2000, 10-24 Permit App: 00009764 ResidenceProject Number: 00009764 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/24/2000
rJ t
Page 1 of 3
Project Information:
7-*EPir,1.",b, O =:f F.MSS ; M
Permit Use: RESIDENCE W/GARAGE - GAS
Setbacks: Front 40 Left: 36 Right: 10 Rear:
Site Information:
IMMO
Plat Key: 005787 Name: SP -1051-96
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
mem— ,gaggwoRms--
KEEVY, AARON
1313NBOWDISHRD
SPOKANE WA 99206
(509) 927-0304
NazozawEargmgggzapswwmwwxmxgswamm
District: F
Parcel Number: 45162.0539 Block:
SiteAddress: 11402 E SINTO LN
SPOKANE, WA USA 99206
Location:: SPO
Zoning: UR -3.5 Urban Residential 3.5
Water District: 011 MODERN
Area: 0 Sq Ft Width: 86
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
ENGINEER
Hold Reasons:
Review
Site Plan Review
Lot: E
Owner: Name: KEEVY, AARON
Address: 1313 N BOWDISH RD
SPOKANE WA 99206
Hold: ❑
Depth: 203 Right Of Way (ft): 24
Relea
Plan Review
Released By:
Approach / Drainage
Permit Conditions: Ab 02°g
UTILITIES
Hold Reasons: 0.6 "
Permit Conditions: A /'i4
Released B
Sewer Review
PLANNING
Hold Reasons:
Permit Conditions:
Permits:
Landuse/Zoning
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r
Project Number: 00009764 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/24/2000 Page -2 of 3
Building Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000, 00 000000
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: Stories: 2
Bldg W x D: x Building Sq Ft: 2616 Sprinklers:
Req Parking: Handicap Parking: Critical Materials: 1`
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VN 848 $52,576.00 848 $52,576.00
BASEMENT U R-3 VN 884 $10,219.04 884 $10,219.04
COV DECK R-3 VN 108 $1,021.68 108 $1,021.68
GARAGE U-1 VN 400 $4,800.00 400 $4,800.00
RESIDENCE R-3 VN 884 $54,808.00 884 $54,808.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
HOOD -TYPE II
Totals: 3,124 $123,424.72 3,124 $123,424.72
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Units
1
1
1
4
5
1
1
1
Fee Amount
$1,015.00
$4.50
$223.30
$1,242.80
Firm: OWNER
Phone: (000) 000-0000
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$10.00
$12.00
$4.00
$50.00
$10.00
$10.00
$10.00
$116.00
Project Number: 00009764 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/24/2000 Page 3 of 3
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
ROOF DRAINS
CROSS CONNECTION DEVICES
WATER USING DEVICES
Payment Summary:
Operator: JAS
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Notes:
Plumbing Permit
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
4 NUMBER OF
8 NUMBER OF
2 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
5 NUMBER OF
Permit Total Fees:
Fee Amount
$24.00
$48.00
$12.00
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$30.00
4,A:'.' i.P"x,$».a,.�' ',." 'i`"er .k#"p„`i a".:Le'u'rG'.` m'u�',"PW,
$162.00
Printed By: JAS Print Date: 10/24/2000
Fee Amount
$1,242.80
$116.00
$162.00
Invoice Amount
$1,242.80
$116.00
$162.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,242.80
$116.00
$162.00
$1,520.80 $1,520.80
$0.00 $1,520.80
•
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
'6 509-477-3675
Street Address:
Assessor's Tax Parcel Number(s):
SPECIFIC SITE INFORMATION
AJ ad alt i S h (Lue ,s r d -F /3 / 3 i ocval ,sh )
Legal Description:
Project Description:
%- r4 E o4 S>a /0 s"/ " 9 A
O Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
O Relocation
O Sign
O Tenant (New/Change)
O Other
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted reeardinQ this proiect
❑ Owner:
teV \ o)1
Phone: 92%- D30`1
Fax:
1}
Phone:
Fax:
(('�p
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0 Contractor
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Mailing address
Mailing address
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City, State Zip
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Contact name:
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OWNER/APPLICANT INFORMATION
El Indicate who should be contacted reeardinQ this proiect
❑ Owner:
teV \ o)1
Phone: 92%- D30`1
Fax:
0 Applicant:
Phone:
Fax:
Mailing Addre :
(-1'3 N. G vw d i sill
P d.
Mailing Address:
-2Lvr-itJ
City, State, Zip
,eDKa , lA)fr
` e13010
City, State, Zip
0 Contractor
Phone
Fax
0 Architect/Engineer
Phone
Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
WA State Contractor license #
Contact name:
PROJECT INFORMATION
Building height to peak
# of stories
Mainflfl000r�ssq. ft.
(Jf
Unfinished basement sq. ft.
Dimensions
Total habitable space
03'2.
3'2.
2"d floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
L(ze)
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc.)
•
What is the square footage of the sign
face?
How high is the sign?
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 YesNo
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 . No
What is the current use of this property?
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes 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
0 Maybe 0 Don't know 0 Yes .1`No
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes ..k -No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan 0 Yes Air No
Is there evidence of fill or excavation on the property?
0 Yes .ZNo
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( / %) 0 Yes -$(No
Are critical or hazardous materials used or stored on site?
0 Yes . No
DEPARTMENT USE ONLY
Is the propeityinside the;PSSA?
es
Date Received:
(._,c2(----3-eee-
METHOD OF PAYMENT
Staff Repr#s
VISA
❑ CASH 0 CHECK 0 ME= 0 `"' ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
I