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2003, 02-14 Permit App: 03000912 ResidenceProject Number: 03000912 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 2/14/2003 Page 1 of 3 Project Information: Permit Use: RESIDENCE W/GARAGE - NATURAL GAS Contact: HOMESTEAD CONSTRUCTION Setbacks: Front 30 Left: 22 Right: 43 Rear: 33 Site Information: Plat Key: Address: C - S - Z: Phone: Group Name: Project Name: 312 S FARR RD SPOKANE, WA 99206 (509) 892-0454 Name: District: F Parcel Number: 45214.3320 lock: 1 SiteAddress: 1321 S PERRINE RD SPOKANE, WA USA 00000 Location:: SPO Zoning: UR -3.5 Water District: Area: 11,632 Sq Ft Nbr of Bldgs: 1 Urban Residential 3.5 Width: 0 Nbr of Dwellings: 1 Lot: 20 Owner: Name: HOMESTEAD CONSTRUCTION Address: 312 S FARR RD SPOKANE, WA 99206 Hold: 0 Depth: 0 Right Of Way (ft): 50 Review Site Plan Review Released By: (-t 1. CkZIJUL.) Q - Plan Review Releaod By. Approach / Drainage o5r-QA-75 Sewer Review Operator: CKF Printed By: CKF Print Date: 2/14/2003 Project Number: 03000912 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 2/14/2003 Page 2 of 3 Contractor: HOMESTEAD CONSTRUCTION Address: 312 S FARR RD SPOKANE, WA 99206 Const Category: New Nbr Of Dwellings: Bldg W x D: x Req Parking: Building Permit Firm: HOMESTEAD CONSTRUCTION Phone: (509) 892-0454 Building Characteristics Group: Occupant Load: Building Sq Ft: Handicap Parking: Description Type Notes 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 Contractor: M & L MECHANICAL Address: PO BOX 10126 SPOKANE, WA 99205 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER HOOD -TYPE II Type: Building Height: Sprinklers: Critical Materials: This Application: Sq Ft Valuation 984 $12,103.20 24 $187.92 506 $6,072.00 1,048 $69,168.00 Totals: 2,562 $87,531.12 Units 1 1 1 Unit Desc Y OR BLANK Y OR BLANK Y OR BLANK Permit Total Fees: Mechanical Permit Units 1 1 2 4 1 1 Operator: CKF Printed By: CKF Stories: Total Project: Sq Ft Valuation 984 $12,103.20 24 $187.92 506 $6,072.00 1,048 $69,168.00 2,562 $87,531.12 Fee Amount $817.50 $4.50 $179.85 $1,001.85 Firm: M & L MECHANICAL Phone: (509) 326-2677 Unit Desc NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Print Date: Fee Amount $10.00 $12.00 $2.00 $40.00 $10.00 $10.00 $84.00 2/14/2003 Project Number: 03000912 Inv: 1 Application Date: 2/14/2003 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: GOLD SEAL MECHANICAL INC Address: 5524 E BOONE AVE SPOKANE, WA 99212 Item Description TOILETSBIDETS SINKS SHOWERS TUBS DISH WASHERS CLOTHES WASHER FLOOR DRAINS WATER USING DEVICES Notes: Payment Summary:::: Permit Type Building Permit Mechanical Permit Plumbing Permit Plumbing Permit Units 3 4 1 2 1 1 1 3 Fee Amount $1,001.85 $84.00 $96.00 Page 3 of 3 Finn: GOLD SEAL MECHANICAL INC Phone: (509) 535-5944 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Invoice Amount $1,001.85 $84.00 $96.00 $1,181.85 $1,181.85 Fee Amount $18.00 $24.00 $6.00 $12.00 $6.00 $6.00 $6.00 $18.00 Amount Paid $0.00 $0.00 $0.00 $96.00 Amount Owing $1,001.85 $84.00 $96.00 $0.00 $1,181.85 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 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: CKF Printed By: CKF Print Date: 2/14/2003 An Et Spoc.p7ECc r Street u.).); \ ASTXCe.1 Number(s): ! Lcgal Des=lpti,an: PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BULL -DING 8c CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE ,.SPOKANE, WA 99260 509-477,3675 Prcte Dec cr-dp, IC a: .....•••••=.111••••• 1•••11...•••••• SPECIFIC SITE 10RMX____ C).'•) -s -c Changein Use 0 RelocIA'Ion 0 Sign O Gradin Mai-iva,:tureci HmPei1-_ O Tenant (New/Clang-4 0 Other M1!;nAdi • St.t.y. Phone 0 /1.--.1.iuttiEnetwer OWNER/AITLICANT INFOKMAT/ON /rgacom sob* r,:vuld FA • orr tser•Ati irgarding th is izroti!CE 0 Applicant: FML. Ptionc CotrkA, 11.•,•••••=101,,...0*..• .••••••••• MtItiMdrss: ary. State, Zip 7as • S•L:t.r. TE:rt-2 - — Y .Opt Fat trIallog Ci7, Sore Zp WA Rate C.'iltnactor Con (us INFORMATION Building height to pesk k Di61tt4onf. • ' , •• • Wm floor sq. h. floor sq. Unfinished sq_ ft_ cif ..-,metrs-u.it- --- 0e-cupancy voup 5 • : Cos -I <SI proica Garast sq. ft- licit source (eke:sic gss, etc.) Dea • • _ 2 )118 4 i . . ADDITIONAL SITE INFORMATION ov the propesty? 0 Ycs • lit :-... , ...rt uf .1....:. FL eperty wi:hin 250 feet cf a shoreline? .7rT,' S. , i ,.. ..: '11:y an si !se Plan 0 Yes Ell No what h the current property sztt? jayare feet or scre. What is the current us:: ef p:operty? your property in a designated wildlife habitat area? . 0 Don't know 0 Yes d140 11 gay of the properry within a 100 yr flood plkin? er ora site plan 1.1...vbe 0 Don't know 0 Yet Gil No t..ce lic any weriseit, streams or ponds within 200 feet of the pm,: __ZAEL:rZentjt? in siee Ycs Gi No the site be served by a septic system? 0 Ycs Are or will there be wells loaned On the property? Ifyes, identi h cm the silt plan 0 Yes d No is there evidence of fill or excavation on ths: property? E3 Yes al No Arc g -ti- than 30% on the property? (30 ft rise in 100 ft) 0 Yes No Are critics/ or kzazdous materials used or stored or. site? C3 Yes d DEPARTMENT USE ONLy DITC R Staff IlErf-f.CD OF PAYMaIT 'Mita C • t &iiECK D1111811131M L. T'IT. MIT'S VAIL ONLY BE ACEPTF.D vrai PAYMENT OF A MAJOR CREMIT CARD EXPIRES: A UTHORIZ ED SIGNATURE; ADDRESS ZONE ROAD \'IDTii FRONT COMMENTS t1.4_ . FLANKING t REVIEWED E This site plan is being submitted. for the burpode of obtaining a building permit and is a true and correct 'representation of -the procios-al,-All kndwni2roperty lines/dimensions, curb tines, structures and easements have been identified. Alsq indicated are wetlands, bodiies of water, steep slopes or other: critical areas. Signed: