2001, 01-02 Permit App: 01000021 Residence Project Number: 01000021 Inv: 1 Application
Date:v 1/2/01 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,GARY
Address: PO BOX 122
C-S-Z: LIBERTY LAKE,WA 99019
Setbacks: Front 30 Left: 5 Right: 35 Rear: 30+ Phone: (509)255-9341
Group Name:
Project Name:
Site Information:
Plat Key: 005959 Name: SP-1186 District: F
Parcel Number: 45234.0721 Block: Lot: A
SiteAddress: 15023 E E 11TH CT Owner:Name: BARNES,GARY
VERADALE,WA USA 9903 Address: PO BOX 122
Location::VER LIBERTY LAKE,WA 99019
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 10,547 Sq Ft Width: 82 Depth: 128 Right Of Way(ft): 24
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department Review
BUILDING Site Plan ReviewReleased By: � -' . 2 -
Hold Reasons: J
Permit Conditions:
BUILDING Plan Review LReleased By: 4' 1 C`''
Hold Reasons: ,:1z, L, c Lt-r `/-7 GT
Permit Conditions:
ENGINEER Approach/Drainage Released By: / J - 01
Hold Reasons:
Permit Conditions: A4Aja,,t6 14-1,
UTILITIES Sewer Review , Released By:' / CC C. ®,
Hold Reasons: C;
Permit Conditions:
Permits:
Project Number: 01000021 Inv: 1 Application• Date: 1/2/01 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:R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: 19 Stories: 1
Bldg W x D: 42 x 27 Building Sq Ft: 2008 Sprinklers: El
Req Parking: Handicap Parking: Critical Materials:
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENTU R-3 VN 960 $11,097.60 960 $11,097.60
DECK R-3 VN 80 $588.80 80 $588.80
GARAGE U-1 VN 462 $5,544.00 462 $5,544.00
RESIDENCE R-3 VN 1,048 $64,976.00 1,048 $64,976.00
Totals: 2,550 $82,206.40 2,550 $82,206.40
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $786.25
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $172.98
Permit Total Fees: $963.73
Mechanical Permit
Contractor: ALLIED HEATING INC Firm: ALLIED HEATING INC
Address: 10213 E BUCKEYE LN Phone: (509)928-8252
SPOKANE,WA 99206
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 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $74.00
Project Number: 01000021 Inv: 1 Application Date: 1/2/01 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed forcommencing work without a permit
Plumbing Permit
Contractor: ALPHA PLUMBING&HEATING Firm: ALPHA PLUMBING&HEATING
Address: 5805 E SHARP AVE Phone: (509)535-0727
SPOKANE,WA 99212
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 2 NUMBER OF $12.00
SINKS 3 NUMBER OF $18.00
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: $78.00
Payment Summary:
Operator: CKF Printed By: CKF Print Date: 1/2/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $963.73 $963.73 $0.00 $963.73
Mechanical Permit $74.00 $74.00 $0.00 $74.00
Plumbing Permit $78.00 $78.00 $0.00 $78.00
$1,115.73 $1,115.73 $0.00 $1,115.73
Notes:
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4.
I A I PROJECT APPLICATION
21026 SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
�j
WEST BROADWAY AVENUE
��� SPOKANE,WA 99260
SPOK COJNTY 509-477-3675
Project Description:
TYPE OF APPLICATION
KBuilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other
SPECIFIC SITE
�INFORMATION / J
Street Address: is 23 .E.;„..,? /1 'r1 co I,,.,."' 1 e fQc a' �' w%
Assessor's Tax Parcel Number(s):
Legal Description: 649 + I 1 r-
Only
Y�
Department Use Onl
Water District/Purveyor: Sewer District/Purveyor Road width Setbacks r }
1 ry23_4
l✓ J / Front: .2.5 wtl ,v.,
School District: Fire District: Zoning
/I `, (2.e 4o Left: Right
OW.NER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
Owner: Phone: XAp nt: Phone:
Lc t1 h/�/e4 Fax: Z /2 74/1 u i, e k-4../-.V Fax:
Ma}�mgA(/dre�s� Mailing Addre
City, tate,Zp City,State,Zip
, ;bei-ley 1�� �� 9 ( ?
g Contracct�or• / Phone , i i ❑ Architect/Engineer Phone
A ! , L� 5,.5,.._..,
5 �L,G,J Fax
u�'�✓�! Fax
Mailinkaddress f Z Mailing a ress
hie,ie
Cit Sta�e ip / City,State Zip
L, t0 e(- ry _« �<�1 'A i '' �i ?
WA State Contractor license# Contact name: '^,.
PROJECT INFORMATION
Building Information
Buildinghf i to peak #of stone t Main floor sq.ft. Unfinished,,�iasement sq.ft.
S� e/ o ,bas m
Tota habitable space 2nd floor sq.ft. Finished basement sq.ft.
Dimennssiions j—� p
OccuEancy group Construction type Garage sq.ft.LesDeck sq.ft.
S
t.
- . 6 2e a 6.-Cost of pr lett / Heat source(electric,gas,etc.)
Manufactured Home Sjgn
Width: Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: #of'signs Area of existing sights
/
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
Are there structures on the property? O Yes O 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? What is the current use of this property?
If yes,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
El 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?
If yes,identify on 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 Is there evidence of fill or excavation on the property?
property? O Yes O No
If yes,identify on site plan 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 O No
0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 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:
This site plan is being submitted for the purpose of
obtaining a building permit aid is a true and correct
representation of the proposal.All known property 2 (Z0 "7rO
lines/dimensions,curb lines,.structures and easements ►
have been identified.Also indicated are wetlands, y:►
bodies of wale ,steep slopei o er critical areas.
Signed:
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REVIEWED a �, :I\ q'`r✓4'it..)
This site plan is being submitt&d for the purpose of
obtaining a building permit anc is a true and correct
representation of the proposal All known property
lines;dimensions.curb lines,s ructures and easements ' n
have been ider,tifie t.Also indicated aro wetlands; ^ K ° '� ;
bodies of wa r,steep slope other critical areas. �1
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