2002, 04-30 Permit App: 02003110 ResidenceProject Number: 02003110 Inv: 1 Application
THIS IS NOT A PERMIT
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: 6 Right: 35 Rear: 63 Phone: (509) 926-6249
Group Name:
Project Name:
. . . . . . . . . ............. . . ....... ............................
Plat Key: 006124 Name: KEYSTONE MEADOWS District: F
Page 1 of 3
Site Information:
Parcel Number: 45222.3601
Block: I Lot: 1
SiteAddress: 12909 E 2ND LN
SPOKANE, WA USA 99216
Location:: SPO
Zoning: UR -7
Water District:
Area: 10,778 Sq Ft
Nbr of Bldgs: 1
Review Information:
Review
Site Plan Review
Urban Residential -7
Width: 85
Nbr of Dwellings: 1
Owner: Name: J.T.S. DEVELOPMENT CORPORA
Address: 4029 S TERRA VERDE
VERADALE, WA 99037
Hold: El
Depth: 74 Right Of Way (ft): 20
Plan Review
[Released
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roach / Drainage
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AMEILATPAIMMEMIIIMOIIINMEL, V
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Released By:
11) re 0
Operator: DMD Printed By: DMD
dt J.t /
Print Date: 4/30/2002
Project Number: 02003110 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/30/2002 Page 2 of 3
Contractor: JTS DEVELOPMENT INC
Address: 4029 S TERRA VERDE DR
VERADALE, WA 99037
Building Characteristics
Const Category:
Nbr Of Dwellings:
Bldg W x D: 44
Req Parking:
New
Occupant Load:
x 47 Building Sq Ft:
Handicap Parking:
Building Permit
Firm: JTS DEV INC - JERRY STOLP
Phone: (509) 927-3879
Group: R-3 Type: VN
Building Height: 18
2170 Sprinklers: El
Critical Materials: El
This Application:
Sq Ft Valuation
210 $3,519.60
970 $11,931.00
100 $783.00
483 $5,796.00
1,200 $79,200.00
Description Grp Type Notes
BASEMENT F R-3 VN
BASEMENT U R-3 VN
DECK R-3 VN
GARAGE U-1 VN
RESIDENCE R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: S & R HEATING
Address: 15501 N YALE RD
MEAD, WA 99021
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
HOOD -TYPE II
Totals: 2,963 $101,229.60
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Units
1
1
2
2
1
1
Operator: DMD Printed By: DMD
Stories: 2
Total Project:
Sq Ft Valuation
210 $3,519.60
970 $11,931.00
100 $783.00
483 $5,796.00
1,200 $79,200.00
2,963 $101,229.60
Fee Amount
$905.00
$4.50
$199.10
$1,108.60
Firm: S & R HEATING, INC
Phone: (509) 467-3960
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$2.00
$20.00
$10.00
$10.00
$64.00
4/30/2002
Project Number: 02003110 Inv: 1
•
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/30/2002
Contractor: S T PLUMBING CO INC
Address: P.O. BOX 1817
AIRWAY HEIGHTS, WA 99011
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
Page 3of3
Firm: S T PLUMBING CO INC
Phone: (509) 244-5575
Units Unit Desc
3 NUMBER OF
4 NUMBER OF
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
3 NUMBER OF
Fee Amount
$1,108.60
$64.00
$102.00
Permit Total Fees:
Invoice Amount
$1,108.60
$64.00
$102.00
$1,274.60 $1,274.60
Fee Amount
$18.00
$24.00
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
$102.00
Amount Owing
$1,108.60
$64.00
$102.00
$1,274.60
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: DMD Printed By: DMD Print Date: 4/30/2002
I I
SPOKANE CoUNFY
•
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
o ?-3110
Street Address:
SPECIFIC SITE INFORMATION
t.I27-FLQCt c . Z'nd i.AuL
Assessor's Tax Parcel Number(s): 9 ,�-.� ^, ,^.� 1 _Of
Legal Description: 7 Pt7l�,( v �Y
,
LOT 1 % LK. I 14-7-1 ;10*. 44./.440-.3.5
Prciect Description: liO AL
Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
0 Relocation
O Sign
O Tenant(New/Change)
O Other
OWNER/APPLICANT INFORMATION
El Indicate who should be =laded npasdmp Mir bm/ed
0 Owner. Phone. 92.6-6249
S 3 bLJLLOMATA r Fax: YIy2 o2.el
0 Applicant:
CN
Phone:
Fax:
Mailing Address:
402c S. Jabs,
Mailing Address: )
I r Cr
epa> Inent.Use Only,
WaterI is•
ict/PurveyorC to
_.
Sewer D'utnct/Punror'<
I,
.>
'
,y
,.,
."Road width
°
s,
. ...a
, Setkacks a "
Front Alce
f ,. "
gar
.. ..
'CRRighc.
"4shool District rt
Fire District: .V
Cite, State Zip
' Zoning ',.
<„
t
Letts k
OWNER/APPLICANT INFORMATION
El Indicate who should be =laded npasdmp Mir bm/ed
0 Owner. Phone. 92.6-6249
S 3 bLJLLOMATA r Fax: YIy2 o2.el
0 Applicant:
CN
Phone:
Fax:
Mailing Address:
402c S. Jabs,
Mailing Address: )
I r Cr
Dimensions
4 4, 41
City, State, Zr
V MAIN Pr LL coil ri 1 a 1
City, State, Zip
Finished basement sq. ft.
110
0 Contmcto Phone
Fax
0 Architect/Fngi r
-I^ "D
Phone
Fax
Mading addressMailing
dd^^^^ JJ
address
Cost of project 4) 001Heat
Cite, State Zip
City, State Zip
WA State Gtntractor license #
54VS 1)1,CwaZn Ly
Contact name:
PROJECT INFORMATION
'Building Information' '
Building height to peak
isI
# of stories
.y
Main Floors ft.
Ii.00
Unfinished basement sq. ft.
91 o
Dimensions
4 4, 41
Total habitable space
Z 1 `i 0
2.^0Floor sq. ft.
Finished basement sq. ft.
110
--
Occupancy group
ConstruFtism0 tape
l✓0
Garage sq. ft.
4 ?)1
Deck sq. ft.
) Ov
Cost of project 4) 001Heat
source (electric, gas, etc.) V IJ
Ivlaliilfactuzed<Iaihe
Sim
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs
Area of existing signs
Tent
Fire Alarm
Fireworks display
Address
R6-Tedif.:v<a x <
,
.s r _x.Fiesaiert
.3 Y
Finn Name
Previous address
Is any part of the property within a 100 yr flood plain?
Ifyes, idents on site plan
O Maybe O Don't know O Ycs /No
Plans Examiner
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
Address
_
Proposed use
Value
Inspector
Phone
S13 ci ISI ,p2 no s Required? ..x
A$$ s, Yt . a ua. 2
Non Re Ident>,at Energy i odea °ompll me?;: „4
''• <.. zd a" .� et m
Finn Name
Is your property in a designated wildlife habitat area?/
O Don't know O Ycs d No
Phone
Is any part of the property within a 100 yr flood plain?
Ifyes, idents on site plan
O Maybe O Don't know O Ycs /No
Plans Examiner
Phone
Inspectors:
Are there slopes greater than 30% on the property? (30 f se in 100 ft)
( /%) 0 Yes No,
Are critical or hazardous materials used or stored on site?
0 Ycs Q No
Address
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
TIONAL SITE INFORMATION
Are there structures on the property? O Yes I 'No
If yes, identify on site plan
What is the current property size? u y
(square feet or acres) 6I 11U (i/
Is any part of the property within 250 feet of a shore A e?
If yes, identify on site plan O Ycs No
What is the current use of this property? `
/.J
Is your property in a designated wildlife habitat area?/
O Don't know O Ycs d No
Will the site be served by a septic system? O Yes No
Is any part of the property within a 100 yr flood plain?
Ifyes, idents on site plan
O Maybe O Don't know O Ycs /No
Are or will there be wells located on the property? /
Jfyes, identify on the site plat O Yes 0- No
Are there any wetlands, streams or ponds within 200 et of the property?
If ye , identify on site plan O Yes No
h there evidence of fill or excavation on the property?
0 Yes 'No
Are there slopes greater than 30% on the property? (30 f se in 100 ft)
( /%) 0 Yes No,
Are critical or hazardous materials used or stored on site?
0 Ycs Q No
Is the property' in a designated Stori viater Control Area? "
O. Yes
O No -
:Is'public Seweravail+nl?le to the site? .r " 0 Yes 0 No
. a,
Is the property inside the ASA?.
_
0 Ycs
O Yes
0 No
O No
Is public .water available to the site?' 0 Yes 0 No
Is the property inside thetSSA? "
0 Yes'
0 No
Is the propeity Ibcated`within1000 feeGof a Natural Resource Arca?
O' Yes O .No ,.
Dare Received:
Staff Representative:
METHOD OF PAYMENT
VISA
0 CASII 0 CIIFCJC ❑Ras❑ i
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DA'L'E: 1+.CPI RHS:
BANKCARD NU\1BRR:
AU'1'I IORIZED SIGNATURI?:
SUBTOTAL
TOTAL FEE
MINIMUM PEkMITFEE IS MOO PLEASE
TtAKE b IECKS PAVAOLE TO SPOKANE
couNTl toulirr cENTER
85.50
This site plan is being submitted fc thepurpose V�
obtaining a bu',iding permit and is s true and correct
representation of the proposal. All known property
lines/dimensions, curb lines• struc.ures and easements
have been identified. Also indica d ,aroa cal areas.
bodies of wat ts;'pe.
Signed:
Date:
pt'
O'
0
‘//
SccQe ✓1C`2,
15' DRAINAGE A
UTILITY EASEMErwr
0
0
kce
ADDRESS i
ZONE
ROAD WIDTH
FRONT_ ING
COMMENTS
REVIEWED 6'
10.00
fel
CD
NOO'2O'28"t,
19.94
a
Q
0
n
A(1 7.
THIS LOT SHALL HAVE A 10" CMP
EXTENDED UNDER ITS DRIVEWAY
TO CONVEY RUNOFF.
LOT 1
3LOC
'< 1
r..,.-+-4-rxM w rt "Ili
LOT PLA\
rie\na
ANL
NORTH
SCALE: 1" = 20'
o%.
00
nfl
EXPIRES: Ui_ f.� 'i;uC-