04.10
/
II -yes, identify on site plan O Yes 0 No -
Plans Examiner
Proposed use
u
dil
Gs�D - thns
D it Cd
���
_�
() • ir=l i 1'- s
Previous address
Is your property in a designated wildlife habitat area? /
0 Don't know 0 Yes No
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
Are there any wetlands, streams or ponds within 200 feet of the
property? 04.10
/
II -yes, identify on site plan O Yes 0 No -
Plans Examiner
Proposed use
Value
Are critical or hazardous materials used or stored on site?V
O Yes p-lslo`
u
dil
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D it Cd
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Is your property in a designated wildlife habitat area? /
0 Don't know 0 Yes No
very
v.::? iryy
Firm Name
Are or will there be wells located on the property?
lfyes, identify on the site plan O Yes No
Phone
Are there any wetlands, streams or ponds within 200 feet of the
property? 04.10
/
II -yes, identify on site plan O Yes 0 No -
Plans Examiner
Phone
Inspectors
Are critical or hazardous materials used or stored on site?V
O Yes p-lslo`
Address
Inspector
Phonc
0 Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
ADDI ZONAL S
Are there structures on the property? O Yes O Itit
If yes, identify on site plan
What is the current property size? / ,r.,(
(square feet or acres) �d (�'
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Is any part of the property within 250 feet of a sboreli e?
dyes, identify on site plan 0 Yes No
What is the current use of this property? /
/
Is your property in a designated wildlife habitat area? /
0 Don't know 0 Yes No
Will the site be served by a septic system? 0 Yes ft3" No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan� al/
O Maybe O Don't know O Yes Or No
Are or will there be wells located on the property?
lfyes, identify on the site plan O Yes No
Are there any wetlands, streams or ponds within 200 feet of the
property? 04.10
/
II -yes, identify on site plan O Yes 0 No -
Is there evidence of fill or excavation on the property_?? _
0 Yes L'7 No
•
Are there slopes greater than 30% on the property? (30/11 rise in 100 ft)
(_—%) 0 Yes t7No
Are critical or hazardous materials used or stored on site?V
O Yes p-lslo`
DEPARTMENT USE ONLY
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
❑ CASA ❑ CHECK. 0 = - ❑ ! ❑ =:
FAXED PERMITS WILL ONLY BE ACEPTTD WITFI PAYMENT OF A MAJOR CREDIT CARD
DIICoVE%
DA'IT:.
BANKCARD NUMBER.
EXPIRES:
A UTE IORIZ ED SIGNATURE:
SUBTOTAL
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This site pian being dd' nq permimitted t and is
repron9 a bu, of proposal. Al
n;allon o Imes. stru
rePteSe ensions,curb indica
— 15' DRAINAGanidenGfled.Alsop_so�
UTILITY EASEbot sTolwater tempi
5I5;•ed-
Date-.
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15' DRAINAGE AND
UTILITY EASEMENT
S
4 I
TYPE A DRYWELL
RIM EL=2004.50
28.;19
e
51.97 b
15' DRAIN. ANT)
U1ILITY Ei'SEMENT
100 00
15' DRAINAGE AND
UTILITY EASEMENT
THIS LOT SHALL HAVE A 10" CMP
EXTENDED UNDER ITS DRIVEWAY
TO CONVEY RUNOFF.
LOT 5 3LOCK
EYSTONE MEADOWS
NORTH
SCALE: 1" = 20'
EXPIRES. OCT. 9, 2000