2001, 11-08 Permit App: 01009935 ResidenceProject Number: 01009935 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/8/01 Page 1 of 3
Project Information:
Permit Use: RESIDENCE W/GARAGE - NATURAL GAS
Setbacks: Front 20 Left: 8 Right: 8 Rear: 45
Site Information:
Plat Key: 005862 Name: SHELLEY LAKE
Contact: MCKINLEY, BRUCE
Address: 12911 E SANSON AVE
C - S - Z: SPOKANE, WA 99216
Phone: (509) 290-1047
Group Name:
Project Name:
District: F
Parcel Number: 45242.1717 Block: 7
SiteAddress: 521 S SONORA LN
VERADALE, WA USA 99037
Location:: VER
Zoning: UR -3.5
Water District:
Area: 7,633 Sq Ft Width: 61
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Urban Residential 3.5
Review Information:
Lot: 17
Owner: Name: MCKINLEY, BRUCE
Address: 12911 E SANSON AVE
SPOKANE, WA 99216
Hold: ❑
Depth: 115 Right Of Way (ft): 30
Review
Site Plan Review
Plan Review
Approach / Drainage
Sewer Review
GFG Fogrn 6ivED,
Permits:
Operator: CKF Printed By: CKF
Print Date: 11/8/01
of
Project Number: 01009935 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/8/01 Page 2 of 3
Building Permit
Contractor: STONECREST HOMES LLC Firm: BRUCE MCKINLEY/STONECREST
Address: 12911 E SANSON Phone: (509) 290-1047
SPOKANE, WA 99216
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: 17 Stories: 1
Bldg W x D: 49 x 50 Building Sq Ft: 1387 Sprinlders: El
Req Parking: Handicap Parking: Critical Materials: Ell
This Application: Total Project:
Description Grp 'km Notes Su Ft Valuation Su Ft Valuation
BASEMENT U R-3 VN 1,387 $16,033.72 1,387 $16,033.72
GARAGE U-1 VN 446 $5,352.00 446 $5,352.00
RESIDENCE R-3 VN 1,387 $85,994.00 1,387 $85,994.00
Totals: 3,220 $107,379.72 3,220 $107,379.72
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $935.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $205.70
Permit Total Fees:
Mechanical Permit
$1,145.20
Contractor: ANDERSON'S SHEET METAL Firm: ANDERSON'S SHEET METAL
Address: 13903 E TRENT AVE
SPOKANE, WA 99216
Phone: (509) 928-0960
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 3 # OF UNITS $3.00
VENTILATING FANS 4 NUMBER OF $40.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
HOOD -TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $95.00
Operator: CKF Printed By: CKF Print Date: 11/8/01
Project Number: 01009935 Inv: 1
' Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/8/01
Contractor: ANDERSON'S SHEET METAL
Address: 13903 E TRENT AVE Phone: (509) 928-0960
SPOKANE, WA 99216
Plumbing Permit
Page 3 of 3
Firm: ANDERSON'S SHEET METAL
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Units Unit Desc
3 NUMBER OF
5 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
4 NUMBER OF
Fee Amount
$18.00
$30.00
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$24.00
Permit Total Fees: $114.00
Notes:
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
Payment Summary:
Permit Type Fee Amount Invoice Amount
Building Permit $1,145.19 $1,145.19
Mechanical Permit $95.00 $95.00
Plumbing Permit $114.00 $114.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,145.19
$95.00
$114.00
$1,354.19 $1,354.19 $0.00 $1,354.19
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: CKF Printed By: CKF
Print Date: 11/8/01
'
1
SPOKANE Com,/
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address:
5-2.f
c5o,v(),e4
Assessor's Tax Parcel Number(s):
,s/7‘.e«y
212./7/7
Legal Description:
6.0 bcx ir)
Lid/4�.?
Project Description:
Building Permit
❑ Change in Use
In Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
Water District/Purveyor.
Sewer District/Purveyor
Road width
1,933
het ks S� f ��
Le/ ° te,c e$ 15,
School District
Fire District:
'Loring
OWNER/APPLICANT INFORMATION
0 Indiaule who .rbould be , onlurled n2urdin2 This pro'ed
❑ Owner: Phone: " 90 �es 4
Amer ,d eels- i1/; / lz y I a.:
❑ Applicant:
Phone:
i ax:
Mailing Address: /
/C71:9// f, K>9t/jo-..%
\tailing Address:
Dimensions
A/9 X t
City, State, Zip
c,e2l �/ e>rs- 9494---/6e.,,./
City, State, Zip
Finished basement sq. ft.
❑ Contractor Phone 900
72,41- '.e.�ST ,6,s : C.
❑ ArchitecVl.n},nnccr
Phone
Fax
Mailing addressMailing
AAnn
address
c, gas, etc.)
I kat source (electri-
City, State Zip
city, State zip
\\'A State Contractor license #
To As CIA/ 99iii✓8
Contact name:
PROTECT INFORMATION
Building Information
Budding height to peak
# of stories
/
l\ lain floor sq. ft.
/327
Unfinished basement sq. ft.
/3f1
Dimensions
A/9 X t
Total habitable _space
/3ij1
2"d floor sq. ft.
Finished basement sq. ft.
Occupancy group
t
Construction type. n -"�
e-� NA / L �/T/�(
�4 Garage sq. B.
Deck sq. rt.
—
Cost of project
c, gas, etc.)
I kat source (electri-
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
Address
❑ Yes
Proposed use
Relocation
Fire Safety
firm Name
\X'hat is the current use of this property?
,0 7 -
Previous address
Plans Iisaminer
Paint booth
Fire Sprinkler
'Tent
lire Alarm
Fireworks display
Address
❑ Yes
Proposed use
Value
Inspector
Special Inspections Required?
Non -Residential Energy Code Compliance?
firm Name
\X'hat is the current use of this property?
,0 7 -
Phone
Plans Iisaminer
Phone
inspectors:
.Arc there any wetlands, streams or ponds within 200 feet of the property?
If yes, identij' on site plan ❑ Ycs 7 No
Is there evidence of fill or excavation on the property?
....5-0177Efjaj-¢O/A/ ff XYcs ❑ No
.Are there slopes greater than 30°'o on the property? (30 ft rise in 100 ft)
( °'o) ❑ Ycs No
Address
❑ Yes
0 No
Is the property located within 1000 feet of a Natural Resource Area?
0 Yes ❑ No
Inspector
Phone
❑ Concrete
❑ Welding
0 Bolting
❑ Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes S No
If yes, ident' on site plan
What is the current property size?��� L7 /
(square feet or acres) 0
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan 0 Yes IX No
\X'hat is the current use of this property?
,0 7 -
Is
Is your property in a designated wildlife habitat arca?
❑ Don't know ❑ Ycs Zfif No
Will the site be served by a septic system? ❑ Ycs X No
,
Is any part of the property within a 100 yr flood plain?
If yes, identin' on site plan
❑ Maybe ❑ Don't know ❑ Ycs XNo
.Are or will there be wells located on the property?
If yes, identi5' on the site plan ❑ Yes _No
.Arc there any wetlands, streams or ponds within 200 feet of the property?
If yes, identij' on site plan ❑ Ycs 7 No
Is there evidence of fill or excavation on the property?
....5-0177Efjaj-¢O/A/ ff XYcs ❑ No
.Are there slopes greater than 30°'o on the property? (30 ft rise in 100 ft)
( °'o) ❑ Ycs No
.Are critical or hazardous materials used or stored on site?
❑ Ycs ,KNo
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
❑ Yes
0 No
Is public sewer available to the site?
0 Yes
0 No
Is the property inside the ASA?
❑ Yes
❑ Yes
0 No
O No
Is public water available to the site?
❑ Yes
0 No
Is the property inside the PSSA?
❑ Yes
0 No
Is the property located within 1000 feet of a Natural Resource Area?
0 Yes ❑ No
Date Received:
Staff Represent:thee:
METHOD OF PAYMENT
❑ (:.\SI1 0 (:1I1L1:k
VISA
111111111111111
COV'
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I(SPIRI?S:
li \Nk(:-\RI) NU\161:R:
AU]] l(R1/.ILD SIGN.V1URI::
SUBTOTAL,
TOTAL FEE
MINIMUM PERMIT FEE IS $35. AO PLEASE
:AL\KI': CI IECKS P_AYAI3LE TO SPOKANE
couN'fY PER5Itr CENTER
PLUMBING PERMIT APPLICATION
PROJECTPERMIT
ADDRESS: ___S:. e&4LAL-
USE:
OWNER:it ,ea. CE c l/�L
PHONE (Daytime Contact): / � 7
MAILING ADDRESS:�
/j7�/
�� 9/7 n�5D�/
��� ��/ 4J� 992--/C,(Street)
(City/State) (Zip)
CONTRACTOR:
�5'7n.J.6 c/2F s7 ! res 1Z�
LICENSE:
�ST.�Fe��'> /k48
MAILING ADDRESS:
PHONE: r' -9Q /Z) 5/7
(Street) (City/State) (Zip)
PLUMBING FIXTURES
DESCRIPTION
DETAIL
# OF
UNITS
MULTI.
PByD
COST/
UNIT
EQUALS
AMOUNT
B02
TOILETS
WATER CLOSETS, BIDETS
02
x
$6
-
B03
URINALS
x
$6
-
B04
TUBS
-
/
x
$6
-
B05
SHOWERS (per trap)
BATH, STALL, ON-SITE BUILD
/
x
$6
-
B06
SINKS
LAVS/BASINS, BAR, FLOOR,`
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD
(PREP/CULINARY/MEAT
,/
x
$6
-
B07
DISHWASHER
-
/
x
56
-
B08
CLOTHES WASHER
/
x
$6
-
B09
GARBAGE DISPOSAL/GRINDER
-
4
x
$6
—
B10
WATER SOFTENER
-
x
56
-
B11
ELECTRIC HOT WATER TANKS
(NOTE: if gas water tank see
mechanical)
x
$6
-
B12
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
/
x
$6
-
B13
ROOF DRAINS/OVERFLOW DRAINS
(ea.)
-
x
56
-
B14
FOUNTAINS, DRINKING
-
x
$6
-
B15
WATER PIPING/DRAIN-IN WASTE-
VENT/PLUMBING REVERSALS
INSTALLATION, ALTERATION,
REPAIR, REVERSALS
x
56
-
B16
SEWAGE EJECTORS
GRINDER, SUMP PUMP
x
$6
-
B17
WATER USING DEVICES
ICE AND/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
x
$6
-
B18
CROSS CONNECTION DEVICES
VACUUM BREAKER, CHECK
VALVE, AND R.P.B.P.D. FOR :
VATS, SUMPS, TANKS, BOILERS, &
SPRINKLER SYSTEMS
$6
-
B19
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
x
$6
-
B20
MEDICAL GAS (per outlet/bottle station)
NITROUS, OXYGEN
x
$6
-
B21
MISCELLANEOUS FIXTURES
$6
-
METHOD OF PAYMENT
VISA
SUBTOTAL
PLUS PROCESSING FEE
$ 25.00
iIClV
-
• CASH
• CHECK • WM= •
FAXED PERMITS WILL ONLY BE ACCEPTED
OF A MAJOR CREDIT
EXPIRES:
•
WITH PAYMENT
CARD
DATE:
BANKCARD
AI JTHORIZED
TOTAL PERMIT FEE DUE
MINIMUM PERMIT FEE IS S35.00
PLEASE MAKE CHECKS PAYABLE TO
SPOKANE COUNTY PERMIT CENTER
NUMBER:
SIGNATURE:
Spokane County Division of Building & Code Enforcement
1026 West Broadway Avenue * Spokane, WA 99260-0050
Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133
MECHANICAL PERMIT APPLICATION
PROJECT
ADDRESS: V t cSD/2e/
DESCRIPTION OF WORK
PERMIT
USE:
OWNER:
MULTI.
PLIED
BY
PHONE (Daytime Contact):
MAILING ADDRESS:
72- // �: 5>9.A... o
, ,0,2,e, Jfj m.9-- 7y 2--/ 6,
(Street)
(City/State) (Zip)
CONTRACTOR: `�N-- 's� /
J /�
.�5 Z.Z.ICENSE
GPHONE:
�! ���y
yO� `C' / / ��
MAILING ADDRESS:
—
,9e:'IO//7
B03
(Street)
(City/State) (Zip)
Spokane County Division of Building & Code Enforcement
1026 West Broadway Avenue * Spokane, WA 99260-0050
Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133
DESCRIPTION OF WORK
# OF
UNITS
MULTI.
PLIED
BY
COST/
UNIT
EQUALS
AMOUNT
B02
FUEL BURNING APPLIANCE
— OR <100,.000
/
X
$12
—
$
B03
FUEL BURNING APPLIANCE
> 100,000
X
$15
—
$
B04
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
— OR <400,.000
X
$50
—
$
B04
UNLISTED APPLIANCE (ADDITIONAL CHARGE)
>400,000
X
$100
$
B06
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
— OR <400,.000
X
$50
—
$
B07
USED APPLIANCE (Must meet WSEC's min. AFUE rating)
>400,000
X
$100
—
$
B08
BOILER/REFRIGERATION
1-100M BTU
X
$12
—
$
B09-.
BOILER/REFRIGERATION
101-500M BTU
X
$20
—
$
810
BOILER/REFRIGERATION
501-1,000M BTU
X
$25
—
$
B11
BOILER/REFRIGERATION
1,001- 1,750M BTU
X
$35
—
$
B12
BOILER/REFRIGERATION
+1,750M BTU
X
$60
—
$
B13
GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
-
/
X
$10
—
$
B14
RANGE
-
40
X
$10
—
$
B15
DRYER
-
X
$10
—
$
B16
FUEL BURNING WATER HEATER
-
/
X
$10
—
$
B17
MISCELLANEOUS FUEL BURNING APPLIANCE
-
X
$10
—
$
B18
GAS PIPING (ea. Outlet)
-
3
X
$1
—
$
B19
DUCT SYSTEMS
-
X
$10
—
$
B20
VENTILATING FANS
-
41
X
$10
$
B21
AIR HANDLER (DOES NOT include duct systems)
— OR <10,000 CFM
X
$12
—
$
B22
AIR HANDLER (DOES NOT include duct systems)
> 10,000 CFM
X
$15
—
$
B23
EVAPORATIVE COOLERS
-
X
$10
=
$
B24
TYPE I HOOD
-
X
$50
—
$
B25
TYPE II HOOD
-
X
$10
—
$
B26
HEAT PUMP/AIR CONDITIONER
0-3 TONS
X
$12
=
$
B27
AIR CONDITIONER
3-15 TONS
X
$20
—
$
B28
AIR CONDITIONER
15-30 TONS
X
$25
—
$
B29
AIR CONDITIONER
30-50 TONS
X
$35
—
$
B30
AIR CONDITIONER
+50 TONS
X
$60
—
$
B31
LPG STORAGE TANK
-
X
$10
—
$
B32
WOOD OR PELLET STOVE/INSERT
-
X
$25
—
$
METHOD OF PAYMENT
VISA
SUBTOTAL
PLUS PROCESSING FEE
$ 25.00
• CASH
• CHECK ■ WilMli ■' ■
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD
EXPIRES:
DATE:
BANKCARD
AUTHORIZED
TOTAL PERMIT FEE DUE
MINIMUM PERMIT FEE IS $35.00
PLEASE MAKE CHECKS PAYABLE TO
SPOKANE COUNTY PERMIT CENTER
NUMBER:
SIGNATURE:
Spokane County Division of Building & Code Enforcement
1026 West Broadway Avenue * Spokane, WA 99260-0050
Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133
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STONECAE r HONER LLC.
12911 E. SAWN
SPOKANE, WA 99216
a 90-/O4/7
R.B. MCKNNLEY
12911 E. SANBON
SPOKANE, WA 99216