2003, 04-02 Permit App: 03002208 Residence Project Number: 03002208 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: 5 Right: 37 Rear: 15 Phone: (509)924-8964
Group Name:
Project Name:
Site Information:
Plat Key: Name: �-.2 i3(j District: F
Parcel Number: 45231.1207 Block: Lot: C
SiteAddress: 15308 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: 6,000 Sq Ft Width: 82 Depth: 79 Right Of Way(ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: .
Review
di
Site PlanReview �.��I Released B}: ® F /. ...r.... A �
Pla Review
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Approach/ Released By:Drainage —IMP +r -1,
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Sewer Review �Rcicascd`t ::
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GSC— rL2TI71 1 & E-
Permits:
•
Operator: RMB Printed By: RMB Print Date: 4/2/2003
•
Project Number: 03002208 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:
r�
Bldg W x D: x Building Sq Ft: Sprinklers: L
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-I VN 520 $6,240.00 520 $6240.00
RESIDENCE R-3 VN 1,138 $75,108.00 1,138 $75,108.00
Totals: 2,491 $91,146.90 2,491 $91,146.90
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $842.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $185.35
Permit Total Fees: $1,032.35
Mechanical Permit
Contractor: DIAMOND ROCK Finn: 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: 03002208 Inv: 1 ApphCation 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 NUMBER OF $24.00
SHOWERS 2 NUMBER OF $12.00
TUBS 1 NUMBER OF $6.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
WATER 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 $1,032.35 $1,032.35 $0.00 $1,032.35
Mechanical Permit $74.00 $74.00 $0.00 $74.00
Plumbing Permit $90.00 $90.00 $0.00 $90.00
$1,196.35 $1,196.35 $0.00 $1,196.35
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
1401A PROJECT APPLICATION WORK SHEET
ANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675
SPOKANT COUN rY
SPECIFIC SITE INFORMATION
Street Address: c —3o<6 �_- „� +e
Assessor's Tax Parcel Number(s): i 7`+V `�
SpOl�A „,
Legal Description: Vvb� Q ® ,/�A� 'yFC�O
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1°c. c0 11003
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Project Description: f v FiF0,0
elstf
Il Building Permit ❑ Change in Use ❑ Grading El Manuffa fired Home Permit
❑ Relocation ❑ Sign El Tenant(New/Change) El Other
Department Use Only
Water District/Purveyor. Sewer Distract/Purveyor Road width Setback
Front: Rear.
School District - Fire District: Zoning
' ' D Left. Right.
OWNER/APPLICANT INFORMATION gix1q `�"`'"
0 Indicale who should be:ontaCted rw-din,g Ibi.c pr jeel
❑ Owner: Phone: ❑ Int: Phone: `7Z 4 s--7 of
Fax: 7 "~evt 'C3-Z. IC (. v5 ax: cf 2 6 �c. 1 `f
Mailing Address: Mailing Address:
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Citc,State,
City,State,Zip Zip
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❑ Contractor PhonePhone
❑ Architect'I.n gi nnccr
l:as Fax
Mailing address Mailing address
City,State Zip City,State Zip
WA State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of storiesMain floor sq.ft. Unfinished basement sq.ft.
1/( t . 5 it 733
Dimensions Total habitable space 2"dt floor sq.ft. Finished basement sq.ft.
2(1, )(CO // 33 -o
Occupancy group Constriction type ., Garage sq.ft_ Deck sq.ft.
��� ,�
Cost of project I leat source(electric,gas,etc.)
bre) rte-- --
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 'fent
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
O Concrete O Welding O Bolting O Reinforcement Address
A1D-ITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes 0' No What is the current property size?
Ifyes,identii on site plan (square feet or acres) &_- t'- S
Is any part of the property within 250 feet of a shorelir3V. What is the current use of this property?
Ifyes,identi on site plan O Yes CYNo
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes
0 Don't know O Yes No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identify on site plan / Ifyes,identify on the site plan O Yes 'o
O Maybe O Don't know O Yes O No
Are there any wetlands,streams or ponds within 2000 f 1the property? Is there evidence of fill or excavation on the property? ''
If yes,identift on site plan 0 Yes Or N o 0 Yes 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?
( %) D Yes ff.-No O Yes iVo
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No
0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
D Yes D No
Is the property inside the PSSA? 0 Yes D No Is the property located within 1000 feet of a Natural Resource Area?
D Yes D No
Date Received: Staff Representative:
METHOD OF PAYMENT
MEM ;s'Cl/Vd$ SUBTOTAL
VISA
❑ C:3511 0 CHECK ❑ 0 0 '-
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
ll;\ FXPIRI:S: TOTAL FEE
B:ANKCARD NUMBER: MINIMUM PERMIT FEE IS$35.00PLFASE
MAKE CHECKS PA\ABLE TO SPOKANE
A UI'I L ORI"/,1'.D SI G N A'1 U R I COUNTY PERMIT CENTER
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