2002, 05-22 Permit App: 02003943 Residence Project Number: 02003943 Inv: 1 Application Date: 5/22/2002 Page 1 of 3
i
THIS IS NOT A PERMIT j
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW RESIDENCE W/ATTACHED GARAGE-GAS Contact: J.T.S. DEVELOPMENT CORPORATION
Address: 4029 S TERRA VERDE
C -S -Z: VERADALE,WA 99037
Setbacks: Front 25 Left: 25 Right: 8 Rear: 63 Phone: (509)939-7670
Group Name:
Site Information: Project Name:
Plat Key: 006124 Name: KEYSTONE MEADOWS District: F
Parcel Number: 45222.3602 Block: 1 Lot: 2
SiteAddress: 12913 E 2ND LN Owner:Name: J.T.S. DEVELOPMENT CORPORA
SPOKANE,WA USA 99216 Address: 4029 S TERRA VERDE
Location::SPO VERADALE,WA 99037
Zoning: UR-7 Urban Residential-7
Water District: Hold: ❑
Area: 10,689 Sq Ft Width: 45 Depth: 74 Right Of Way(ft): 20
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review i
Site Plan Review Released By -" �-
Plan Review --Released By: vy y
Approach/Drainage Released By: ' AJt N J�
Originally Released: 5/22/2002 By: AROTH •
Sewer Review Released By: �� jC%i y'l
— 39 Lilt'
Permits:
Operator: DMD Printed By: DMD Print Date: 5/22/2002
Project Number: 020039-13 Inv: 1 Application Date: 5/22/2002 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Approach
Contractor: UNKNOWN Firm: UNKNOWN
Address: UNKNOWN Phone: (000)000-0000
UNKNOWN,WA UNKNOWN
Building Permit
Contractor: JTS DEVELOPMENT INC Firm: JTS DEV INC-JERRY STOLP
Address: 4029 S TERRA VERDE DR Phone: (509)927-3879
VERADALE,WA 99037
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: 26 Stories: 2
Bldg W x D: 40 x 24 Building Sq Ft: 1512 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VN 472 $31,152.00 472 $31,152.00
GARAGE U-i VN 506 $6,072.00 506 $6,072.00
RESIDENCE R-3 VN 1,045 $68,970.00 1,045 $68,970.00
Totals: 2,023 $106,194.00 2,023 $106,194.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $930.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $204.60
Permit Total Fees: $1,139.10
Mechanical Permit
Contractor: S & R HEATING Firm: S & R HEATING,INC
Address: 15501 N YALE RD Phone: (509)467-3960
MEAD,WA 99021
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE>100.000BTU 1 NUMBER OF $15.00
GAS PIPING 2 #OF UNITS $2.00
VENTILATING FANS 2 NUMBER OF $20.00
CLOTHES DRYER 1 NUMBER OF $10.00
HOOD -TYPE 11 1 NUMBER OF $10.00
Permit Total Fees: $67.00
Operator: DMD Printed By: DMD Print Date: 5/22/2002
Project Number: 020039,13 Inv: 1 Applit,ation Date: 5/22/2002 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
TOILETS/BIDETS 3 NUMBER OF $18.00
SINKS 4 NUMBER OF $24.00
TUBS 2 NUMBER OF $12.00
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 3 NUMBER OF $18.00
Permit Total Fees: $96.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,139.10 $1,139.10 $0.00 $1,139.10
Mechanical Permit $67.00 $67.00 $0.00 $67.00
Plumbing Permit $96.00 $96.00 $0.00 $96.00
$1,302.10 $1,302.10 $0.00 $1.302.10
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 he 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: DMD Printed By: DMD Print Date: 5/22/2002
1 l PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
asc SPOKANE,WA 99260
III 509-477-3675
SPOT COUNTY
SPECIFIC SITE INFORMATION
Street Address: i 2_1 1 E. 2.-A4 A)4
Assessor's Tax Parcel Number(s):
i 5-22 .2. &. '02
Legal Description: L el 7 ILL
nV
Project Description: 1-10M.L
CU/ 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
Front Rear.
School District Fire District: Zoning
Left Right.
OWNER/APPLICANT INFORMATION
RI Indiiule tzho should he roniacied rpardin,?ibis prrjed
❑ Owner: Phone: 9 ,. 11;10 El Applicant: Phone:
ST;
T.77 LL LefrIn LZ,7 Fac 2_-c.);!;41
Fax:
Mailing Address: Mailing Address & A.
ii,p):ct S. 'iMA kiy Le
City,State,Zip Cin-,State,Zip
1j': k-LL WA 110
Month Phone
CIContractor ❑ :Archtect/rngineer y� ,, )
Fax .—P c 41.3ZZf�,)1 , L IAi ALIEC-3..
Mailing address Mailing address
Cite,State Zip (,in-,State Zip
\\:A State Contractor license'# Contact name:
PROJECT INFORMATION
Building Information
Building height to_peaj / #of stories_ Main floor sq.ft. Unfinished basement sq.ft.
tog
I o 143.- -----'
Dimensions Total habitable space 2°1 floor sq.ft. Finished basement sq.ft.
42.4 Atic, i si j 4) 412-
Occupancy group Construction type Garage sq.ft..,, Deck sq.ft.
La ert SDS �
Cost of project 4 1 Teat source(electric,gas,etc.)
-
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
Concrete O Welding 0 Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes No What is the current property size?
Ifyes,identifi on site plan (square feet or acres) I 6 4-1 143
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
Ifyes,ident(s on site plan 0 Yes No 1d'tki
Is your property in a designated wildlife habitat arca? Will the site be served by a septic system?0 Yes No
0 Don't know 0 YesNo
Is any part of the property within a 100 yr flood plain Arc or will there be wells located on the property?
Ifyes,ident(i on site plan Ifyes,identi on the site plan 0 Yes ro
0 Maybe 0 Don't know 0 Yes 7 No
Are there any wetlands,streams or ponds within 209!feet of the property? Is there evidence of fill or excavation on the property?
Ifyes,identift on site plan 0 Yes A No 0 Yes [7 No
Arc there slopes greater than 30%on the propert ?(30 ft.rise in 100 ft) Arc critical or hazardous materials used or stored on site?
( %) 0 Yes No 0 Yes 7 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No
O Yes O No
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
O Yes O No
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
O Yes O No
Date Received: Staff Represen twice
METHOD OF PAYMENT
MEM 'ICOVs SU11101':AI,
NSA
❑ CASA ❑ CHECK ❑ OW= ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1?XPIRI?S: TOTAL FEE
R:ANKC.ARD NUNIBI'.R: MINIMUM PERMIT FEE IS$35.00 Pt is5SE
M SEE CHECKS PAYABLE TO SPOK 1NE
AU'1'110R1'/.I a SIGN:ATURI N.: coc:cn-PERSn r CENTER
85.50
.50
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11 1L'pre_:; .,
r . , :,-.4m;:p oposal.All known property I 1 Z_ 1 L
lines di^-er,cions.curb!:nes structures and easements
have`:=en;dentified. Aso indicated are wet'ands,
I bodies of.a:er.s ep e or 114critical are s.
I Signed: N 4. w
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', Date:
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