2001, 07-06 Permit App: 01005446 Residence -
Project Number: 01005446 Inv: 1 • Application Da ? 7/6/01 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: BLACKHAWK CORP
Address: 23900 E JOSEPH
C-S-Z: OTIS ORCHARDS,WA 99027 ,
Setbacks: Front 30 Left: 12 Right: 10 Rear: 79 Phone: (509)226-2186 v/
Group Name:
Site Information:
Project Name:
Plat Key: 006145 Name: SP-1260-00 District: F
Parcel Number: 45262.9059 Block: Lot: 1
SiteAddress: 14612 E 18TH AVE Owner:Name: BLACKHAWK CORP
VERADALE,WA USA 99037 Address: 23900 E JOSEPH
Location::VER OTIS ORCHARDS,WA 99027
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 13,200 Sq Ft Width: 80 Depth: 165 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department Review
BUILDING Site Plan Review Released By. _0-1
___V_a_ ‘l_g, ,_ W V
Hold Reasons:
Permit Conditions:
BUILDING P view
Released By:
Hold Reason A I ._.„�;_..1�-' 'illallii4u1
Permit Conditions:
ENGINEER Approach/Drainage [Released By. r `` _ = _CI
Hold Reasons:
Permit Conditions: Q f 7_
UTILITIES Sewer Review Released By: _ OF — -e.,
Hold Reasons: 1_- ____ .F /raid •' Gt,.0rvii /e4
Permit Conditions: ,k t 2�e4.01 oi/1 ,„i co j✓.4.0-Tion 1,./ SG'i✓tt rode o/
PLANNING Landuse/Zoning Released B �/�'�� r�� (94 701
1/
Hold Reasons: .5p - 12_(.4,6-c00_
/y
Permit Conditions: r/I1/ L
Permits:
Project Number: 01005446 Inv: 1 Application Date: 7/6/01 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: BLACKHAWK CORP Firm: BLACKHAWK CORP
Address: 22505 E DALKE AVE Phone: (509)928-0218
OTIS ORCHARDS,WA 99027
Building Characteristics
Const Category: New Group:R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: 13 Stories: 1
Bldg W x D: 58 x 54 Building Sq Ft: 3144 Sprinklers:
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 1,572 $18,172.32 1,572 $18,172.32
RESIDENCE R-3 VN 1,572 $97,464.00 1,572 $97,464.00
Totals: 3,144 $115,636.32 3,144 $115,636.32
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $975.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $214.50
Permit Total Fees: $1,194.00
— — Mechanical Permit
Contractor: ALLIED HEATING INC Firm: ALLIED HEATING INC
Address: 10213 E BUCKEYE LN Phone: (509)928-8252
SPOKANE,WA 99206
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 3 #OF UNITS $3.00
VENTILATING FANS 4 NUMBER OF $40.00
CLOTHES DRYER 1 NUMBER OF $10.00
GAS LOG OR GAS INSERT 1 NUMBER OF $10.00
HOOD-TYPE II 1 NUMBER OF $10.00
Permit Total Fees: $95.00
Project Number: 01005446 Inv: 1 l
Application Date: 7/6/01 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: ALPHA PLUMBING&HEATING Firm: ALPHA PLUMBING&HEATING
Address: 13615 E.TRENT AVE Phone: (509)535-0727
SPOKANE,WA 99216
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 3 NUMBER OF $18.00
SINKS 5 NUMBER OF $30.00
SHOWERS 2 NUMBER OF $12.00
TUBS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
WATER USING DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $102.00
Payment Summary:
Operator: CKF Printed By: CKF Print Date: 7/6/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,194.00 $1,194.00 $0.00 $1,194.00
Mechanical Permit $95.00 $95.00 $0.00 $95.00
Plumbing Permit $102.00 $102.00 $0.00 $102.00
$1,391.00 $1,391.00 $0.00 $1,391.00
Notes:
11 PROJECT APPLICATION WORK SHEET
a. " L SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
SPOT COUNTY
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: ; ; // R_ /
Assessor's Tax Parcel Number(s): • -
C 2--
Legal Description:
Project Description: S /G7 y 4 t<= 1 eL�' /t474 T�—
Building Permit In Change in Use ❑ Grading ❑ 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: lire District Zoning
r Ii Right:
OWNER/APPLICANT INFORMATION
0 Indicate who should be t•onlaeled regarding this prtjeel
❑Owner: l'hone: ❑ Applicant Phone:
Fax: Fax:
Mailing Address: Mailing Address:
,State,Zip r City,State,Zip
❑ Contractor //��,�{ '� Phone `Z C Z.l d C� ❑ Architect/Engineer Phone
Cif(7741-6 6 Ci/� lax 2-.S .S Fax
Mailing address Mailing address
2?9 e L`- .s7Otfe-I°9/Y
City,State Zip City,State Zip
OZ'S O/eCCf 'c S (ivr q
WA State Contractor license# Contact name:
8 -¢ce /0Czp /
PROJECT INFORMATION
Building Information
Building height to peak #of stories Ntain floor sq.ft. Unfinished basement sq.ft.
Dimensions "Total habitable space 2r1 floor sq.ft. Finished hiviment sq.ft.
()ccupancy group Construction type Garage sy.ft. Deck sq.ft.
Coat of project I teat source(electric,gas,etc.)
//J
,.A'tanufactured 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
Prcv ious address Fire Sprinkler
Paint booth_ Fire Alarm _ Fireworks display
Proposed use A'aloe
Special Inspections Required? Non-Residential Energy Code Compliance?
Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes O No What is the current property size?
Ifyes,identifi,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?
Ifyes,identl.fr on site p/an O 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?
Ifyes,ideOfr on site plan If yes,identO,on the site plan 0 Yes 0 No
0 Maybe 0 Don't know 0 Yes 0 No
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Ifyes,identlb'on site p/an 0 Yes 0 No 0 Yes 0 No
Are there slopes greater than 30%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
O Yes 0 No
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
DYes 0No
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
DYes 0No
Date Received: Staff Representative:
METHOD OF PAYMENT
4k. SUBTOTAL.
VISA
0 CAM I 0 CIIISCK 0 11111111111111 0 4110 0 ..
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DA'L'E: EXPIRES: TOTAL FEE
BAN KCARD NUiMBI SR: MINIMUM PERMIT FEE IS$35.0011E.ASF
MAKF.(:I IECKS PAYABLE TO SPOKANE
AUTHORIZED SIGNATURI : cOUN'EY PERMIT CENTER
/ gO---4 6)--(-2
1. ' This I.': pan is being submitted for the purpose of
w ' obtaining a build,ng 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 wetland,
bodies of water steep slopes cl other critical areas.
Signed: - ,
Date: ? C /O
ADDRESS co 12 E.
ZONE
ROAD «'ISH SF A�IKING —
FRONT —_
COMMENTS v ,
REVIEWED 81
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