2003, 04-01 Permit App: 03002145 Residence Project Number: 030021-15 Inv: 1 Application Date: 4/1/2003 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- GAS Contact: LINDSEY CONSTRUCTION,INC
Address: PO BOX 30792
j-"/J' 'TZ C -S -Z: SPOKANE WA 99223
Setbacks:Front 2e' Left: .2 Right: 5 Rear: Phone: (509)879-3420
Group Name:
Project Name:
Site Information:
Plat Key: Name: (,,veQ —r-,(AcjL District: D
Parcel Number: 35233.1502 Block: 15 Lot:
SiteAddress: 4928 E 14TH AVE Owner: Name: LINDSEY CONSTRUCTION,INC
SPOKANE,WA USA 99206 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: 5,584 Sq Ft Width: 54 Depth: 130 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: I
Review Information:
Review
Site Plan Review , Released B yi _j
Ki, CC:p ICD(2-- i 1) ' 6t1: rirdline"VIP - — --
Plan Review Released By: //2-10 3
Special Reviews 0.Ai Released By: J- - iiiliao °��`/
Approach/DrainageReleased Bv: '. ^__:r 1 '" 1
r
jeje.t27>" ---4 i ''''CI.ft . _
Landuse/Zoning Released By: Ik 4r
uD 1 SrLTiem kc.SOC), - Oz.°((I' a =
LA -1-k.._. ,.....D Lie—/__,(.."---e..--/\ . _ ao=„t„
" ( 1E-1. (**- ._c_ILK__c/C
By:Operator: JAS Printed B : JAS Print Date: 4/1/2003
Project Number: 03002145 Inv: 1 Application Date: 4/1/2003 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Stormwater Control [Released By: Mak Qti .
, 03Special Inspection on basement
required and record drawings to be --
submitted to Stormwater Utility
Permits: prior to final approval/inspection.
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: 0
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 757 $9,311.10 757 $9,311.10
DECK R-3 VN 100 $783.00 100 $783.00
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: 2,322 $81,836.10 2,322 $81,836.10
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $780.00
STA FE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $171.60
Permit Total Fees: $956.10
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
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 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF $10.00
Permit Total Fees: $64.00
Operator: JAS Printed By: JAS Print Date: 4/1/2003
Project Number: 03002145 Inv: 1 Application Date: 4/1/2003 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
TOILETS/BIDETS 2 NUMBER OF $12.00
SINKS 2 NUMBER OF $1200
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: $78.00
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 $956.10 $956.10 $0.00 $956.10
Mechanical Permit $64.00 $64.00 $0.00 $64.00
Plumbing Permit $78.00 $78.00 $0.00 $78.00
$1,098.10 $1,098.10 $0.00 $1,098.10
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: 4/1/2003
1;i1 PROJECT APPLICATION WORK SHEET
lk SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
' 1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
Ui 509-477-3675
SPOMNF Covin
SPECIFIC SITE INFORMATION
Street Address: //(?f / ` I / C
A `` SrOKA 11/ 1)
Assessor's Tax Parcel Number(s): NE O
ny
Legal Description: _ 4 '5;°'-• _.. ? , ` ii ', 2U
r� MAR N
,.-, � `- / 1, 4;- l 5 l'--,,,'� ?Ofd
;fr if 4,, 4._:!..4",,, ,,:eit "I& / AI f",.61 .` CODE ENFORCE.
Project Description: `•7.Cri � ------'S—. . 1 S0r ENT
,uilding Permit ❑ Change in Use ❑ Grading 0 Manufactured Home Permit
0 Relocation 0 Sign 0 Tenant(New/Change) 0 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
;-:.4,144,11,/,9, 14 0' Indicate who d Lind he contacted rvAardin;Ibis projel
NMI'❑ NMI'NMI' TM', ('horn 0 Applicant: Phone:
'STRHCTlON, h Pas: I as
'M nIin,i Addr ; ,6,,,_.. ,:.•_,-,2 Mailing Address:
(]n,>13n,/.,p Cin-,State,Zip
PhonePhone
0 (onnacn,r0 rUchiu•ctil(n}pnccr
.��- /��f L7,17 -7(7,42I as
N I tiling.tddres s Mailing address
(:nc,wait Ly, ,". Cin,State Zip
:�/;fM4.%r::? 'J.. A,-
\\ \stat,.(,a tractor Gema.(rt Contact name:
PROJECT INFORMATION
Building Information
Hu,l,.6np Itcit;ht ut peak #of stttoys Main floor sq.ft. 1 Unfinished baserni.nt sy.tt.
I)nnuts,„tts Total habitably space x 2"I floor sy.ft. Finished basement sy. tt
Occuptutct group Construction type Garage sq.ft. t Deck sq.ft.
h
(:,,si „I pr„1ec1 I Icat source(electric,gas,etc.)
• t
Manufactured Home Sign
Width: Length: What is the square footage of the sign Flow high is the sign?
face?
l ear 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?
I irm Name Phone Plans Examiner Phone
I nspccn,rs Address
Inspector Phone
❑ Concrete 0 \\'eltling 0 Bolting 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
.\re there structures on the property? 0 Yes 0 No What is the current property size?
I/yes.ideotJj 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?
11 yes.ident/A on site 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?
l/yer,identi/j' cite plan 1,Eyes,identij,on the site plat 0 Yes 0 No
❑ \Iavbc 0 Don't know 0 Yes 0 No
\re there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
11 yes,identify on site plan 0 Yes 0 No 0 Yes 0 No
\re there slopes greater than 30?'0 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 Stonnwater Control Area? Is public sewer available to the site? 0 Yes 0 No
❑ Yes ONo
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
O Yes ❑ No
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Arca?
0 Yes 0 No
1)art IZcccncJ. Staff Rcprescntanye:
METHOD OF PAYMENT
MEM IICovII> SUBTOTAL
VISA
❑ ( \SI I ❑ (.11E1 k 0
MN= 0 ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OFA MAJOR CREDIT CARD
I)\I I'. I:.\'PI IZI;S: TOTAL FEE
It\\k(,\RI)\I \INI'R: MINIMUM PERMIT FEE IS Ali Q0piEASF:
MAKE CHECKS P:\l:\BLE TO SPOKANE
VI'I I IM/H)-ICV'VI f:gI(: CouN'INPEltynTCENTER
ADDRESS a$ L- - 1441
ZONE CA2- 3-5
ROAD WIDTH -
FRONT__ FLANKING
COMM NT`.
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TZ 0 representation of the pr al.All known property
m n lines/dimensions,curb Imes.structures and easements N
m Hhave been identified ;':;n ir;;icated are wetlands,
D X Z bodies of ater,,s,t�ee�p s!o _;s or other critical are, �<
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n z Signed: �""""""7 C0"Lt'f/��'� !�
°' Iv Date: _ ._