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 ► ,
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Special Inspections1^ , _ . ,
Released By: ® .id w
41,
� 17I
" w ,
ftwetee..--64-‘tIASL-1 P
sis
Special Reviews/.._____,r1". Released By: , -fr ejk N
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4
Approach/DrainageReleased By:_ f i , , `�C
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A (jt;, t o k 76-,w... l f ii�t,l r �,1., '`.I
: LC C+, i voi+ 61-i,vim'
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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
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LINDSEY CONSTRUCTION,INC.
POST OFFICE BOX 30792
SPOKANE,WA 99223