2003, 04-02 Permit App: 03002210 Residence Project Number: 03002210 Inv: 1 Application Date: 4/2/2003 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE/ATTACHED GARAGE-FORCED Contact: DIAMOND ROCK CONSTRUCTION
AIR GAS Address: 15321 E MISSION
C - S-Z: VERADALE,WA 99037
Setbacks: Front 35 Left: 10 Right: 20+ Rear: 20+ Phone: (509)924-8964
Group Name:
Site Information: Project Name:
Plat Key: Name: ) District: F
Parcel Number: 45231.1207 Block: Lot: B
SiteAddress: 15302 E 3RD AVE Owner: Name: DIAMOND ROCK CONSTRUCTIO
VERADALE,WA USA 99037 Address: 15321 E. MISSION AVE
Location::VER VERADALE,WA 99037
Zoning: UR-7 Urban Residential-7
Water District: Hold: ❑
Area: 6,691 Sq Ft Width: 65 Depth: 103 Right Of Way(ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: .. ... .:::::.
Review
Site Plan Review e= Released By: _421(2gC
Plan ' Released By:
.:)bac- .:r/ Y cS
Approach/Drainage Released By: , 0, &Old'
4.11t. --:et-4 . 1 #1 I /-3
Sewer ' ('``I elee
• O• 'tom (An c(((es_ eo\iRo asas.
Gt-(L, rcr z_ .716 C�
- - -- Cum
Permits: '
Operator: RMB Printed By: RMB Print Date: 4/2/2003
Project Number: 03002210 Inv: 1 Application , Date: 4/2/2003 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO
Address: 15706 E VALLEYWAY AVE Phone: (509)218-8510
VERADALE,WA 99037
Building Characteristics
Const Category: New Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: u
Req Parking: Handicap Parking: Critical Materials: El
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 733 $9,015.90 733 $9,015.90
DECK R-3 VN 100 $783.00 100 $783.00
GARAGE U-1 VN 520 $6,240.00 520 $6,240.00
RESIDENCE R-3 VN 1,133 $74,778.00 1,133 $74,778.00
Totals: 2,486 $90,816.90 2,486 $90,816.90
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $836.25
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $183.98
Permit Total Fees: $1,024.73
Mechanical Permit
Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO
Address: 15706 E VALLEYWAY AVE Phone: (509)218-8510
VERADALE,WA 99037
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 2 #OF UNITS $2.00
VENTILATING FANS 4 NUMBER OF $40.00
CLOTHES DRYER 1 NUMBER OF $10.00
Permit Total Fees: $74.00
Operator: RMB Printed By: RMB Print Date: 4/2/2003
Project Number: 03002210 Inv: I Application Date: 4/2/2003 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit -
Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO
Address: 15706 E VALLEYWAY AVE Phone: (509)218-8510
VERADALE,WA 99037
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 3 NUMBER OF $18.00
SINKS 4 NiMMBEROF $24.00
TUBS 3 NUMBER OF $18.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
WAFER USING DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $90.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,024.73 $1,024.73 $0.00 $1,024.73
Mechanical Permit $74.00 $74.00 $0.00 $74.00
Plumbing Permit $90.00 $90.00 $0.00 $90.00
$1,188.73 $1,188.73 $0.00 $1,188.73
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 construed 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: RMB Printed By: RMB Print Date: 4/2/2003
10c1 PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
Ilk
SPOKANE,WA 99260
509-477-3675
SpokANE COUrrY
SPECIFIC SITE INFORMATION SAS 9F
Street Address: B C
S 7 C� r rr1 /� ��/it
Assessor's Tax Parcel Number(s): (� '' 1P- C)7'.-1
?—,)2 4`OC 4jP., Q�A.
Legal Description: v 4 ,Y'r
' /L.
Fo9CF
Project Description: 5
►t :uilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
El Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor. Sewer District/Purveyor Road widthSetbacks 9,
0 Front 25 Rear.
School District. Fire District Zoning 1
Oh:, Left Right:
OWNER/APPLICANT INFORMATION (P✓ )‹ 10 3- ,, of
0 Indicate who should he conladed re,gardini this pr jea
❑ Owner: Phone: ❑ Applica Phone: i'�6.-1
FT
ax: (q ' ett �'r (L. Lax: 4 Z6 ',;-/LI
Mailing Address: Mailing Address: I
City,State,Zip City,State,Zip
❑ Contractor Phone b Phone
❑ Architect Gn nccr
l ax lax
Mailing address Mailing address
City,State Zip City,State Zip
\C A State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stones Main floor sq.ft. Unfinished basement sq.ft.
lC, ` j. C i ► 3 73
Dimensions Total habitable space gni floor sq.ft. finished basement sq.ft.
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project I Icat source(electric gas,etc.)
6 C r S
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?
hem Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete O Welding 0 Bolting 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes O No What is the current property size?
Ifyes,identz'on site p/an (square feet or acres)
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
Ifyes,idem'on site plan O Yes O No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes 0 No
0 Don't know 0 Yes 0 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,ident/,on site p/au Ifyes,ident/on the site plan 0 Yes 0 No
0 Maybe 0 Don't know 0 Yes 0 No
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Ifyes,identifi on site plan 0 Yes 0 No 0 Yes 0 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?
( °y0) O Yes O No O Yes O No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes 0 No
OYes 171 No
Is the property inside the ASA? 0 Yes Cl No Is public water available to the site? Cl Yes Cl No
O Yes O No
Is the property inside the PSSA? 0 Yes C) No Is the property located within 1000 feet of a Natural Resource Area?
O Yes O No
Date Received: Staff Representative:
METHOD OF PAYMENT
:!CSV;, SUBTOT:AI,
VISA
❑ c:Asl I ❑ CI ii cK ❑ ❑ 0 ..
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1).11:: I:xPIRES: TOTAL FEE
BANKC:ARD NUNIBI':R: MINIMUM PERMIT FEE IS$35.00PI EASE
M 1.K.E CIiECKS PAYABLE"10 SPOKANE
AUT]IORI/i:D SIGNATURE: COLN1YY PERMIT R
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This site plan is being submlecl for t'.: Turpose 06 I
obtan; - :- .lO,:-;:i por.-- .:: Is a 1.,:,::,_,nct ccore
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