2002, 10-29 Permit App: 02009633 ResidenceProject Number: 02009633 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/29/2002 Page 1 of 3
Project Information:
Permit Use: RESIDENCE/ATTACHED GARAGE - FORCED Contact: FRANK MADDEN
AIR GAS
Setbacks: Front 25 Left: 11 Right: 11 Rear: 20+
Site Information:
Plat Key: 005132 Name: SP -716-91
Address: E. 10601 NIXON LN
C - S - Z: SPOKANE, WA 99206
Phone: (509) 924-6497
Group Name:
Project Name:
District:
F
Parcel Number: 45174.3007 Block:
SiteAddress: 10402 E VALLEYWAY AVE
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -7 Urban Residential -7
Water District: 999 UNKNOWN
Lot: B
Owner: Name: MADDEN, KEVIN
Address: E. 10601 NIXON LN
SPOKANE, WA 99206-3750
Hold: ❑
Area: 9,273 Sq Ft Width: 78 Depth: 118 Right Of Way (ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: <.
Review
Site Plan Review
Plan Re ' Released By:
cHoW Qr EiVegkel LCS
Approach / Drainage
o 9-1r-ini k G e
Released':
(0 421- 11or`
Sewer Re 'ew
(.) ' Uri L ITtrS A4)
Permits:
Released By:
Operator: RMB Printed By: RMB Print Date: 10/29/2002
02
Project Number: 02009633
•
Inv: I Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/29/2002 r Page 2 of 3
Contractor: KEVIN MADDEN
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Const Category: New
Nbr Of Dwellings:
Bldg W x D: x
Req Parking:
Description
BASEMENT U
GARAGE
RESIDENCE
Gra
R-3
U-1
R-3
Building Permit
Firm: KEVIN MADDEN CONSTRUCTIO
Phone: (509) 924-6497
Building Characteristics
Group:
Occupant Load:
Building Sq Ft:
Handicap Parking:
lug Notes
VN
VN
VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: KEVIN MADDEN
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
Type:
Building Height: Stories:
Sprinklers: ❑
Critical Materials: O
This Application: Total Project:
Sn Ft Valuation Sq Ft Valuation
855 $10,516.50 855 $10,516.50
781 $9,372.00 781 $9,372.00
1,359 $89,694.00 1,359 $89,694.00
Totals: 2,995 $109,582.50 2,995 $109,582.50
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Fee Amount
$945.00
$4.50
$207.90
Permit Total Fees: $1,157.40
Mechanical Permit
Units
1
1
3
5
1
Operator: RMB Printed By: RMB
Firm: KEVIN MADDEN CONSTRUCTIO
Phone: (509) 924-6497
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$12.00
$3.00
$50.00
$10.00
$85.00
Print Date: 10/29/2002
Project Number: 02009633 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/29/2002
Contractor: KEVIN MADDEN
Address: E. 10601 NIXON LN
SPOKANE, WA 99206
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Notes:
Payment Summary::.
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Units
3
4
1
2
1
1
1
1
2
Fee Amount
$1,157.40
$85.00
$96.00
Page 3 of 3
Finn: KEVIN MADDEN CONSTRUCTIO
Phone: (509) 924-6497
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Invoice Amount
$1,157.40
$85.00
$96.00
$1,338.40 $1,338.40
Fee Amount
$18.00
$24.00
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$12.00
Amount Paid
$0.00
$0.00
$0.00
$96.00
Amount Owing
$1,157.40
$85.00
$96.00
$0.00
$1,338.40
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 he construed 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: RMB Printed By: RMB Print Date: 10/29/2002
1002
Street Address:
Assessor's Tax Parcel Number(s):
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Z1 t •;1
45\klq , 300'7
Legal Description:
Project Description:
ttvi\ \AC -
so Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
0 Relocation
O Sign
O Tenant (New/Change)
O 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 cbould be o/dueled rreardine lbi.r Arnie!
-' Owner:
c �L/d
/ /y �i�
]hone a � ,,% T
`/���t//7!,
Fax:
,/
0 Ap licanr. Phone: 92.14 -4;c/1;7kPV
C� /! r1'1Ct- r r,7 Fax:
Mailing Address:
I
,t-71467 /Y,,)v,f lia/ve
Unfinished b' semen[ sq. ft.
5C
Mailing Address:
4c/c/Ge-� 4Yx.ar7/ J.. i%
City, State, Zip
2.1 floor sq. ft.
City, State, Zip
0 Contractor
Phone
Fax
0 Architect/Engineer Phone
lax
Mailing address
Cost of project
Mailing address ...' e ( ( Li
Cit}', State Zip
Cih, State Zip
/\
2...SI (9 N 1
CA State Contractor license #
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
I---- ��tJ3��1
# of stories
Main floor sq. ft. C
Unfinished b' semen[ sq. ft.
5C
Dimensions
Totiabij,�le rq
2.1 floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. f .
AV ., Si.
Deck sq. ft.
Cost of project
1 leat source (clectnc, gas, etc.)
Manufactured Home
li
Sign ``
Width:
Length:
What is the square footage of the sign
face?
}low high is the sign? `.
Year.
Make:
# of si},ms
Area of existing signs
Value
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
Address
Relocation
Fire Safety
Firm Name
Previous address
Phone
Fire Sprinkler
Tent _
Fireworks display
_
Paint booth Fire Alarm
_
Proposed use
Value
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
Address
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? 0 Yes 0 No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
0 Yes 0 No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( / ° o) 0 Yes 0 No
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
Address
Inspector
Phone
❑ Concrete
❑ Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes 0 No
Ifyes, identf 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?
Ifyes, idenqv on site plan 0 Yes 0 No
What is the current use of this property?
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes 0 No
Will the site be served by a septic system? 0 Yes 0 No
Is any part of the property within a 100 yr flood plain?
Ifyes, identib on site plan
0 Maybe 0 Don't know 0 Yes 0 No
Are or will there be wells located on the property?
Ifyes, idents on the site plan 0 Yes 0 No
Are there any wetlands, streams or ponds within 200 feet of the property?
Ifyes, ident on site plan 0 Yes 0 No
Is there evidence of fill or excavation on the property?
0 Yes 0 No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( / ° o) 0 Yes 0 No
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
0 Yes 0 No
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No
0 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?
0 Yes ❑ No
Date Rcccivcd:
Staff Representative:
METHOD OF PAYMENT
VISA
0 CASIl 0 Cl ILCK ❑1111111111111 0 : 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1)ATI{:
EXPIRES:
B;INKCARI) NUMI3FR:
AUTI I IORIZED S]GN;�"CURE:
SUB"COTAI.
TOTAL FEE
MINIMUM PERMIT FEE IS $35.00 PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
COUNTY PERMIT CENTER
f
r
ADDRESS l 4t
ZONE
ROAD WIDTH 1-1to
FRONT FLANKING
COMMENT'S'
REVIEWED BY
This site F,i T is-beintfsut' ^±±km the n,rrpene of
obtaining building peril! .:::d is a true and correct
epr.esentatinn of the prnposal Ail known property
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of water, steep slopes orr`oller critical area3.
_Sgned: GG
Date._