2001, 04-25 Permit App: 01002870 Residence Project Number: 01002870 Inv: 1 Application Date: 4/25/01 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/GARAGE-NATURAL GAS Contact: W.R.LIBBY CONST.CORP.
Address: POB 157
C-S-Z: MEAD,WA.99021
Setbacks:Front 36 Left: 18 Right: 13 Rear: 45 Phone: (509)468-4060
Group Name:
Site Information: Project Name:
Plat Key: 003865 Name: RIDGEMONT ESTATES NO.3 District: F
Parcel Number: 45251.0814 Block: 3 Lot: 14
SiteAddress: 2224 S STEEN RD Owner:Name: JURJEVICH,JAMES A&JOA
VERADALE,WA USA 99037 Address: 8026 CLUB POINT DR
Location::VER HUMBLE,TX 77346-1603
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 16,698 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Department Review Vrr
BUILDING Site Plan Review Released By: a ].} t. 1!row
Hold Reasons:
Permit Conditions:
4/7
BUILDING Plan Review Released By: . _ -c,?�
Hold Reasons:
Permit Conditions:
ENGINEER Approach/Drainage Released By: '?5„..0�..O )._
Hold Reasons:
Permit Conditions: Qj-FAAA c 701-
UTILITIES
UTILITIES Sew r Revie Released By:
Hold Reasons: f CO/ _ )l L,2et7—
r
Permit Conditions:
Permits: .
0-
Project Number: 01002870 Inv: 1 Application Date: 4/25/01 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: W R LIBBY CONSTRUCTION Finn: W R LIBBY CONSTRUCTION COR
Address: PO BOX 157 Phone: (509)468-4060
MEAD,WA 99021
Building Characteristics
Const Category: New Group:R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: 20 Stories: 1
Bldg W x D: 66 x 59 Building Sq Ft: 4216 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 2,108 $24,368.48 2,108 $24,368.48
DECK R-3 VN 252 $1,854.72 252 $1,854.72
GARAGE U-1 VN 552 $6,624.00 552 $6,624.00
RESIDENCE R-3 VN 2,108 $130,696.00 2,108 $130,696.00
Totals: 5,020 $163,543.20 5,020 $163,543.20
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $1,215.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $267.30
Permit Total Fees: $1,486.80
Mechanical Permit - —
Contractor: R&R HEATING&AIR COND INC Finn: R&R HEATING&AIR COND INC
Address: 4019 E CENTRAL Phone: (509)484-1405
SPOKANE,WA 99207
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 4 #OF UNITS $4.00
VENTILATING FANS 5 NUMBER OF $50.00
GAS LOG OR GAS INSERT 2 NUMBER OF $20.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $106.00
•
Project Number: 01002870 Inv: 1 Application Date: 4/25/01 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: S T PLUMBING CO INC Firm: S T PLUMBING CO INC
Address: P.O.BOX 1817 Phone: (509)244-5575
AIRWAY HEIGHTS,WA 99011
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 4 NUMBER OF $24.00
SINKS 7 NUMBER OF $42.00
SHOWERS 3 NUMBER OF $18.00
TUBS 1 NUMBER OF $6.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
WATER USING DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $126.00
Payment Summary: a �W �.i d � m � € � m ��<.... . ,
Operator: MKC Printed By: MKC Print Date: 4/25/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,486.80 $1,486.80 $0.00 $1,486.80
Mechanical Permit $106.00 $106.00 $0.00 $106.00
Plumbing Permit $126.00 $126.00 $0.00 $126.00
$1,718.80 $1,718.80 $0.00 $1,718.80
OK TO ISSUE SEWER PERMITS PER BILLY 5/17/95 CKF
0) —220/1,2r _
idci PROJECT APPLICATION WORK SHEET
2171,
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
41
1026 WEST BROADWAY AVENUE
���� SPOKANE, WA 99260
SpOK 1lNT CSU NJIX 509-477-3675
""" SPECIFIC SITE INFORMATION
Street Address: 1 c S FE A) 20 �
Assessor's Tax Parcel Number(s): 4/5'd-S7 ' a�
Legal Description:
L--v r /-/ 4 t k 3 4 t196,Em D►t
Project Description: o- /d` t--6.-- d- 64246
Cgt Building Permit O Change in Use O Grading O Manufactured Home Permit
O Relocation O Sign O Tenant (New/Change) Cl Other
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OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
❑ Owner: Phone: Cl Applicant: Phone:
/Y45 ' i1 f e ff Fax:
Fax:
Mailing Address: Mailing Address:
9g- , sAficleS AD) s- 943
City,State,Zip �� City,State,Zip
t2FContractorPhone 7 ��` VO EO ❑ Architect/Engineer Phone
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/,f r£t 1.14,y £ aWs- Fax tieF- Yds.`a
Fax
Mailing address J 4" Mailing address
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City,State Zip City,State Zip
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WA State Contractor license k` [N J� j/A Co-D 6 6 _ y Contact `�name:
ixi,le roe/
alorit5er
PRO ECT INFORMATION
. 4 0-b 'A 4Ai ''- v,-,. i:::. '. S.<-..,...,•:::...z:::,,-:,:: .-:::::L:::-,,e,,,,,_.:,,-.,iip r
Building height to peak #of stories -. Main floor sq.ft. Unfinished basement sq.ft.
. , a- 0 1 2-1 o tr- g--/6.g-
Dimensions Total habitable space 2nd floor sq.ft. Finished b ent sq.ft.
6,5-6-,XS 7 ; f O g- 6-- '
Occupancy group Construction type Garage sq.f Deck sq.ft.
t T;J
Cost of project Heat source(electric,gas,etc.)
•
iiL l p +e ^y 7 a y5'3 �d 5 o- Kum -Ge- -- -
Width: Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: ns
g Area of existing signs
N of si
+-4 :. a,. t. - ' _s., ' av ^2 z yr. ire,, "�a' -cam
ys a '' a. `';F� sF-3 5 L +.. n _,�^ " 3 ��`, ,
` ^^^' 'xaa: ,.z %; * '�;..��xt .,aF:'': wv.,r ` -§z«a,az F � T a„'.�.' ,rw t s t' .�'
Previous address Fire Sprinkler Tent
Paine booth_ Fire Alarm Fireworks display
Value
Proposed use
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:ss ._ *', e�„ .� 2LL � 2 "a; a3 ki LWit'''''' :-.4 ' '3''''''-'''''-'1:::'''''
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Firm Name
Inspectors: Address
Inspector Phone
13 Concrete 0 Welding CI Bolting Cl Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? Cl Yes O No What is the current property size?
If yes,ident on site plan (square feet or acres)
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
If yes,idem on site plan O Yes Cl No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes O No
0 Don't know O Yes O No
Is any part of the property within a 100 yr flood plain? Are or willthere be wells located on the properly?
If yes,identify on site plan If yes,identify on the site plan Cl Yes O No
O Maybe O Don't know Cl Yes Cl No
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property?
property? O Yes Ci No
Ifyes,identify on site plan CI Yes O No
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( /°k) 0 Yes CI No CI Yes Cl No
USE ONLY
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Date Received: Staff Representative:
METHOD OF PAYMENT
• lCIC.' SUBTOTAL
VIS4 <d.
❑ CASH ❑ CHECK 111 : [11 . ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: 1,,,,;,..,Jz„faik..37...;;;.:
EXPIRES: � � �µ
BANKCARD NUMBER: 'iLFu gt.'' >� ,
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AUTHORIZED SIGNATURE 3 '',49.15"i".-}11.
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