2002, 05-24 Permit App: 02004058 ResidenceProject Number: 02004058 Inv: 1
c
Application
Date: 5/24/02 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE W/GARAGE - NATURAL GAS
Setbacks: Front 20 Left: 9 Right: 6 Rear: 29
Site Information:
Plat Key: 005862 Name: SHELLEY LAKE
Contact: R. BRUCE MCKINLEY
Address: 12911 E SANSON
C - S - Z: SPOKANE, WA 99216
Phone: (509) 290-1047
Group Name:
Project Name:
- .. _:. AMFINAMERVIMMMIOMMgat
District: F
Parcel Number: 45242.1716 Block: 7
SiteAddress: 527 S SONORA LN
VERADALE, WA USA 99037
Location:: VER
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot: 16
Owner: Name: R. BRUCE MCKINLEY
Address: 12911 E SANSON
SPOKANE, WA 99216
Hold: ❑
Area: 8,224 Sq Ft Width: 80 Depth: 104 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Approach / Drainage
Sewer Review
Permits:
eleased By:
sedBy:
C)2 �- -ii)
Gf-- .tv"/,,✓e.C:T a A)
Operator: CKF Printed By: CKF
Print Date: 5/24/02
Project Number: 02004058 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/24/02 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
Const Category: New
Nbr Of Dwellings: 1 Occupant Load:
Bldg W x D: 56 x 58 Building Sq Ft:
Req Parking: Handicap Parking:
Building Characteristics
Group: R-3 Type: VN
Building Height: 13 Stories: 1
2680 Sprinklers: E
Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 1,340 $16,482.00 1,340 $16,482.00
GARAGE U-1 VN 730 $8,760.00 730 $8,760.00
RESIDENCE R-3 VN 1,340 $88,440.00 1,340 $88,440.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 3,410 $113,682.00 3,410 $113,682.00
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
GAS LOG OR GAS INSERT
HOOD -TYPE II
Units
1
1
1
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Mechanical Permit
Firm: ANDERSON'S SHEET METAL
Units
1
1
3
4
1
1
1
Operator: CKF Printed By: CKF
Fee Amount
$965.00
$4.50
$212.30
$1,181.80
Phone: (509) 928-0960
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$3.00
$40.00
$10.00
$10.00
$10.00
$95.00
5/24/02
Project Number: 02004058 Inv: 1
Application
Date: 5/24/02 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: ANDERSON'S SHEET METAL Firm: ANDERSON'S SHEET METAL
Address: 13903 E TRENT AVE Phone: (509) 928-0960
SPOKANE, WA 99216
Item Description Units Unit Desc
TOILETSBIDETS 3 NUMBER OF
SINKS 5 NUMBER OF
SHOWERS 1 NUMBER OF
TUBS 2 NUMBER OF
DISH WASHERS 1 NUMBER OF
GARBAGE DISPOSAL 1 NUMBER OF
CLOTHES WASHER 1 NUMBER OF
FLOOR DRAINS 1 NUMBER OF
WATER USING DEVICES 4 NUMBER OF
Permit Total Fees:
Fee Amount
$18.00
$30.00
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$24.00
$114.00
Notes: uW,,,,,, u •=- •
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
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,181.80
$95.00
$114.00
Invoice Amount
$1,181.80
$95.00
$114.00
$1,390.80 $1,390.80
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$1,181.80
$95.00
$114.00
$1,390.80
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: 5/24/02
SoxNE COUN Y
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:
,„A5c.;2 % S. 5-0/(J0/041- /X),
Assessor's Tax Parcel
Legal Description:
Number(s): Si: �� , / 7/
,la 7 /" 6i .e 7 .SP GLEy /'iL'E''e' .7>,!
Project Description: /1/44.) leZ:S-446Je /,L
Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
11 Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
8 2„ Z. L-4
Phone:
flax:
Mailing Address:
Water District/Purveyor.
•
Sewer District/Purveyor
City, State, Zip
Road width
?
1
Setbacks
rout
Left. Ce, C
I� 1
R r -,.J - �i+i�!
i �
Rig
School District:
Fire District:
ry
Zoning
City, State rip
se®.(41711Z/ 4.11/ I ,'14
OWNER/APPLICANT INFORMATION
lndieute rho should he ,onIa Ied ree'ardinn this Armed
in (Tyner: //�J�i ,//� Phone:
V "4C CZ /j€c, / /
❑ Applicant:
Phone:
flax:
Mailing Address:
Mailing Address:
Dimensions
City, State, Zip
City, State, Zip
Finished basement sq. ft.
Contractor Phone jj 01
CS 7e -742E 67,4s� /ev O��
i
❑ iArchitccV Engineer
Phone
Nlailing address
// 9// ,E, S;'j '1t)
Mailing address
....5—//175
teat source (electric, gas, etc.)
C�✓
City, State rip
se®.(41711Z/ 4.11/ I ,'14
City, State Zip
WA State Contractor license #
.5To 'ECi 99 4/444
(:intact name:
PROTECT INFORMATION
Building Information
Building height to peak /
# of stories /
\lain floor sq. ft. ��
%,
Unfinished basement sq. 11.
�Y
Dimensions
'Total habitable space
tn
2.."1
2"rd floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type,
.-- e/ ff
Garage se. ft.
7 o
Deck sq. ft.
Cost ofprojectI
/�e/ a
....5—//175
teat source (electric, gas, etc.)
C�✓
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
Are there slopes greater than 30% on the proper :? (30 ft rise in 100 ft)
( ...............0/0 O Yes 14t No
Proposed use
Value
Relocation
Fire Safety
Finn Name
Previous address
Phone
Fire Sprinkler
Tent
Paint booth _ Fire Alarm
Fireworks display
Is there evidence of fill or excavation on the property? .2.40,/eL1.4%ri
`J 1 Yes O No
Are there slopes greater than 30% on the proper :? (30 ft rise in 100 ft)
( ...............0/0 O Yes 14t No
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Finn Name
What is the current use of this property? meit )l Q�S`7te_�� '
/rte/ /� /r/c D
Phone
Will the site be served by a septic system? O Yes No
Plans lsaminer
Phone
Inspectors:
Is there evidence of fill or excavation on the property? .2.40,/eL1.4%ri
`J 1 Yes O No
Are there slopes greater than 30% on the proper :? (30 ft rise in 100 ft)
( ...............0/0 O Yes 14t No
Are critical or hazardous materials used or stored on site?
O Yes No
Address
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes A No
Iffier, identify on site plan
What is the current property size? I/
(square feet or acres) iii.� ��
Is any part of the property within 250 feet of a shore te?
Iffier, identify on site plan O Yes No
What is the current use of this property? meit )l Q�S`7te_�� '
/rte/ /� /r/c D
Is your property in a designated wildlife habitat area?
O Don't know O 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 yet, identif' on site plan
O Maybe O Don't know O Yes No
Are or will there be wells located on the property?
Ifjes, identz, on the site plan O Yes XNo
Are there any wetlands, streams or ponds within 20 feet of the property?
Ifjes, identi' on siteplan O Yes No
Is there evidence of fill or excavation on the property? .2.40,/eL1.4%ri
`J 1 Yes O No
Are there slopes greater than 30% on the proper :? (30 ft rise in 100 ft)
( ...............0/0 O Yes 14t No
Are critical or hazardous materials used or stored on site?
O Yes No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
O Yes O No
Is public sewer available to the site? O Yes 0 No
Is the property inside the ASA? 0 Yes 0 No
O Yes O No
Is public water available to the site? 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?
O Yes O No
Date Received:
Staff Representative:
METHOD OF PAYMENT
❑ CASII
FAXED PER
D.\'111:
VISA
(:111?CIS ❑Emmons❑
TS WI 'L ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
EXPIRES:
B.\Nk(:.\RI) N 11 1BI(R:
AU ll IORI/.I'.1) SIGN .A IURE:
SUBlO1.\l.
TOTAL FEE
MINIMUM PERMIT FEE IS $35.00PLEASE
1`1 \kI? CIIECK.S 5: A ABLE TO SPOh-ANE.
COUNTY \ PIIR\IIT CENTER
Stonecrest Homes L.L.C.
New Construction
Licensed . Bonded . Insured
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/0'
ta-rtgfat, I (Z.l VE
QD�
12911 E. Sanson
Spokane, Wa. 99216
(509) 290-1047
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its
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713'
521s. 01,1 ORA- InA16-
SITE PLAN%
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