2001, 08-06 Permit App: 01006492 RemodelProject Number: 01006492
Inv: 1
Application
Date: 8/6/01 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: KITCHEN REMODEL
Setbacks: Front Left:
Site Information:
Right: Rear:
Contact: CRAFTSMEN CONSTRUCTION
Address: 123 N STONE
C - S - Z: SPOKANE WA 99202
Phone: (509) 534-2267
Group Name:
Project Name:
Plat Key: 001401 Name: KRUEGER'S 1ST ADD
District: H
Parcel Number: 45021.0301
Block:
SiteAddress: 4718 N ST CHARLES RD
VERADALE, WA 99037
Location:: VER
Zoning: UR -3.5
Water District:
Area: 0 Sq Ft
Nbr of Bldgs: 0
Review Information:
Urban Residential 3.5
Width: 0
Nbr of Dwellings: 1
Lot:
Owner: Name: HORNER, BILL & ANNA
Address: 4718 N ST CHARLES RD
VERADALE, WA 99037
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Department
BUILDING
Hold Reasons:
Permit Conditions:
Permits:
Review
Plan Review
Project Number: 01006492 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/6/01 Page 2 of 3
Building Permit
Contractor: CRAFTSMEN CONSTRUCTION Firm: CRAFTSMEN CONSTRUCTION IN
Address: 123 N STONE Phone: (509) 534-2267
SPOKANE, WA 99202
Const Category: Remodel
Building Characteristics
Group: R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Su Ft Valuation
RESIDENCE R-3 VN KITCHEN 0 $25,188.00 0 $25,188.00
REMODEL
Totals: 0 $25,188.00 0 $25,188.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $361.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $79.42
Permit Total Fees:
Mechanical Permit
$444.92
Contractor: CRAFTSMEN CONSTRUCTION Firm: CRAFTSMEN CONSTRUCTION IN
Address: 123 N STONE Phone: (509) 534-2267
SPOKANE, WA 99202
Item Description Units Unit Desc Fee Amount
VENTILATING FANS 2 NUMBER OF $20.00
CLOTHES DRYER 1 NUMBER OF $10.00
MINIMUM FEE ADJUSTMENT 1 Select $5.00
Permit Total Fees:
Plumbing Permit
$35.00
Contractor: ALPHA PLUMBING & HEATING Firm: ALPHA PLUMBING & HEATING
Address: 13615 E. TRENT AVE
SPOKANE, WA 99216
Phone: (509) 535-0727
Item Description Units Unit Desc Fee Amount
SINKS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
MINIMUM FEE ADJUSTMENT 1 Select $23.00
Permit Total Fees: $35.00
Project Number: 01006492 Inv: 1
'`Appijcation
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/6/01 Page 3 of 3
Payment Summary:
Operator: DMD Print Date: 8/6/01
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Printed By: JAS
Fee Amount
$444.91
$35.00
$35.00
Invoice Amount
$444.91
$35.00
$35.00
$514.91
$514.91
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$444.91
$35.00
$35.00
$0.00
$514.91
Notes:
l i
SPOKAE COINfY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 VEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
cri,
Street Address:
AY? (• 5T. C o LD
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description:
Building Permit
❑ Change in Use
❑ Grading
El Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
Water District/Purveyor.
Sewer District/Purveyor
Road width
Setbacks
Front: Rear.
Left: Right:
School District
Fire District
Zoning
OWNER/APPLICANT INFORMATION
0
Indicate who should he ,oniaded retardins thi.t projea
Phone:
1?,( I(
lam(I('' 4-NN� )loR F F� Fax
„5-50
QJ! q/, -5 Z.._
PPlicant:
L'il2i4'FT5r4 f -s3 CSL,o5r-
Phone: 53q- 2-2(07
I❑.: ,s--3&- Z$PO
Mailing Address:
L/7(t N • 5T• eco kl=0
Dimensions
Mailing Address:
123 ru • 5 rotD
2nJ floor sq. ft.
City, State, Zip
500 u� — g
%"Z/ 4
(.it), State, Zip
Sev wc,_
55 Z- 0
❑ Contractor LL Phone
��-IQ''��jyyj L-ONSIM l�C & x) pa
53K-z.2�7
, ,yS(o X e o
❑ Architect/Engineer
Phone
Fax
Mailing address
IZ3 ►, • 57t)0
Mailing address
(;in State /ip
6 O , c.,..,....._ "3z0 z
City, State Zip
w...\ State Contractor license ik
(9-0- T C -.Z O / (OD 7
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
# of stories
Nlain floor sq. ft.
Unfinished basement sq. ft.
Dimensions
"Total habitable space
2nJ floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
c; , 18-a`_
I feat source (electric, gas, etc.)
...,li 5
Manufactured Home -
Sigti
Width:
Length:
What is the square footage of the sign
face?
I low high is the sign?
Year:
Make:
# of signs
:Arca of existing signs
Fireworks display
.Are critical or hazardous materials used or stored on site?
O Yes O No
Address
Proposed use
Relocation
Fire Safety
I:inn Name
\\llat is the current use of this property?
Previous address
Will the site be served by a septic system? O Ycs O No
Paint booth
Fire Sprinkler
'fent
Fire Alarm
Fireworks display
.Are critical or hazardous materials used or stored on site?
O Yes O No
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
I:inn Name
\\llat is the current use of this property?
Phone
Will the site be served by a septic system? O Ycs O No
flans Examiner
Phone
Inspectors:
Is there evidence of till or excavation on the property?
O Ycs O No
.Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( ......„.......0/0 O Ycs O No
.Are critical or hazardous materials used or stored on site?
O Yes O No
Address
Inspector
3
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
,Are there structures on the property? O Ycs O No
If yet, identifjt 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, identi.b, on .site plan O Ycs O No
\\llat is the current use of this property?
Is your property in a designated wildlife habitat arca?
O Don't know O Ycs O No
Will the site be served by a septic system? O Ycs O No
Is any part of the property within a 100 yr flood plain?
I f yes, idem , on site plan
O Maybe O Don't know O Ycs O No
,Are or will there be wells located on the property?
"ryes, identifp on the site plan O Ycs O No
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, identify on .site plan O Ycs O No
Is there evidence of till or excavation on the property?
O Ycs O No
.Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( ......„.......0/0 O Ycs O No
.Are critical or hazardous materials used or stored on site?
O Yes O 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 O No
Is the property inside the ASA?
O Yes
O Yes
O No
O No
Is public water available to the site? O Yes O No
Is the property inside the PSSA?
O Yes
O No
Is the property located within 1000 feet of a Natural Resource Arca?
O Ycs O No
Date Received:
Staff Representative:
METHOD OF PAYMENT
❑
CAS'I
0 CIII:CK
VISA
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I'APIRI?S:
B.ANK(:.AR1) NUMBI:R:
AUT! I(RI%I:1) SIGN.A111RI;:
SUB 'I'O'1'.AI.
TOTAL FEE
MINIMUM PERMIT FEE IS $35.001'1.1 1S1
\I.\IQ 0111 CKS P: \S': 1111.1:'10 SPOK 1\P.
COLN IN PI 10111 (:1 \ 11.12