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2002, 03-28 Permit App: 02002009 ResidenceProject Number: 02002009 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/28/2002 Page 1 of 3 Project Information: Permit Use: RESIDENCE GARAGE ATTACHED Setbacks: Front 25 Left: 5 Right: 5 Rear: 100 Site Information: Contact: HAIDER, ALEX Address: 17503 N KIMBERLY C - S - Z: COLBERT, WA 99005 - Phone: (509) 468-1613 Group Name: Project Name: OtWo- SCEmaleMigaP IS 2," 41,-Vaw. Ag* Or Plat Key: 006113 Name: TURTLE CREEK 3RD ADDITION District: G Parcel Number: 55194.1317 Block: 17 SiteAddress: 18607 E TURTLE CREEK LN SPOKANE, WA USA 00000 Location:: SPO Zoning: UR -3.5 Urban Residential 3.5 Water District: Area: 16,327 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Site Plan Review Plan Review Approach / Drainage Sewer Review Permits: Lot: 3 Owner: Name: HAIDER, ALEX Address: 17503 N KIMBERLY COLBERT, WA 99005 - Hold: ❑ Depth: 0 Right Of Way (ft): 0 IMFAREVISSMOMMEEMPROMCMISe ReleasedBy- Released' By: Reteased.By: (?117 �,,! e ��2'v Operator: JEF Printed By: JEF Print Date: 3/28/2002 Project Number: 02002009 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/28/2002 Page 2 of 3 Contractor: OWNER Const Category: New Nbr Of Dwellings: Occupant Load: Bldg W x D: 46 x 72 Building Sq Ft: Req Parking: Handicap Parking: Building Permit Firm: OWNER Phone: Building Characteristics Group: R-3 Type: VN Building Height: 20 Stories: 1 3432 Sprinklers: Critical Materials: ❑ This Application: Sq Ft Valuation 1,716 $19,836.96 400 $2,944.00 600 $7,200.00 1,716 $106,392.00 Description Grp Type Notes BASEMENT U R-3 VN DECK R-3 VN GARAGE U-1 VN RESIDENCE R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Total Project: Sq Ft 1,716 400 600 1,716 Valuation $19,836.96 $2,944.00 $7,200.00 $106,392.00 Totals: 4,432 $136,372.96 4,432 $136,372.96 Units Unit Desc Contractor: R & R HEATING & AIR COND Address: 4019 E CENTRAL SPOKANE, WA 99207 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING AIR CONDITIONER:4-15 TONS CLOTHES DRYER RANGE GAS LOG OR GAS INSERT HOOD -TYPE II Y OR BLANK Y OR BLANK Y OR BLANK Permit Total Fees: Mechanical Permit Fee Amount $1,080.00 $4.50 $237.60 $1,322.10 Firm: R & R HEATING & AIR COND IN Phone: (509) 484-1405 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 3 # OF UNITS 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Operator: JEF Printed By: JEF Permit Total Fees: Print Date: Fee Amount $10.00 $12.00 $3.00 $20.00 $10.00 $10.00 $10.00 $10.00 $85.00 3/28/2002 Project Number: 02002009 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/28/2002 Page 3 of 3 Contractor: JACKSON PLUMBING Address: P.O. BOX 7272 SPOKANE, WA 99207 Item Description TOILETSBIDETS SINKS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS SEWAGE EJECTOR WATER PIPING - DWV WATER USING DEVICES Plumbing Permit Firm: RANDY JACKSON PLUMBING Phone: (509) 926-7101 Units Unit Desc 2 NUMBER OF 5 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 NUMBER OF Permit Total Fees: Fee Amount $12.00 $30.00 $6.00 $6.00 $6.00 $6.00 $6.00 $6.00 $18.00 NOtes: �., �_sa.... w�ti .._.... _. , . ... Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit r 111:1 AX,::,. Fee Amount $1,322.10 $85.00 $96.00 Invoice Amount $1,322.10 $85.00 $96.00 $1,503.10 $1,503.10 Amount Paid $0.00 $0.00 $0.00 $0.00 $96.00 Amount Owing $1,322.10 $85.00 $96.00 $1,503.10 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: JEF Printed By: JEF Print Date: 3/28/2002 SroKANE Cowry PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 \VEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: Assessor's Tax Parcel Number(s): Legal Description: Project Description: r Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit El Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other Department Use Only Water District/Purveyor. Sewer District/Pun-eyor Road width Setbacks Front: Rear. Left: Right: School District: Fire District: Zoning OWNER/APPLICANT INFORMATION Indi ute who xborrld he .oniuded rreardingolfprnje i ❑ Owner: Phone y r. `e i_ —‘6r 3 ❑ Applicant: Phone: (d l'a.: Mailing Address: i 7S-©3 /./. ie., 4,44 Mailing Address: Cin', State, Zip Dirnensions 6 1� City, State, Zip Total habitable space ❑ Co ac rr cw ��, Phone ❑ b Engineer Architcc Phone N ail, g address Construction type Mailing address City, State Z, Cost 01 prolcc (,,h', State ""/,,p I Icat source (cleeine, gas, etc) a WA State Contractor license # Contact name: PROTECT INFORMATION Building Information Building height to peak ��i # of storiesMain / floor sj. ft. 2 l7/G Unfinished baser cnt /7/6 Dirnensions 6 1� 7 2 ' Total habitable space 2'' tltxrr sy. ft. Finished bascrncr sq. ft. - c2 Occupancy group Construction type Garage s ft. Deck s.. ft. Cost 01 prolcc i�U r J t:O 2 Q I Icat source (cleeine, gas, etc) a 5 Manufactured Home Sin What is the square footage of the sign face? clow high is the sign? Width: Length: Year: Make: # of signs Arca of existing signs Fire Alarm l,ireworks display :Arc critical or hazardous materials used or stored on site? ❑ Ycs 4 No Address Relocation: Fire Safety Firm Name What is the current use of this property? Previous address Will the site be served by a septic system? ❑ Ycs No Paint booth Fire Sprinkler 'Tent Fire Alarm l,ireworks display :Arc critical or hazardous materials used or stored on site? ❑ Ycs 4 No Address Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Firm Name What is the current use of this property? Phone Will the site be served by a septic system? ❑ Ycs No Plans Examiner Phone Inspectors: Is there evidence of till or excavation on the property? ❑ Yes )6 No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( 000 ❑ Ycs No :Arc critical or hazardous materials used or stored on site? ❑ Ycs 4 No Address Inspector Phone ❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address ADDITIONAL SITE INFORMATION Are there stnictures on the property? ❑ Yes IK No If yes, idenlb 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? 1fyes, identify on site pion ❑ Ycs 15. No What is the current use of this property? Is your property in a designated wildlife habitat arca? ❑ Don't know ❑ Ycs No Will the site be served by a septic system? ❑ Ycs No Is any part of the property within a 100 yr flood plain? 1/ yes, edeniify on site plan ❑ Maybe ❑ Don't know CI Yes No Are or will there be wells located on the property? If yes, idenl�� otr the site plan ❑ Yes ?Sil No 111 .Arc there any wetlands, streams or ponds within 200y�feet of the property? 1 f yes, identi' on site plan ❑ Ycs CI- No Is there evidence of till or excavation on the property? ❑ Yes )6 No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( 000 ❑ Ycs No :Arc critical or hazardous materials used or stored on site? ❑ Ycs 4 No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Arca? ❑ Ycs ❑ No Is public sewer available to the site? ❑ Yes ❑ No Is the property inside the ASA? ❑ Yes ❑ Yes ❑ No ❑ No Is public water available to the site? ❑ Yes ❑ No Is the property inside the PSSA? ❑ Yes ❑ No Is the property located within 1000 feet of a Natural Resource Area? ❑ Yes ❑ No Date Received: Staff Representative: METHOD OF PAYMENT VISA ❑ (..ASH ❑ CHECK ❑ MEM=❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD I{NPIRICS: H.ANkC.ARD NU\IBI[R: \Ul'I IORI/J I) SIGN.A'PURI:: AL SUBTOTAL TOTAL FEE MINIMUM PERMIT FEE IS 535.00 PLEASE M.\ KE CI IECKS PAYABLE TO SPOKANE COUNTY v PRR\OT CENTER /07 / /V:. - /F6.07 4-// 7 5 k 3 This site plan is being submitted for the purpose of obtaining a building permit and is a true and correct representation of the proposal. All known property tines/dimensions, curb lines. structures and easensids have been iden . Also indicated are wetlands, bodies of wa ;/steep sio es or other critical arum Signed: Date: ADDRESS 1 B' ( O 1 £_il,lYtL6 C ZONE C- 2-3.5 ROAD WIDTH FRONT FLANKING COMMENTS REVIEWED TI'S'