2002, 02-01 Permit App: 02000648 Residence •
Project Number: 02000648 Inv: 1 Application s ate: 2/1/02 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-NATURAL GAS Contact: R BRUCE MCKINLEY
Address: 12911 E SANSON
C- S-Z: SPOKANE,WA 99216
Setbacks: Front 34' Left: 6 Right: 10 Rear: 25 Phone: (509) 290-1047
7-0 Group Name:
Site Information: Project Name:
Plat Key: 005862 Name: SHELLEY LAKE District: F
Parcel Number: 45242.1715 Block: 7 Lot: 15
SiteAddress: 16012 E 6TH LN Owner: Name: R BRUCE MCKINLEY
VERADALE,WA USA 99037 Address: 12911 E SANSON
Location::VER SPOKANE,WA 99216
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 1,782.00 Acres Width: 0 Depth: 0 Right Of Way(ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released By: -1 '- (12.=_.
Plan Review Released By: 1/r._._.. „_. �z
Approach/Drainage Released B • 7-•
Sewer Review /
Released By: 6:7,_„4„..„2,,,, - /fJ
Permits:
Operator: CKF Printed By: CKF Print Date: 2/1/02
y ' .
Project Number: 02000648 Inv: 1 Application Date: 2/1/02 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: STONECREST HOMES LLC Firm: BRUCE MCKINLEY/STONECREST
Address: 12911 E SANSON Phone: (509)290-1047
SPOKANE,WA 99216
Building Characteristics
Const Category: New Group:R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: 17 Stories: 1
Bldg W x D: 50 x 54 Building Sq Ft: 2472 Sprinklers: 0
Req Parking: Handicap Parking: Critical Materials: E
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 1,236 $14,288.16 1,236 $14,288.16
GARAGE U-1 VN 572 $6,864.00 572 $6,864.00
RESIDENCE R-3 VN 1,236 $76,632.00 1,236 $76,632.00
Totals: 3,044 $97,784.16 3,044 $97,784.16
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $880.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $193.60
Permit Total Fees: $1,078.10
Mechanical Permit
Contractor: A&M QUALITY HEATING Firm: A&M QUALITY HEATING&ELE
Address: 12710 E INDIANA AVE Phone: (509)928-2100
SPOKANE,WA 99216
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 3 #OF UNITS $3.00
VENTILATING FANS 4 NUMBER OF $40.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $95.00
Operator: CKF Printed By: CKF Print Date: 2/1/02
• •
Project Number: 02000648 Inv: 1 Application Date: 2/1/02 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: ANDERSON'S SHEET METAL Firm: ANDERSON'S SHEET METAL
Address: 13903 E TRENT AVE Phone: (509)928-0960
SPOKANE,WA 99216
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 3 NUMBER OF $18.00
SINKS 4 NUMBER OF $24.00
TUBS 3 NUMBER OF $18.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
WATER USING DEVICES 4 NUMBER OF $24.00
Permit Total Fees: $108.00
Notes:
OCCUPANCY IS DENIED ON ALL LOTS UNTIL FURTHER NOTICE FROM DIV. OF UTILITIES
PER GENE REPP 3/26/97 CKF OK TO ISSUE SEWER PERMITS FOR:BLOCK 2 - LOTS 3
THROUGH 10& 1,2 BLOCK 3 - LOTS 1 THROUGH 7 BLOCK 4 - LOTS 1 THROUGH 4
BLOCK 5 - LOTS 2 THROUGH
6& 19 BLOCK 6 - LOTS 1 THROUGH 10
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,078.10 $1,078.10 $0.00 $1,078.10
Mechanical Permit $95.00 $95.00 $0.00 $95.00
Plumbing Permit $108.00 $108.00 $0.00 $108.00
$1,281.10 $1,281.10 $0.00 $1,281.10
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: CKF Printed By: CKF Print Date: 2/1/02
' I 1 , `
•
10c1 PROJECT APPLICATION WORK SHEET
ilk SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
Akc 1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675
SPOWT COUNTY
SPECIFIC SITE INFORMATION
Street Address: 0/ Z/97(./�
Assessor's Tax Parcel Number(s): j/J c� %T' r /! 7/5--
Legal Description:
10 7 /--5 ' 4 C,e 7 Si; PK Z/ /4.6)
Project Description: ///eVii L� ----/ a,�c?'.E4(672;e ) — /e �rC,reZe—
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor. Sewer District/Purveyor Road width Setbacks
30 Front k i..2,d Rear.
School District Fire District: Zoning /t
OWNER/APPLICANT INFORMATION
0 Indicate who 5hhaald be contacted nZardin„"this proli'a
Owner: /f/���;,(/�/ Phone: �FQ/Q 4 C3/ Applicant: Phone:
..,./V
✓✓���,e/ &act fi c (moi Fax: Fax:
Mailing Address: Mailing Address:
1V/ Si /SeA.)
CCity,State,%i
CM,State,'/.ip P
5,6 P/ h/.4, P-%4
Phone Phone
❑ Contractor
��/ �y�,y �O/Cf 5/7 ❑ Architect,Engineer
�/ r/ 2ec, -s /- /��yC=/"T� Fax Fax
Mailing address Mailing address
s
Cit-,State Zip eine,State Zip
VV A State Contractor license>* Contact name:
-7--O/V6C/Iqq 41LM
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq. ft.
7 ' / / 34' /,23(,"
Dimensi ins ' Total habitable space 2"d floor sq. ft. Finished basement sq.ft.
a x sof c 7 �— __----
Occupancy group Constructs n t•pe Garage sq.ft. Deck sq.ft.
/s'7t ci< f-- /41/"- e--- 6 7 z-- __--.-__ .
Cost of project �l I'cat source(electric,gas,etc.)
/ 3 O,*00•
Manufactured Home s Sign
Width: Length: What is the square footage of the sign How high is ehe 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?
Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? 0 Yes A No What is the current property size? OZ.),/)S 7P-L-;-
If yes,identi'on site plan (square feet or acres) ����i S�CIG
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
Ifyer,identify on site plan O YesNo X /0-1:Z-
Is your property in a designated wildlife habitat area. Will the site be served by a septic system?O Yes XNo
O Don't know 0 Yes No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
I_fyes,identify on site plan Ifyes,identzi on the site plan O Yes No
0 Maybe 0 Don't know O Yes No �w
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on 0i; o ��
If yes,identify on site plan O Yes ;R(No O,€lf/42A-e-- S-614O"Yes XNo
Are there slopes greater than 30°'o on the property?(30 ft rise in 100 ft) Arc critical or hazardous materials used or stored on site?
( o/o) O Yes No O Yes , No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Arca? Is public sewer available to the site? 0 Yes 0 No
0 Yes 0 No
Is the property inside the ASA? 0 Yes O 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 Arca?
OYes 0N
llntc Received: Staff Represcntatnvc:
METHOD OF PAYMENT
MOM LfOSPV SUB1'01'.vI,
0 C vSII ❑ call:Cli 0 ❑ 0 .
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
lD.\TI I?\Pl Rl(S: TOTAL FEE
BANKC.\RD NUMBER: MINIMUM PERMIT FEE IS$35.00 PLEASE
AL AKE Ctt£.CKS PAYABLE 10 SPOKANE
1U7'11ORl/.N;l)SIGN TURF: COUNTY PERMIT CENTER
' This site p'an is being submitted for the purpose of
obtaining a 5uiiding pe 't and
All known property
representation of the proposal.
lines/dimensions.curb lines.structu - and easements
have been identified.Also iodic. -• are wetlands,
bodies of watep slo es•�• e x�ical areas.
Signed:
.2- / ei ___�.�_ ___
Date:_.__------.___.___...
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25‘ .
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OWNER OR CONTRACTOR --li fl \ \
TO COMPLETE SITE PLAN
AND LEGAL DESCRIPTION S
LEGAL DESCRIPTION /k
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