2003, 03-26 Permit App: 03002001 ResidenceProject Number: 03002001 Inv: I
Application D(e:: 3 26/2!003)
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Page I of 3
SiteAddress: 18411 E SPRAGUE AVE
GREENACRES, WA USA 990
Location:: GRE
Zoning: UR -7 Urban Residential -7
Water District:
Area: 19,167 Sq Ft Width: 126
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Appi
Sept,
Permits:
Owner: Name: COOK, KEVIN & TERESA
Address: PO BOX 313
LIBERTY LAKE, WA 99019
Hold: n
Depth: 124 Right Of Way (ft): 15
Released: E 7.64 )1
7.25" ... . ..... ........
Released
Operator: CKF Printed By: CKF Print Date: 3/26/2003
Project Number: 03002001 Inv: 1 Application Date: 3/26/2003 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: DESIGN TEC Firm: KEVIN COOK/DESIGN TEC
Address: P.O. BOX 313 Phone: (509) 255-1459
LIBERTY LAKE, WA 99019
Building Characteristics
Const Category: New Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height:
Bldg W x D: x Building Sq Ft: Sprinklers:
Req Parking: Handicap Parking: Critical Materials:
Description
GARAGE
RESIDENCE
G_pr
Tvve Notes
U-1
VN
R-3
VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
This Application:
Su Ft Valuation
400 $4,800.00
1,200 $79,200.00
Totals: 1,600 $84,000.00
Units
Unit Desc
1
Y OR BLANK
1
Y OR BLANK
1
Y OR BLANK
Contractor: ANDERSON'S SHEET METAL
Address: 13903 E TRENT AVE
SPOKANE, WA 99216
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
HOOD -TYPE II
Stories:
Total Project:
Sa Ft Valuation
400 $4,800.00
1,200 $79,200.00
1,600 $84,000.00
Fee Amount
$792.50
$4.50
$174.35
Permit Total Fees: $971.35
Mechanical Permit
Firm: ANDERSON'S SHEET METAL
Phone: (509) 928-0960
Units
Unit Desc
Fee Amount
1
NUMBER OF
$10.00
1
NUMBER OF
$12.00
2
# OF UNITS
$2.00
2
NUMBER OF
$20.00
1
NUMBER OF
$10.00
1
NUMBER OF
$10.00
Permit Total Fees:
$64.00
Operator: CKF Printed By: CKF Print Date: 3/26/2003
Project Number: 03002001 Inv: 1
Application Date: 3/26/2003 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: ANDERSON'S SHEET METAL
Address: 13903 E TRENT AVE
SPOKANE, WA 99216
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Plumbing Permit
Firm: ANDERSON'S SHEET METAL
Phone: (509) 928-0960
Units
Unit Desc
Fee Amount
2
NUMBER OF
$12.00
3
NUMBER OF
$18.00
2
NUMBER OF
$12.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
3
NUMBER OF
$18.00
Permit Total Fees:
$84.00
Notes:... _..........................................
Payment Summa
Permit Type
Fee Amount
Invoice Amount
Amount Paid
Amount Owing
Building Permit
$971.35
$971.35
$0.00
$971.35
Mechanical Permit
$64.00
$64.00
$0.00
$64.00
Plumbing Permit
$84.00
$84.00
$0.00
$84.00
$1,119.35
$1,119.35
$0.00
$1,119.35
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 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: CKF Printed By: CKF Print Date: 3/26/2003
I „ .
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC- -,TT-F. INFORMATION
Street Address:
5r7 r cL C tx �.
Assessor's Tax Parcel Number(s):
Legal Description: r Ll
Project Description: Ale t-' Ori c911. S e—
.0—Building
.0'Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑Other
Department Use Only
Water District/Purveyor
Sewer District/Purveyor
Road width
Setbacks
Mailing Address:
Mailing Address:
Front Rear.
School District
Fire District:
Zoning
q 1 C11 19
Cin•, State, Zip
❑ Contractor Phone
Left: Right:
OWNER/APPLICANT INFORMATION
❑ Ow.c,: Phone: % % /G' S4-
❑ Applicant Phone:
E it tni 2r 7 C r e S e, Ce Fas:
4l a l 1,
Fa'.
Mailing Address:
Mailing Address:
gc,c '73 i 3
Cit}', State, Zip
L. tat r: 1, It
q 1 C11 19
Cin•, State, Zip
❑ Contractor Phone
❑ Architect/1:ngineer Phone
JJct�
1 / e -, 1 '.V / t C. Fay
21111 floor sq. ft.
Paz
Mailing address
1 a vv
Mailing address
/�1
90 7t -? ( 3
Occupancy group
Cin', State ""/.ipCin',
1, 4--c La l
IV ?9"�
State Zip
$-
07
WA State Contractor license #
I [cat sour c (electric as, tc.)
Contact name
PROTECT INFORMATION
Building Information
Building height to Peak
# of stories
Main Floor sq. ft.
Unfinished basement sq. ft.
Dimensions
Total habitable space
21111 floor sq. ft.
Finished basement sq. ft.
1 a vv
Occupancy group
Construction type
Garage sq. t.
Deck sq. ft.
Cost of project
I [cat sour c (electric as, tc.)
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
0 Don't know 0 Yes 0-1Jo
Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the property?
Relocation
Fire Safety
Previous address
Dire Sprinkler Tent
Paint booth _ Fire Alarm Fireworks display
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name Phone
Plans Esammcr Phone
Inspectors:
Address
I yes, idenlift on .rite lan 0 Yes O No
Inspector Phone
O Concrete O Welding O Bolting 0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes No
What is the current property size? , Z
I es, identib, on siteplan
(square feet or acres) :;(�
Is any part of the property within 250 feet of a shoreline?
What is the current use of this property?
I yes, idenlift on .rite lan 0 Yes O No
V -L e c,
Is your property in a designated wildlife habitat area?
Will the site be served by a septic system? Yes 0 No
0 Don't know 0 Yes 0-1Jo
Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the property?
Ifyes, identil on site plan
Ifyes, identifi, on the site plan 0 Yes La—No
O Maybe 0 Don't know O Yes -K-No
0 Yes 0 No
Are there any wetlands, streams or ponds within 200 feet of the property?
Is there evidence of fill or excavation on the property?
If yes, identift on site plan 0 Yes 11No
0 Yes R No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
Ire critical or hazardous materials used or stored on site?
% 0 Yes C -<o
0 Yes -FT—No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
Is public sewer available to the site? 0 -Yes 0 No
0 Yes
0 No
Is the property inside the ASA? 0 Yes
0 No
Is public water available to the site? 0 Yes 0 No
0 Yes
0 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:
METHOD OF PAYMENT
VISA
a
❑ CASA ❑ CnI':CK ❑ ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DAT
BANKCrVtll NU\IBI?R:
AUTI IORIZFI) SIGNXI'UIZF:
FXPIRI:S:
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT FEE IS $39..00 PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
COUNTY PERMrr CENTER
i
1,
TRACT C ADDRFAS � u e
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2,097 S.F. ROAD WtllT1E i
t 5" I3 c 1�R0N 7 L�tKnvG
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15' E.5. +
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=ph :c __. _� _ \ (� �(,�-� This sit p'an is being submitted for the purpose of
( fy �� - obtainilg a building permit and is a true and correct i
Cr,�...,,.,
j � � tepre� nation of the proposal. All known property
lines/ditnensions, curb lines. structures and easements
have ben identified. Also indicated are wetlands,
bodies of water, st p opes or othe ritica! rens.
RA
1' 8,31 N ( N 1
�41On - i
CT l Date:
1 j.
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FNO. 1 �2 I.P. i oo I
t6.82` "'_' } . ,�
'125' WIDE
I i1VATER
SEWER SMT. f
c S89'36'30" E
�
126.21 ' • ,
10' WIDE
UTtL. ESMT. , f
Ln
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