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2001, 11-14 Permit App: 01010055 Residence Project Number: 01010055 Inv: 1 Application ate: /14/01 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-GAS Contact: J.T.S.DEVELOPMENT CORPORATION Address: 4029 S TERRA VERDE C-S-Z: VERADALE,WA 99037 Setbacks:Front 25 Left: 14 Right: 14 Rear: 63 Phone: (509)939-7670 Group Name: Site Information: Project Name: Plat Key: 006124 Name: KEYSTONE MEADOWS District: F Parcel Number: 45222.3603 Block: 1 Lot: 3 SiteAddress: 12917 E 2ND LN Owner:Name: J.T.S.DEVELOPMENT CORPORA SPOKANE,WA USA 9926 Address: 4029 S TERRA VERDE Location::SPO VERADALE,WA 99037 Zoning: UR-7 Urban Residential-7 Water District: 011 MODERN Hold: ❑ Area: 10,753 Sq Ft Width: 80 Depth: 134 Right Of Way(ft): 20 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: �a�..am....:,,�x.�....� xz..r.c. • .:"�rK"a't�a ..�......>_ '40 141frha rax-'. Axa .:,:,:�'*� ... `T=.'��..' a.>. s. e zaay o Review Site Plan Review Releas l - Plan Review Released By: _ _ Approach/DrainageReleased By: ' ..©r • 4.1 Sewer Review()1)41ede • Released By: r "Z" 4,)ie t 1 065 7) -d Operator: JAS Printed By: JAS Print Date: 11/14/01 • Project Number: 01010055 Inv: 1 Application Date: 11/14/01 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit 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: 1 Occupant Load: Building Height: 22 Stories: 1 Bldg W x D: 52 x 48 Building Sq Ft: 2208 Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: El This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Su Ft Valuation BASEMENT F R-3 VN 500 $7,880.00 500 $7,880.00 BASEMENT U R-3 VN 500 $5,780.00 500 $5,780.00 DECK R-3 VN 100 $736.00 100 $736.00 GARAGE U-1 VN 460 $5,520.00 460 $5,520.00 RESIDENCE R-3 VN 1,208 $74,896.00 1,208 $74,896.00 Totals: 2,768 $94,812.00 2,768 $94,812.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $861.25 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $189.48 Permit Total Fees: $1,055.23 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 DUCT SYSTEMS 1 NUMBER OF $10.00 GAS WATER HEATER 1 NUMBER OF $10.00 GAS APPLIANCE>100,000BTU 1 NUMBER OF $15.00 GAS PIPING 2 #OF UNITS $2.00 HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00 VENTILATING FANS 3 NUMBER OF $30.00 CLOTHES DRYER 1 NUMBER OF $10.00 Permit Total Fees: $89.00 • Operator: JAS Printed By: JAS Print Date: 11/14/01 Project Number: 01010055 Inv: 1 Application Date: 11/14/01 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 TOILETSBIDETS 3 NUMBER OF $18.00 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 GARBAGE DISPOSAL 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 WATER USING DEVICES 3 NUMBER OF $18.00 Permit Total Fees: $96.00 Notes: & , eeNWIMeeft ..,.. ._ ... ,. ; memo _ : :;:ere_0,9en . - .r eempagg Summary:Payment V • Y• 'kz�s�2?��"rax:r"« '"`"N"�N!� ;.,„�, : ` :`yt �"�a,rrr H-1,h. :,� .�',,r,aa�Fn`%%r.�...F.. ne0*Aatu w .eerss ah 4�e �-�-' Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,055.23 $1,055.23 $0.00 $1,055.23 Mechanical Permit $89.00 $89.00 $0.00 $89.00 Plumbing Permit $96.00 $96.00 $0.00 $96.00 $1,240.23 $1,240.23 $0.00 $1,240.23 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: JAS Printed By: JAS Print Date: 11/14/01 ihlPROJECT APPLICATION WORK SHEET _ SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT ,444 1026 WEST BROADWAY AVENUE ,�'( SPOKANE, WA 99260 SPoi i COLjjY 509-477-3675 SPECIFIC SITE INFORMATION Street Address: a11 C iAd Assessor's Tax Parcel Number(s): .J �` ,3'� - ' -47 Legal Description: `'( Lc, Proj ct Description: 1) 40JSL Building Permit O Change in Use CI Grading O Manufactured Home Permit ❑ Relocation ❑ Sign O Tenant(New/Change) ❑ Other ��.4„ .;fig - 9 g t t ` - '."'-; "'c '_�`r € ` "' -= „� may $ as . * 3. ,.y , -:'' --a - ---'` "-, o " -s .r te � .�t �i '3- - � tg;Ww, r . �� 4_ r��-:v-� .- �r.6"`" �' �.' _,�:_ �w ,�— OWNER/APPLICANT INFORMATION El Indicate who should be contacted regarding this project CI Owner: Phone: t(3<( 110 ❑Applicant Phone: 1 S vL- i��v Fax: $ Z-4)u-1 Fax:- Mailing Address: Mailing Address_ 4cR S ( fit City,S to Zip Ciry,State,Zip r, wA `iC31 El Contractor Phone ❑Architcn/Engineer Phone ! A4 Fax ' �� Fax Mailing address � Mailing address City,State Zip /14,Z., City,State Zip WA State Contractor license I Contact name: 1 J S Jai 1. 42.11,1 PROJECT INFORMATION �4a: z -„y`' �"+ .� p- :'''':: :141 'o'- � 3'"x..x s s '' a", F,.,, ate.. ' �'`" �. ' ,,L -,� fir^ti- . ! �� - - ... �a5 a_,-?- . �� - - .,*r�; -�... €^ � '� ,e=,..r�'s> _ ',,,'`�,', ,..,,,,,',,3,A.'*,..,,,��'a _x�.s-±v. _ _"r ,.-..�,, 3.5.°e.. _ ,':� �:. ..,° �:'r � _.'"- .. ::°ee:`_ .. ��tn.- Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.h. 22 120` rev Dimensions Total habitable space 2"a floor sq.ft. Finished basement sq.h_ six 4 U Z Z�� �dC Occupancy group Construction type Garage sq.ft. Deck sq.ft. w�`C.� 4(k, 1 co _ Cost of project Heat source(electric,gas,etc.) �,..€' ux - � - - What is the current use of this property? Width: Length: What is the square footage of the sign face? How high is the sign? Year: Make: N of signs Area of existing signs Are there structures on the property? O Yes No I es, identify on site plan What is the current property size? / t! (square feet or acres I �/ > Is any part of the property within 250 feet of a shorelfne? I es, identify on site plan O Yes No What is the current use of this property? Is your property in a designated wildlife habitat area?/ O Don't know O Yes Qi No Will the site be served by a septic system? O Yes o Is any part of the property within a 100 yr flood plain? If yes, identify on site plan J O Maybe O Don't know O Yes (U No Are or will there be wells located on the property? If yes, identify on the site plan O Yes i Y No Are there any wetlands, streams or ponds within 200 feet of the property? f / J es, identi O on site plan Yes o Is there evidence of fill or excavation on the property?/ O Yes `CJ No Are there slopes greater than 30% on the property? (3 ft rise in 100 ft) O Yes Y No Are critical or hazardous materials used or stored on sit O Yes No SUBTOTAL IflAI Ill AQI'V11f114t'PF.RASTJ Iit1 zfsbo 11 A� MA .. U C KSI U, t tct"JI - 's .r. t . 80.00 Z(... I /100 E FSS ROA l ePv�O ca0eG� i Fj9 V/0rj'1 �h d O i tt�ed.'sv e rocOe exec* Co , r Q b� \- v� a R M FNr g�c�9 a°,c;,t a°d p.\�K�°s a�a,, °ds, SV/ wFp ' F� , GE AND ry`,,n\��\c\g pec a\. e �et�a ceas. `pIll Sy k/ CEMENT ,t ' ;\d \e Pc°P 00\9.1 ace c°°° \. a°a `, ` eta r.,\''; '"l";c\` .c\. s 0�cb \5°\r' . °tr °cePc o`acmensd,,,c,, ed.'P S�.P'�� � ����, \cN a24 b1 o�gat s - b06\e5 5� \ \ Sc9°et c.n N :c,,.., N N Ii i1 , r 11 14 0 NOP I AIN AGE AND EASEMENT / 15` DRAT AGE AND N UTII UTILITY ASEMENT / 2Z h1 7:)I I . I ) C I I 28.19 45.56 80.0 , -o_ \ 2nd LANE cpCD N89'46'00"E N. NN LOT PLAN N i THIS LOT SHALL HAVE A 10" CMPt')I VA '''e/ „611.1014 /��' �� EXTENDED UNDER ITS DRIVEWAY � ��� ° VC TO CONVEY RUNOFF. - . , .p. ..., ,_, NORTH • ° �4GIST 't • '. SCALE: 1" = 20' SS — IONAL .QCs LOT 3 BLOC< 1 KEYSTONE MEADOWS 1 EXPIRES: OCT. 9, 2000