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2002, 07-22 Permit App: 02006128 Residence Project Number: 02006128 Inv: 1 Application D te: 7/22/20(12 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE/ATTACHED GARAGE-FORCED Contact: GREENSTONE CONSTR AIR GAS Address: 1421 N MEADOWWOOD LN C -S -Z: LIBERTY LAKE,WA 99019 Setbacks: Front 22.6 Left: 5 Right: 5 Rear: 29 Phone: (509)458-5860 Group Name: Site Information: Project Name: Plat Key: 006123 Name: DISHMAN COMMONS District: F Parcel Number: 45291.2113 Block: 6,B Lot: x(p+6 SiteAddress: 10214 E 16THA1, Owner: Name: GREENSTONE CONSTRUCTION, sPOKANE, WA USA 00000 Address: 107 7 IH AVE Location::SPO SPOKANE„WA 99204 Zoning: UR-12 Urban Residential-12 Water District: Hold: ❑ Area: 5,274 Sq Ft Width: 32 Depth: 123 Right Of Way(ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review ' Released 13y: wimp's' __ 2,21114 Plan Review Released By:,r 7 Approach/Drainage Released By: I. Landuse/Zoning Released B ► y: Sewer • Released By: / 'i/i Operator: RMB Printed By: RMB Print Date: 7/22/2002 r t. Project Number: 02006128 Inv: 1 Application Date: 7/22/2002 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Permits: Building Permit Contractor: GREENSTONE CONSTRUCTION Firm: GREENSTONE CONSTRUCTION Address: 1421 N MEADOWWOOD LN Phone: (509)458-5860 LIBERTY LAKE WA 99019 Building Characteristics Const Category: New Group: R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 21 Stories: 1 U Bldg W x D: 32 x 53 Building Sq Ft: 1639 Sprinklers: Req Parking: 0 Handicap Parking: 0 Critical Materials: El This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT U R-3 VN 749 $9,212.70 749 $9,212.70 DECK R-3 VN 24 $187.92 24 $187.92 GARAGE U-1 VN 480 $5,760.00 480 $5,760.00 RESIDENCE R-3 VN 890 $58,740.00 890 $58,740.00 Totals: 2,143 $73,900.62 2,143 $73,900.62 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $730.00 STA fh SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $160.60 Permit Total Fees: $895.10 Mechanical Permit Contractor: R& R HEATING & AIR COND Firm: R& R HEATING & AIR COND IN Address: 4019 E CENTRAL Phone: (509)-t8-1-1-t11S SPOKANE,WA 99207 Item Description Units Unit Desc Fee Amount GAS WATER HEATER 1 NUMBER OF $10.00 GAS APPLIANCE<=I00.000BTU 1 NUMBER OF $12.00 GAS PIPING 3 #OF UNITS $3.00 VENTILATING FANS 4 NUMBER OF $40.00 GAS LOG OR GAS INSERT 1 NUMBER OF $10.00 Permit Total Fees: $75.00 Operator: RMB Printed By: RMB Print Date: 7/22/2002 Project Number: 02006128 Inv: 1 Application Date: 7/22/2002 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: GREENSTONE CONSTRUCTION Firm: GREENSTONE CONSTRUCTION Address: 1421 N MEADOWWOOD LN Phone: (509)458-5860 LIBERTY LAKE WA 99019 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 2 NUMBER OF $12.00 SINKS 3 NUMBER OF $18.00 TUBS 2 NUMBER OF $12.00 DISH WASHERS 1 NUMBER OF $6.00 GARBAGE DISPOSAL 1 NUMBER OF $6.00 CLOTHES WASHER I NUMBER OF $6.00 FLOOR DRAINS 1 NUMBER OF $6.00 CROSS CONNECTION DEVICES 1 NUMBER OF $6.00 WA 1'ER USING DEVICES 3 NUMBER OF $18.00 Permit Total Fees: $90.00 Notes: . Payment Summary: :: ::. Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $895.10 $895.10 $0.00 $895.10 Mechanical Permit $75.00 $75.00 $0.00 $75.00 Plumbing Permit $90.00 $90.00 $0.00 $90.00 $1,060.10 $1,060.10 $0.00 $1,060.10 Disclaimer: Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information contained within to be true and correct,and agrees that all provisions of Tans andior regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be contrued to he a permit for,or an approval of,any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: RMB Printed By: RMB Print Date: 7/22/2002 1 , I PROJECT APPLICATION SPOKANE COUNTY DIVISION OF BUILDING 118,COOENFORCEMENT 1026 WEST BROADWAY AVENUE thi SPOKANE,WA7 99260 SPoxAr>E COUNTY 509-477-3675 Project Description: Single Family / New Construction TYPE OF APPLICATION O Building Permit 0 Change in Use O Grading O Manufactured Home Permit O Relocation 0 Sign CI Tenant (New/Change) _ O Other SPECIFIC SITE INFORMATION Street Address: l0 Z 9 E. 6 t'h K Li Da jLGK e` I�ig- 91 7n Assessor's Tax Parcel Number(s): / Legal Description: q x #��ter'' [ x ^^ + ss3 -r••-•=,•:''''. s$9 5 63�3 .*+a� mow. _G ,,,,- z 8 a.;.. 'c'w't.^ x• i _ .,.' 1e �ti s eyor A Rf ' 'wit *et l=ce ( ' - FrA .YY [ il § - - �r � °"Fri0nt'' Rear _ • Tiree D[ring Zoning i T eft Itiglte- OWNER/APPLICANT INFORMATION 2 �\ 1 a 6 5, a 7 t( EiIndicate who should be contacted regarding this project 0 Owner. Phone: 458-5860 C]Applicant: Phone: Greenstone Const. _Pax. 458-5862 SAME Fax: Mailing Address Mailing Address 1421 N. Meadowwood Lane City,State,Zip City,State,Zip CI Architect/Engineer Liberty Lake, WA. 99019 17 Contractor Phone Phone SAME Fax Fax Mailing address Mailing address City,State Zip City,State Zip WA State Contractor license# Contact name: PROJECT INFORMATION ti Building T'nfarmation Building height to peak l / #of stories ^ Main floor sq.ft. Unfinished basement sq.ft. ( GJ' ' CJ r-4 q t � Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.fr. 32 'x c3' l6 3 /"-------- Total — Occupancy group Construction type Garage sq,ft. Deck sq.ft. R-3 V-N 1BQ Z9 Cost of project Heat source(electric,gas,etc.) "�� it 5 DO GAS - Forced Air • Ma factored Hie Sign. Width: Length: What is the square footage of the sign How high is the sign? face? Year: Make: #of signs Area of existing signs e1ocat it � -e y Previous address Fire Sprinkler Tent Paint booth_ Fire Alarm _ Fireworks display Proposed use Value at,O *CliOed Non en elltla Eager ; Q e Com lE e Firm Name Phone Plans Examiner Phone Inspectors Address Inspector Phone O Concrete O Welding O Bolting Cl Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes l No What is the current property size? ��-- If yes,identify on site plan (square feet or acre J 2_C 7 gig, tcTL Is any part of the property within 250 feet of a shoreline? What is the current use of this property? VACANT If yes,identify on site plan Cl Yes 1X1 No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?Cl Yes l No 0 Don't know 0 Yes lel No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? If yes,identify on site plan If yes,identify on the site plan O Yes l l No Cl Maybe O Don't know 0 Yes Oi No Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property? property? D Yes )No If yes,identify on site plan O 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? ( /%} 0 Yes 3 No 0 Yes 44 No DEPARTMENT USE ONLY rthe property tn` designated ,Cotttr©l Arca" Is public SeweUai,ittalAktuate site? Eak Yes O Yes © No Is the. ro e: i t the ASA? Cl Yes! E1 No Ispublic water av ab e to thestte? Y 1 © Yes; C] No. Is the prope y t stile the PSSA? 0 Yes- Is the property located wi }stn 100€I eet Nat I l esource Areas C1 Ycs r�t1,141 Date Receive& Staff Representative: i ' 0z = .i ; 1a0s This site pt n is Bing subm;ted for the purpose of 3s L�iz'S =b H 101 obtaining a building permit and is a true and correct representation of the proposal.All known property wM `a�v� `N5�1 N01103s tines/dimensions,curb lines.structures and easements No19N11-IGVM 'h1Nlo. 3Nb>los 1 have been identified.Also indicated are wetlands, ADDRESS __�`''1J- - --- �• �o vn lsV31-11 ON 3111 NI 051 007 - sNowwoO NVwhsiC bodies of water,steep slo or other critical areas. ZONE z >I0012 - o- 9O 101 ROAD WIDTH 50 .0?66 VM'3Nv>0ds Signed: /�i�r// ._ FRONTS F' ,f.iK;NG 3Nvl �+igla 'vita Date: / ? 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