2002, 10-17 Permit App: 02009204 Residence Project Number: 02009204 Inv: 1 Application Date: 10/17/02 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: BARNES CONSTRUCTION INC,G F
Address: PO BOX 122
C-S-Z: LIBERTY LAKE,WA 99019-0122
Setbacks: Front 25 Left: 7 Right: 8 Rear: 62 Phone: (509)255-9341
Group Name:
Site Information: Project Name:
Plat Key: 005959 Name: SP-1186-98 District: F
Parcel Number: 45234.0724 Block: Lot: D
SiteAddress: 15005 E E 11TH CT Owner:Name: BARNES CONSTRUCTION INC,G
VERADALE,WA USA 99037 Address: PO BOX 122
Location::VER LIBERTY LAKE,WA 99019-0122
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 10,240 Sq Ft Width: 80 Depth: 128 Right Of Way(ft): 45
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released By: 0- 4it � /�� 1 Q
1G
Plan Review
Released By: ,�
Approach/Drainage
Released By: IA,. ..
‘ht..140 AV-CC 710 0209
Sewer Review Released By: f / /2,4z
-* O2- G?-
Permits:
Operator: CKF Printed By: CKF Print Date: 10/17/02
Project Number: 02009204 Inv: 1 Application Date: 10/17/02 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: G F BARNES CONSTRUCTION Firm: GARY F BARNES CONSTRUCTIO
Address: P 0 BOX 122 Phone: (509)255-9341
LIBERTY LAKE,WA 99019
Building Characteristics
Const Category: New Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: D
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 1,100 $13,530.00 1,100 $13,530.00
DECK R-3 VN 96 $751.68 96 $751.68
GARAGE U-1 VN 576 $6,912.00 576 $6,912.00
RESIDENCE R-3 VN 1,100 $72,600.00 1,100 $72,600.00
Totals: 2,872 $93,793.68 2,872 $93,793.68
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $855.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $188.10
Permit Total Fees: $1,047.60
Mechanical Permit
Contractor: SMITH HEATING&COOLING Firm: SMITH HEATING&COOLING
Address: 102 E NORA AVE Phone: (509)328-4431
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 2 #OF UNITS $2.00
VENTILATING FANS 4 NUMBER OF $40.00
CLOTHES DRYER 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $84.00
Operator: CKF Printed By: CKF Print Date: 10/17/02
•
Project Number: 02009204 Inv: 1 Application Date: 10/17/02 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: ALPHA PLUMBING&HEATING Firm: ALPHA PLUMBING&HEATING
Address: 13615 E.TRENT AVE Phone: (509)535-0727
SPOKANE,WA 99216
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 3 NUMBER OF $18.00
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
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $102.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,047.60 $1,047.60 $0.00 $1,047.60
Mechanical Permit $84.00 $84.00 $0.00 $84.00
Plumbing Permit $102.00 $102.00 $0.00 $102.00
$1,233.60 $1,233.60 $0.00 $1,233.60
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: CKF Printed By: CKF Print Date: 10/17/02
► i PROJECT APPLICATION WORK SHEET
Ah
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
SPOKANE COUNT Y 509-477-3675
H
SPECIFIC SITE INFORMATION
Street Address: Arc O S 'moi i. `7 ,<-451.4.1„.74U eh / to ,d 9 L3p Q 2 7Assessor's Tax Parcel Number(s): r r'
Legal D scription•
s �, --/ter3 - 7r Lo .
Project Description: �i,;yffi SJJU 7 d k.S 4l �-k, to/..?,44,....4.....) ,� h Q
y e
Arhuilding Permit O Change in Use O Grading O Manufactured Home Permit
O Relocation 0 Sign 0 Tenant (New/Change) 0 Other
. r 1 ��r rwdr 7rw
;: a ' 'ti 'w ,.". � g a ` :;�a , rte';,� . ati:_ii� ,s.�
OWNER/APPLICANT INFORMATION
0 Indicate who should be contacted regarding this project
Chvner: IJJ Phone: ❑ plicant: Phone:•Zt7 s 2 9:1W���
AIf e�J /7(1( /,4M,44. Eax: 6J NUJ' 4� e S Fax: 25 �'a /. /
Mailing Address: y Mailing Addfess:
/roc p-ess ,,e, U 0?C. /22
City,State,Zj City,State,Zip
V v"( , Lc)xf 7 /O 3 7L.,`6 e.o-'Y . SCI A4 e/ w 4 ?tet D/9
fiax,4
Od'Contractror Phone �s'S ��, C}t�'// ❑Ar -ect/Engineer , Phone
Cf/i 1 et r A/'4-.5 .s i� 6 9- Fax
M lin�jZaddress Mailing address
P.O, AO/V / Z2,
City, tate Zip � 41)4Cary,State Zip
;6ehi Z R i�C C•
WA State Contractor ense# Contact name:
PROJECT INFORMATION
3, ,x ,g _ '$'.. �:_ �' ,.::..5,yi .,'�e3.,C1��`411,E 'c�y: ..:t:' wfa t ,„4 3.: .. ,k m....t..fvws,N�•? at Y .'".i,£�"" c fr'✓;
Building height to peak ft of stories Main floor q.it. Unfinished basement_ sq.ft.
1/ o 1 00
Dimensions Total habitable space 2nd floor sq.ft. Fiats a ement sq.ft.
2,204 Al A.
Occupancyrqu ,[�� Constrruu on type Garage sq.ft.,,,.....„),6 Deck so ft �� ��
.c gyp
CTe i ly --tre? l�+t.<— �.J / 8 'rep:f.
Cost of prAject �( .. O b D ! Heats ce(electric,gas,etc.) ]/}�
s+i f t C/�•-•/ C ,4V 1s / `7
aZ @ v'Alai s, ,,.-. �. °! 11 a eta: s , :. U. '- >tr€,
dth: Len hr at is the square footage of the sign Ho h is the •sign?
face.
Year: Make: N of signs Area of existing st s
Previous address Fire Sprinkler _ Tent
Paint booth_ Fire Al. \ Fireworks display
Proposed use Value
/
Fi me Phone Plans ner Phone
Inspectors: Address
Inspector P o
O Concrete O Welding O Bolting O ' orcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes "No What is the current property size?
If yes,identify on site plan (square feet or acres) `/ � /�
�`''
Is any part of the property within 250 feet of a shoreline?
O Yes No What is the curreent oSf this property?
If yes,identify on site plan e
Is your property in a designated wildlife habitat ar a. Will the site be served by a septic system?0 Yes No
0 Don't know O Yes Io
Is any part of the property within a 100 yr flood plain? Are or willthere be wells located on the property?K
If yes,identify on site plan If yes,ident on the site plan O Yes No
O Maybe O Don't know O Yes o
Are there any wetlands,streams or ponds within 2 feet of the Is there evidence of fill or excavation on thine property)
property? Yes No
Ifyes,identify on site plan 0 Yes o
Are there slopes greater than 30%on the property? 0 rise in 100 ft) Are critical or hazardous materials used or stored o�fsite
( /%) O Yes No O Yes ,$ No
DEPARTMENT USE ONLY '
6 @ r „,--z-,444,4.1 L ! ,•°•
B '. !&4°T.:,44./-7V-r—,,,,;,::,%„,..-
@ :. *'A�=y @ `3„_.r'�. Y,.M 4 f2' ,"`�a� d ��c `F
” ,.t - :- i,......-7.,, ,,A,,,,,.,...--11-4,,,,,:,-� ,,,--=4-ti .#,. to-` .. ..;, ` .fi ‘-.:',7,,,..:,:-.::::?,,,
_".:yak,. „-A;
—,::11;i:lt_ i !,,,, ,r, r 3 e !! e e e , g a, .�w¢y�y�?� Y
Date Received: Staff Representative:
METHOD OF PAYMENT ziem' -
'r 'ir; SUBTOTAL
111 CASH ❑ CHECK ❑ ! ❑ 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: _
EXPIRES: g
".,� �� ` moi`'`;,
BANKCARD NUMBER: ,MikkiiirrYt-#0 �
MASE Gi L PA"'AfilF7T PO_yil lE ',,,--14,a--,,,'
AUTHORIZED SIGNATURE: COGitdf ,PEttY7II GEIS tI R w s
44t
ADDRESS 15 Er / 1 C:1-
This
This s=te plan is beling submitted for the purpose of - ZONE- v 3,
obtaining a build;rg permit and is a true and correct
ROAD WIDTH
. representation of the proposal.All known property / j
lines/dimensions.curb fines.structures and easements f l FRONT2 FLANKING
have been ident. Also indicated are wetlands, /� G
bodies of wa r %1 ep slopes r oth critical areas. �— — \ —��OMMWF ��
Signed' 44 . GLA./4-A-44--. \7 / REVIE 9
Date: /O/L �2 d-z . '
\ I� w
, ,�, \
lJIf '0
i °o
ni ' N' \ 0
\ \ v, /
/1)01^* _
1111 \
s\C; '
ir
M
/
I
/ /