2003, 03-14 Permit App: 03001637 Residence Project Number: 03001637 Inv: 1 Application Date: 3/14/2003 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: 6 Rear: 71 Phone: (509)879-3420
Group Name:
Project Name:
Site Information:
Plat Key: Name: wty.d., k rDistrict: D
Parcel Number: 35233.1504 Block: 15 Lot: 3
SiteAddress: 4920 E 14TH AVE Owner: Name: LINDSEY CONSTRUCTION
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: 6,966 Sq Ft Width: 54 Depth: 129 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review e eased By:
1 jti
Plan Review Released By:
Special Reviews Released By: )
— AYILO
Approach/Drainage Released By:
Flit i.+f -- —
Sewer Review /! '
'Released By: '� /fir
Operator: CKF Printed By: CKF Print Date: 3/14/2003
Project Number: 03001637 Inv: 1 Application Date: 3/14/2003 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Stormwater Control Released By: 0
3
Special Inspection on basement
required and Record Drawings to
be submitted to stormwater utility
Permits: prior to final approval,/wspeC t .
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: El
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 754 $9,274.20 754 $9,274.20
GARAGE U-1 VN 462 $5,544.00 462 $5,544.00
RESIDENCE R-3 VN 1,003 $66,198.00 1,003 $66,198.00
Totals: 2,219 $81,016.20 2,219 $81,016.20
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $780.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $171.60
Permit Total Fees: $956.10
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 2 #OF UNITS $2.00
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
HOOD -TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $86.00
Operator: CKF Printed By: CKF Print Date: 3/14/2003
Project Number: 03001637 Inv: I Application Date: 3/14/2003 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
TOILETSBIDETS 2 NUMBER OF $12.00
SINKS 3 NUMBER OF $18.00
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: $84.00
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 $956.10 $956.10 $0.00 $956.10
Mechanical Permit $86.00 $86.00 $0.00 $86.00
Plumbing Permit $84.00 $84.00 $0.00 $84.00
$1,126.10 $1,126.10 $0.00 $1,126.10
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and fmds 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: 3/14/2003
06\I
PROJECT APPLICATION WORK SHEET k x
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 4-V
�� 1026\VEST BROADWAY AVENUE
SPOKANE,WA 99260
SPOK £�COwTY 509-477-3675 6 ,/ _ I Cr 37
SPECIFIC SITE INFORMATION
Street Address: f19z,eCs /1-/k7
Assessor's Tax Parcel Number(s):
Legal Description: Aa r, g i C
Project Description: &I T14'CT 5 W6 L F14-m ,L`( e_ S 1 PE-nc i-�
*Building Permit 0 Change in Use 0 Grading 0 Manufactured Home Permit
0 Relocation 0 Sign 0 Tenant (New/Change) 0 Other
Department Use Only
Water Distnct/Purveyor Sewer District/Purveyor Road width Setbacks
Franc Rear
School Distncr Fire Distract: Zoning
Left: Right:
OWNER/APPLICANT INFORMATION �/
IZI I ndi(ulr who Amid be t vrntaird n;t;urdin,Ibis pngi•rI ?7 9` T ZI
❑ (in ncr i _l r y�l v S 1,t/TM onS� phone: ❑I Applicant: /� I�/may/.� /Phone: U U
'STRllcTION, L Fax:
I-1 n d s �//Sf / V c' i6�/t a.: f ( —i o 1 2
\la:hn4:\Jdr(a: $c.. -.).•-,2 limiting Addict:-- As' ir, tie,.-;4 99"74 Ze)c 30,9
2-
, al,>iatc,/.q, City,State,/rp
Sokare j' 4 gg2z 3
❑ 1)1rant,1 Ph,mt. ❑ Architect IMranter g Phi
S(/�
`J1
'1.nd n,.rid t-, Mailing address
i,i ,.u. ,,i, City,State'lip
\\ \>iaiL l,,ntr.utt r keens P. Contact name:
PROJECT INFORMATION
Building Information
tiutldmt H.,t;ht to peak #of stories Main floor sq.ft. ltnlinisheJ basement sq. It.
/ t ( /PP3 7 �
0„,,,,,,,4„„ total habitab space('j� 2"t floor sy.ft. Finished basement.y. It.
/e
It./ —2c
()(uir.nut group Construction type Garage sq. I/, _ Deck sq. ft.
t ,,.1 „i I,r,I,c, I feat source(electric,gas.etc.)
r •,a
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
Fri posed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
Finn Name Phone Plans Examiner Phone
Inspectors. Address
Inspector Phone
O Concrete O Welding D Bolting O Reinforcement Address
DITIONAL SITE INFORMATION
Are there structures on the property? O Yes No What is the current property size? 6� 44:,
If yes.identij'on site plain (square feet or acres)
is any part of the property within 250 feet of a shorelin'? What is the current use of this property?
I%per,idenntif,on site plan O YesNo
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O YesLl No
O Don't know O Yes No
Is any part of the property within a 100 yr flood plain? Arc or will there be wells located on the property?
I%pet,"dentin'on site plus Ifyes,identb on the site plan O Yes a No
)ilasbe Don't know O Yes O No
Are there any wetlands,streams or ponds within 200 f''t of the property? Is there evidence of fill or excavation on the property?
1%per,de/////j'0//.rite plan O Yes No O Yes LJ No
\rc there slopes Greater than 300,,on the property?(30 ft rise in 100 ft) Arc critical or hazardous materials used or stored on site?
/!"s') O Yes O No O Yes �No
DEPARTMENT USE ONLY
Is the property in a designated Stonnwater Control Area? Is public sewer available to the site? O 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 PSSr\? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
0 Yes 0 No
U.nr Kcccncd Stall Representative:
METHOD OF PAYMENT
VISA
Sl'BT0I'.\I.
❑ (:ASII ❑ (:I IF(:K 0 ❑ ❑ -
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I•:SI>IRI•:S: TOTAL FEE
It.\\h(..\Rl)NF\IFtl:R: MINIMUM PERMIT FEE IS$,35.00PI.G:\SI!
MAKE CI ItiCkS P:\Y.11tl E TU SPOKANE
l I It1R17.l-I)SIGN VI t RI.: cOLNT'SI.ItynTCENTER
Proposed Plot Plan
4920 E 14 Ave., Spokane, WA
Lot "M" of CE-283-02
The E 33.5'of lot 4 plus the W 20.5'of lot 3 Block 15
Woodland Terrace Addition.Vol"I"of plats.pg 16
Spokane County.Washington
4p SCALE 1:20 I PUBLIC WATER I PUBLIC SEWER
ADDRESS 1-7/ ci
ZONE
(et
FRONT
COMMENT`.. _
RF�'r ,'* r
T Fe `Z QAi
0
.
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21 b )
,~ vas 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,lopes or other critical areas.
Signed: AC.r1 Li i.
b Date.
+►
`r 1 A
�
Lindsey Construction, Inc.
Post Office Box 30792
Spokane, WA 99223
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