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2002, 11-04 Permit App: 02009851 Residence • • Project Number: 02009851 Inv: I Application Date: 11/4/2002 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE W/GARAGE-NATURAL GAS Contact: LINDSEY CONSTRUCTION Address: PO BOX 30792 C -S -Z: SPOKANE,WA 99223 Setbacks: Front 25 Left: 6 Right: 5 Rear: 30+ Phone: (509)879-3420 Group Name: Site Information: Project Name: Plat Key: 002953 Name: WOODLAND TERRACE ADD District: D Parcel Number: 35233.1506 Block: Lot: 5 1..O f L ce ' -02 SiteAddress: 4914 E 14TH AVE Owner: Name: LINDSEY CONSTRUCTION Z8 15 SPOKANE,WA USA 00000 Address: PO BOX 30792 Location:: SPO SPOKANE,WA 99223 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 7,020 Sq Ft Width: 54 Depth: 129 Right Of Way(ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: . Review {ii j . /� 6.7 Site Plan Review Released By: �.,(�� � Plan Review Released By. liAt-4 (-3 (// Approach/Drainage Released By: " 0' 02.FtJA, t.ay ati Sewer Review Released By: ,-i / 1 Special Inspection on basement required and Record Drawings to Permits: be submitted to stormwater utility prior to final approvaVinspeon. AvAt\ 0-cc Vt10,6 AdDA- 010+01/tecLU-CLIN It Cr aux, tOmpu-ter Operator: CKF Prrnte By: ate: Project Number: 02009851 Inv: 1 Application Date: 11/4/2002 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: LINDSEY CONSTRUCTION INC Firm: LINDSEY CONSTRUCTION INC Address: PO BOX 30792 Phone: (509)879-3420 SPOKANE,WA 99223 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: ❑ This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT U R-3 VN 596 $7,330.80 596 $7,330.80 GARAGE U-1 VN 556 $6,672.00 556 $6,672.00 RESIDENCE R-3 VN 1,200 $79,200.00 1,200 $79,200.00 Totals: 2,352 $93,202.80 2,352 $93,202.80 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: 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 3 #OF UNITS $3.00 HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00 VENTILATING FANS 3 NUMBER OF $30.00 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: $97.00 Operator: CKF Printed By: CKF Print Date: 11/4/2002 Project Number: 02009851 Inv: 1 Application Date: 11/4/2002 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: DAVIS BROTHERS PLUMBING Firm: DAVIS BROTHERS PLUMBING IN Address: P 0 BOX 931 Phone: (509)927-4186 VERADALE,WA 99037 Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 3 NUMBER OF $18.00 SINKS 4 NUMBER OF $24.00 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 3 NUMBER OF $18.00 Permit Total Fees: $102.00 Lots on the north side of 14th in the 4800 and 4900 block have up to 20 feet of fill. Soils compaction/ foundation engineering required. Jforry CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS 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 $97.00 $97.00 $0.00 $97.00 Plumbing Permit $102.00 $102.00 $0.00 $102.00 $1,246.60 $1,246.60 $0.00 $1,246.60 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: 11/4/2002 • Idcl PROJECT APPLICATION WORK SHEET 2IllIl SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT a Al 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 509-477-3675 SPOWT COU VII L q SPECIFIC SITE INFORMATION Street Address: 5t'If,U C 1 Id Assessor's Tax Parcel Number(s): 3 2 1 3 4 /5-© (j Tiogal Des vonti D&/ �,/G��G flit x ��%vl ad, v/" .,..T. M /' le 32: q . . Ad 1 • y ,1 // y Project Description: cF� 2 -13 . Oa_ .,L`' ❑ Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign El Tenant(New/Change) ❑ Other Department Use Only Water District/Purveyor. Sewer District/Purveyor ,\.why. 5 Road width y' Setbacks DA 1 g/V b Front Rear. School District Fire District /� Zoning L' J)i- Ieft: Right: OWNER/APPLICANT INFORMATION ✓0 Indicate who should he contacted regarding this project LD Owne Phone: g7q3yt...4 ❑ Applicant: Phone: �� Fax Y y 3 /6 ) 2-- leas: : Mailing Address� il.' Mailing Address: Cit}',State,Zip Cite,State,Zip 9q k3 CI Contractor Phonc ❑ Architect iIingineer Phone I:as Fax Mailing address Mailing address City,State Zip Cite,State Zip VCA State Contractor license# Contact name: PROJECT INFORMATION Building Information Building height to peak #of stones Main floor sq.ft. Unfinished basement sq.ft. 20 ( /700 5-96 Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft. / 79(0 Occupancy group Construction type Garage sq.ft. Deck sy.ft. Cost of project I pat source(electric,gas,etc.) Manufactured Home Sign • Width: Length: What is the square footage of the sign l 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 I Plans Examiner Phone Inspectors: Address Inspector Phone O Concrete 0 Welding 0 Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? 0 Yes 0 No What is the current property size? If yer,ident f r 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? Ifyes,ident fy on site plan 0 Yes O No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes 0 No 0 Don't know 0 Yes 0 No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? Ifyes,ident on site plan Ifyes,identify on the site plan 0 Yes 0 No 0 Maybe 0 Don't know 0 Yes 0 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,ident/y on site plan 0 Yes 0 No 0 Yes 0 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? %) OYes No DYes CI No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes CI No O Yes 0 No Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No E Yes E No Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area? D Yes CI No Date Received: Staff Representative METHOD OF PAYMENT !CIFO, SUBTOTAL. VISA ❑ CASH 0 CilUCK 0 11011111111 0 0 FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD 1/1T1,.: UXPIRFS: TOTAL FEE BANKCAR1 NUMBER: MINIMUM PERMIT FEE IS$35.AOPLEASE MAKE CHECKS PAYABLE TO SPOKANE \UPl IOR I%Ell SIGNATURE: CouNTY PERMrr CENTER - ' Lt- After recording, return to: LINDSEY CONSTRUCTION, INC. PO BOX 30792 SPOKANE, WASHINGTON 99223 II 4810259 Page: 1 of 1 II III I II II II II III I II 12:03 2002 02:02P tuf1QCV merman_ u 4t1Q M cnni,no C.Yid TITLE NOTICE Description of Property: Parcel "A" (S23T25NR43EWM) Block 14, Woodland Terrace Addition, Volume "I" of Plats, p. 16, The East 17.79 feet of lot 15 plus lot 16 PARCEL# 35233.1401 Address: 4929 E. 14th, Spokane, WA Parcel "K" (S23T25RN43EWM) Block 15, Woodland Terrace Addition, Volume"I" of Plats, p 16, The East 41.7 feet of lot 6 plus the West 12.3 feet of Lot 5 PARCEL#35233.1507 Address: 4910 E. 14th, Spokane, WA Parcel "L" (S23T25NR43EWM) Block 15, Woodland Terrace Addition, Volume"I" of Plats, p. 16, the East 37.6 feet of Lot 5 plus the West 16.4 feet of Lot 4 PARCEL# 35233.1506 Address: 4914 E. 14th, Spokane, WA I hereby certify that I am the owner of the above described property. As owner, I hereby request that the following notice be placed on the title of the above described property, and that said notice shall run with the land: (1) This property is located in a potential high groundwater area, and (2) Measures have been taken to prevent water from entering this basement. Copies of said measures have been provided for Spokane County Public Works Department file number Od 60 9F'5'7 (o?009c.5/ Oa d 0 9�5 (Permit Center file number) I hereby execute a release of liability running to Spokane County in conjunction with its issuance of a building permit on the property, to include a basement, as designed under Section 5.D.3 (a)and(b) of the Stormwater Control Ordinance. Property Owner Name: Lindsey Construction, Inc., a Washington corporation Property Owner Signature: Lindsey Co struction, Inc. 414M %�1d''4 .� BY AI . sGreg Stim, 'r' ":nt i'�� Notary Public: // Aljd LO State of Washington, County of /. J14 '\5_\"C>>. I certify that I know or have satisfactory evidence that Greg Stim, President ofot 'Inc., is the person who appeared before me, and said person acknowledged that he Si'ned this : • nowledged it to be his free and voluntary act for the uses and purposes mentioned in t A instrument. " `" Dated: //—0451 OA p, / itle: My appointment expires: / O —0 l' t 1 a ' Lindsey 5s Homes " LINDSEY CONSTRUCTION, INC. POST OFFICE BOX 30792 - SPOKANE, WASHINGTON 99223 Proposed Plot Plan ADDRESS: Li q tt+ E • 0441A- Lot # L Block # ( 14 ZONE: 3 , WOODLAND TERRACE ROAD WIDTH: (� 1 Situated in Spokane County,Washington FRONT 25 FLANKING Public Water and Sewer served by City of Spokane COMMENTS: f SCALE 1:20 REVIEWED BY: Cb,, q•4_6' 7-4_¢..A.) THIS SITE PLAN IS BEING SUBMITTED FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT AND IS A TRUE AND CORRECT REPRESENTATION OF THE PROPOSAL. ALL KNOWN PROPERTY LINES/DIMENSIONS, CURB LINES, STRUCTURES AND EASEMENTS HAVE BEEN IDENTIFIED. ALSO, INDICATED ARE WETLANDS, BODIES OF WATER, STEEP SLOPES OR OTHER CRITICAL AREAS. (Ci SIGNED:LINDSEY CONSTRUCTION,INC. Q BY: GREG STIRN,PRESIDENTcii DATE: CO E.. 9— 4 O E4 N I ; (...L E Al = � > o c O O 0 1 Q � 2 j Cly ~ O a (121 U) -173 zO (rru7 -- \ X o , �°. 4 3 5 c m ° y-- _N co —\2° cV CO A X - M CD (V L I— (-?11- /1 tetli V 54- ' I 44\4e01I. IDAHO WASHINGTON ALASKA