1997, 03-21 Permit App: 97001569 Addition PROJECT NUMBER= 97001569 APPLItAWOI DATE= 03/21/97 PAGE= 01
PROJECT NUMBER= 97001569 APPLICATION DATE= 03/21/97 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 12420 E 14TH AVE PARCEL#= 45223. 1325
ADDRESS= SPOKANE WA 99216
PERMIT USE= RESIDENCE ADDITION - BEDROOM & BATH
PLAT#= 001847 PLAT NAME= OPPORTUNITY TERRACE ESTATES
BLOCK= LOT= ZONE= UR-3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 123 DEPTH= 310 R/W= 60
# OF BLDGS= 2 # DWELLINGS= 1 WATER DIST =
OWNER= GIBSON, GARY PHONE= 509 928 0973
STREET= 1401 S PINES RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= GARY GIBSON PHONE NUMBER= 509 928 0973
BUILDING SETBACKS: FRONT= NA LEFT= 30 RIGHT= 50+ REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
APPROVAL: J SHATTO DATE: 03/21/97
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: J SHATTO DATE: 03/21/97
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1
BLDG W X D = 23 X 18 SQ FT= 414 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RES ADD R-3 VN 414 24426.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 350.50
RESIDENTIAL SURCHARGE Y 77.11
STATE SURCHARGE Y 4 .50
PROJECT NUMBER= 97001569 APPLICATION DATE= 03/21/97 PAGE= 02
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= BARTON HEATING & A/C INC PHONE= 509 922 5000
STREET= 11401 E MONTGOMERY AVE #3
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
GAS APPLIANCE<=100, 000BTU 1 12 . 00
GAS WATER HEATER 1 10.00
GAS PIPING 2 2. 00
VENTILATING FANS 1 10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS/BIDETS 1 6. 00
SHOWERS 1 6.00
SINKS 1 6.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 432 . 11 .00 432 . 11
MECHANICAL PRMT 34.00 .00 34 .00
PLUMBING PERMIT 18 .00 . 00 18 .00
484 .11 .00 . 11
PROCESSED BY: JULIE SHATTO
IC
PRINTED BY: JULIE SHATTO 65(
******************************** THANK YOU ************************************
APPLICATION iIOTRMATION
1Nhat is the JO SITE address? ASSESSOR'S tax parcel number?
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Legal
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Legal description as it appears on the/2,2-C) roped
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OWNER or OCCUPANT)...
Phone
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Mailing address City,state Zip
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Who shouldcontact regarding this project? Phone � ��
CD 6-116501D-73-
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What work is Tieing done under this permit? .
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`Gone Inspector district >: Property size Hight of.way width...::;
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Water district
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Building Building height #of stories 1
Contractor Dimensions TOTAL SQ RE FOOTAGE
O(,�•`,e.✓ 5 — 45' 4 Varves. 1 ? A 73 ' f.-1
WA State Contractor license# Main floor area Unfinished basement area
31.'7 3(e,8
Mailing address 2nd floor area Finished basement area
C> - 6
Architect/Engineer 'Garage area Size of decks,etc.
What is the heat source? What is the cost of your project?
/PS0o _.
Manufactured Home Sign;
Width: Length: What is the square footage of How high is the sign?
the sign face?
Year: Make:
Installer Contractor
Wa State Contractor license# Wa State Contractor license#
Mailing address Mailing address
Relocation Fire Safety
Previous address Fire Sprinkler _ Tent
Paint booth_ Fire Alarm _ Fireworks display
VALUE
Contractor Contractor
WA State Contractor license# WA State Contractor license#
Mailing address Mailing address
Fuel Storage Tanks ` Swimming Pool
(Circle one) Above-ground Underground Size/gallons Private
Contents of tank(s) Size/gallons
Public/semi-private
Contractor Contractor
Wa State Contractor license# WA State Contractor license#
Mailing address Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
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INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments 0 Underground utilities
❑ Distances from center of roads, right of ways, 0 North arrow
private roads & property lines 0 Septic tanks & wells
O All existing & proposed buildings