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2001, 05-25 Permit App: 01003973 ResidenceProject Number: 01003973 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 Setbacks: Front 30 Left: 10 Right: 12 Rear: 60 Site Information: Plat Key: 002505 Name: ST.MARY ADD. Parcel Number: 45232.0722 Block: 3 SiteAddress: 14606 E 5TH AVE SPOKANE, WA USA 99216 Location:: SPO Zoning: UR -3.5 Water District: Urban Residential 3.5 Area: 10,076 Sq Ft Width: 81 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Department BUILDING Hold Reasons: Permit Conditions: Review Site Plan Review BUILDIN Plan Review sons: Permit Conditions: l i Contact: CROSS, TRAVIS & SHERI Address: 3522 E HARTSON C - S - Z: SPOKANE, WA 99202 Phone: (509) 534-0385 Group Name: Project Name: Lot: 3 Page 1 of 3 District: F Owner: Name: CROSS, TRAVIS & SHERI Address: 3522 E HARTSON SPOKANE, WA 99202 Hold: ❑ Depth: 123 Right Of Way (ft): 50 Released By: L i HDISTRICT Septic System Review Hold Reasons: Permit Conditions: ENGINEER Hold Reasons: Permit Conditions: erkulw to PKIA ata‘Ai has,'e-a. C‘u, t. elf .ptans Approach / Drainage -6 I Released By: OK Per -f i Y( C kkime s tue I/gait et _ L/ ( t0of- �tl.� Project Number: 01003973 Inv: 1 Application THIS IS NOT A PERMIT" Penalties will be assessed for commencing work without a permit Date: 5/25/01 Page 2 of 3 Contractor: OWNER Address: 0 000000, 00 000000 Const Category: New Nbr Of Dwellings: Bldg W x D: 43 x Req Parking: Building Permit Firm: OWNER Phone: (000) 000-0000 Building Characteristics Group: R-3 Type: VN Occupant Load: Building Height: 26 Stories: 2 42 Building Sq Ft: 1858 Sprinklers: 0 Handicap Parking: Critical Materials: 0 Description Grp Tyne 2ND FLOOR R-3 VN COV DECK R-3 VN GARAGE U-1 VN RESIDENCE R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor: OWNER Address: 0 000000, 00 000000 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER HOOD -TYPE II This Application: Total Project: Notes Sq Ft Valuation Sq Ft Valuation 776 $48,112.00 776 $48,112.00 192 $1,816.32 192 $1,816.32 600 $7,200.00 600 $7,200.00 1,082 $67,084.00 1,082 $67,084.00 Totals: 2,650 $124,212.32 2,650 $124,212.32 Units Unit Desc 1 1 1 Y OR BLANK Y OR BLANK Y OR BLANK Permit Total Fees: Mechanical Permit Fee Amount $1,020.00 $4.50 $224.40 $1,248.90 Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 2 # OF UNITS 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Fee Amount $10.00 $12.00 $2.00 $30.00 $10.00 $10.00 $74.00 Project Number: 01003973 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commenting work without a permit Plumbing Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000) 000-0000 Date: 5/25/01 Page 3 of 3 000000, 00 000000 Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS CLOTHES WASHER WATER USING DEVICES Payment Summary: ,p� Operator: DMD Permit Type Building Permit Mechanical Permit Plumbing Permit Notes: Units 3 4 3 2 1 1 2 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $18.00 $24.00 $18.00 $12.00 $6.00 $6.00 $12.00 $96.00 ...J,`,.'S"YLh.,eP.hh�i�ez` SnLA_..f�t§v.'�$l:.bS+...'�w.".� ♦.� _ �iJ �� M..�::� �,"""x�S°Tc'»3 a��lrN`a�Fkv��. .. �lh.. N, k'i'.: �kY�*4AN'y�°.. . Printed By: DMD Fee Amount $1,248.90 $74.00 $96.00 $1,418.90 Print Date: Invoice Amount $1,248.90 $74.00 $96.00 $1,418.90 Amount Paid $0.00 $0.00 $0.00 $0.00 5/25/01 Amount Owing $1,248.90 $74.00 $96.00 $1,418.90 Street Address: PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 -WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 IFIL S grerFMATION ! ! / Le vsaaa 07 2,2 7 Assessor's Tax Parcel Number(s): .L Legal Description: 1/2_ ST RM. Pt DD pi Project Description: Building Permit ❑ Change in Use O Grading O Manufactured Home Permit ❑ Relocation O Sign O Tenant (New/Change) O Other OWNER/APPLICANT INFORMATION EJ Indicate who should be contacted regardi ❑ Owner: Phone: 0 CI 5 3 4- 0 3 e S f 1M t S +S lfl ,i? (2 SS Fax: ❑ Applicant Phone: J NOM Q Fax: Mailing Address: 362-2 6 (A-ar 1-s car, Mailing Address: Ci State, ` Zip - , / W City, City, State, Zip ❑ (,ontractor Phone 1-i5)-- �j /I CCKL)�.5 LKESS Fax y(0 4 —� S 0 Architect/Engineer Phone Fax Mailing address 35 2 2 6 14 -opt l-wl Mailing address Ciry, State Zip 5POk4kkt) 1 \xX> cl°1aOL City, State Zip WA State Contractor license 1 Contact name: Building height to peak a of stories PROJECT INFORMATION Total habitable space Main floor sq. h.tafer fI Dimensionsj ed 2 floor sq. ft. Unfinished basement sq. h_ �CO 51C - Finished basement sq. ft. Occupancy group Construction type Garage sq. ft. 7CX) Deck sq. ft. Cost of project Heat source (electric, gas, etc.) 96S Width: Length: What is the squa Tootage of the sign face? How high is the sign? Year: Make: d of signs Area of existing signs Previous address Fire Sprinkler Paint booth Fire Alarm Tent Fireworks display Proposed use Value Firm Name Phone Plans Eaandner Phone Inspectorr Address Inspector Phone O Concrete 0 Welding O Bolting ❑ Reinforcement Address„ ADDITIONAL SITE I Are there structures on the property? 0 Yes 0 No lfyes, identify on site plan What is the current property size? (square feet or acres) Is any part of the propeny within 250 feet of a shoreline? If yes, identify on site plan O Yes 0 No What h the cqrrentpse oft 's property? UN d oei Is your property in a designated wildlife habitat area?,„,..- O Don't know O Yes no Will the she rve by a septic system? 1.11-- V/ill 0 No Is any part of the property within a 100 yr flood plain? If yes, identify on site plan O Maybe 0 Don't know 0 Yes f piNo Are or will there be wells located on the property?/ If yes, identify on the site plan O Yes G7"No Are there any wetlands, streams or ponds within 200 feet of the property?/ Ifyes, identify on site plan 0 Yes o • Is there evidence of fill or excavation on the property? O Yes 0 No Are there slopes greater than 30% on the property? (30 ft r�is n 100 ft) (___%) U Yes fJ�Ido Are critical or hazardous materials used or stored on site? l ❑ Yes o DEPARTMENT USE ONLY Date Received: Staff Representative: METHOD OF PAYMENT VJS-P ❑ CASH ❑ CHECK 9 aliNgE❑ i..._`.__� 9 FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD x11COVEit DATE: BANK CARD NUMBER: EXPIRES: AUTHORIZED SIGNATURE: MAY -25-2001 12:06 Project Number: 01003973 Inv: l Application IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: D. w „a,wwaw wwwwwa Permit Use: NEW RESIDENCE W/ATTACHED GARAGE - GAS Contact: CROSS, TRAVIS & SHERI Address: 3522 E HARTSON C - S - Z: SPOKANE, WA 99202 Phone: (509) 534-0385 Group Name: Project Name: Date: 5/25/01 Setbacks: Front 30 Left: 10 Right: 12 Rear. 60 ,Site Information: P. 01 Page 1 of 3 asnivisraisapielit Plat Key: 002505 Name: ST.MARY ADD. Parcel Number. 45232.0722 Block: 3 SiteAddress: 14606 E 511i AVE SPOKANE, WA USA 99216 Location:: SPO Zoning: UR -3.5 Urban Residential 3.5 Water District: Area: 10,076 Sq Ft Width 81 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Department eriew BUILDING Site Plan Review Hold Reasons: Permit Conditions: ons: Permit Conditions: HEALTHDISTRICT Hold Reasons: Permit Conditions: ENGINEER Hold Reasons: Permit Conditions: District: F Lot: 3 Owner. Name- CROSS, TRAVIS & SHERI Address: 3522 E HARTSON SPOKANE, WA 99202 Hold: ❑ Depth: 123 Right Of Way (ft): 50 Septic System Review Approach / Drainage o [P►3?7_ Permits: lumpaSIOCOMisaillitaallairaisaaralta MAY -25-2001 1J• 3�INCHES TO 61NCHES mutat Dins OF GRAVEL . - .... OF.GRAMM 4. 12 07 rr 1• • CONVENTIONAL TRENCH CROSS SECTION GROUND su1iIACE P. 02 • t P �a� .:\3 \ 3 4401 SPECI Ci 1 S 0 TYPE OE SEWAGE SYSTEM,1 % WI a 1.0 LINEAL OR SQUARE FOOTAGE; �� L a TRENCH WIDTH: DEPTH FROM ORIGINAL GROU D SURFACETOBOTTOM OF SEWAGESYSTEM: OTHER::��, SIGNATUR DATE, S'=fy b Fes' ll4sP ION URINE Mt Fk-ENye__ IP Y&1 tARF4OI JRSTAIt THIS SYSTI X TICCOROINO TO THIS APPROVED PLAN, YOU MUST CALL Ng Off$a AT 324-1560 PRIOR TO INSTALLATION, _t_dcA,c,„ TOTAL P.02 71 IJP "P • CONVENTIONAL TRENCH CROSS SECTION GROUND SUI FAM l DR_ 12-24` PQ INCHES TO 6 INCHES � • • ' • OF GRAVEL • INCHES TRENCH BOTTOM F GRAVEL • • •`11 I • • • • • •, • • • • • • • • 3rOmcH2s r1 CH WIDTH 4 -INCH PERFORATED DRAIN PWE, DRAIN HOLES FACED DOWNWARD, ON CENTER 5 obtainin fepres lines/di have bodies Signed. Date: is .emg submitted for thopurposettf a building permit and is a true and correct ation of the proposal. All known property nsions, curb lines, structures and easenis 2— identified. Also indicated are wetlands, ater, st p slopes o ther critical areas .01 NANN1 F / i27/�, 0-Q• 1` Sc ADDRESS ZONE ROAD WIDT FRONT_ COM REV1EtWED SPECIFIG,ijjiQPIS LINEAL OR SQUARE FOOTAGE: it IL" TRENCH WIDTH: DEPTH FROM ORIGINAL GROUND SURFACE TO BOTTOM OF SEWAGE SYSTEM: A j 340 OTHER: 5-e C � TYPE OE SEWAGE SYSTE1L 1J �7./� •d 1.4.10 KING NT l .-cli,\ 1 1 v e- tAirtC1 INSPECTION BEFORE .tqiffi iE' Yb 7 CrTOT INSULT THIS -SYs'r kf ACCOZDINO TO THIS APPROVED PLAN, YOU MUST CALL THE OffICt AT 324-1560 PRIOR TO INSTALLATION,