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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 /1' /0' ta-rtgfat, I (Z.l VE QD� 12911 E. Sanson Spokane, Wa. 99216 (509) 290-1047 I�,f ORTI-i its c.� 713' 521s. 01,1 ORA- InA16- SITE PLAN% Ye_ 1 Farr /or /lo 'q7 /-2ab