2002, 05-16 Permit App: 02003760 Residence •
Project Number: 02003760 Inv: I Application Date: 5/16/02 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 Contact: DENNIS CRAPO/DIAMOND ROCK
Address: 15321 E MISSION AVE
C- S-Z: VERADALE,WA 99037
Setbacks: Front 25 Left: 5 Right: 5 Rear: 20 Phone: (509)9248964
Group Name:
Site Information:
Project Name:
Plat Key: 000650 Name: DORN'S ADD District: F
Parcel Number: 45182.0709 Block: 1 Lot: 8
SiteAddress: 1111 N VISTA RD Owner:Name: DIAMOND ROCK
SPOKANE,WA USA 00000 Address: 15321 E MISSION AVE
Location::SPO VERADALE,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 6,882 Sq Ft Width: 85 Depth: 105 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released By: C`-(" Z-LL. -5 -it-02
Plan Review j Released By: .6 !b 40..
oa.FmA2.5
Special Reviews
Released By
7 (j
Approach/Drainage Released By: cK
Sewer Review Released By: 13 urthav,,,4 e201,2_
.1101_4)
Operator: CKF Printed By: CKF Print Date: 5/16/02
Project Number: 02003760 Inv: 1 pfication Date: 5/16/02 Page 2 of 3
THIS IS NOT A PERMIT •
Penalties will be assessed for commencing work without a permit
Permits:
Building Permit
Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO
Address: 15706 E VALLEYWAY AVE Phone: (509)891-6240
VERADALE,WA 99037
Building Characteristics
Const Category: New Group:R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: 14 Stories: 1
Bldg W x D: 40 x 47 Building Sq Ft: 1148 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: LI
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 380 $4,560.00 380 $4,560.00
RESIDENCE R-3 VN 1,148 $75,768.00 1,148 $75,768.00
Totals: 1,528 $80,328.00 1,528 $80,328.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $773.75
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $170.23
Permit Total Fees: $948.48
Mechanical Permit
Contractor: UNKNOWN Firm: UNKNOWN
Address: UNKNOWN Phone: (000) 000-0000
UNKNOWN,WA UNKNOWN
Item Description Units Unit Desc Fee Amount
DUCT SYSTEMS 1 NUMBER OF $10.00
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 2 #OF UNITS $2.00
VENTILATING FANS 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF $10.00
AIR HANDLER<=10,000 CFM 1 NUMBER OF $12.00
HOOD -TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $96.00
Operator: CKF Printed By: CKF Print Date: 5/16/02
• Project Number: 02003760 Inv: 1 Application Date: 5/16/02 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: UNKNOWN Firm: UNKNOWN
Address: UNKNOWN Phone: (000)000-0000
UNKNOWN,WA UNKNOWN
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 2 NUMBER OF $12.00
SINKS 4 NUMBER OF $24.00
SHOWERS 1 NUMBER OF $6.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
WATER USING DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $78.00
Notes:
EXISTING RESIDENCE&GARAGE AT N. 1103 VISTA RD MUST BE DEMOLISHED PRIOR
TO APPROVED FINAL ON THIS RESIDENCE. (SEE PERMIT#02003748 AND#02003749)
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $948.48 $948.48 $0.00 $948.48
Mechanical Permit $96.00 $96.00 $0.00 $96.00
Plumbing Permit $78.00 $78.00 $0.00 $78.00
$1,122.48 $1,122.48 $0.00 $1,122.48
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: 5/16/02
r
IAI PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026\VEST BROADWAY AVENUE
AtIL SPOKANE,WA 99260
1 509-477-3675
SPOKARE COUNTY
SPECIFIC SITE INFORMATION '), c\%4
Street Address: I ) i i N �' r (�_ ' l r F/f) „) � A
Assessor's Tax Parcel Number(s): L J��1 y
Legal Description: C
DoT �, p 1 - / 4 b,,,,„rs ,dd.
Project Description: .��
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor. Sewer District/Purveyor Road width Setbacks
/ _ C Front Rear:
School District Fire District Zoning Il/�7
5 X , D5ft: Right:
OWNER/APPLICANT INFORMATION
0 Indicate who should be con/acted regarding tlii.cprojed
❑Owner: Phone: :Applicant: 4771(g/Phone: 4771(g/ [.
g/ /
J!/"/,,,,
Fax: /4 en 6 4 4 7 4- Fax: Z0 b'O/`/,y
Mailing Address: Mailing Address:
/5-3 Z r fr "iSSie .4v .
City,State,Zip Cit,,State,Zip
ye ,44 (e )o4 9 9 13 7
Phone ❑ Architect il.ngineer Phone
❑ Contra ��/ h
'4 /y 14t4 �� `� lty x Fax
Mailing address Mailing address
City,State lip City,State Zip SPO�1/�A/f/ i
WA State Contractor licese. ` Contact name: C°UN he
PROJECT INFORMATION heyi��/N0'4NO66
c ?o�Z ��
Building Information ODFFNF_,,ct 13/41
Building height to peak #of stones Nlain door sq.ft. Uniiiishe Map'�1nt sq.h./fit / i/� ' S
Dimensions 'total habitable space 20d door sq.ft. Finished basement sq.ft.
I/0 X Y7 //44
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
3%'o
Cost of project I!eat source(electric,gas,etc.)
Manufactured Home Sign
Width: Length: What is the square footage of the sign l low high is the sign?
face?
•
Year: Make: #of signs Area of existing signs
f
Relocation Fire Safety
Previous address Fire Sprinkler Tent
Paint booth Fire Alarm Fireworks display
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
Firm Name l'hone Plans Examiner Phone
Inspectors: Address
Inspector Phone
0 Concrete O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? Yes 0 No What is the current property size?
Ifyes,identit on site plan (square feet or acres) X,'(Cs S
Is any part of the property within 250 feet of a shorrelinn What is the current use of this property?
Ifyes,identirr on site plan El Yes @'No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes
O Don't know El Yes CVI'o
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identz'on site plan � Ifyes,ident/'on the site plan 0 Yes �1Qo
0 Maybe 0 Don't know 0 Yes 133'... 3'
Are there any wetlands,streams or ponds within 200 fe of the property? Is there evidence of fill or excavation on the property?
Ifyes,ideut j,on site plan 0 Yes @'No 0 Yes GA�1V o
Are there slopes greater than 30°%o on the property?(30 ft rise 100 ft) Are critical or hazardous materials used or stored on site?
%) 0 Yes '0 O Yes ®2do
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? es 0 No
DYes CI No
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? LYYes 0 No
Cl Yes 171 No
Is the property inside the PSSA? Cl Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
CI Yes 171 No
Date Received: Staff Representative:
METHOD OF PAYMENT
C;Vl SLB'1TYl';Al
VISA
0 (:.vslI 0 CHECK ❑ ❑ 0 ..
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I:NPlR1(S: TOTAL FEE
B.ANKC.ARD NUMBI:R: MINIMUM PERMIT FEE IS$35.00PLEASE
MAKE CHECKS PAYABLE.TO SPOKANE
AUfI IORI1I'.D SIGNATURE:URE: COUN1 Y PERMIT CENTER
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This site plan is being submitted for the purpose ofIIr ,
• obtaining a tiding permit and is a true and correct ADDRESS N j) �f`7 � , , ..
representatiddn of the proposal.All known property ZONE GLA t+ } `
lInes/dirnens•ns•curb lines,structures and easements /
have been,. ntified.Also Indic: • :r wetlands, ROS � '1 ) 1I 4� '
bodies of a s1jtoPes._ FRONT .TS F 1 y j NG
critical areas. ,kost'
Sig"eb COMMENTS
Date' 1 �. -o - O REVIEWED �k
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