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2000, 08-21 Permit App: 00007301 ResidenceProject Number: 00007301 Inv: 1 • Application Date: 08/21/2000 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE W/GARAGE - NATURAL GAS Setbacks: Front 20 Left: 6 Right: 7 Rear: 35 Site Information: Plat Key: 005947 Name: SHELLEY LAKE 1ST ADDITION Lot: 20 Contact: johnson bros const Address: 12402 N DIVISION ST #364 C - S - Z: SPOKANE, WA Phone: (509) 499-5590 Group Name: Project Name: Parcel Number: 45241.1820 Block: 1 SiteAddress: 333 S SHELLEY LAKE LN VERADALE, WA USA 9903 Location:: VER Zoning: UR -3.5 Water District: Area: 8,135 Sq Ft Urban Residential 3.5 District: F Owner: Name: johnson bros const Address: 12402 N DIVISION ST #364 SPOKANE, WA Hold: ❑ Width: 70 Depth: 117 Right Of Way (ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Department BUILDING Hold Reasons: Permit Conditions: BUILDING Hold Reasons: Permit Conditions: ENGINEER Hold Reasons: Permit Conditions: UTILITIES Hold easons: Permit Conditions: Permits: Review Site Plan Review Kt Plan Review Approach / Drainage Sewer Review 4b-0 - 73 r7 Released By: _.. .� ....a e (� �u-eA -(Ery- Released By: Released r,O Ci© V 0 Project Number: 00007301 Inv: 1 r Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 08/21/2000 Page 2 of 3 Building Permit Contractor: JOHNSON BROS CONST, INC Firm: CLAY JOHNSON BROS CONST IN Address: 12402 N DIVISION ST #364 Phone: (509) 990-2950 SPOKANE, WA 99218 Building Characteristics Const Category: New Group: R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: Building Height: 28 Stories: 1 Bldg W x D: 57 x 62 Building Sq Ft: 3372 Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT F R-3 VN 1,400 $22,064.00 1,400 $22,064.00 BASEMENT U R-3 VN 286 $3,306.16 286 $3,306.16 DECK R-3 VN 300 $2,208.00 300 $2,208.00 GARAGE U-1 VN 800 $9,600.00 800 $9,600.00 RESIDENCE R-3 VN 1,686 $104,532.00 1,686 $104,532.00 Totals: 4,472 $141,710.16 4,472 $141,710.16 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $1,105.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $243.10 Contractor: RON MORRIS HEATING & A/C Address: 1922 E HOUSTON SPOKANE, WA 99207 Item Description GAS WATER HEATER GAS APPLIANCE >100,000BTU GAS PIPING AIR CONDITIONER:4-15 TONS VENTILATING FANS EVAPORATIVE COOLERS CLOTHES DRYER RANGE GAS LOG OR GAS INSERT Permit Total Fees: $1,352.60 Mechanical Permit Firm: RON MORRIS HEATING & A/C Phone: (509) 487-5058 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 4 # OF UNITS 1 NUMBER OF 6 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 2 NUMBER OF Fee Amount $10.00 $15.00 $4.00 $20.00 $60.00 $10.00 $10.00 $10.00 $20.00 Permit Total Fees: $159.00 Project Number: 00007301 Inv: 1 Application Date: 08/21/2000 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: S T PLUMBING CO INC Address: P.O. BOX 1817 AIRWAY HEIGHTS, WA Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS CROSS CONNECTION DEVICES WATER USING DEVICES Payment Summary Operator: CKF Permit Type Building Permit Mechanical Permit Plumbing Permit Notes :...a9, Amo ,., yffier :i 99011 Plumbing Permit Firm: S T PLUMBING CO INC Phone: (509) 244-5575 Units Unit Desc 4 NUMBER OF 8 NUMBER OF 2 NUMBER OF 2 NUMBER OF 2 NUMBER OF 2 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 5 NUMBER OF Printed By: CKF Fee Amount $1,352.60 $159.00 $174.00 $1,685.60 Permit Total Fees: Print Date: Invoice Amount $1,352.60 $159.00 $174.00 $1,685.60 �.".IMSWea0. Fee Amount $24.00 $48.00 $12.00 $12.00 $12.00 $12.00 $12.00 $6.00 $6.00 $30.00 $174.00 08/21/2000 Amount Paid $0.00 $0.00 $0.00 $0.00 DO NOT ISSUE SEWER PERMIT - OK TO ISSUE HOUSE PER ROGER 10/27/98 OK TO ISSUE SEWER PERMITS FOR: BLK4-L1 BLK5-L2,16,18 BLK 6 - L 1,3,5,6,9,10 BLK 7 - L 1,2 THIS PERMIT IS FOR A SINGLE FAMILY RESIDENCE ONLY. Amount Owing $1,352.60 $159.00 $174.00 $1,685.60 �/�oj I 1 SPOKN CONT PROJECT APPLICATION SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 Project Description: 9/16A:1iri91r7 /-= _C /2 V74L TYPE OF APPLICATION ABuilding Permit O Change in Use O Grading O Manufactured Home Permit O Relocation O Sign O Tenant (New/Change) O Other Street Address: > j Assessor's Tax Parcel Number(s): 5y:, --7«y Legal Description: SPECIFIC SITE INFORMATION /Awe - 5/5 L e - y5 a5// — /c go 9 /6-c. i. `e e1 epartment Use Only School District: Sewer District/Purveyor Fire District: Zoning Setbacks Front: OWNER/APPLICANT INFORMATION IZI Indicate who should be contacted regarding this project ❑ Owner: Phone: Fax: ❑ Applicant: Phone: Fax: Mailing Address: Dimensions ? S/X a.' Mailing Address: 2"d floor sq. ft. City, State, Zip Occupancygroup j'/ 1G!r` f --F..7/.) City, State, Zip Garage sq. ff _- l (ISI •CJ Contractor 14/hnsr� c ICYiny/ Phone / 5..-� f Fax � I�� �t ❑ Architect/Engineer g Phone Fax Mailing address /-2=Cc 4/ J)1,I/.L / t/ -45,.."4.- Mailing address City, State Zip 5ft:;e ri l u/4t City, State Zip " r, " F c WA State Contractor license # L ,W V S� (— l/t-1P9 Contact name: •sn � •— PROJECT INFORMATION Building Information Building height to peak (.74 ' v i # of stories i Main floor sq. ft. /6/ F6 Unfinished basement sq. ft. ;2076, Dimensions ? S/X a.' Total habitable2ace�e •a1;07/ 2"d floor sq. ft. Finished basement sq. ft. f Occupancygroup j'/ 1G!r` f --F..7/.) Construction type Wim' Garage sq. ff _- l (ISI Deck sq. ft. 3 Cost of project s Heat source (electric, gas, etc.) Manufactured Home " Sign:, Width: Length: What is the square footage of the sign face? How high is the sign? Year: Make: # of signs Area of existing signs Relocation ..................................... Previous address Fire Sprinkler Paint booth Fire Alarm Tent Fireworks display Proposed use Value Special Inspections Required: Non -Residential Energy Code Compliance? Firm Name Phone Plans Examiner Phone Inspectors: Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? 0 Yes xNo If yes, identify on site plan What is the current property size? (square feet or acres) 70101/ 7 Is any part of the property within 250 feet 9f a shoreline? If yes, identify on site plan A Yes 0 No What is the current use of this property? Is your property in a designated wildlife ha tat area? O Don't know f Yes O 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? If yes, identify on site plan O Maybe O Don't know O Yes XNo Are or will there be wells located on the property? If yes, identify on the site plan O Yes j No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, identify on site plan , i Yes O No Is there evidence of fill or excavation on the propert ? O Yes No Are there slopes greater than 30% on the ro,perty? p0 ft rise in 100 ft) ( /%) CiYes O No Are critical or hazardous materials used or stored o st ? O Yes No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? 0 Yes O No Is public sewer available to the site? O Yes O No Is the property inside the ASA? 0 Yes ' 0 Yes 0 No 0 No Is public water available to the site? 0 Yes D 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 Date Received: Staff Representative: Thi. site plan is being submitted for the purpose of obning a pr;rmit and is a true and correct re • esentation of the proposal All known property Iin:&dimensions, curb lines. structures and easements ha e been tified. Also i.• - -, - tlands, bo ies a r,lt' pes or other cr cal areas. Dae: 1 ADDRESS H ZONE 3.5 ROAD \VIDTI132 FRONT 2c.D FLANKING COMMENTS R E Vi F WE n G� =3�► ct z� c� "1 .AiJ / 4* /A4.1.40