2002, 11-07 Permit App: 02009467 ResidenceProject Number' 02009-167 Inv . 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information: _
Permit Use RESIDENCE/ATTACHED GARAGE - FORCED Contact: TILTON CONSTRUCTION
AIR GAS Address: PO BOX 515
C - S - Z: OTIS ORCHARDS, WA 99027
Setbacks. Front 37 Left: 20 Right: 12 Rear 37 Phone: (509) 928-2640
Dat
Site Information:
PIaI Key 002375 Name: SI'S SUB
Group Nantc'
Project Nantc:
District: F
Parcel Number: 45234.3308 Block: 2
SitcAddress: 1227 S NEWER RD
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -3.5
Nater Distract.
Area 11,700 Sq Ft
Urban Residential 3.5
Lot: 8
Owner: Name TILTON CONSTRUCTION
Address. PO BOX 515
OTIS ORCHARDS, WA 99027
Hold: ❑
Width : 90 Depth: 130 Right Of Way (ft): 60
Nbr or Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Page 1 of 4
Review
Site P Review
\-ce WL.rall1/4.--
Released Bs
Calf -4-
•
Originally Released: 10/30/2002 By: RBurris
Released
Approach / Drainage
Released Ba:'
a2 0-14-1/45413
Originally Released
Sewer 12s1iCNV
De UTI b ITle5 AoV fK
Permits: - .
10/24/2002 By: :troth
Operator. RMB Printed By: RMB
Pnnl Date. 11/7/2002
Project Number: 02009467 Inv: 1
Application
Date: 11/7/2002 Page 2 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Contractor UNKNOWN Firm: UNKNOWN
Address: UNKNOWN Phone: (000) 000-0000
UNKNOWN, WA UNKNOWN
Item Description
APPROACH PERMIT
APPROACH INSPECTION
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Contractor: TILTON CONST/EXCAVATION
Fee Amount
$10 00
$20.00
Permit Total Fees: $30.00
Building Permit
Firm: TILTON CONST/EXCAVATION
Address: 22415 E DALKE AVE Phone: (509) 928-2641)
OTIS ORCHARDS, WA 991)27
Building Characteristics
Const Category: New Group Type.
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: E
Req Parking. Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Tree Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 1,371 $16,863.30 1,371 $16,863.30
DECK R-3 VN 84 $657.72 84 $657.72
GARAGE U -t VN 676 $8,112.00 676 $8.112.00
RESIDENCE R-3 VN 1,391 $91,806.00 1,391 $91,806.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 3.522 $117,439.02 3,522 $117,43902
Units Unit Desc
I Y OR BLANK
I Y OR BLANK
1 Y OR BLANK
Operator: RM B Printed By: RM B
Fee Amount
$985.00
$4.50
$216.70
Permit Total Fees: $1,206.20
Print Date: 11/7/2002
Project Number: 02009467 Inv /
Application
Date. 11/7/201)2 Page 3 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Meelunical Permit
Contractor TILTON CONST/EXCAVATION Firm. TILTON CONST/EXCAVATION
Address' 22415 E DALKE AVE Phone. (509) 928-2641)
OTIS ORCHARDS, WA 99027
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,00OBTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
Units Unit Desc
I NUMBER OF
1 NUMBER OF
5 #OF UNITS
5 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$12.011
$5.00
$50.00
$1000
$1000
$97 00
Contractor: TILTON CONST/EXCAVATION Firm' TILTON CONST/EXCAVATION
Address' 22415 E DALKE AVE
OTIS ORCHARDS, WA 991127
Phone: (5119) 928-26411
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 3 NUMBER OF $18.00
SINKS 5 NUMBER OF $30.00
SHOWERS I NUMBER OF $6.00
TUBS 2 NUMBER OF $12.001
DISH WASHERS I NUMBER OF $6 00
GARBAGE DISPOSAL I NUMBER OF 56 00
CLOTHES WASHER I NUMBER OF $6.00
FLOOR DRAINS I NUMBER OF $6.00
WATER USING DEVICES 3 NUMBER OF 518.00
Operator RMB Printed Bc: RMB
Permit Total Fees: $108.00
Print Date 11/7/211112
Project Number: 02009467
Notes:
Inv: 1
Application •
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Dale: 11/7/2002 Page 4 of 4
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fcc Amount
$30.00
$1,206.20
$97.00
$108.00
Invoice Amount
$30.00
$1,206.20
$97.00
$108.00
$1,441.20 $1.441.20
Amount Paid
$0.00
$0.00
$0.00
$0 00
Amount Owi ng
$30.00
$1.206.20
$97.00
$108.00
$0.00 $1,441.20
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 hype of work will he
complied with. Subsequent issuance of a permit shall not he construed to he a permit for, or an approval of, anv violation of any of the
provisions of the code or of anv other state or local laws or ordinances.
Signature:
Operator. RMB Printed By' RMB
Print Datc• 11/7/2002
l�l
Y_ X68_
SroM COUNTY
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 Number(s): 4 s as 4 . 3 306
Legal Description: LoT e l dus 04.
51 13 SLtbcl ivts to -n
Project Description: rut.o C..s tsYUSkt
1Z Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
0 Relocation
O Sign
O Tenant (New/Change)
O Other
..„
ca.' i{;{.e - - ='P
1,De artmerit�UsetOn'
.(p '':?;'. .":: '.,:',`.. - _ 'y'.r : - .n'if. -__ -Ld
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'�4:'.` - Aear .sII
:yf,�➢tom tY .,.0 .xs
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School.Dinncc: v -
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OWNER/APPLICANT INFORMATION
lndrrate who should be contacted lerardine [Fu nrniect
15;t0soner 4 -S -FP C
q) .01.) !E�-f Tit_Th tai
Phone: q all -D-10110
Fax: ia-4-cl'A%le
0 Applicant. -
3�EIZ-t TIt_yIDtJ
°-., a..''':�v>47"";
Pho: (�37O-1000
Fax: -4ci-I- -I-7b
kidding Address:
Po Box 515
Building height to peak
Mailing Address -
Po 6ok. 515
Main floor sq ft
t 39 I
Unfinished basement sq. ft.
)1B9-1
City, State, Zip
O-tt5 012(44R12-03 > Wa.
Total habitable space
City, State, Zip
O-rts ors-RAg-os:
W&.
9Qoa-)
0 Contractor
-r, izt ot.. COKSCVtu c�tb}
Phone 3-10 -8-000/1V-0144
'c1Jl al lb 4
O Architect/Engineer
Cost of pruject -
Phone
Fax
Mailing address
PO 6olc 51S
Marling address
City, State Zip
Ott O Ztb4rkr-0s, wa .
City, State Zip
WA State Contractor license/
Tl Li- bC-Eo (en IoOr-
Contact name:
PRO IECT INFORMATION
>. ..Y! .-st
!' e-;.. "�?s:.';.T.-__•'_sr{fw::.AJ:�':..:.,. Y.ir.....rz
''.7 .71-3.Z?
:UUIYnormatio
°-., a..''':�v>47"";
...:eSa...........„-._..x)`
Building height to peak
b of stories
. 1
Main floor sq ft
t 39 I
Unfinished basement sq. ft.
)1B9-1
Dimensions
58'•k516' '
Total habitable space
rd floor sq. h.
MA,
Finished basement sq. ft.
hoft2.
Occupancy group
Construction type
.-2RtJc.HE12-
Garage sq ft.
6 -1(P
Deck sq. k
Ali. I ,..1- 66 I
Cost of pruject -
Heat source (electric, gas, etc.)
C}NA
GrnrxfactukredH;4mif=:
:.r
Signs-- -i .4 > s:
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
N of signs
Area of existing signs
Are critical or hazardous materials used or stored on site?
0 Yes At No
Proposed use
Value
w� e.F.,`.. ''�rFf"`x`fi? -ras;'.:-?3'=3� -mss-n: "-i
Relocation,
Vit, z ;s?y t s.. ,�
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dx+.i:.. 'at. c^�w �'c`L:°"v t:.' -fail"
i'. .r:.�
Blre"Safe:...:;.
4'=:5 , fi �:
-r ;3x
Previous address
Phone
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
_
Are critical or hazardous materials used or stored on site?
0 Yes At No
Proposed use
Value
ti-"" #' -^-ri5-.-"1;-'X'_::'sfp + ' iP,t.✓:res.
. S ec>_algIns ectlons Re uired a F <'
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n n
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"3^ `-?KS.s-", A.a£ 5t:"Y .?-^"..e;
ifiNon=Resrdentral Ener Code om `liai se?
.,s nt: t. ,., - _� •-m P- ..
'x'fi?•.:::-`3:yi:>ri:,':'�ti=?F.5+1..i�"�^..3:1'lc�iidw ..?:w�t'it�el'•i#fi.:n ,l tav:'�'.��i�h�+t?k�
Firm Name
What is the current use of this property?
Va-co_nf lot
Phone
Will the site be served by a septic system? 0 Yes $ No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
0 Yes A No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(_ - %) 0 Yes $. No
Are critical or hazardous materials used or stored on site?
0 Yes At No
Address
Inspector
Phone
O Concrete
O Welding
0 Bolting
0 Reinforcement
Address •
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes ?c No
Ifyes, identify on site plan
What is the current property size?
(square feet or acres) 11 i 7 OO G1-• -
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan O Yes % No
What is the current use of this property?
Va-co_nf lot
Is your property in a designated wildlife habitat area?
0 Don't know O Yes\PRI No
Will the site be served by a septic system? 0 Yes $ No
Is any part of the property within a 100 yr flood plain?
If yes, idents on site plan
0 Maybe O Don't know 0 Yes 'a No
Are or will there be wells located on the property?
If yes, identi on the site plan O Yes %No
Are there any wetlands, streams or ponds within 200 feet of the
property?
Ifyes, identify on site plan O Yes 17C No
Is there evidence of fill or excavation on the property?
0 Yes A No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(_ - %) 0 Yes $. No
Are critical or hazardous materials used or stored on site?
0 Yes At No
DEPARTMENT USE ONLY
aIi ciie=peopert}:'ih"a des na[edStoimwarye Goniitil•Areak ='=�l�'�
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Y3:uum ti�3:.:c:�a,=$s �'amy3Y.w��'ti�O�Yes.:'Y#0.3tN0'�'�z;_.�:a.Y,:i3's
Is u61ic"sewei�va_ ilabletoithe site?rte ��;=�"OJiYes�:-'0�IVo
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t f�i`v-^•i, �<`�t"?�+,'-:^a f'.'hv S.r .' C v "1: Yit-.
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id6licwate etraifab1 roEhe'siii?!"'�'isi{?i*=.. H' OS;Yes` :�[I=;N'oC�'[E`F ;"t?
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widItie=- propaa:cttyi?-+loa-%_.e' dk.,rs iibu. in•e_' 10.”•]00FfeeCof}aN- aCtuRsoura`r-ce Aiea.,'?rfrT u
_..‘,.e--st" nal- et",.4;1t�:= - $YL,iONe
Date Received -
Staff Representative:
METHOD OF PAYMENT
' VISA
0 CASH HECK ❑ EMMEN❑ _- --ti 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
OIJCSVE-R
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
.•:TOTAL'FEE:;siw>,`,;�,:'._•
._ a7�tt•-,< >
MINIMUM
:1,44. CHECK PAYABLETO SP
Nr,{,
•'i;,: 3j i.-�,.t�,
'"�'y�g
YC.•'?::;;"
KANE-'
.MARE CHECKS PAYABLE 7U STOKANE �
E
tlKr±-?,.'cptif Y:PERAIlT CENtL:R '-ai
m
w
20'
•
T Il.:7o1 CotJsTR. to ot1
Newer, ST.
pARC:EL at, 45x34, 330$
Lir 8, BLK Z o -F St's SU-6DIVI5I63
ROAD WIDTH &Cs
FRONT 3J FLANKING
COMMEN
REVIEWE
581
{-4ouse
3gt sf+
GAR.AG5
tote soy
WATER•
• $rtc6
r
m
This site plan is being submitted for the purpose of
obtaining a'aa:ng per -w; and is a nue and correct
representation of the proposal. All known property
lines/dimensions, curb lines, structures and easements
have been identified Also indicated are wetlands,
bodies of w r, steep sips or ther critical areas.
Signed.•lS 1/�c-e, A�Gl�f n../
/1/7/00
Date.
4U.5' Sewer S}u,b
I0
NEWER- St