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2002, 04-17 Permit App: 02002651 Residence Project Number: 02002651 Inv: I Application Da e: - 17/2002 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE/ATTACHED GARAGE-FORCED Contact: JTS DEVELOPMENT AIR GAS Address: 4029 S TERRA VERDE DR C- S -Z: VERADALE,WA 99037 Setbacks: Front 40 Left: 29 Right: 20 Rear: 63 Phone: (509) 927-3879 Group Name: Site Information: Project Name: Plat Key: 005601 Name: SP-965-94 District: F Parcel Number: 45224.2253 Block: Lot: B SiteAddress: 13202 E 13TH AVE Owner: Name: JTS DEVELOPMENT INC SPOKANE,WA USA 00000 Address: 4029 S TERRA VERDE DR Location:: SPO VERADALE,WA 99037-9124 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 14,212 Sq Ft Width: 100 Depth: 142 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review SitePlan Review Released By: ' ® ' rl:. ' / /v - I, Plan Review ( Released By: - 4/ /x"1"6% Approach/Drainage Released By: '( I ' '_ 02, rA3A. (8.3 Sewer ' Released By 'J V .5 rs l� •tt2i • ).0 I / TT Permits: Operator: RMB Printed By: RMB Print Date: 4/17/2002 Project Number: 02002651 Inv: 1 Application Date: 4/17/2002 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: JTS DEVELOPMENT INC Firm: JTS DEV INC-JERRY STOLP Address: 4029 S TERRA VERDE DR Phone: (509)927-3879 VERADALE,WA 99037 Building Characteristics Const Category: New Group: R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 16 Stories: 1 Bldg W x D: 50 x 39 Building Sq Ft: 2740 Sprinklers: ❑ Req Parking: 0 Handicap Parking: 0 Critical Materials: This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT F R-3 VN 340 $5,358.40 340 $5,358.40 BASEMENT U R-3 VN 1,350 $15,606.00 1,350 $15,606.00 GARAGE U-1 VN 483 $5,796.00 483 $5,796.00 RESIDENCE R-3 VN 1,398 $86,676.00 1,398 $86,676.00 Totals: 3,571 $113,436.40 3,571 $113,436.40 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $965.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $212.30 Permit Total Fees: $1,181.80 Mechanical Permit Contractor: S &R HEATING Firm: S &R HEATING,INC Address: 15501 N YALE RD Phone: (509) 467-3960 MEAD,WA 99021 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 HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00 VENTILATING FANS 5 NUMBER OF $50.00 CLOTHES DRYER 1 NUMBER OF $10.00 Permit Total Fees: $96.00 Operator: RMB Printed By: RMB Print Date: 4/17/2002 Project Number: 02002651 Inv: 1 • • Application Date: 4/17/2002 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: S T PLUMBING CO INC Firm: S T PLUMBING CO INC Address: P.O. BOX 1817 Phone: • (509) 244-5575 AIRWAY HEIGHTS,WA 99011 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 WAl'hR USING DEVICES 3 NUMBER OF $18.00 Permit Total Fees: $102.00 Notes: WATER DISTRICT APPROVAL REQUIRED Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,181.80 $1,181.80 $0.00 $1,181.80 Mechanical Permit $96.00 $96.00 $0.00 $96.00 Plumbing Permit $102.00 $102.00 $0.00 $102.00 $1,379.80 $1,379.80 $0.00 $1,379.80 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 he contrued to he 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: RMB Printed By: RMB Print Date: 4/17/2002 1 1 i idc IPROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE -_ , SPOKANE,WA 99260 509-477-3675 SPOKAIV COUNTY SPECIFICSITE INFORMATION Street Address: S_ 132-al 32-al 1.3-1, A,/IL Assessor's Tax Parcel Number. (s): 4S224- Z2 /t . 7 Z S Legal Description: Sp - (`i(_C' qc.1 to-r 4°) Project Description: 1-tf,M L ) O A ' LI pp,I cP 0 Building Permit O Change in Use 0 Grading 0 :Manufactured Home Permit 0 Relocation 0 Sign Cl Tenant(New/Change) 0 Other Department Use Only Water District/Purveyor. Sewer District/Purveyor Road width Setbacks nOFront yfl Rear. School District - Fire District Zoning Left Right: OWNER/APPLICANT INFORMATION 0 indicule who should he conlazled reiardinr Ibis prrfetl Cl(honer: Phone: Ci,ri'1610 Cl Applicant: Phone. 5 2,0!d1L41% lit tax lax: Mailing Address: Mailing Address: C ioN s. Jai, City,State,Zip (Sty,State,Zip Phonehone ❑ Contractor Cl❑Architect'F. neQe�rA j Fax G k IL.1,ttr6 �t Fax Mailing address �//'�� Y/�� Mailing address Cin',State Zip /� / 1" Cite,Stats"lip WA State Contractor license# Contact name: PROJECT INFORMATION Building Information Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft. I is r I 139 6 1 350 Dimensions Total habitable space 2no Floor sq.ft. Finished basement sq.ft. 56Y 3c1 L1 A0 34o Occupancy group Construction type Garage sq.ft. Deck sq. ft. QJaab A Cost of project I teat source(electric,gas,etc.) 13O,adv its Manufactured Home Sign Width: Length: What is the square footage of the sign I low high is the 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? 11 Yes LC'No What is the current property size? If yes,identify on site plan (square feet or acres) ) 31 Z oC Is any part of the property within 250 feet of a shore What hat is the current use of this property? Ifyes ,ideate on site plan 0 Yes l7No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes l No O Don't know 0 Yes la No Is any part of the property within a 100 yr flood plain? Arc or will there be wells located on the property? I_fyes identii on site plan Ifyec,identtfi,on the site plan O Yes tic No O Maybe 0 Don't know 0 Yes VNo Are there any wetlands,streams or ponds within 2000j'et of the property? Is there evidence of fill or excavation on the property? Ifyes,identtA on site plan 0 Yes CYf'No 0 Yes 171eNo Are there slopes greater than 30%on the property?(30 f se in 100 ft) Are critical or hazardous materials used or stored on site? ( %) O Yes No O Yes cirNo DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No O Yes O No Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No O 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? O Yes O No Date Received: Staff Representative: METHOD OF PAYMENT OgriF 1 SUBTO'T'AL VISA 0 CAs]I 0 Clll;CK 0 0 ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD D.A'1'II:l'PIRI(S: TOTAL FEE B:ANKC:ARD NUMBER: MINIMUM PERMIT FEE IS$35.00 PLEASE MAKE CHECKS PAYABLE TO SPOKANE ALM IORI/ND SIGN:ATURl:: couN'tY PERMIT CENTER T I PROJECT N0. 'it ( Y _. rr , � ' ! PROJECT NAME ''-'7,4;,4--14; Summit A . I BY ; if A+• E Envirosolutions i3 SUBJECT SM CHECKED BY __ NJ I le- zO ______.. ADDRL.:- t TaCtZ ke. 15267- 1. ZONE I�JMC ROAD WIDTH St FRONT 4o ' ; - i ,ti( COMMENT'. , REVIEWED`• �: a ' '�` 1 I j49c,� I I 1i i O1 P I � r N 4.,v i------------ _ N 30 This sits p I,�n1is being submitted for the purpose of ., obtaining G bi ilding permit and is a true andcorrect representation of the proposal.All known poperty 6`' lines/dimensions,curb lines,structures an easements have been identified.Also indicate. .re wetlands, / bodi::° wats orii iiiipntical areas. • C Date: I 4'' 11-2od 2 1 Its