2001, 09-04 Permit App: 01007496 ResidenceProject Number: 01007496 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/4/2001 Page 1 of 3
Project Information:
.::::..................................................................
Permit Use: RESIDENCE/ATTACHED GARAGE - FORCED
AIR GAS
Setbacks: Front 31 Left: 28 Right: 23 Rear: 70
Site Information:
Contact: SULLIVAN HOMES
Address: 3004 N SULLIVAN, #A
C - S - Z: SPOKANE WA 99216
Phone: (509) 624-4598
Group Name:
Project Name:
Plat Key: 005490 Name: MORNINGSIDE PUD PHASE I District: F
Parcel Number: 45251.1010 Block: 2
SiteAddress: 16910 E MORNINGSIDE LN
VERADALE, WA USA 99037
Location:: VER
Zoning: SR -1
Water District
Area: 18,915 Sq Ft
Nbr of Bldgs: 1
Suburban Residential 1
Width: 111
Nbr of Dwellings: 1
Lot: 10
Owner: Name: SULLIVAN HOMES, INC
Address: 3004 N SULLIVAN RD STE A
SPOKANE, WA 99216
Hold: ❑
Depth: 148 Right Of Way (ft): 35
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
ENGINEER
Hold Reasons:
Permit Conditions:
UTILITIES
Holy :N .ns: c::1 7(-1.q
Permits nditions: 6 F G fc t /21 S,M)EIL
Review
Site Plan Review
Plan Review
Approach / Drainage
Project Number: 01007496 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/4/2001 Page 2 of 3
Contractor: SULLIVAN HOMES INC
Address: 3004 N SULLIVAN RD, #A
SPOKANE WA 99216
Const Category: New
Nbr Of Dwellings:
Bldg W x D: 57 x
Req Parking:
Building
1 Occupant Loa
46 Building Sq
0 Handicap Parkin
Building Permit
Firm: SULLIVAN HOMES INC
Phone: (509) 624-4598
Characteristics
Group: R-3 Type: VN
d: 0 Building Height: 25
Ft: 2276 Sprinlders:
g: 0 Critical Materials: El
Description Grp Ins
2ND FLOOR R-3 VN
BASEMENT U R-3 VN
GARAGE U-1 VN
RESIDENCE R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes
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
This Application:
Sq Ft Valuation
712 $44,144.00
732 $8,461.92
796 $9,552.00
1,564 $96,968.00
Totals: 3,804 $159,125.92
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Units
1
1
3
6
1
1
Stories: 2
Total Project:
Sq Ft Valuation
712 $44,144.00
732 $8,461.92
796 $9,552.00
1,564 $96,968.00
3,804 $159,125.92
Fee Amount
$1,195.00
$4.50
$262.90
$1,462.40
Firm: KELLER HEATING
Phone: (509) 926-3551
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
)Permit Total Fees:
Fee Amount
$10.00
$12.00
$3.00
$60.00
$10.00
$10.00
$105.00
Project Number: 01007496 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/4/2001 Page 3 of 3
Contractor: S T PLUMBING CO INC
Address: P.O. BOX 1817
AIRWAY HEIGHTS, WA 99011
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
CROSS CONNECTION DEVICES
WATER USING DEVICES
Payment Summary: arv: <::«:;
Operator: RMB
Plumbing Permit
Units
4
5
3
3
1
1
1
1
1
3
Finn: S T PLUMBING CO INC
Phone: (509) 244-5575
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Fee Amount
$24.00
$30.00
$18.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
Permit Total Fees: $138.00
Printed By: RMB Print Date: 9/4/2001 y
Permit Type Fee Amount Invoice Amount
Building Permit $1,462.39 $1,462.39
Mechanical Permit $105.00 $105.00
Plumbing Permit $138.00 $138.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,462.39
$105.00
$138.00
$1,705.39 $1,705.39 $0.00 $1,705.39
WATER APPROVED. FIRE DISTRICT 1 APPROVED FIRE DISTRICT 8
APPROVED OK TO ISSUE SEWER PERMITS PR BILLY 1/1/9/95 CKF
AtR;rlik
-
SPOKw COUI\UY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPEQFIC SITE INFORMATION
Street Address: 16910 East Morningside, Spokane County
Assessor's Tax Parcel Number(s): 45251.1010
Legal Description: Lot 10, BLK 2, Morningside, Phase 1
Project Description:
Single family home
. Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
Phone: 624-4598
Fax: 624-4630
Water District/Purveyor.
Sewer District/Purveyor
Road width
C
Setbacks
Z� �......
Left:
Rear:
Right
School District
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
rale wh-, should he cnvuactai n xrding this Vizi t er
❑ Owner. Sullivan Homes, Inc.
Phone: 624-4598
Fax: 624-4630
✓ Applicant:
SAME
Phone:
Fax:
Mailing Address:
3004 North Sullivan Road, Suite A
Dimensions
57'x46'
Mailing Address: SAME
2"d floor sq. ft.: 712 s.f.
Qty, State, Zip
Spokane, WA 99216
Occupancy group: Single family
Qty, State, Zip SAME
Garage sq. ft.: 796 s.f.
❑ Contractor Sullivan Homes, Inc.
Phone
624-4598
Fax
❑ Architect/Engineer SAME
Phone
Fax
Mailing address SAME
Mailing address
City, State Zip SAME
Qty, State Zip
WA State Contractor license 4 SULLIHI042JT
Contact name:
PROJECT INFORMATION
Building Information'
Building height to peak
25'6"
# of stories: 2
Main floor sq. ft.: 1,564 s.f.
Unfinished basement sq. ft. 732 s.f.
Dimensions
57'x46'
Total habitable space : 2,276 s.f.
2"d floor sq. ft.: 712 s.f.
Finished basement sq. ft.: NA
Occupancy group: Single family
Construction type: wood frame
Garage sq. ft.: 796 s.f.
Deck sq. ft.: NA
Cost of project: $149,000
Heat source (electric, gas, etc.): gas
Manufactured Home
Sign
Width: NA
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs
Area of existing signs
Fireworks display
Are critical or hazardous materials used or stored on site?
O Yes /No
Address
Proposed use
Relocation
Fire Safety
Firm Name
NO
What is the current use of this property? Developed
Previous address: NA
Will the site be served by a septic system? O Yes ✓No
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
Are critical or hazardous materials used or stored on site?
O Yes /No
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
NO
What is the current use of this property? Developed
Phone
Will the site be served by a septic system? O Yes ✓No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
O Yes /No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( / %) O Yes /No
Are critical or hazardous materials used or stored on site?
O Yes /No
Address
Inspector
Phone
O Concrete
O Welding
O Bolting
0 Reinforcement
Address
INFORMATION
Are there structures on the property? O Yes ✓ No
If yes, ident[ on site plan
What is the current property size?
(square feet or acres) 19,828 S.F.
Is any part of the property within 250 feet of a shoreline?
If yes, identi i on site plan O Yes /No
What is the current use of this property? Developed
Is your property in a designated wildlife habitat area?
O Don't know O Yes /No
Will the site be served by a septic system? O Yes ✓No
Is any part of the property within a 100 yr flood plain?
Ifyes, identi on site plan
O Maybe O Don't know O Yes /No
Are or will there be wells located on the property?
Ifyes, identifil on the site plan O Yes ✓No
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, identi on site plan O Yes ✓ No
Is there evidence of fill or excavation on the property?
O Yes /No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( / %) O Yes /No
Are critical or hazardous materials used or stored on site?
O Yes /No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
OYes
0 N
Is public sewer available to the site? O Yes O No
Is the property inside the ASA?
O Yes
O Yes
O No
O No
Is public water available to the site? O Yes O No
Is the property inside the PSSA?
0 Yes
0 No
Is the property located within 1000 feet of a Natural Resource Area?
O Yes 0 No
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
❑ CASH ❑ CHECK ❑NM= 0
0
'010V
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE:
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT FEE IS $35.ADPLEASE
MAKE CHECKS PAYABLE TO SPOKANE
COUNTY PERMIT CENTER
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