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2003, 04-14 Permit App: 03002452 ResidenceProject Number: 03002452 Inv: 1 'Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE W/GARAGE - GAS Setbacks: Front 40 Left. 50 Right: 68 Rear: Site Information: Plat Key: Nance: RANGE Parcel Number: 44043.9184 SiteAddress: 5627 S PIERCE VERADALE, WA USA 99037 Location:: VER Bloc Contact: KETO CONSTRUCTION Address: 4920 S BELLA VISTA DR C - S - Z: VERADALE, WA 99037 Phone: (509) 922-1226 Group Name: Project Name: District: F Lot. Owner: Nance- VAN GELDER, ROGER D & JAMIE Address: #4 RED HOUSE CLOSE KNOTTY G BEACONSFIELD, AE HP9 IXU Zoning: RC Rural Conservation \Vater District 100 SPO CO WATER DIS'I'#3A Hold: Area: 10.07 Acres Width 0 Depth: 0 Right Of Way (ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings 1 Review Information: Review Site Plan Review Plan Review Page I of 3 Critical Arca Review Approach / Drainage ; Released Bv: Septic System Review Released By: IIaLS Operator. JAS Printed 13y. JAS Print Date 4/14/2003 Project Number: 03002452 Inv. 1 Application • Date: 4/14/2003 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Landuse/Zoning / Permits: Released By: _ 1?S Cone at: tui Address: KETO CONSTRUCTION 4920 S BELLA VISTA DR VERADALE, WA 99037 Description Grp Type 2ND FLOOR R-3 VN BASEMENT U R-3 VN DECK R-3 VN GARAGE U-1 VN RESIDENCE R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Notes Building Permit Fit u: KETO CONSTRUCTION Phone: (509) 922-1226 This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 1,258 $83,028.00 1,258 $83,028 00 1,508 $18,548.40 1,508 $18,548.40 200 $1,566.00 200 $1,56600 818 $9,816.00 818 $9,816.00 1,578 $104,148.00 1,578 $104,148.00 Totals: 5,362 $217,106.40 5,362 $217,106.40 Contractor: DANCAR MECHANICAL INC. Address: 311 N HODGES RD GREENACRES, WA 99016 Item Description DUCT SYSTEMS GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING HEAT PUMP OR A/C 0-3 TONS VENTILATING FANS CLOTHES DRYER GAS LOG OR GAS INSERT Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Mechanical Permit Units 1 3 1 5 Operator: JAS Printed 13y: JAS 1 1 Fee Amount $1,485.00 $4.50 $326.70 $1,816.20 Firm: DANCAR MECHANICAL INC. Phone: (509) 924-9921 Unit Desc NUMBER OF NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Print Date: Fee Amount $10.00 $10.00 $12.00 $3.00 $12.00 $50.00 $10.00 $10.00 $117.00 4/14/2003 Project Number: 03002452 Inv Application Date: 4/14/2003 Page 3 of 3 THIS 1S NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: ALPHA PLUMBING & HEATING Address: 13615 E. TRENT AVE SPOKANE. WA 99216 Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS WATER USING DEVICES Plumbing Permit Firni: ALPHA PLUMBING & HEATING Phone: (509) 535-0727 Units Unit Desc 4 NUMI3ER OF 7 NUMBER OF 1 NUMBER OF 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Permit Total Fees: Fee Amount $24.00 $42.00 $6.00 $18.00 $6.00 $6.00 $6.00 $6.00 $18.00 $132.00 Notes: - . - PRIVATE DRIVEWAY MUST MEET SPOKANE COUNTY FIRE APPARATUS ACCESS ROAD STANDARDS PRIOR TO OCCUPANCY Payment Srnnnfary: Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount $1,816.20 $117.00 $132.00 Invoice Amount $1,816.20 $117.00 $132.00 $2,065.20 $2,065 20 Amount Paid $0.00 $0.00 $ 0.00 Amount Owing $1,816 20 $11700 $132.00 $0.00 $2,065.20 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained w ithin 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 laws or ordinances. Signature: Operator. JAS Printed By: JAS Print Date: 4/14/2003 rr ' I�I teasibi SPOIcARt COUNTY PROJECT APPLICATION SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 Project Description: 4-6,2,7 5. PccRCE L. RKE - .5" ( LE F4M I L V TYPE OF APPLICATION Building or Construction Permit 0 Grading 0 Manufactured Home Permit 0 Timber Harvest 0 Relocation 0 Change in Use 0 Other Fax: '5-o97 9n-[p(.03a SPECIFIC SITE INFORMATION Street Address: JI—tc, a 7 5, pi E --Ree L. ,A (Y'E Assessor's Tax Parcel Number(s): 440(43. 9 (8ti Legal Description: 0q K(at hes RT NW CaR of NE VV or5W l�q. PQ_ APPLICANT INFORMATION Owner: Ret sER RNDr,(AN.IE VAN QELDER. Applicant. 10N K -o CONSTRUC Phone:,_Fax: O(l 49)1444Le7o451 CL055 Phone: (stet) 922-12210 Mailing Address: 1/2Zo 5, E?cLLR V(STRDR, Fax: '5-o97 9n-[p(.03a Mailing Address: K KeD Hoo Ciry, State, Zip icN©> r Y GRGEN, ERCoP r1aD 45'ia City, State, Zip VVeRAornE k1%li cis 90.37 Contact: L)%e Authorized Contact/Agent: ( KEN KErO Phone: Fax: Phone. SRME Fax: Mailing Address: Mailing Address: 5 Rmf City, State, Zip City, State. Zip SAME ADDITIONAL INFORMATION Are there structures on the property? 0 Yes lit No Ifyes, -identify on site plan - What is the current property size? (square feet or acres) / /9C (E5 Is any part of the property within 250 feet of a shoreline? Ifyes,identifyonsite plan 0 Yes No be) What is the current use of this property? NAT(>RAL 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?e0 Yes 0 No Is any part of the property within -a 100 yr flood plain? 1/yes, identify on site plan 0 Maybe 0 Don't know 0 Yes No Are or will there be wells located on the property? If yes, identify on the site plan 0 Yes preNo Are there any wetlands, streams or ponds within 200 feet of the property? Ifves, identify on sire plan 0 Yes No Is there evidence of fill or mining on the property? 0 Yes \Io Are there slopes greater than 30".d oc the property?? ( oro) 7 les XNo Project Number: FOR STAFF USE ONLY Is the property in a designated Stormwater Control Area? 0 Yes 0 No Is the property inside a Joint Planning'Area? What/indiction? 0 Yes 0 No Is the property inside the ASA? 0 Yes ❑ Yes 0 No ❑ No Is public 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 Is public sewer available to the site? 0 Yes 0 No ' What is the zoning for the property? School District \t'.urr District/Pun'eyor: Fire District Sewer District/Purveyor: Date Received: Stan Representative: Comments: ®�l s SPOT; \RE CouNuPy PROJECT APPLICATION - Detail Information SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 Project Number: Contractor 'Cn' -o C©NSTRUCTI og Architect / Engineer .- 0C�'EK1'Ert(7- D ES! N Contractor 5 i LC Architect/Engineer SAME Phone_ (So) 9az,- (Z�.lo Fax,, (coop d28-�(Q3Z Phpax Csnea9i /5Z, -7S(8 ;Fso9) 1 -/St -a(73 Mailing address N92,0 5, BELLI9V,5r? PR(ve Mailing address a i 0 EI Ferric City, State Zip Lt , 1,04 99037 Cuy, State Zip City, SPdKRNf. t.017 R?,2©2 WA State Contractor license I(Cr0 C it' l o t ME Contact name: CM CIY6 Building Information Building height to ridge/ > of stories Main floor sq. ft ,r.� (, l7 ! D Unfinished basement sq ft /,-0$ Dimensions / t ss & x3 foul habitable sepace - O / W ` ' 2"^ floor sq. ft. �� Finished basement sq. ft. , Construction group Construction type F-f�RrnE Garage sot ft a t 2 Deck sq. ft . •a-oo Cost of project Heat source (electric, gas, etc.) a �^ Ft l Li Manufactured Home Sign Width. Length: What is the square footage of the sign face? How high is the sign? Year: Make: Relocation Fire Safety Previous address Fire Sprinkler Tent Paint booth _ Fire Alarm Fireworks display Proposed use Value �0 -7. 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