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2000, 05-19 Permit App: 00004007 Duplex Project Number: 00004007 Inv: 1 p ation Date: 05/19/2000 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: NEW DUPLEX W/ATTACEHED GARAGES-GAS Contact: JURGENS,DAN Address: 1111 S TIMBERLAND C-S-Z: VERADALE,WA 99037 Setbacks:Front 37 Left: 55 Right: 35 Rear: 20 Phone: (509)499-1739 Group Name: Site Information: Project Name: Plat Key: 003895 Name: SP-284 District: F Parcel Number: 45153.1929 Block: Lot: SiteAddress: 433 N WOODLAWAN RD Owner: Name: JURGENS,DAN SPOKANE,WA USA 99216 Address: 1111 S TIMBERLAND Location::SPO VERADALE,WA 99037 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review In formation: Department Review BUILDING Site Plan Review • By ��19'm Hold Reasons: Permit Conditions: BUILDING Plan Review By: Hold Reasons: • Permit Conditions: HEALTHDISTRICT Septic System Review By: 09/ o /,re // / // Hold Re ns: p _ G -� 4 ate._- � _ ,-, , _ /tVert- •___ -� __ Pe onditions: � _ � , �o.v-d/Te,/ ENGINEER Approach/Drainage By: ,'?r 00 a K . Hold Reasons: Permit Conditions: 2142v17 PLANNING Landuse/Zoning tie)? . ?py: • Hold Reasons: - - Permit Conditions: _ �1 4W Permits •1- r. , ' i 1, Project Number: 00004007 Inv: 1 A'pplicatlon Date: 05/19/2000 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: NEW DUPLEX W/ATTACEHED GARAGES-GAS Contact: JURGENS,DAN Address: 1111 S TIMBERLAND C-S-Z: VERADALE,WA 99037 Setbacks:Front 37 Left: 55 Right: 35 Rear: 20 Phone: (509)499-1739 Group Name: Site Information: Project Name: Plat Key: 003895 Name: SP-284 District: F Parcel Number: 45153.1929 Block: Lot: SiteAddress: 433 N WOODLAWAN RD Owner: Name: JURGENS,DAN SPOKANE,WA USA 99216 Address: 1111 S TIMBERLAND Location::SPO VERADALE,WA 99037 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Department Review BUILDING Site Plan Review ByL2 )10)..A."1",:s. .5"--lf Hold Reasons: Permit Conditions: BUILDING Plan Review By: Hold Reasons: Permit Conditions: �1 • HEALTHDISTRICT Septic System Review :IPM By: anturrt_ Hold Reasons: U 1 ciao Permit Conditions: ►►► ENGINEER Approach/Drainage By: (f f.. Hold Reasons: Permit Conditions: % ., PLANNING Landuse/Zoning SI `� 4'�O I - ZZ :cy fJ - ' 1 - — o)r /46 Hold Reasons: -\'\gree,C' —�"i Permit Conditions:• Permits l t 1 •',t ' •I v . . 1 ��, ta�.1 �i:7�r, f 5 Project Number: 00004007 Inv: 1 Application Date: 05/19/2000 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000)000-0000 000000,00 000000 Building Characteristics Const Category: New Group:R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: 15 Stories: 1 Bldg W x D: 33 x 100 Building Sq Ft: 3176 Sprinklers: El Req Parking: Handicap Parking: Critical Materials: ❑ This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation GARAGE U-1 VN 880 $10,560.00 880 $10,560.00 RESIDENCE R-3 VN 3,076 $190,712.00 3,076 $190,712.00 Totals: 3,956 $201,272.00 3,956 $201,272.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $1,405.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $309.10 Permit Total Fees: $1,718.60 Mechanical Permit - - Contractor: OWNER Firm: OWNER Address: 0 Phone: (000)000-0000 000000,00 000000 Item Description Units Unit Desc Fee Amount HOOD-TYPE II 2 NUMBER OF $20.00 DUCT SYSTEMS 2 NUMBER OF $20.00 GAS WATER HEATER 2 NUMBER OF $20.00 GAS APPLIANCE<=100,000BTU 2 NUMBER OF $24.00 GAS PIPING 4 #OF UNITS $4.00 HEAT PUMP OR A/C 0-3 TONS 2 NUMBER OF $24.00 VENTILATING FANS 8 NUMBER OF $80.00 CLOTHES DRYER 2 NUMBER OF $20.00 Permit Total Fees: $212.00 Project Number: 00004007 Inv: 1 Application Date: 05/19/2000 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit -_ — Plumbing Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000)000-0000 000000,00 000000 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 4 NUMBER OF $24.00 SINKS 6 NUMBER OF $36.00 TUBS 4 NUMBER OF $24.00 DISH WASHERS 2 NUMBER OF $12.00 CLOTHES WASHER 2 NUMBER OF $12.00 WATER USING DEVICES 2 NUMBER OF $12.00 Permit Total Fees: $120.00 Operator: DMD Printed By: DMD Print Date: 05/19/2000 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,718.60 $1,718.60 $0.00 $1,718.60 Mechanical Permit $212.00 $212.00 $0.00 $212.00 Plumbing Permit $120.00 $120.00 $0.00 $120.00 $2,050.60 $2,050.60 $0.00 $2,050.60 Notes: • 4 I PROJECT APPLICATION X - (/Co SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE INF! SPOKANE,WA 99260 SPOKANg COINIY 509-477-3675 7� Project Description: Dp Li2' I , Z.Z. -oV igis.3• 1121 TYPE OF APPLICATION ABuilding Permit O Change in Use 0 Grading 0 Manufactured Home Permit O Relocation 0 Sign 0 Tenant (New/Change) 0 Other SPECIFIC SITE INFORMATION Street Address: r, J 8 g r ' / , 1/ / J (,c✓ A.' `� A' Assessor's Tax Parcel Num er(s): Legal Description: Department Use Only Water District/Purveyor: Sewer District/Purveyor Road width Setbacks Front Rear: School District: Fire District: Zoning Left: Right: OWNER/APPLICANT INFORMATION IZI Indicate who should be contacted regarding this project ).,p Phone: k 1...//'9?' 0 Applicant: Phone: XOwner: I2! L✓`/`3 e'VS Fax: 7,o, "Q g..5-3 Fax: Mat in Address: Mailing Address: -,S e 1/li r City,State,Zip City,State,Zip Q.� � � q 1 , q 'F //� Contractor Phone 0 Architect/Engineer Phone '/tJv AJ Fax Fax Mailing address Mailing address City,State Zip City,State Zip WA State Contractor license# Contact name: C C 0 1 bkj gra/ a39 h)-1- PROJECT INFORMATION Building Information Building height to peak #of stories Main floor sq.ft. Unfinished Boor ler sq.ft. Dimensions Total habitable space rd fI r sq. ft. Finished basementmesq.ft. ins' 9 ;3l 96, -� O cupancy group ction type Garage sq.� �0 Deck sq.ft. Cost of project Heat source(electric,gas,etc.) -,f76 000 rii_i Manufactured Home ' sign Width: Length: What is the square footage of the sign How high is the sign? face? Year: Make: #of signs Area of existing signs 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 Phone Plans Examiner Phone Inspectors: Address Inspector Phone O Concrete Cl Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes J'No What is the current property size? If yes,identify on site plan (square feet or acres) c a Is any part of the property within 250 feet of a shoreline? What is the current use of this propert ? If yes,identify on site plan O Yes ,No r1 Is your property in a designated wildlife habitat area? Will the site be serve by a septic system? Yes O No O Don't know O Yes O No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? If yes,identify on site plan If yes,identify on the site plan O Yes ANo O Maybe O Don't know O Yes )('No Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the propert ? property? O Yes No If yes,identify on site plan O Yes 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? ( qo) O Yes 1K`No O Yes No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes O No O Yes 0 <No Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes O No 0 Yes O No Is the property inside the PSSA? O Yes El No Is the property located within 1000 feet of a Natural Resource Area? O Yes O No Date Received: Staff Representative: , , , P .01150,0' 35,0` I 5.01°57'31 " E, G1.50,i At, t----- — 562, F 7- --,.. Pi SS, fsp o� iri> 0 Ci. 1 m, \-- 4 �-- 115004AL.--% A 1- cc—ILI .Gr'' p71C. , 7 hi.. p.',, \ \ [ I 44.4.40 TArI( Zo, : ...,- kiEw Dv PLEx I!-i R. s7, 3,9(0o so.FTTot: j 0." .c.1" Cv' ac\i ,.... „, _ 7 n is,,. loo' k. 0%0' J • u. M I Ali RLp'(,,, 9� I Q DRIVE C�IZiYE si✓Tk3.ack t` o p - p h u1 i'~2-Zf,01 `/rpt: 10alZeS , a,airsosr, 0 1)< 4 q L 41;4 4' ri i i,i-il .S gAS E. w141--e____4, o `41 Q F 41°57'31 " E'(i59,b3' P L._07 F7L AKJ o12-7 I 1 30 SCALE i I ADDRESS 73 'pGX". ZONE A DAD WIDTH: rs FRONT. 3 FLANKING: ,-:,,1:-%;IF�§1 ,y 14 r 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 lines/dimensions,curb lines,structures and easement; have been identified.Also indicated are wetlands, bodies o.�Fft•r,steep slopes or other critical areas. Signed: �S1► A_ ,, f 4. .1—