2003, 05-13 Permit App: 03002121 Residence Project Number: 03002121 Inv: 1 Application Date: 5/13/2003 Page 1 of 4
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THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE W/GARAGE-GAS Contact: LINDSEY CONSTRUCTION
Address: PO BOX 30792
C- S-Z: SPOKANE WA 99223
Setbacks:Front 25 Left: 9 Right: 9 Rear: 51. Phone: (509)879-3420
Group Name:
Site Information: Project Name:
Plat Key: Name: WOODLAND TERRACE ADD District: D
Parcel Number: 35233.1401 Block: 14 Lot:
SiteAddress: 4917 E 14TH AVE Owner:Name: LINDSEY CONSTRUCTION
SPOKANE,WA USA 99212 Address: PO BOX 30792
Location::SPO SPOKANE WA 99223
Zoning: UR-3.5 Urban Residential 3.5
Water District: 107 SPOKANE,CITY OF Hold:
Area: 0 Sq Ft Width: 54 Depth: 130 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By: pa re
Plan Review Released By: W e _
51c [ L
51(310-3a.-
Special
1I O3Special Inspections Released By:
Originally Released: 4/2/2003 By: JShatto
Special Reviews Released By:
Operator: JAS Printed By: RMB Print Date: 5/13/2003
th
Project Number: 03002121 Inv: 1 Application Date: '5/13/2003 Page 2 of 4
THIS IS NOT A PERMIT
work without a permit
Penalties willbe assessedfor commencing1 f' _` ,
Approach I Drainage y .._ L ( L
PPg Released B
Originally Released: 4/2/2003 By: Aroth
Landuse/Zoning �� Released By: MI 5443
l
Sewer Review ' ? Released By:
Stormwater Control Released By: IY}A.,(��n S�£w2�� % viZ'to-3
Special Inspection on basement
required and Record Drawings to
be submitted to stormwater utilityprior to final inspection/approval.
Permits:
Building Permit
Contractor: LINDSEY CONSTRUCTION INC Firm: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792 Phone: (509)879-3420
SPOKANE,WA 99223
This Application: Total Project:
Description Grp Type Notes SQ Ft Valuation SQ Ft Valuation
BASEMENTU R-3 VN 1,060 $13,038.00 1,060 $13,038.00
DECK R-3 VN 150 $1,174.50 150 $1,174.50
GARAGE U-1 VN 480 $5,760.00 480 $5,760.00
RESIDENCE R-3 VN 1,060 $69,960.00 1,060 $69,960.00
Totals: 2,750 $89,932.50 2,750 $89,932.50
Item Description Units Unit Desc Fee Amount
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $182.60
RESIDENTIAL VALUATION 1 Y OR BLANK $830.00
Permit Total Fees: $1,017.10
Operator: JAS Printed By: RMB Print Date: 5/13/2003
Project Number: 03002121' Inv: 1 Application Date: 3/31/2003 Page 1 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE W/GARAGE-GAS Contact: LINDSEY CONSTRUCTION
Address: PO BOX 30792
C -S -Z: SPOKANE WA 99223
Setbacks: Front 25 Left: 12 Right: 10 Rear: 54. Phone: (509)879-3420
Group Name:
Site Information: Project Name:
Plat Key: Name: District: D
Parcel Number: 35233.1401 Block: 14 Lot:
SiteAddress: 4917 E 14TH AVE Owner: Name: LINDSEY CONSTRUCTION
SPOKANE,WA USA 99212 Address: PO BOX 30792
Location:: SPO SPOKANE WA 9'223
Zoning: UR-3.5 Urban Residential 3.5
Water District: 107 SPOKANE, CITY OF Hold: ❑ /
Area: 0 Sq Ft Width: 54 Depth: 130 Ri tty i : 607.___ 1
ei
Nbr of Bldgs: 1 Nbr of Dwellings: 1 •-:N... \\\
Review Information:
Nom, .
om, . ,
�
Site Plan Review Release BY: J
t-)J1-L,C2),- -4DaS ;IL
,
Plan Review Released By( 4
Special Inspections 1-"-.t Released By:
.• a , ...w.t..014e:lijrr) As.
•
45:44. i ; /
,
Special Reviews � - '_ — • Released By. _
-----6,-,
I .
I
Approach/Drainage Released By: i ` , 1
- _ _ - i Ok-d.ALJ,--A U ttL)-(1-1.A.,\ _,AC,__Di _3/444-f tit-C-K/Ck ,
---krt)--
Operator: JAS Printed By: JAS Print Date: 3/31/2003
Project Number: 03002121 Inv: A
I Date: 3/31/2003 Page 2 of 4
pplication
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Landuse/Zoning / Released By'
fewer Review Released By:
Stormwater Control Released By:
Permits:
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: C
Req Parking: Handicap Parking: Critical Materials: E
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 480 $5,760.00 480 $5,760.00
RESIDENCE R-3 VN 900 $59,400.00 900 $59,400.00
Totals: 1,380 $65,160.00 1,380 $65,160.00
Item Description Units Unit Desc Fee Amount
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE I Y OR BLANK $149.60
RESIDENTIAL VALUATION 1 Y OR BLANK $680.00
Permit Total Fees: $834.10
Operator: JAS Printed By: JAS Print Date: 3/31/2003
Project Number: 03002121 Inv: 1 Date: 5/13/2003 Page 3 of 4
� Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Mechanical Permit
Contractor: LINDSEY CONSTRUCTION INC Firm: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792 Phone: (509)879-3420
SPOKANE,WA 99223
Item Description Units Unit Desc Fee Amount
CLOTHES DRYER 1 NUMBER OF $10.00
GAS WATER HEATER 1 N1 JMBER 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
Permit Total Fees: $64.00
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 2 NUMBER OF $12.00
SINKS 3 NUMBER OF $18.00
SHOWERS 1 NUMBER OF $6.00
TUBS 1 NUMBER OF $6.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $78.00
Operator: JAS Printed By: RMB Print Date: 5/13/2003
Project Number: 03002121 Inv: 1 Application Date: 5/13/2003 Page 4 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
CONTROL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Lots on the north side of 14th in the 4800 and 4900 block have fill. Soils investigation/foundation
engineering done by Strata(see plat file)requires: (1)footings=min.24 inches wide(2)foundations no
closer than 12 ft from north edge of fill
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,017.10 $1,017.10 $0.00 $1,017.10
Mechanical Permit $64.00 $64.00 $0.00 $64.00
Plumbing Permit $78.00 $78.00 $0.00 $78.00
$1,159.10 $1,159.10 $0.00 $1,159.10
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 goy erning this t pe 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: JAS Printed By: RMB Print Date: 5/13/2003
Project Number: 0002121' Inv: 1 Application Date: 3/31/2003 Page 3 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Mechanical Permit
Contractor: LINDSEY CONSTRUCTION INC Firm: LINDSEY CONSTRUCTION INC
Address: PO BOX 30792 Phone: (509)879-3420
SPOKANE,WA 99223
Item Description Units Unit Desc Fee Amount
CLOTHES DRYER 1 NUMBER OF $10.00
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 2 NUMBER OF $20.00
Permit Total Fees: $54.00
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
TOILETSBIDETS 1 NUMBER OF $6.00
SINKS 2 NUMBER OF $12.00
TUBS 1 NUMBER OF $6.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $60.00
Operator: JAS Printed By: JAS Print Date: 3/31/2003
• ,
Project Number: 03002121 Inv: 1 Application Date: 3/31/2003 Page 4 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
CONTROL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Lots on the north side of 14th in the 4800 and 4900 block have fill. Soils investigation/foundation
engineering done by Strata(see plat file)requires: (1)footings= min. 24 inches wide(2)foundations
no closer than 12 ft from north edge of fill
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $834.10 $834.10 $0.00 $834.10
Mechanical Permit $54.00 $54.00 $0.00 $54.00
Plumbing Permit $60.00 $60.00 $0.00 $60.00
$948.10 $948.10 $0.00 $948.10
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: JAS Printed By: JAS Print Date: 3/31/2003
{ ' .
i I PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
Aiiti;:iik
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
SPD ��^ 509-477-3675uNuT �0
SPECIFIC SITE INFORMATION /. 0�
Street Address: , j/7 0 / 4A,e�ol 8� tJo>g
Assessor's Tax Parcel Number(s): 'v/�0�3 oily
Legal Description: t ,l'
I g s
Off-if-A40,,t.d 72A/44,c
Project Description: ` c4)
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: Fire District: Zoning
Left: Right:
OWNER/APPLICANT INFORMATION
i•;J,,4/1 ,LL, !e f74, El Indicate who should be eonlurled ntardi,g the pm/erl
CI (hcncr. _J J Phone: in Applicant: Phone:
' 'STRl1CTION, j,. as 1.3s:
\ladntg \Jdr.� ..
�7���� �.•, ,.
�J:yeeI�yy 9p.�'ip�
Cin,State,Zip City,state,Zip
Phone Phone
El (1,mo:1cu,r .r 4 ❑ Architect l ingineer
'4.-'"r/4te_fit '":// I as
Nlailini address • Mailing address
2' 1.c.O 7gZ--
(.1t ,Stats tip Cin',State Zip
(
\\.\>rat,.Contractor Gcensc» Contact name:
PROJECT INFORMATION
Building Information
Building height it,peak #of stories Main floor sq. ft. Unfinished basement sq. tt.
a P / -TpD
Dimensions Total habitable space 2"Floor sq.ft. Finished Imsement sq. it.
Occup;mcc group Construction type Garage se.ft. Deck sq. ft.
"SD
(:est of protect I tear source(electric,gas,etc.)
/,a/J
•
.
Manufactured Home Sign
\\idth: 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
Prct'iOUS address Fire Sprinkler _ Went
Paint booth Fire Alarm Fireworks display
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
Finn Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
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?
!l je.t,idem/ 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?
1/yes,idem •on rile 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 0 Yes 0 No
Is;my part of the property within a 100 yr flood plain? Arc or will there be wells located on the property?
idea///y on site plan Ifyes,identiji on the site plan 0 Yes 0 No
O slasbe 0 Don't know 0 Yes 0 No
Arc there any wetlands.streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
1//vs,identi[j on site p/an 0 Yes 0 No O Yes 0 No
\rc there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
0 Yes 0 No 0 Yes 0 No
DEPARTMENT USE ONLY
Is the property in a designated Srortnwater 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 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
Dm, Staff ltcprcrentative:
METHOD OF PAYMENT
MN= €tC®Vk::
SIIRTO'I'.\I.
VISA
❑ I \SII ❑ (.III((:h 0 0 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D\ll:: I•:NPIRFS: TOTAL FEE
H\ \Rl) 'l'\IIAI•R: MINIMUM PERMIT FEE IS$35.00
MAKE CHECKS P:1Y:\BLE TO SPOKANE
\l'I I I()RI/.I I)'I(;ti' \ l'RI(: COUNTY PEANUT CENTER
of
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Proposed Plot Plan
4917 E 14th Ave, Spokane Valley
Spokane County, Washington
Parcel D of CE 283-02
Block 14, Woodland Terrace Addition, Volume I of Plats, Page 16
A portion of lots 12 & 13
Public Water I Scale 1:20 I Public Sewer ,„-
06,
06, ss>fd
b/14 Q66 6'$ a1/-
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