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2002, 05-08 Permit App: 02003478 RemodelProject Number. 02003478 Inv l , Application Dale 5/8/2002 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: REMODEL 2 BATHROOMS IN RESIDENCE Contact: R R MERRILL CONSTRUCTION Address: 12922 E SEMRO AVE C - S - Z: SPOKANE, WA 99216 Setbacks From Left: Right. Rear Phone: (509) 924-5026 Group Name: Project Name: Site Information: Plat Ker 1102646 Name: TIMBERLANE ADD District - Parcel Number: 45253.114112 Block: Lot- SitcAddress: 2811 S NEEDIIAM DR VERADALE, WA 991137 Location . VER Zoning: UR -3.5 Water District: Urban Residential 3.5 Owner: Name: HASKINS, MARK Address: 2811 S NEEDIIAMI DR VERADALE, WA 991)37 Hold: ❑ Arca. 17,11110 Sq Ft Width: 154 Depth: 110 Right Of Way (ft) 11 Nbr of Bldgs' 11 Nbr of Dwellings: 11 Review Information: Review Plan Review Permits: Released By:. Operator: RMB Printed By RMB Print Date: 5/8/2002 Protect Number. 02003478 Inv: 1 Application Date: 5/8/201)2 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: R R MERRILL CONSTRUCTION Firm: RANDY / R R MERRILL CONST C Address' 12922 E SEMRO AVE SPOKANE, WA 99216 Phone: (509) 924-5026 Bu lifting Characteristics Const Category: Remodel Group: R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: Stories: Bldg W x D' x Building Sq Ft: Sprinklers. ❑ Req Parking: Handicap Parking. Critical Materials: ❑ This Application: Total Project: DescriptionGrlr Tcpe Notes S4 Ft Valuation Sti Ft Valuation RESIDENCE R-3 VN REMODEL 0 $12.000.00 0 $12.00000 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Toads: 0 512,000.00 0 512000.00 Units Unit Dcsc I Y OR BLANK I Y OR BLANK 1 Y OR BLANK Fee Amount 518800 54 50 $41.36 Permit Total Fees: 5233 86 Mechurrical Permit Contractor R R NIERRILL CONSTRUCTION Firm. RANDY / R R MERRILL CONST C Address: 12922 E SEMRO AVE Phone: (509) 924-51126 SPOKANE, WA 99216 Item Description VENTILATING FANS MINIMUM FEE ADJUSTMENT Units Unit Desc Fee Amount 2 NUMBER OF 520.00 1 Select $15.00 Permit Total Fees: 535.00 Plumbing, Permit Contractor: R R MERRILL CONSTRUCTION Firm: RANDY / R R MERRILL CONST C Address: 12922 E SEMRO AVE Phone: (509) 924-5026 SPOKANE, WA 99216 Item Description Units Unit Dcsc Fee Amount TOILETS/BIDETS 2 NUMBER OF 512 00 SINKS 4 NUMBER OF 524 00 SHOWERS I NUMBER OF 56 00 TUBS 1 NUMBER OF 56.00 Operator: RMB Printed By: RNIB Permit Total Fees: 548 00 Print Dale' 5/8/2002 Project Number: 02003478 Inv /Application Date: 5/8/21)02 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: Payment ,Suntonary: Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount Invoice Amount $233.86 $35.00 $48.00 $233 86 $35.011 $48 (10 $316.86 $316.86 Amount Paid $11.(10 $0.00 $0.00 Amount Owing $233 86 $35.00 $48.00 $0 00 $316.86 Page 3 of 3 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 he true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will he complied with. Subsequent issa ince of a permit shall not he can trued to be a permit for, or an approval of, anv violation of anv of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator. RM B Printed By: RMB Print Date: 5/8/2111)2 IA1 SPokARE COUNTY PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST I3ROADWAY AVENUE SPOKANE, \\'A 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: 2 Q // 4S- 0.-90-42. O m Assessor's Tax I'arcel Number(s): Legal Description: Project Descriptiot fxert 6 woo„&. CRevrro Dec_ O Building Permit O Change in Use O Grading O \ lanufacturcd Home Permit O Relocation • Sign O Tenant (New/Change) O Other De attrnerit Use:Qh1 ❑ Applicant: Phone: 993 d7... p e8 ? g MPLK 2 I [ L Fa. qz4 .502G Mailing Addy.., C(2-gSlf. 5 (Otto i{c rt Mailing Atkin., t 7-0 2 zr. Se„-,R.o AOC Uuncouons Cin, Siaii, h p Spp47 e c 9 9go37 \Vater D,vnct/Pwuynr . 'Sets District/Pit". >I r `�-. nginrr Road width ..,•y:: .. • ".y;P, ,timbayk>` .Ihom Lefto Rear . . Right School District _ ' - ' Fire District. -. Cit Sure Gip ' Zonnig . - Contact na,n. OWNER/APPLICANT INFORMATION El Indicate who should be .on/mlyd rrpaim r Mir proied ❑ Cather 1 Phone: M4ek PIAN& e't rat ❑ Applicant: Phone: 993 d7... p e8 ? g MPLK 2 I [ L Fa. qz4 .502G Mailing Addy.., C(2-gSlf. 5 (Otto i{c rt Mailing Atkin., t 7-0 2 zr. Se„-,R.o AOC Uuncouons Cin, Siaii, h p Spp47 e c 9 9go37 Gni, State, Zip o�c42aa.. Ce 4_ , / Occupancy group ❑�'i,n� i,nj, un •-KPhonyV »�`oArchict/I VMPte C., 9w�nAbra. nginrr Phony raw Cost of protect Mailing address O I2Q%sz --,r.,n.o II I/tttj444((())�000,.. Mailing addru,s r' 4.a. Zip ''4.427„_ cepa 99 ei (,.- Cit Sure Gip \\:\ nate Cnnvauor hnmc a Contact na,n. PRO IECT INFORMATION • Building Information ”: ' ; Building height to peak # of atones Alain floor sq. It. LIn6mahed basurmnt sq. ft Uuncouons I'i u:d habitable space 2^n floor sy h. Finished basement sq it Occupancy group Construction npc Garage <q 0. Ucek sq 0 Cost of protect 1 feat source (electric. gas etc) D7anufatured' Home \CSdth- Length *hat is the square footage of the sign face? 'v # of signs ` I lore high is the sigm> Arca of existing signs year. Maki. Fireworks display _ man. I N.rmmur Proposed use Relocation`, - Fire Safe = Previous address Is the property inside the ASA? 0 Yes - ❑Yes Fire Sprinkler "!'Ent Paint booth Fire Alain Fireworks display _ man. I N.rmmur Proposed use Value Staff Rt pre.mint Is there evidence of fill or excavation pi -Lille property? 0 Yes 0 No Special Inspections Required? • 0 "Kori=Residential Enel=gjCode'Compliance?.> Firm Name Is the property inside the ASA? 0 Yes - ❑Yes \Cnlaat is the current use of this property? Is your property in a designated wildlife habitat arca? 0 Don't know ❑ Yes ❑ No Phone Will the site be served by a septic system? 0 Yes 0 No Is any part of the property within a 100 yr flood plain) if yes, /dent:' on site plan . 0 Maybe 0 Don't know 0 Yes 0 No man. I N.rmmur Phone Inspectors Staff Rt pre.mint Is there evidence of fill or excavation pi -Lille property? 0 Yes 0 No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( /%) 0 Yes 0 No • - Are critical or hazardous mhterials used or stored on site? i 0 Yes 0 No Addre\s Inspector Phone ❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Addms, ADDITIONAL SITE INFORMATION Are there structures on the property? ❑ Yes ❑ No If yes, adentrh' an site plan • 0 \Vhat is the current property sire? (square fact or acres) Is any part of rhe property within 250 feet of a shoreline? Iffes. idents on sitep/an 0 Yes 0 No Is the property inside the ASA? 0 Yes - ❑Yes \Cnlaat is the current use of this property? Is your property in a designated wildlife habitat arca? 0 Don't know ❑ Yes ❑ No Is public water available to the sae? 0 Yes 0 No ' . . . Will the site be served by a septic system? 0 Yes 0 No Is any part of the property within a 100 yr flood plain) if yes, /dent:' on site plan . 0 Maybe 0 Don't know 0 Yes 0 No -' Are or will there be wells located un the propery? lives, tdennf, an the nae plan . 0 yes ❑ No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, idennfp on site p/nn 0 Yes 0 No Staff Rt pre.mint Is there evidence of fill or excavation pi -Lille property? 0 Yes 0 No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( /%) 0 Yes 0 No • - Are critical or hazardous mhterials used or stored on site? i 0 Yes 0 No DEPARTMENT USE ONLY Is the property in a designated Stonnwatcr Control Arca? 0 Yes • 0 No Is public sewer available to the site? 0 Yes • 0 No " . - : - Is the property inside the ASA? 0 Yes - ❑Yes 0 0 No No Is public water available to the sae? 0 Yes 0 No ' . . . Is theproperty inside the PSSA? 0 Ycs '- 0 No .- Is the property located within 1000 fent of a Natural Resource Arca? • - 0 1'cs, 0 No Date Rea:ned Staff Rt pre.mint METHOD OF PAYMENT VISA ❑ C:\SII ❑ CIIP.CI. ❑ ' ❑ DROVER aa<ar FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD I (SPI ItFS: BAN RC.\RD NUMBlilt. :\UTI I(llil%1'.D SIU NA'I'UR1( SUH'I(YI'AI. ' TOTAL FEE AM/NMfUM PEEWIT FEELS S35.001)IL\4! NI NEE. CI1 ELKS PAYABLE '10 SPOKANE CUCCT PERdn 1' CF_'CI rR