2000, 10-03 Permit App: 00008976 ResidenceProject Number: 00008976 Inv: 1
•
pp1ication
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/03/2000 Page 1 of 3
Project Information:
a -„w - t, ' X9 :- ,.dl: M 4 r:. w : II .qYr :....” {9 ,"..• x:= "r �.. '�.i* '�5� .' Art1 10 ?:u TV a ..�_ �. " u :- 1 .. l
Contact: HAWKINS, JOHN M & JOYCE S
Address: 13718 E 41ST AVE
C - S - Z: SPOKANE, WA 99206 -
Setbacks: Front 20 Left: 8.9 Right: 8.9 Rear: 25 Phone: (509) 922-1047
Group Name:
Project Name:
Permit Use: RESIDENCE W/GARAGE - NATURAL GAS
Site Information:
," . #:: :- . ,E °..LIMATZ... c:. .sT"'x."4'3 AIR .. .:w k..,:::x7'.k5.. SM ,.;,. , :,:. ,*2":FV eEM .:: , "4"tr=... , r,«, "::N3t 2E! MIZIMI
Plat Key: 005862 Name: SHELLEY LAKE
District: F
Parcel Number: 45242.1212 Block: 2
Lot: 12
SiteAddress: 619 S SHELLEY LAKE LN Owner: Name: HAWKINS, JOHN M & JOYCE
VERADALE, WA USA 9903 Address: 13718 E 41ST AVE
Location:: VER SPOKANE, WA 99206 -
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Hold: ❑
Area: 7,700 Sq Ft Width: 70 Depth: 110 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
Holeasons:
Permit Conditions:
Review
Site Plan Review
Released By: 0,4C. jt J
Plan Review
Approach / Drainage
�o A__,0/
Sewer Review
Released By: 4
O-53817 GFG
Permits: :4m,- ,..,_
Release
/41P.
vor
Project Number: 00008976 Inv: 1
Ajplicaion
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/03/2000 Page 2 of 3
Contractor: HAWLEY CONSTRUCTION
Address: S. 1511 BOWDISH RD Phone: (509) 926-1935
SPOKANE, WA 99205
Building Permit
Firm: HAWLEY CONSTRUCTION
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: 17
Bldg W x D: 54 x 64 Building Sq Ft: 3498 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: 0
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Sq Ft Valuation
BASEMENT F R-3 VN 1,348 $21,244.48 1,348 $21,244.48
BASEMENT U R-3 VN 300 $3,468.00 300 $3,468.00
DECK R-3 VN 256 $1,884.16 256 $1,884.16
GARAGE U-1 VN 538 $6,456.00 538 $6,456.00
RESIDENCE R-3 VN 1,850 $114,700.00 1,850 $114,700.00
Stories: 1
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 4,292 $147,752.64 4,292 $147,752.64
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Contractor: BLUE FLAME HEATING & A/C
Address: 6011 E 9TH
SPOKANE, WA 99212
Item Description
HOOD -TYPE II
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
Permit Total Fees:
Mechanical Permit
Fee Amount
$1,135.00
$4.50
$249.70
$1,389.20
Firm: BLUE FLAME HEATING & A/C
Phone:
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
4 # OF UNITS
1 NUMBER OF
5 NUMBER OF
1 NUMBER OF
2 NUMBER OF
(509) 536-0186
Fee Amount
$10.00
$10.00
$12.00
$4.00
$12.00
$50.00
$10.00
$20.00
Permit Total Fees: $128.00
Project Number: 00008976 Inv: 1
;�ppli'ation
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/03/2000 Page 3 of 3
Plumbing Permit
Contractor: ALPHA PLUMBING & HEATING Firm: ALPHA PLUMBING & HEATING
Address: 5805 E SHARP AVE Phone: (509) 535-0727
SPOKANE, WA 99212
Item Description Units Unit Desc
TOILETS/BIDETS 3 NUMBER OF
SINKS 5 NUMBER OF
SHOWERS 2 NUMBER OF
TUBS 1 NUMBER OF
DISH WASHERS 1 NUMBER OF
GARBAGE DISPOSAL 1 NUMBER OF
CLOTHES WASHER 1 NUMBER OF
FLOOR DRAINS 1 NUMBER OF
CROSS CONNECTION DEVICES 1 NUMBER OF
WATER USING DEVICES 3 NUMBER OF
Payment Summary:
Operator: CKF
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Printed By: CKF
Fee Amount
$1,389.20
$128.00
$114.00
Permit Total Fees:
Fee Amount
$18.00
$30.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$114.00
Print Date: 10/03/2000
Invoice Amount
$1,389.20
$128.00
$114.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,389.20
$128.00
$114.00
$1,631.20 $1,631.20 $0.00 $1,631.20
Notes: �:ro E...�,.< . ow-wwwwwanwwwwowswwwwwwcwwwww,411WROMAINNOMW
OCCUPANCY IS DENIED ON ALL LOTS UNTIL FURTHER NOTICE
FROM DIV. OF UTILITIES PER GENE REPP 3/26/97 CKF OK TO ISSUE
SEWER PERMITS FOR: BLOCK 2 - LOTS 3 THROUGH 10 & 1, 2
BLOCK 3 - LOTS 1 THROUGH 7 BLOCK 4 - LOTS 1 THROUGH 4
BLOCK 5 - LOTS 2 THROUGH
6 & 19 BLOCK 6 - LOTS 1 THROUGH 10
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project Description:
TYPE OF APPLICATION
)1, Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
O Relocation
O Sign
O Tenant (New/Change)
O Other
Assessor's Tax Parcel Number(s):
SPECIFIC SITE INFORMATION
OWNER/APPLICANT INFORMATION
Indicate who should be contacted regarding this project
O Owner: Phone:
Fax:
O Applicant:
Phone:
Fax:
Mailing Address:
Mailing Address:
City, State, Zip
City, State, Zip
❑ C ntractor i Phone
L r/
�l 16t6%.� CC 1��i/141'4.40
cfg1 l CirZZ 10 —t 7
507 9 ZZ 13 (
10Arc ite t/Engineer
J
k
r
._
Phone
Fax
Mailing address
6 . 13'I l s/ L[ 151 --
Mailing address
Cit tat Zip� 9\4"7-6"7-6L
i
City, State Zip
WA ate Contrac(`r licinse #
11
Cont name
/'
PROTECT INFORMATION
ntorm71atio
Building hp, to peak
# of stories
1
Main flf gpi.
0
Dimensist txj¼f
Occuc}t group
Total habitable spac
2"d floor sq. ft
Const
uction ty
Garage s,9„..ft.)
Unfinished basement sq. ft.
Finished en ft.
Deck sq. ft.
r �•
Cost of project
Heat sour e (electric, gas, etc.)
Co
Width:
Length:
What .s the square footage of the sign How high is the sign?
face?
Year:
Make:
# of signs
Area of existing signs
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
Proposed use
Value
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? O Yes O 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, identify on site plan O Yes O No
What is the current use of this property?
Is your property in a designated wildlife habitat area?
O Don't know O Yes O No
Will the site be served by a septic system? O Yes O 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 O No
Are or will there be wells located on the property?
If yes, identify on the site plan O Yes O No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identib on site plan O Yes O No
Is there evidence of fill or excavation on the property?
O Yes O No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( / %) O Yes O No
Are critical or hazardous materials used or stored on site?
O Yes O No
DEPARTMENT USE ONLY
Is theproperty#tn a dist a
tb> ott>
s
d idela
Is the propert
ansrde th %
W
l
al
ey
l i No
Is p 6�:� ��b1c t `t a sit ?
f
des
No
Is the propert
t sz
�NY.
0
o
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
0 CASH 0 CHECK 0 OEM 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE:
BANKCARD NUMBER:
EXPIRES:
AUTHORIZED SIGNATURE:
SUBTOTAL
OTAIPF
MINIMUMPERMITTEEIS$35.00PEASE•
MAKE CI-EC/CS PAYABLE TOSPOKANE
COUNTYPERM1T CEN'T'ER '
c
ADDRESS cl.S."//,, . I q
ZONE
ROAD VVIDTII 3
FRONT ?4,6 FLANKIN
COMMENTS
REVIEWED T;
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