2001, 07-06 Permit App: 01005456 Duplex Project Number: 01005456 Inv: 1 Application Date: 7/6/2001 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: EAST 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: 5.5 Right: 5 Rear: 36 Phone: (509)484-6733
Group Name:
Site Information: Project Name:
Plat Key: 006123 Name: DISHMAN COMMONS District: F
Parcel Number: 45291.2107 Block: 2 Lot: 3 B
SiteAddress: 10124 E 16TH AVE Owner:Name: NORTHWEST REGIONAL FA
SPOKANE,WA USA 99206 Address: 525 E MISSION AVE
Location::SPO SPOKANE,WA 992024824
Zoning: UR-12 Urban Residential-12
Water District: Hold: 111
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 ReviewvivAnt,
Released By: 4,4
Hold Reasons:
Permit Conditions:
BUILDING Plan Review
Released By•
(
Hold Reasons:
Permit Conditions:
ENGINEER Approach/Drainage ,
Released By. / —
Hold Reasons:
Permit Conditions: 1D Ct_r_ .
UTILITIES Sewer Review Released By:
Hold"easons: U0/ Cti
Permit Conditions:
_014 ".„ 06f
0.04ri
PLANNING Landuse/Zoning Released By: ,(141/4,/,....
Hold Reasons:
Permit Conditions:
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Project Number: 01005456 Inv: 1 Application Date: 7/6/2001 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: NORTHWEST REGIONAL Firm: 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: 1769 Sprinklers: El
Req Parking: Handicap Parking: Critical Materials: LI
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 853 $9,860.68 853 $9,860.68
CARPORT U-1 VN 108 $486.00 108 $486.00
RESIDENCE R-3 VN 916 $56,792.00 916 $56,792.00
Totals: 1,877 $67,138.68 1,877 $67,138.68
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: NORTHWEST REGIONAL Firm: NORTHWEST REGIONAL FACILI
Address: 525 E. MISSION AVE Phone: (509)484-6733
SPOKANE,WA 99202
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
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Project Number: 01005456 Inv: 1 Application Date: 7/6/2001 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Plumbing Permit
Contractor: NORTHWEST REGIONAL Firm: NORTHWEST REGIONAL FACILI
Address: 525 E. MISSION AVE Phone: (509)484-6733
SPOKANE,WA 99202
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
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Operator: MKC Printed By: MKC Print Date: 7/6/2001
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 $985.35
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----7—‘ C\ 5-1-1 -7/4'
PROJECT APPLICATION
'h
lliiii‘ SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT � �°
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
i509-477-3675
SPOIL COUNTY
Project Description: AJE11tJ' att/6T2cI C 770 A/
TYPE OF APPLICATION
t Building Permit O Change in Use 0 Grading Manufactured Home Permit
O Relocation O Sign O Tenant(New/Change) 0 Other
SPECIFIC SITE INFORMATION
Street Address: /0/02 64______ __,.., /:1__________ALL„,— /..- rt/ i., ,..
Assessor's Tax Parcel Number(s): Ts.z9/. 91,1
Legal Description: T�/� [Ler Q /3L o -�
>t' wthr Sebaks
• Reaa e e ( Roaidsmt. + v' ' yell r ` +4t =+/ rv1 A - 4 a ;
e t ,
9 �$f Disrice , rWt� a '. •
OWNFR
0 IIndiicate mho shouldER/APPLICANT be conta/eINd regaOrdingMATION this prefect
yy�,�� Owner. ��// / /• jPhone: 't'/7 - '/3 3 ❑ Applicant ,A Phone:
IVC►"rtHIah"�f ltv.;,'}l_YAGt (i4 b{ SlF3 a3 s /T74( Fax:
Mailing Address: ,1/ v Mailing Address:
5 2a 6. /44;l SS i tlr`1
City,State,Zip
City,State,Zip
❑Contractors' �//,.. Phone Architect/Engineer/ Phone 83 '- a-5
V�' 1lr Fax "LS C� Fax t/Sr-- /O
Mailing address Mailing address
5, •L 400 t 5 &I (A/4514/AX/LAI
City,State Zip
City,State`Lip
54w L4-A.1 WA . ci,
\\'A St to Contractor license# Contl{ct name:
WA
P OE 7 J l S``'t� SPC RECEIVED
Y
PROJECT INFORMATION
Building Information Fill 3 2001
i�Ui�tiiNG AND PE a asem MENT
Building height to peak f #of stories Main floor sq.ft. nems a ascment so.ft.
�� /
Dimensions 'rota!habitable space 2"t floor sq.ft. Finished basement sq.ft.
32-"X 3 / 7�i —
Occupancy group Construction h'pe Garage sq.ft. Deck sq.ft. %�
Cost of project I Teat source(electric,gas,etc.)
Manufactured Home Sign
Width: Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: #of signs gn Area of existing signs
Redcca,tion Fire Safety i iq1
Previous address Fire Sprinkler _ Tent
Paint booth_ Fire Alarm Fireworks display
Proposed use Value
p'Oe4a1 Tits iearo ` . q$ ed? NOi1 it,es d A st i t� -_,
i a k _. ,k
,. ,
Finn Name
Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
El Concrete O Welding Cl Bolting El Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? Cl Yes LT No What is the current property size? ,�
Ifyes,ident,on site plan (square feet or acres) ,S VS
Is any part of the property within 250 feet of a shoree? What is the current use of this property?
Ifyes,idents on site plan Cl YesNo ��
Is your property in a designated wildlife habitat area? v Will the site be served by a septic system?Cl Yes {•I No
Cl Don't know Cl Yes O No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,iden4i5 on site plan Ifyes,ident,on the site plan Cl Yes Lel No
Cl Maybe Cl Don't know Cl Yes gl Ivo
Are there any wetlands,streams or ponds within 200fret of the property? Is there evidence of fill or excavation on the property?
Ifyes,identify on site plan Cl Yes I No Cl Yes ®'No
Are there slopes greater than 30%on the property?(30 ft - e in 100 ft) Are critical or hazardous materials used or stored on site?
( /%) Cl Yes Q No Cl Yes CJ'No
DEPARTMENT USE ONLY
Is the property-in a designated Storniwater Control Area? Is public sewer available to the site? 5 fl Ye, Q No
O Yes O No
Is the property inside the ASA? CI Yes Cl No Is public water available to the site? Cl Yes C) No'
ClYes ONo
Is the property inside the PSSA? Cl Yes Cl No Is the property located within 1000 feet of a Natural Resource Area?
I:1-Yes 17 No
Date Received: Staff Representative:
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