2002, 03-07 Permit app: 02001411 Duplex Project Number: 02001411 Inv: 1 Application . e: 3/7/02 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project In formation:
Peiiiiit Use: VERTICAL DUPLEX W/GARAGES-GAS(UPPER Contact: J S D MULTI DEVELOPMENTS
LEVEL)ELECTRIC(LOWER) Address: PO BOX 1198
C- S-Z: POST FALLS,ID 83877-1198
Setbacks:Front 35 Left: 109 Right: 15 Rear: 50+ Phone: (208)773-6551
Group Name:
Site Information: Project Name:
Plat Key: 001834 Name: OPP.TR. 1-354 District: F
Parcel Number: 45202.0726c9 Block: 241 Lot:
SiteAddress: E 4TH AVE GS7 Owner:Name: GREBE,RICHARD E&CAROL I
SPOKANE,WA USA 00000 Address: 10829 E 21ST AVE
Location::SPO SPOKANE,WA 99206-2310
Zoning: UR-22 Urban Residential-22
Water District: Hold: ❑
Area: 39,848 Sq Ft Width: 170 Depth: 234 Right Of Way(ft): 40
Nbr of Bldgs: 4 Nbr of Dwellings: 4
Review Information:
Review
111.
Site Plan Review
Released B
Plan Review rReleased By:
-C-Ittf-G7tt C_ Luv i Q,,.
ti
• proach/Drainage G E--�fl $7 Released By: 3 7
66
s 91 , a _ iP9r•)Ws A-T1 ,.-1r• f ,LJ, 3 •
vP
Landuse/Zoning Released By: a 7 -d 2.
Sewer Review _ _ r
Released By --- 6 �—�_
I
Operator: CKF Printed By: CKF Print Date: 3/7/02
Project Number: 02001411 Inv: 1 Application Date: 3/7/02 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Permits:
Building Permit
Contractor: J S D MULTI DEVELOPMENTS Firm: JOHN DEVRIES/JSD MULTI DEV
Address: PO BOX 1198 Phone: (208)773-6551
POST FALLS,ID 83877-1198
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: 2 Occupant Load: Building Height: 22 Stories: 2
Bldg W x D: 34 x 48 Building Sq Ft: 2317 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: Li
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
DECK R-3 VN 100 $736.00 100 $736.00
GARAGE U-1 VN 440 $5,280.00 440 $5,280.00
RESIDENCE R-3 VN 2,317 $143,654.00 2,317 $143,654.00
Totals: 2,857 $149,670.00 2,857 $149,670.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $1,145.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $251.90
Permit Total Fees: $1,401.40
Mechanical Permit
Contractor: D&D HEATING A/C Firm: D&D HEATING A/C
Address: 6215C COMMERCE LOOP Phone: (208) 765-7727
POST FALLS,ID 83854
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 2 NUMBER OF $20.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 3 #OF UNITS $3.00
VENTILATING FANS 5 NUMBER OF $50.00
CLOTHES DRYER 2 NUMBER OF $20.00
HOOD-TYPE II 2 NUMBER OF $20.00
Permit Total Fees: $125.00
Operator: CKF Printed By: CKF Print Date: 3/7/02
' Project Number: 02001411 Inv: 1 Application Date: 3/7/02 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: UNKNOWN Firm: UNKNOWN
Address: UNKNOWN Phone: (000)000-0000
UNKNOWN,WA UNKNOWN
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 3 NUMBER OF $18.00
SINKS 5 NUMBER OF $30.00
SHOWERS 2 NUMBER OF $12.00
DISH WASHERS 2 NUMBER OF $12.00
GARBAGE DISPOSAL 2 NUMBER OF $12.00
CLOTHES WASHER 2 NUMBER OF $12.00
CROSS CONNECTION DEVICES 1 NUMBER OF $6.00
WATER USING DEVICES 4 NUMBER OF $24.00
Permit Total Fees: $126.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,401.40 $1,401.40 $0.00 $1,401.40
Mechanical Peii,iit $125.00 $125.00 $0.00 $125.00
Plumbing Permit $126.00 $126.00 $0.00 $126.00
$1,652.40 $1,652.40 $0.00 $1,652.40
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. Subse u • i ance 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 cod• or of an ther state or local laws or ordinances.
101:
Signature: l Vf�
r
Operator: CKF Printed By: CKF Print Date: 3/7/02
1 i PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
Aiii
1026 WEST BROADWAY AVENUE
t
= SPOKANE,WA 99260
509-477-3675
SPOKE COUNTY
SPECIFIC SITE INFORMATION
Street Address: 96 0 y-jN / SPc - A
Assessor's Tax Parcel Number(s): f '6 da2' 0\76
\
Legal Description: `� V
Project Description: (1,,7,@ucT Bah hl Op LT
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water Distnct/Purveyor. Sewer District/Purveyor Road width Setbacks
'22 i Front Rear.
G
School District Fire District: Zoning ,
Left Right
OWNER/APPLICANT INFORMATION
Ei Indicate who should be contacted re„ardinj Ibcrpro/e.
❑ Owner: Phone660 7 Qjy. ❑ Applicant:
uc4 C,R a_€k 6 fa.: 5k,t— AS 00 01,L - __
Mailing Address: Mailing Address:
/oSao g. g/s; 5
Cm,. ate,Zip (:in,State,Zip
PO r.4* , 1,t)A 99d06- 5-64 _ _ . • ,
Contractor Phone .441. t.))3_6575-/7 ❑ ;Arc fcct�I ng'inee/rf.,--yy�� /J� �/� Phone 006 4' 6
Mat `j.C) M1AA_T1ot,1C-weMCl(7rl'a. do.A ' 73• 3?%4I /1O / V/`lT1,0<-6 1-7--'L/ I.aa CC-u - 66/- (%V6
g address Mailing,address
6.gc I/ & J,Iwetic--65j 03 +t). flewif-
Ctip city,State tie
Tir05.1 �ftt.A.-s, j- �3Cs''i, -5008 o(AAL- n' ALco r .D s3' IV
VA'A State Contractor license# Contact namy;,/' //
"C= 4
D 4-71-
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
/068
Dimensions f i, Total habitable space 2""I floors ft. Finished basement sq.ft...
311 )4. 95 /0 7
Occ cv group Construction by e Garage sq.ft. Deck sq.ft.
c.cV— 07 s�`r
Loo karriE `I18 /0o
cogf of project I leat source(electric,gas,etc.)
9S, 000 1,061e. LA's f- 64s ea leak/L(4 Llxzs> E-t.rt
Manufactured Home Sign
Width: Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: #of signs Arca 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?
Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete O Welding D Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? Yes 0 No What is the current property size? / /
Ifyes,identify on site plan (square feet or acres) f�)4 /�
Is any part of the property within 250 feet of a shoreline? What is the cu ent use of this p )perty?
Ifyes,ident on site plan O Yes No 3Q&-c YSt C[- ' (O U`7"i (.4t7=fa.; 570>2�461
Is your property in a designated wildlife habitat area?�{ Will the site be served by a septic system?0 Yes No
0 Don't know 0 Yes A' 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 0 Yes No
0 Maybe aiDon'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?
If yes,identifil on site plan 0 Yes No 0 Yes tit 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?
( _%) 0 Yes L No 0 Yes �No
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 El No Is public water available to the site? 0 Yes 0 No
0 Yes 0 No
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
0 Yes 0 No
Date Received: Staff Representative:
METHOD OF PAYMENT
MM. 1C*V f SURTO l 1.
VISA
0 CASH ❑ CHECK ❑ IMMIN 0 ❑ --
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D:ATI•:: I APlRl?S: TOTAL FEE
B.ANKC:ARD N UMBER: MINIMUM PERMIT FEE IS$35.00 P11.1' SF
M:AUE CI(ECUS P:AY MILE TO SPOIK.-ANF
AUfi LORI''/I•:D SIGN:ATURI COUNTY PERMI CENTER
.. l,UAtRAl,iuit
- JSD MULTI DEVELOPMENTS
P.O. Box 1198
Post Falls, ID 83877-1198
208-773-6551 John Cell 651-1213 - 1",---,...2,(-`'
Fax 208-773-3279 '
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Site Location
`
9511 E. 4th Ave.
Owner Spokane WA
Dick & Carol Grebe
10820 E. 21" St.
Spokane, WA 99206-5629 Legal Description
(509) 924-3066 SHEET 1 OF 2 Parcel # 45202.0726
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