2000, 05-18 Permit App: 00003954 Residence Project Number: 00003954 Inv: 1Date: 05/18/2000 Page 1 of 3
j ApplicatiQn
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: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
C-S-Z: SPOKANE WA 99206
Setbacks:Front 36 Left: 12 Right: 14 Rear: 50+ Phone: (509)926-0755
Group Name:
Site Information Project Name:
Plat Key: 005999 Name: MEADOWLAND District: F
Parcel Number: 45213.3012 Block: 2 Lot: 12
SiteAddress: 10923 E 15TH AVE Owner:Name: HOMESTEAD CONSTRUCTIO
SPOKANE,WA USA 00000 Address: 312 S FARR RD
Location::SPO SPOKANE,WA 99206-
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 13,653 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Department Review
BUILDING Site Plan Review By: tif�i r ctl ` ? 5- e
Hold Reasons: raw , ." v'grip WAWA 1" - Li
Permit Conditions: --
BUILDING Plan Review By_ c�_._ '110 ..5'—/9—taco
Hold Reasons:
Permit Conditions:
ENGINEER Approach/Drainage By: s--17 4 D 0 k ,'
Hold Reasons:
Permit Conditions: Des F4 ifitA 8 —_
UTILITIES Sewer Review By:
Hold Reasons: 0 C - ...1)- C`- .) t ( V3
Permit Conditions:
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Project Number: 00003954 Inv: 1 Application Date: 05/18/2000 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: HOMESTEAD CONSTRUCTION Firm: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD Phone: (509)926-0755
SPOKANE,WA 99206
Building Characteristics
Const Category: New Group:R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: 18 Stories: 1
Bldg W x D: 34 x 34 Building Sq Ft: 1520 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes So Ft Valuation So Ft Valuation
BASEMENT U R-3 VN 510 $5,895.60 510 $5,895.60
GARAGE U-1 VN 528 $6,336.00 528 $6,336.00
RESIDENCE R-3 VN 1,010 $62,620.00 1,010 $62,620.00
Totals: 2,048 $74,851.60 2,048 $74,851.60
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $736.25
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $161.98
Permit Total Fees: $902.73
Mechanical Permit
Contractor: UNKNOWN Firm: UNKNOWN
Address: UNKNOWN Phone: (000)000-0000
UNKNOWN,WA UNKNOWN
Item Description Units Unit Desc Fee Amount
HOOD-TYPE II 1 NUMBER OF $10.00
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: $74.00
Project Number: 00003954 Inv: 1 Application Date: 05/18/2000 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
4ammtwassocassomrWiz__ . _ ., _.. .._ :: zD. a ..s NE l
Permit Use: RESIDENCE W/GARAGE-NATURAL GAS Contact: HOMESTEAD CONSTRUCTION
Address: 312 S FARR RD
C-S-Z: SPOKANE WA 99206
Setbacks:Front 36 Left: 12 Right: 14 Rear: 50+ Phone: (509)926-0755
Group Name:
Site Information: Project Name:
Plat Key: 005999 Name: MEADOWLAND District: F
Parcel Number: 45213.3012 Block: 2 Lot: 12
SiteAddress: 10923 E 15TH AVE Owner:Name: HOMESTEAD CONSTRUCTIO
SPOKANE,WA USA 00000 Address: 312 S FARR RD
Location::SPO SPOKANE,WA 99206-
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 13,653 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Department Review
BUILDING Site Plan Review By. --rdttL,fJ 5-/
mss=
Hold Reasons:
Permit Conditions:
BUILDING Plan Review
By:
Hold Reasons:
Permit Conditions:
I
ENGINEER Approach/Drainage By: S',at 9-G 0 D k
Hold Reasons:
Permit Conditions: 00
UTILITIES \/ Sewer Review By:
Hold masons: 0 0 CI 5 -1 it te.. 64
16,
Permit Conditions 4liMortiVL r ►_ �.11:•.114.11111 ►`: _ I 4 �`C ►F �. Q
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Permits: KwivAr.w x; :: 11111*-
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Project Number: 00003954 Inv: 1 Application Date: 05/18/2000 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: UNKNOWN Firm: UNKNOWN
Address: UNKNOWN Phone: (000)000-0000
UNKNOWN,WA UNKNOWN
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 2 NUMBER OF $12.00
SINKS 3 NUMBER OF $18.00
SHOWERS 1 NUMBER OF $6.00
TUBS 1 NUMBER OF $6.00
DISH WASHERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
WATER USING DEVICES 3 NUMBER OF $18.00
Permit Total Fees: $78.00
Payment Summary: �o- � � ^, e e.cCAA -
Operator: CKF Printed By: CKF Print Date: 05/18/2000
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $902.73 $902.73 $0.00 $902.73
Mechanical Permit $74.00 $74.00 $0.00 $74.00
Plumbing Permit $78.00 $78.00 $0.00 $78.00
$1,054.73 $1,054.73 $0.00 $1,054.73
- q41-1
PROJECT
I I PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
11111 SPOKANE,WA 99260
SPOIA COWY
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: T v
Assessor's Tax Parcel Number(s):
Legal Description:
`�''✓.. Arcs C:
Project Description:
F4 S� /3 7a(i
-2.5 c'r)
TYPE OF APPLICATION
Building Permit I ❑ Grading ❑ Manufactured Home Permit
❑ Timber Harvest ❑ Relocation ❑ Change in Use
❑ Other
OWNER/APPLICANT INFORMATION
Owner: Phone: S 0 Applicant: Phone:
C"\ c\ o n J . Fax: c\ly Fax:
Mailing Address: Mailing Address:
City,State,Zip City,State,Zip
❑ Contact: Phone:
Indicate who should be contacted regarding this project
Fax:
Mailing Address:
City,State,Zip
ADDITIONAL INFORMATION
Are there structures on the property? 0 Yes a No What is the current property size?
If yes,identify 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?
If yes,identify on site plan 0 Yes ❑ No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes d 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? No
If yes,identify on site plan If yes,identify on the site plan 0 Yes
0 Maybe 0 Don't know 0 Yes d No
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property?
property? 0 Yes 0 No
If yes,identify on site plan 0 Yes ❑/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?
( — oda) 0 Yes C3/No 0 Yes No
r'
, Project Number:
FOR STAFF USE ONLY
Is the property in a designated Stormwater Control Area? Is the property inside a Joint Planning Area?
O Yes 0 No What jurisdiction? 0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
O Yes O No
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a ONatural O Norce
Area? es
Is public sewer available to the site? 0 Yes 0 No What is the zoning for the property?
• I
School District:
Water District/Purveyor: Fire District: Sewer District/Purveyor:
Date Received: Staff Representative:
I Il
Comments:
-/-
lidc i PROJECT 'APPLICATION - Detail Information
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
_t 1 i 1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
SPOKANE COUN FY 509-477-3675
Project Number:
Contractor Architect/ Engineer
Contractor Architect/Engineer
Phone Fax Phone Fax
Mailing address Mailing address
City,State Zip City,State Zip
WA Stfte Contractor license N Contact name:
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
\Y, OBJ \U ic.:.y
Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft.
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
J�y\
r
Cost of project Heat source(electric,gas,etc.)
a..5 ,CX' -,sc , ,c �ev
Manufactured Home Sign
Width: Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: A 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?
Firm Name Phone Plans Examiner Phone
t
Inspectors: Address
. Inspector Phone
O Concrete 0 Welding 0 Bolting 0 Reinforcement Address
.r: •
44.
iLnf�-Fed r.
S P O K A N E : .,r�< { � ,� ��--'' C O iJ N T Y
UTILITIES DIVISION A DIVISION OF THE PUBLIC WORKS DEPARTMENT
N.Bruce Rawls,P.E.,Utilities Director Gary Oberg,Director
GENERAL FACILITIES CHARGE (GFC)
PAYMENT OPTION SELECTION RECORD
PLEASE NOTE: Form must be filled out accurately and in its entirety,and signed,or a permit will not be issued.
Date: - \
Plat Name: -k. ��, dt Lot No(s): \Z Block No(s): 7_
t
Site Address(es): \L Parcel No(s):
•
Owner Name: OR Builder Name:
Payment Option Selected (Check One):
1. ( ) GFC payment received at issuance of Sewer Connection Permit by
Division of Utilities
2. ( 1) GFC to be paid at closing.
3. ( ) GFC payment in 24 equal monthly payments upon establishment of Sewer Billing Account.
Complete one of the following statements.
a. Owner's Statement: I, , understand that I will be
billed for the applicable GFC amount in 24 monthly installments. The monthly GFC installments will be added
to my monthly sewer service charges.
b. Builder's Statement: I, , understand that because I
am selecting this option for payment of the GFC, that the purchaser of the home will be responsible for
payment of the applicable GFC in 24 equal monthly installments. I agree to formally disclose to potential
buyers of the property that the GFC charges will be added to the monthly sewer service billings as soon as
billing commences.
Special Conditions: ( ( ) No (' ) Yes —See Reverse Side of Form
\ •
Owner's or Builder's Signature Date
Spokane County, GFC Payment Option Form
Divisi oof'Utilities Revised 01112100
11026 W Broadway • Spokane,WA 99260-0180 • (509)477-3604 FAX: (509)477-4715 TDD: (509) 324-3166
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Th s site plan is being submitted for the purpose of
O.... re,
aining a building permit and is a true and correct
re,resentation of the proposal.All known property
tin sldimensions,curb lines,structures and easements
ha e been identified.Also indicated are wetlands,
•.ties of wa(ter,�teep sI es or other critical areas.
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