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2001, 07-20 Permit App: 01005949 Duplex Project Number: 01005949 Inv: 1 Application Date: 7/20/2001 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: WEST 1/2 OF DUPLEX-NATURAL GAS Contact: NORTHWEST REGIONAL FACILITATO Address: 525 E MISSION AVE C-S -Z: SPOKANE,WA 99202-1824 Setbacks:Front 25 Left: 5 Right: 5.5 Rear: 40+ Phone: (509)484-6733 Group Name: Site Information: Project Name: Plat Key: 006123 Name: DISHMAN COMMONS District: F Parcel Number: 45291.2104 Block: 2 Lot: 2A SiteAddress: 10112 E 16TH AVE Owner: Name: NORTHWEST REGIONAL FA SPOKANE,WA USA 00000 Address: 525 E MISSION AVE Location::SPO SPOKANE,WA 99202-1824 Zoning: UR-12 Urban Residential-12 Water District: Hold: Area: 5,245 Sq Ft Width: 42 Depth: 123 Right Of Way(ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Department Review BUILDING Site Plan Review Released By: Hold Reasons: Permit Conditions: BUILDING Plan Review Released By: Hold Reasons: Permit Conditions: ENGINEER Approach/Drainage Released By, A Hold Reasons: Permit Conditions: 0,10,C)2Lo cre, "S-A) (13Z-Lt: Cautc,t( --- (i rj_..e-c, UTILITIES Sewer Reviewt4 iv( A4c,ki‘ Released By: let (1_1-191 Reasons: C/ 7,C0 11).0 Permit Conditions: 6 PLANNING Landuse/Zoning LiAt.a4:-) . , , - Hold Reasons: • .0411I Permit Conditions: 7 2.0 Project Number: 01005949 Inv: 1 Application Date: 7/20/2001 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: NORTHWEST REGIONAL Finn: NORTHWEST REGIONAL FACILI Address: 525 E. MISSION AVE Phone: (509)484-6733 SPOKANE,WA 99202 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: 32 x 32 Building Sq Ft: 1774 Sprinklers: El Req Parking: Handicap Parking: Critical Materials: 0 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT F R-3 VN 12 $189.12 12 $189.12 BASEMENT U R-3 VN 846 $9,779.76 846 $9,779.76 CARPORT U-1 VN 108 $486.00 108 $486.00 RESIDENCE R-3 VN 916 $56,792.00 916 $56,792.00 Totals: 1,882 $67,246.88 1,882 $67,246.88 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $692.50 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $152.35 Permit Total Fees: $849.35 Mechanical Permit Contractor: UNKNOWN Finn: UNKNOWN Address: UNKNOWN Phone: (000)000-0000 UNKNOWN,WA UNKNOWN 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 HOOD-TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $64.00 r Project Number: 01005949 Inv: 1 Application Date: 7/20/2001 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 2 NUMBER OF $12.00 Permit Total Fees: $72.00 a ment umm a P S y Operator: MKC Printed By: MKC Print Date: 7/20/2001 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $849.35 $849.35 $0.00 $849.35 Mechanical Permit $64.00 $64.00 $0.00 $64.00 Plumbing Permit $72.00 $72.00 $0.00 $72.00 $985.35 $985.35 $0.00 $985.35 i 4 6 I - 31 4/9/ ,h, PROJECT APPLICATION I5� SPOKANE COUNTY DIVISION OF BUILDING B SL!1 CEMENT 1026 WEST BROADWI'�F!!P1✓NUE 1 NN n i l SPO 509-477-3675 , 99260 SPOKANTCOUKTYJUL 1 8 2001 qtr;Jlluu»tau+:UUE ENFORCEMENT, Project Description: �' ..( +„' %' ; G..r '�, �, BY, — TYPE OF APPLICATION Pluilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other SPECIFIC SITE INFORMATION Street Address: /0//4. 4 /f ;"'/ ' Assessor's Tax Parcel Number(s): z. /” i/ y • /a / LoLOT2 A ��ca�fCQvZC� ? Legal Description: Department Use Only !1i... Water DisttrctfPurveyor. Sewer District/Purveyor Road width Setbacks ryry��t, ����yy �/7� t/�� J II16 Ft7JGo IY7 gaol ilc nr nrriQ School District: Fire District: ZoningLeft !` iv, 9 4OOZ t R fI' OWNER/APPLICANT INFORMATION AIM flO :7'°''' ' , t 0 IndicateIwho should be contacted regarding this projet `..ky at;L:,.d: 5 r �❑ nne�e ii Phone: iii:/*6 7 33 ❑ Applicant: Phone: J Phone: / /O4t!'7' �,,r !i i'4.;., „',4F tp1,t 4y,. Fax: �/3 -t7J4 ✓/ -'1, rt tax: Mailing Address: /C;;;C f/,TR ikt "Sr Mailing Address: ,c2S C. ,"'Nt sVii.'44/ City,State,Zip x 4041-- Phone �/ i Phonel ❑"Contractor `�/p r Architect/IMgnnecr ,y/. 1 fie(�',k'+F y54»;,. .JA Fart C_ Fax AL a�A ,,lei C/ / f ,`:. f,.7-��ii lax ! S,j " .� J�Gr' Mailing address Mailing address zp3 A,.,j f ''r a,' isl:'/4.19 t,,iJ City,State Zip City,State Zip F f),/.3 r"/" /kj A • ' N 2, i WA St, e Contractor license# Contact name: PROJECT INFORMATION Building Information Building height to peak / #of stones / Main floor sq.ft. �. Unftsl b nasement sq.ft. Dimensions f 'Total habitable space - 2".1 floor sq.ft. Finished s:--ment sq.ft. 3Z x /7 ,).�f l ' /2 447/— Occupancy Occupancy group Construction type Garage sq.ft. Deck sq.ft. ,�: /08 Cost of project I Ieat source(electric,gas,etc.) G4s Manufactured 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 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 Inspectors: Address Inspector Phone O Concrete O Welding O Bolting (3 Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes LH No What is the current property size? Ifyes,ifien4,61 on site plan (square feet or acres) 7‘• X /2 . Is any part of the property within 250 feet of a shore -ie? What is the current use of this property? Ifyes,identz'on site plan O Yes C No --�N// Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes ll] o 0 Don't know 0 Yes No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? Ifyes,identi:on site plan ` Ifyes,ident/on the site plan 0 Yes No 0 Maybe 0 Don't know 0 Yes Lr' o Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property? Ifyes,ident(i on site plan 0 Yes Fr No 0 Yes 6041./N o Are there slopes greater than 300 s on the property?(30 ft in 100 ft) Are critical or hazardous materials used or stored on site? O Yes ft�'� O Yes 6 ' vo DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No D Yes O No Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No DYes 0 N Is the property inside the PSSA? 0 Yes O No Is the property located within 1000 feet of a Natural Resource Area? O Yes 0 No Date Received: Staff Representative 07/20/2001 14:49 5094830345 NRF PAGE 02 This aha plan is being Submitted for the purpose of obtaining a building permit and Is a true and COMMA representation&the proposal.All known ProPertY UI l� Iinealdimensions,curb linea,structures and easements O r — have been Identified.Also indicated are wetlands, -" a� flow of sister,steep elopes or other critical areas. 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