HomeMy WebLinkAbout2002, 07-23 Permit App: 02006188 Residence Project Number: 02006188 Inv: 1 Application Date: 7/23/02 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-GAS Contact: J.T.S.DEVELOPMENT CORPORATION
Address: 4029 S TERRA VERDE
C-S-Z: VERADALE,WA 99037
Setbacks: Front 25 Left: 25 Right: 5 Rear: 15 Phone: (509)926-6249
Group Name:
Site Information: Project Name:
Plat Key: 006124 Name: KEYSTONE MEADOWS District: F
Parcel Number: 45222.3705 Block: 2 Lot: 5
SiteAddress: 12919 E 3RD LN Owner:Name: J.T.S.DEVELOPMENT CORPORA
SPOKANE,WA USA 99216 Address. 4029 SIERRA VERDE
Location::SPO VERADALE,WA 99037
Zoning: UR-7 Urban Residential-7
Water District: 011 MODERN Hold: ❑
Area: 6,056 Sq Ft Width: 69 Depth: 99 Right Of Way(ft): 20
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: -„0
Review
Site Plan Review Ai Released C y: _ n ,
�► z rte
<<.' ' - 1 a. ie.
Plan Review
Released By:
Approach/Drainage 54r Released By: '""Q/,"'
o2 kNAA.
J��� �
Sewer Review
�I Released By:
Permits:
Operator: JAS Printed By: JAS Print Date: 7/23/02
Project Number: 02006188 Inv: 1 Application Date: 7/23/02 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: 14 Stories: 1
Bldg W x D: 59 x 29 Building Sq Ft: 1020 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials:
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 450 $5,400.00 450 $5,400.00
RESIDENCE R-3 VN 1,020 $67,320.00 1,020 $67,320.00
Totals: 1,470 $72,720.00 1,470 $72,720.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $723.75
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $159.23
Permit Total Fees: $887.48
Mechanical Permit
Contractor: S&R HEATING Firm: S& R HEATING,INC
Address: 15501 N YALE RI) Phone: (509)467-3960
MEAD,WA 99021
Item Description Units Unit Desc Fee Amount
GAS WA I ER HEATER I NUMBER OI. $10.00
GAS APPLIANCE>100,000BTU I 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
Permit Total Fees: $57.00
Operator: JAS Printed By: JAS Print Date: 7/23/02
Project Number: 02006188 Inv: 1 Application Date: 7/23/02 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 2 NUMBER OF $12.00
SINKS 3 NUMBER OF $18.00
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: $78.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $887.48 $887.48 $0.00 $887.48
Mechanical Permit $57.00 $57.00 $0.00 $57.00
Plumbing Permit $78.00 $78.00 $0.00 $78.00
$1,022.48 $1,022.48 $0.00 $1,022.48
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: JAS Printed By: JAS Print Date: 7/23/02
J _,
1 PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675
SPOKN COUNTY
SPECIFIC SITE INFORMATION
Street Address: S i s C 34 DA-
Assessor's
Assessor's Tax Parcel Number(s): (.� ^�- -- --2tis
, -�n S
Legal Description: (( d
Project Description: t 1OM
Building Permit El Change in Use O Grading 0 Manufactured Home Permit
0 Relocation 0 Sign 1] Tenant(New/Change) El 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
El Indicate who.rhould be,ontacted reiurdin;,Ibis project
❑ Owner: Phone: CI 2(.'i7 Z . C1 ❑ Applicant: Phone:
." S
r
L.)e'Li to#..1i1)1 lac l 1'12;.:211 S AAA L Fav:
Mailing Address: Mailing Address. �(
4o2 s, iLodi- \i �.-
Cirs,State,1..i City,State,/ip
J am. -OA Vt031
❑contractor Phone ❑ Architect;'I.ngineer Phone
lax yAJOUIa4141 Nc1.n4t, Fax
Mailing address AN\L Mailing address
Cin',State Zip City,State Zip
V\:A State contractor license# Contact name: RECEIVED
PROJECT INFORMATION J V L 2 2 2002
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
Dimensions Total habitable space 2'd Floor sq.ft. Finished basement sq.ft.
5<1 X 2-`1 i 0 Le cb f
Occupancy group Construction type Garage sq.ft.. Deck sq.ft.
ti.- C11:1 q 5o
Cost of project I leat source(electric,gas,etc.)
9 (3 03 64S
)
'
Manufactured Home Sign
Width: Length: ;What is the square footage of the sign 1-low high is the sign?
face?
Year: Make: #of signs Area of existing signs
Relocation Fire Safety
Previous address Fire Sprinkler "fent
Paint booth Fire Alarm Fireworks display
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
firm Name Phone I Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete 0 Welding 0 Bolting 0 Reinforcement Address
IADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes No What is the current property size? /
Ifyes,identi oti site plan (square feet or acres) is 6,5e1
Is any part of the property within 250 feet of a shor9tne? What is the current use of this property?
If yes,identify on site plan 0 Yes No
Is your property in a designated wildlife habitat area? // Will the site be served by a septic system?0 Yes C`/No
0 Don't know 0 Yes OVNo
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,identify on the site plan 0 Yes property? /
0 Maybe 0 Don't know 0 Yes O/No
Are there any wetlands,streams or ponds within 200 eet of the property? Is there evidence of fill or excavation on the property? /
Des,identz'on site plan O Yes No 0 Yes No
Are there slopes greater than 30%on the property?(30 ftpise in 100 ft) Are critical or hazardous materials used or stored on site? 71
( %%o) 0 Yes No 0 Yes 0/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 0 No
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
DYes ONo
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
D Yes O No
Date Received: staff Representative:
METHOD OF PAYMENT
��!'1r SUBTOTAL
VISA _
❑ C:ASI l ❑ to II:CK ❑ ❑ ❑ .-
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D:1'1'I:: l:XPIRl:S: TOTAL FEE
BANK(::\Rl)NUMBI'.R: MINIMUM PERMIT FEE IS$35.00PLE 1SE
M 1KE CHECKS PAYABLE TO SPOKANE
\U1'i LORI''/.I?ll SI GN Al URI:: COUNTY Y PERMIT CENTER
,
f I
PLUMBING PERMIT APPLICATION
PROJECTPERMIT
ADDRESS: ,�(i1M - 3£-. USE:
OWNER: .r.i , PHONE (Daytime Contact):
� J
t� �,- , 4_y <13:t-16.1c)
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: i LICENSE:
MAILING ADDRESS: PHONE:
(Street) (City/State) (ZiP)
PLUMBING FIXTURES
#OF ULToI- COST/ AMOUNT
PLIE
DESCRIPTION DETAIL UNITS BY UNIT EQUALS
B02 TOILETS WATER CLOSETS,BIDETS L x $6 —
B03 URINALS x $6 —
B04 TUBS - Z x $6 —
B05 SHOWERS(per trap) BATH,STALL,ON-SITE BUILD x $6 —
B06 SINKS LAVS/BASINS,BAR,FLOOR, x $6 —
KITCHEN,LAUNDRY,UTILITY,
JANITOR,PHOTO,X-RAY,FOOD
(PREP/CULINARY/MEAT 3
B07 DISHWASHER - i x $6 —
808 CLOTHES WASHER - i x $6 —
1309 GARBAGE DISPOSAL/GRINDER - i x $6 —
B10 WATER SOFTENER - x $6 —
1311 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see x $6 —
mechanical)
B12 FLOOR DRAINS AREA,CASE,COIL,TRENCH, x $6 —
CONDENSATE
B13 ROOF DRAINS/OVERFLOW DRAINS - x $6 —
(ea.)
B14 FOUNTAINS,DRINKING - x $6 —
B15 WATER PIPING/DRAIN-IN WASTE- INSTALLATION,ALTERATION, x $6 —
VENT/PLUMBING REVERSALS REPAIR,REVERSALS
B16 SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 —
B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, x $6 —
HOSE BIB,STEAMER,PROOFER,
CARBONATOR,SWAMP COOLERS 3
B18 CROSS CONNECTION DEVICES VACUUM BREAKER,CHECK $6 —
VALVE,AND R.P.B.P.D.FOR:
VATS,SUMPS,TANKS,BOILERS,&
SPRINKLER SYSTEMS
B19 INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 —
CHEMICAL HOLDING TANK
B20 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN x $6 —
B21 MISCELLANEOUS FIXTURES $6 —
METHOD OF PAYMENT SUBTOTAL
OMNI 'VISAJCCPLUS PROCESSING FEE $ 25.00
0 CASH 0 CHECK 0 Wan ❑ ,', 0 —
FAXED
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD TOTAL PERMIT FEE DUE
DATE: EXPIRES: MINIMUM PERMIT FEE IS$35.00
PLEASE MAKE CHECKS PAYABLE TO
BANKCARD NUMBER: SPOKANE COUNTY PERMIT CENTER
AUTHORIZED SIGNATURE:
Spokane County Division of Building&Code Enforcement
1026 West Broadway Avenue*Spokane,WA 99260-0050
Telephone No.(509)477-3675*Fax No. 477-7198*TDD No. (509)477-7133
MECHANICAL PERMIT APPLICATION
PROJECT s 2 PERMIT
ADDRESS: ' 19 i q (._r J USE:
OWNER: ,—\ �s . PHONE (Daytime Contact):
MAILING Dp RESS: /,
4C( 9 7717
UL�1 s . � l 0 C- 0Lti Wit 9 C1C1
(Street) (City/State) (Zip)
CONTRACTOR: ! LICENSE:
54L R r1 c,
MAILING ADDRESS: PHONE:
(Street) (City/State) (Zip)
#OF MULTF COST/ AMOUNT
PLIED
DESCRIPTION OF WORK UNITS BY UNIT EQUALS
B02 FUEL BURNING APPLIANCE —OR <100,.000 X $12 — $
B03 FUEL BURNING APPLIANCE >100,000 / k X $15 = $
B04 UNLISTED APPLIANCE(ADDITIONAL CHARGE) —OR<400,.000 X $50 — $
B04 UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 X $100 — $
B06 USED APPLIANCE(Must meet WSEC's min.AFUE rating) —OR <400,.000 X $50 — $
B07 USED APPLIANCE(Must meet WSEC's min.AFUE rating) >400,000 X $100 — $
B08 BOILER/REFRIGERATION 1-100M BTU X $12 — $
B09 BOILER/REFRIGERATION 101-500M BTU X $20 — $
BIO BOILER/REFRIGERATION 501-1,000M BTU X $25 $
B11 BOILER/REFRIGERATION 1,001-1,750M BTU X $35 — $
B12 BOILER/REFRIGERATION +1,750MBTU X $60 = $
B13 GAS LOG,GAS INSERT,AND/OR GAS FIREPLACE - X $10 — $
B14 RANGE - 1 X $10 — $
B15 DRYER - ( X $10 — $
B16 FUEL BURNING WATER HEATER _ - I X $10 — $
B17 MISCELLANEOUS FUEL BURNING APPLIANCE - X $10 — $
B18 GAS PIPING(ea.Outlet) - 7_ X $1 - $
B19 DUCT SYSTEMS - X $10 = $
B20 VENTILATING FANS - L X $10 — $
B21 AIR HANDLER(DOES NOT include duct systems) —OR <10,000 CFM X $12 — $
B22 AIR HANDLER(DOES NOT include duct systems) >10,000 CFM X $15 = $
B23 EVAPORATIVE COOLERS - X $10 — $
B24 TYPE I HOOD - X $50 — $
B25 TYPE II HOOD - X $10 — $
B26 HEAT PUMP/AIR CONDITIONER 0-3 TONS X $12 — $
B27 AIR CONDITIONER 3-15 TONS X $20 — $
B28 AIR CONDITIONER 15-30 TONS X $25 — $
B29 AIR CONDITIONER 30-50 TONS X $35 = $
B30 AIR CONDITIONER +50 TONS X $60 — $
B31 LPG STORAGE TANK - X $10 — $
B32 WOOD OR PELLET STOVE/INSERT - X $25 — $
METHOD OF PAYMENT SUBTOTAL
111111=11 :::shi
VISA Z, -
,
PLUS PROCESSING FEE $ 25.00
❑ CASH ElCHECK ❑ El _ ❑ -
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD
TOTAL PERMIT FEE DUE
DATE: EXPIRES: MINIMUM PERMIT FEE IS$35.00
PLEASE MAKE CHECKS PAYABLE TO
BANKCARD NUMBER: SPOKANE COUNTY PERMIT'CENTER
AUTHORIZED SIGNATURE:
Spokane County Division of Building&Code Enforcement
1026 West Broadway Avenue*Spokane,WA 99260-0050
Telephone No.(509)477-3675*Fax No. 477-7198*TDD No. (509)477-7133
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