2002, 05-20 Permit App: 02003839 ResidenceProject Number: 02003839
Inv: 1
•
Application
Date: 5/20/2002 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 25 Left: 6 Right: 6 Rear: 35
Site Information:
Plat Key: 005947 Name: SHELLEY LAKE 1ST ADDITION
...................................................
Contact: MORSE WESTERN HOMES, LTD
Address: 4616 S LINKE RD
C - S - Z: GREENACRES, WA 99016
Phone: (509) 927-9746
Group Name:
Project Name:
District: F
Parcel Number: 45241.1825
Block: 1
SiteAddress: 367 S SHELLEY LAKE LN
VERADALE, WA USA 99037
Location:: VER
Zoning: UR -3.5
Water District:
Area: 8,250 Sq Ft
Nbr of Bldgs: 1
Review Information:
Urban Residential 3.5
Lot: 25
Owner: Name:
Address:
MORSE WESTERN HOMES
4616 S LINKE RD
GREENACRES, WA 99016
Hold: ❑
Width: 75 Depth: 110 Right Of Way (ft): 30
Nbr of Dwellings: 1
Review
Site Plan Review Released By:
o. /0
Plan Review
Released By:
Approach / Drainage
oaa) P1
Permits:
Operator: RMB
Printed By: RMB
Print Date:
5/20/2002
Project Number: 02003839 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/20/2002 Page 2 of 3
Contractor:
Building Permit
MORSE WESTERN HOMES LTD. Firm: MORSE WESTERN HOMES LTD.
Address: 4616 S LINKE RD Phone:
GREENACRES, WA 99016
Building Characteristics
New Group: R-3 Type: VN
1 Occupant Load: 0 Building Height: 28
x 56 Building Sq Ft: 3592 Sprinklers: ❑
0 Handicap Parking: 0 Critical Materials: El
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,796 $22,090.80 1,796 $22,090.80
240 $1,879.20 240 $1,879.20
600 $7,200.00 600 $7,200.00
1,796 $118,536.00 1,796 $118,536.00
Const Category:
Nbr Of Dwellings:
Bldg W x D: 60
Req Parking:
Description
BASEMENT U
DECK
GARAGE
RESIDENCE
(509) 927-9746
Gtr Type Notes
R-3 VN
R-3 VN
U-1 VN
R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Stories: 1
Totals: 4,432 $149,706.00 4,432 $149,706.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Contractor: MORSE WESTERN HOMES LTD.
Address: 4616 S LINKE RD
GREENACRES, WA 99016
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
Fee Amount
$1,145.00
$4.50
$251.90
Permit Total Fees: $1,401.40
Mechanical Permit
Firm: MORSE WESTERN HOMES LTD.
Units
1
1
3
6
1
1
Operator: RMB Printed By: RMB
Phone:
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
(509) 927-9746
Fee Amount
$10.00
$12.00
$3.00
$60.00
$10.00
$10.00
$105.00
Print Date: 5/20/2002
Project Number: 02003839 Inv: I
,,Application
Date: 5/20/2002 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: MORSE WESTERN HOMES LTD.
Address: 4616 S LINKE RD
GREENACRES, WA 99016
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
CROSS CONNECTION DEVICES
WATER USING DEVICES
Plumbing Permit
Units
3
5
1
2
1
1
1
1
1
3
Firm: MORSE WESTERN HOMES LTD.
Phone: (509) 927-9746
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$30.00
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
Notes:
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 Summar
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$1,401.40 $1,401.40
$105.00 $105.00
$114.00 $114.00
$1,620.40 $1,620.40
Amount Paid
$0.00
$0.00
$0.00
$114.00
Amount Owing
$1,401.40
$105.00
$114.00
$0.00 $1,620.40
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: RMB Printed By: RMB Print Date: 5/20/2002
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Ibi,stre plan Ping sus ,fitted tor the purpose of
obtaining a builaing permit and is a true and correct
representation of the proposal. AH known property
lines/dimensions, curb lines, structures and easements
have been identified. ',Iso indicated are wetlands,
bodies of water, steep slopes or other critical areas.
Signed:
Date:
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APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
Lot 25 S. Shelly Lk. Ln.
Legal description as it appears on the property deed
367 S.L. Blk 1 Lot 25 Shelly Lake
OWNER or OCCUPANT
,Vinton & Mary Borrell
Phone
Mailing address
City, state
Zip
Who should we contact regarding this project?
Gerry IVlorse
Phone
995-6092
What work is being done under this permit?
Contractor
Morse Nestern Homes
Building height t
Dimensions
# of stories
TOTAL SQUARE FOOTAGE
3596'
WA State Contractor license #
M0R$) ;VH0330K
Mailing address
4616 S Linke Rd, Greenacrea, 99016
Main floor area
/7q 6,
2nd floor area
Unfinished basement area
/79i?
Finishe basemen area
Architect/Engineer
Garage area
b6U
f
Size of decks, etc.
2q0 5 S .
What is the heat source?
G-ct. S
What is the cost of your project?
di. GDI) my,
Manufactured Home
Sign
..............
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Fire Safety
Previous address
Fire Sprinkler
Paint booth _ Fire Alarm
Tent
Fireworks display _
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fu`ei Storage' Tanks
Swimming Pool
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
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