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2002, 02-15 Permit App: 02000929 Residence
Project Number: 02000929 Inv: 1 '" Application Date: 2/15/2002 Page 1 of 3 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 Contact: HAIDER,ALEX Address: 17504 N KIMBERLY RD C -S -Z: COLBERT,WA 99005 Setbacks: Front 25 Left: 7 Right: 5 Rear: 59 Phone: (509)468-1613 Group Name: Site Information: Project Name: Plat Key: 006113 Name: TURTLE CREEK 3RD ADDITION District: G Parcel Number: 55194.1326 Block: 3 Lot: 26 SiteAddress: 18504 E 10TH AVE Owner: Name: HAIDER,ALEX GREENACRES,WA USA 990 Address: 17504 N KIMBERLY RD Location:: GRE COLBERT,WA 99005 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: .00 Acres Width: 80 Depth: 125 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review �. Site Plan Review Released By: ❑�� ❑ 1' i ❑ } I� `'❑ Plan Review Released By: ^ T- ` Approach/Drainage Released By: ® » S"(30 .. 10A-FA)k Ai 8 Sewer c' - Sewer ReviewReleased By: S= Permits: Operator: DMD Printed By: DMD Print Date: 2/15/2002 Project Number: 02000929 Inv: 1 Appliiatioi? Date: 2/15/2002 Page 2 of 3 , THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: ALEX HAIDER CONSTRUCTION Finn: ALEX HAIDER CONSTRUCTION Address: 17503 N KIMBERLY RD Phone: (509)468-1613 COLBERT,WA 99005 Building Characteristics Const Category: New Group: R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: 18 Stories: 1 Bldg W x D: 41 x 68 Building Sq Ft: 3050 Sprinklers: E Req Parking: Handicap Parking: Critical Materials: ❑ This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT F R-3 VN 500 $7,880.00 500 $7,880.00 BASEMENT U R-3 VN 1,025 $11,849.00 1,025 $11,849.00 DECK R-3 VN 196 $1,442.56 196 $1,442.56 GARAGE U-1 VN 750 $9,000.00 750 $9,000.00 RESIDENCE R-3 VN 1,525 $94,550.00 1,525 $94,550.00 Totals: 3,996 $124,721.56 3,996 $124,721.56 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $1,020.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $224.40 Permit Total Fees: $1,248.90 Mechanical Permit - - Contractor: R&R HEATING & AIR COND Firm: R&R HEATING &AIR COND IN Address: 4019 E CENTRAL Phone: (509)484-1405 SPOKANE,WA 99207 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 6 #OF UNITS $6.00 VENTILATING FANS 3 NUMBER OF $30.00 CLOTHES DRYER 1 NUMBER OF $10.00 RANGE 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: $98.00 Operator: DMD Printed By: DMD Print Date: 2/15/2002 ,m ... Project Number: 02000929 Inv: 1 Application Date: 2/15/2002 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: JACKSON PLUMBING Firm: RANDY JACKSON PLUMBING Address: P.O. BOX 7272 Phone: (509) 926-7101 SPOKANE,WA 99207 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 2 NUMBER OF $12.00 SINKS 5 NUMBER OF $30.00 SHOWERS 1 NUMBER OF $6.00 TUBS 2 NUMBER OF $12.00 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: Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,248.90 $1,248.90 $0.00 $1,248.90 Mechanical Permit $98.00 $98.00 $0.00 $98.00 Plumbing Permit $108.00 $108.00 $0.00 $108.00 $1,454.90 $1,454.90 $0.00 $1,454.90 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 he 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: DMD Printed By: DMD Print Date: 2/15/2002 i 4 ;II PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT Agrilik 1026 }(/EST BROADWAY AVENUE AlA-11 SPOKANE,WA 99260 ©Z 509-477-3675 SPOKAIV COMT 6) V SPECIFIC SITE INFORMATION Street Address: / Oq /". /0 /4 Assessor's Tax Parcel Number(s):- `--`/7z://`,K 'l Legal Description: -to 7 265- 6 / h 3 /c,< -1 --el 74€A 4 Project Description: bLc 4 /k)-C4- i 1.4 4' 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 Front Rear. School District FireDistrict: Zoning ^' eft Lit e" —LRight: S `� OWNER/APPLICANT INFORMATION El Indicate who should be eonlac/ed n;gardin„tidy pr je,Y ❑ Owner Phone: C/J�J ❑ Applicant: Phone: /11/..e,,---/11/..e,,--- Gift CL, l:a.: 6" -to7 <X` /7"�/� j8 Fax: Mailing Address: Mailing Address: /7coif A7 C i 6 ,Qj City,State,Zip ....-- Cite,State,lap /6 Al 4 . gi-au .• ) Phone - Phone ❑ Con ctt/or `� �+„� �� ❑ Architectll'Ingnneer I' e // a-- I'ax / 3 tax Mailing address Mailing address /7 S-0</ /Y- 7,{/ 4 'Z/ City,State 7.ip Cine,State Lip 63 :42e,.‘2 4)//, 7' 700 s' WA State Con ractor license# Contact name: G7e"A &--3 S P47 PROJECT INFORMATION Building Information Building he t t;.) peak #of stones Main floor,.4.ft. _ Unfinished basement sq.ft. / / 5 25 /025- z Dim w sions Total habitable space 2"rt tloor sq.ft. Finished basement sq.ft. / X n 5d0 , Occupancy group Construction type Garage sq.ft. Deck sq.ft. Cost of project I kat source(cicetrt ga. tc.) // 5 / e 4-9- 0cp • 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 Firc 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 Are there structures on the property? O Yes O No What is the current property size? I fyer,identifr on site plan (square feet or acres) Is any part of the property within 250 feet of a shoreline? What is the current use of this property? Dyes,identify 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 O No O Don't know O Yes O No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? Ifyes,identifyon site plan If yes,identify on the site plan O Yes O No O Maybe O Don't know O Yes O 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,idem f on site plan O Yes O No O Yes O 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? ( /%) 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 O Yes O No Is the property inside the ASA? O Yes O No Is public water available to the site? 0 Yes 0 No O Yes O 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 :1ClUc: SUBTOTAL VISA 0 c:\slI ❑ Clll:CK ❑ 0 0 FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD l lX P I R I.S: TOTAL FEE B:ANKCARD NUMBER: MINIMUM PERMIT FEE IS$35.00PLEASE \LAKE CHECKS PAYABLE TO SPOKANE. A U7'I IORI'/.I{ll SlGN:A'1'URI?: COUNTY PERMIT CENTER °S 2: l0 -/1-4_ / , 74 26 .2e 3 This site plan is tieing^ Or tliPPIIrpng@of /�,`� obtaining a build ng per end is a true and correct �� I� T"` representation a the pr F sal,All known property I$ _ / lines/dimensions,curb lines.structures and easements ADORE have been identified. Alsc Indicated are wetlands, ZONE bodies of water -t p sltpeCA other critical areas. ROA \DTH FI ,N,� ®'� .� _, FRONT -- Signed: . ,- COMMENTS _' ' — 0� •�== Date: i REVIEWED n _ P%:/)..j G., / {,,-, I ' ' L4 (4 V J( —,i 15-,2c 2 Qct,Adel Q rte_._ i I Sr ----) Cr-c.reale V V t / uratis_L\A. i y Pc1\6 'V:' -''fz ubi;L-47 1 /(\ So 7 V