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2002, 08-05 Permit App: 02006626 ResidenceProject Number: 02006626 Inv: I Application Date: 8/5/2002 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE/ATTACHED GARAGE - FORCED AIR GAS Setbacks: Front 20 Left: 5 Right: 5 Rear: 28 Site Information: Plat Key: 005947 Name: Contact: MORSE WESTERN HOMES, LTD Address: 4616 S LINKE RD C - S - Z: GREENACRES, WA 99016 Phone: (509) 927-9746 Group Name: Project Name: ................................................ SHELLEY LAKE 1ST ADDITION District: F Parcel Number: 45241.1824 Block: 1 SiteAddress: 361 S SHELLEY LAKE LN VERADALE, WA USA 99037 Location:: VER Zoning: UR -3.5 Water District: Area: 8,249 Sq Ft Nbr of Bldgs: 1 Urban Residential 3.5 Width: 75 Nbr of Dwellings: 1 Lot: 24 Owner: Name: WOLLAN, DOUGLAS L & SANDR Address: 1245 N MAIN ST COLVILLE, WA 99114 Hold: ❑ Depth: 109 Right Of Way (ft): 30 Review Site Plan Review E Released B Plan Review Released By 4 Approach / Drainage Released By:.a 9-5 ©d Jtkoto Permits: Released By: cAl Lrt1ES 06.-1?4? /43v ( 0 a (O(o 8 c= To i 5 (ctz Operator: RMB Printed By: RMB Print Date: 8/5/2002 Project Number: 02006626 Inv: l Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/5/2002 Page 2 of 3 Contractor: MORSE WESTERN Address: 4616 S LINKE RD GREENACRES, WA 99016 Building Characteristics Const Category: New Nbr Of Dwellings: Bldg W x D: x Req Parking: Description Grp BASEMENT F R-3 DECK R-3 GARAGE U-1 RESIDENCE R-3 Building Permit Firm: MORSE WESTERN Phone: (509) 927-9746 Group: Occupant Load: Building Sq Ft: Handicap Parking: Type VN VN VN VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Notes Contractor: PRECISE MECHANICAL Address: 1310 S AVALON CT SPOKANE WA 99216 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING AIR CONDITIONER:4-15 TONS VENTILATING FANS CLOTHES DRYER RANGE GAS LOG OR GAS INSERT Type: Building Height: Stories: Sprinklers: 0 Critical Materials: 0 This Application: Total Project: So Ft Valuation Sti Ft Valuation 1,270 $21,285.20 1,270 $21,285.20 450 $3,523.50 450 $3,523.50 700 $8,400.00 700 $8,400.00 1,765 $116,490.00 1,765 $116,490.00 Totals: 4,185 $149,698.70 4,185 $149,698.70 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Mechanical Permit Units 1 1 5 1 6 1 1 1 Operator: RMB Printed By: RMB Fee Amount $1,145.00 $4.50 $251.90 $1,401.40 Firm: PRECISE MECHANICAL Phone: (509) 922-9666 Unit Desc NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $10.00 $12.00 $5.00 $20.00 $60.00 $10.00 $10.00 $10.00 $137.00 Print Date: 8/5/2002 Project Number: 02006626 Inv: 1 • Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/5/2002 Contractor: PRECISE MECHANICAL Address: 1310 S AVALON CT SPOKANE WA 99216 Item Description TOILETSBIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS WATER USING DEVICES Plumbing Permit Page 3of3 Firm: PRECISE MECHANICAL Phone: (509) 922-9666 Units Unit Desc 5 NUMBER OF 7 NUMBER OF 3 NUMBER OF 2 NUMBER OF 1 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Permit Total Fees: Fee Amount $30.00 $42.00 $18.00 $12.00 $6.00 $12.00 $6.00 $6.00 $18.00 DO NOT ISSUE SEWER PERMIT - OK TO ISSUE HOUSE PER ROGER 10/27/98 OK TO ISSUE SEWER PERMITS FOR: BLK 4- L 1 BLK 5- L 2,16,18 BLK 6 - L 1,3,5,6,9,10 BLK 7 - L 1,2 Payment Summary::::;............ Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount Invoice Amount $1,401.40 $1,401.40 $137.00 $137.00 $150.00 $150.00 $1,688.40 $1,688.40 Amount Paid $0.00 $0.00 $0.00 $150.00 Amount Owing $1,401.40 $137.00 $150.00 $0.00 $1,688.40 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and fords 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: RMB Printed By: RMB Print Date: 8/5/2002 ( t SPoKANE CouNrY PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 \\'EST BRO:\Ill\Y':\Y ;\ VENUE SPOKANE, \\/A 99260 509-477-3675 SPECIFIC SITE INFORMATION Street AddressQ 361 She 11 y Lake LX J Assessor's Tax Parcel Number(s): Le al Description: Lot 24, Block 1, Shelly Lake P.U.D. Project Description: ❑ Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other Department Use Only Phone: Fax Water District/Purveyor: Sewer District/Purveyor Road widths / \, Setbacks i 512 Front: I t) Left: Rear: Right: School District Fire District: Zoning 2'5 (lour sq. ft. OWNER/APPLICANT INFORMATION 0 /ndhuh- u bn 51mild he , onhiclerl rr amdine 1!'! ptojni 75%/off ❑ (Tyner: Doug & Sandy vVollan Phone: Fax ❑ Applicant: Phone: Fax Mailing Address: Main floor sq. tt. /245", \tailing Address: RECEIVED City, State, Zip Total habitable space 2'5 (lour sq. ft. City, State, %np AUG ❑ Contractor Morse Western Homes Phone Fax 927-9746 927-9739 ❑ :Architect/ Iia neer ,'{J h" "��2 H. Mailing address 4616 S. Linke Rd. Cost of project 10 D, lrn . Mailing address - City, State Zip Greenacres, NA 99016 City_ State Zip WA State Contractor license # MORSNH0330K Contact name: PROTECT INFORMATION Building Information Building height to peak)# A(Q of stories Main floor sq. tt. /245", l'1nttnishcd basement sq. tt. 1)imensions Lo7X,L/ Total habitable space 2'5 (lour sq. ft. finished basement sq. rt. /270 Occupancy group Construction hype Garage sq. tt.7.9-0Deck sy. It. 45,6/LQ�Y,A Cost of project 10 D, lrn . 1 kat source (electric, gas, etc.) —Rtf,,a.O J Manufactured Home Sign Width: Length: What is the square footage of the sign face? 1 low high is the sign? Year: Make: # of signs Area of existing signs Fireworks display Are critical or hazardous materials used or stored on site? 0 Ycs 0 No Address Proposed use Relocation Fire Safety Firm Name \What is the current use of this property? Previous address Will the site be served by a septic system? 0 Ycs 0 No Paint booth Fire Sprinkler Tent Fire Alarm Fireworks display Are critical or hazardous materials used or stored on site? 0 Ycs 0 No Address Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Firm Name \What is the current use of this property? Phone Will the site be served by a septic system? 0 Ycs 0 No Plans Examiner Phone Inspectors: Is there evidence of fill or excavation on the property? 0 Ycs 0 No Are there slopes greater than 30°4, on the property? (30 ft rise in 100 ft) ( _......--'"'o) 0 Ycs 0 No Are critical or hazardous materials used or stored on site? 0 Ycs 0 No Address Inspector Phone 0 Concrete 0 Welding 0 Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION ;Arc there structures on the property? 0 Yes 0 No If yes, identify on site plan What is the current property size? (square feet or acres) Is any part of the property within 250 feet of a shoreline? If yes, ident/, on site plan 0 Ycs 0 No \What is the current use of this property? Is your property in a designated wildlife habitat arca? O Don't know 0 Ycs 0 No Will the site be served by a septic system? 0 Ycs 0 No Is any part of the property within a 100 yr flood plain? If j'es, ideuti[y on site plan 0 Maybe 0 Don't know 0 Ycs 0 No .Arc or will there be wells located on the property? I f yes, idenqY on the site plan 0 Ycs 0 No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, identif' on site plan 0 Ycs 0 No Is there evidence of fill or excavation on the property? 0 Ycs 0 No Are there slopes greater than 30°4, on the property? (30 ft rise in 100 ft) ( _......--'"'o) 0 Ycs 0 No Are critical or hazardous materials used or stored on site? 0 Ycs 0 No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Arca? 0 Ycs 0 No Is public sewer available to the site? 0 Yes a No Is the property inside the ASA? 0 Yes 0 No 0 Ycs 0 No Is public water available to the site? 0 Yes 0 No Is the property inside the PSSA? 0 Ycs 0 No Is the property located within 1000 feet ofa Natural Resource Arca? OYes ONo Date Received: Staff Representative METHOD OF PAYMENT ❑ (;:\SII VISA ❑ (.111'.CK ❑ MEM❑ ?IC111Ve FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD I?NP1RI:S: B.\NK(:.\RU NU�IBILR: DTI IORl/,I'.1) SI(;N.A l 1 In:: SU BTOTAI , TOTAL FEE MINIMUM PERMIT FEE IS $05.019 PLEASE MAKE CHECKS PAYABLE 11) SPOL\N1,. COUNTY PF:R\71T CENTER es et 10, • NINC8d Cc" HIDIM OVOb 2NOZ a) •5 SSBUOCV