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2003, 03-31 Permit App: 03002122 Residence Project Number: 03002122 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: 5 Right: 13 Rear: 51. Phone: (509)879-3420 Group Name: Project Name: Site Information: Plat Key: Name: (4L,4Qa , :.F' 'te.,„C.,_, District: D Parcel Number: 35233.1401 Block: 14 Lot: SiteAddress: 4921 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 , 1 By d By: . +'' - L{� _ :.;�,-'n ice— • :A � - r- /4 ,# -- l (- 1 tit\-'( Plan Review Released By: i ► , • Special Inspections1^ , _ . , Released By: ® .id w 41, � 17I " w , ftwetee..--64-‘tIASL-1 P sis Special Reviews/.._____,r1". Released By: , -fr ejk N %J' 4 Approach/DrainageReleased By:_ f i , , `�C t - A (jt;, t o k 76-,w... l f ii�t,l r �,1., '`.I : LC C+, i voi+ 61-i,vim' I Operator: JAS Printed By: JAS Print Date: 3/31/2003 • Project Number: 03002122 Inv: 1 Application Date: 3/31/2003 Page 2 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit ArA Landuse/Zoning/e-_J�'�C. Released By: L Swer�ReviewReleased By: Stormwater Control Released By: /1 / ` J yl► - T1 0�'�� . ,.-mm-.:.:_tee 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: Y Building Sq Ft: Sprinklers: I I 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 1,062 $13,062.60 1,062 $13,062.60 DECK R-3 VN 100 $783.00 100 $783.00 GARAGE U-1 VN 480 $5,760.00 480 $5,760.00 RESIDENCE R-3 VN 112 C 47662• $70,092.00 1,062 $70,092.00 Totals: 2,704 $89,697.60 2,704 $89,697.60 Item Description Units Unit Desc Fee Amount STA l'E SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $182.60 RESIDENTIAL VALUATION I Y OR BLANK $830.00 Permit Total Fees: $1,017.10 Operator: JAS Printed By: JAS Print Date: 3/31/2003 Project Number: 03002122 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 WATF.R HE ATER 1 _NUMBER OF Sloe 0 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 TOILETSBIDETS '3 2 NUMBER OF $12.00 SINKS ' 2 NUMBER OF $12.00 TUBS 2 NUMBER OF $12.00 DISH WASHERS 1 NUMBER OF $6.00 GARBAGE DISPOSAL 1 NUMBER OF $6.00 CLOTHES WASHER I NUMBER OF $6.00 FLOOR DRAINS 1 NUMBER OF $6.00 WA I'ER USING DEVICES 3 NUMBER OF $18.00 Permit Total Fees: $78.00 Operator: JAS Printed By: JAS Print Date: 3/31/2003 Project Number: 03002122 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 $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 Disclaimer: 1 ,° 7 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 - idcl PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 1;1- 509-477-3675 SPOIcANE Cou rY SAD 9c SPECIFIC SITE INFORMATION k'�14, 'rl,Fh Street Address: 77 // s ,9p O& Assessor's Tax Parcel Number(s): l� `� �G,C c�48 ► Legal Description: , t 00,, `� #GY-7144A.4 Ii`,4 '_ FM' Project Description: nC41 ❑ Building Permit ❑ Change in Use ❑ Grading El 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 -:J 4/1 ,01, !e7 El Indicede who should be onkieled rejatdint/hi.rnrrjeei CI (hcncr. _V Phone: ❑ Applicant: Phone: 'iTRllcT10N, too lax: Pax. ;\lading:\ddr.< 43_, .,:.,,..r,2 Mailing Address: .. k41,t{`, vw,N 99223 Cm,State,/.ip City,State,Zip Phone Phone CI (,,,,I.0,, /' f ❑ Architect lingineer 1:,,<__44..?../4/_/- �' / I.ax Nlailinc address Mailing address /1~ o7Y? Cir ,Mime lip Citi',State Zip V\:A isnatc(.impactor license n Contact name: PROJECT INFORMATION Building Information RuilJtnt;height iii peak #of stnries Main floor si.. ft. Unfinished basement sq. ft. (� ( /DIQ Z 7 ,e) Z Dan,maoris 'total habitable space 2nd floor sq.ft. • ' 4 Finished basement Sq. ft. 2725' ()ccupancc group Construction type Garage sq. ft. Deck sq. ft. �ef6) fDJ ( „st t,t punnet I Icat snurec(electric,gas,etc.) • Manufactured Home Sign Width: Length: What is the square footage of the sign Ilow high is the sign? face? '5 car 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? Iem Nam. Phone Plans Examiner Phone I n spce t,trs. Address Inspector Phone 0 Concrete 0 Welding 0 Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION .\re there structures on the property? 0 Yes 0 No What is the current property size? Il yes,idents/•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? 1J per,idestijp on.rite plan 0 Yes 0 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? 1/per,identsO'on site plan Ifyes,ident f on the site plan 0 Yes 0 No 0 Maybe 0 Don't know 0 Yes 0 No \re there stir wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property? 1/per,idenInky on Si/Pp/an 0 Yes 0 No 0 Yes 0 No Ale there slopes greater than 3000 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 Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No OYes 0No Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No 0 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 O No I).m teem cJ. Staff Representative: METHOD OF PAYMENT MEM SUBTOTAL VISA ❑ (:ASI I ❑ (:I II'CK ❑ ❑ 0 FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD \l I: EXPIRES: TOTAL FEE \RI)Nl'\IBER: MINIMUM PERMIT FEE IS$35.0O11I5:550 MAKE CI IECKS P:55 5151.5/10 SPOKANE \I l I R)R I/.I I)i I(I\ \TPRI': COUNTY PERMIT CENTER . . . . . Proposed Plot Plan 4921 E 14th, Spokane Valley Spokane County, Washington BLOCK 14, WOODLAND TERRACE ADDITION, VOLUME I OF PLATS, P. 16 E 33.5 FEET OF LOT 13 PLUS W 20.5 FEET OF LOT 14 PUBLIC WATER I SCALE 1:20 I PUBLIC SE)ItVER f2/1-e-6EI— "C " 0 Fegoit — t,„ 4. ,/,•-• r,', c-'0-.,-, ',.•"' Q)/) . 9' )(3 /\ SLI /5 ......, ,, c,•'' / , ,-,-••. 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