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2000, 09-19 Permit App: 00008377 Residence
Project Number: 00008377 Inv: 1 'Application (Date: 09/19/2000 / 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: LORENZEN,THOMAS D&BARBARA AIR ELECTRIC W/HEAT PUMP Address: 13310 E MISSION AVE#1 C-S-Z: SPOKANE,WA 99216-2741 Setbacks: Front 38 Left: 9 Right: 25 Rear: 49 Phone: (509)891-2645 Group Name: Site Information: Project Name: Plat Key: 005666 Name: AUTUMN CREST 4TH ADD District: F Parcel Number: 45261.5001 Block: 3 Lot: 1 SiteAddress: 15202 E 20TH AVE Owner: Name: LORENZEN,THOMAS D&BA SPOKANE,WA USA 00000 Address: 13310 E MISSION AVE#1 Location::SPO SPOKANE,WA 99216-2741 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 12,853 Sq Ft Width: 91 Depth: 141 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Department Review BUILDING Site Plan ReviewRelease ; • `i,� �`� �• �-�+"�-_,*;�- . • .,�, �.... ' � C Hold Reasons• ' _ tea.---- .. � :. Permit Conditions ' , __. ��, _. BUILDING Plan Review Released By: �j .._ �L�/ 2 97QJ Hold Reasons: �•�� '..c;,' � Perniit Conditions: ENGINEER Approach/Drainage Released By: di-- ii- C)Ao EVA 60/9,..0 Permit Conditions: UTILITIES Sewer Reviews y; ) ' et-z(-cu, elea (__= Hold Reasons: tATtLITt � R�;� e ?E ALL— _ f�U t,I i ALL-- Permit Conditions: Permits: • r1 Project Number: 00008377 Inv: I Application Date: 09/19/2000 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000)000-0000 000000,00 000000 Building Characteristics Const Category: New Group: R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 17 Stories: 1 Bldg W x D: 0 x 0 Building Sq Ft: 1500 Sprinklers: Req Parking: 0 Handicap Parking: 0 Critical Materials: ❑ This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation GARAGE U-1 VN 780 $9,360.00 780 $9,360.00 RESIDENCE R-3 VN 1,500 $93,000.00 1,500 $93,000.00 Totals: 2,280 $102,360.00 2,280 $102,360.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $910.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $200.20 Permit Total Fees: $1,114.70 Mechanical Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000)000-0000 000000,00 000000 Item Description Units Unit Desc Fee Amount GAS PIPING1 #OF UNITS $1.00 r 1 NUMBER OF $12.00 VENTILATING FANS 4 NUMBER OF $40.00 CLOTHES DRYER 1 NUMBER OF $10.00 GAS LOG OR GAS INSERT 1 NUMBER OF $10.00 Permit Total Fees: $73.00 Project Number: 00008377 Inv: 1 ' Application Date: 09/19/2000 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000)000-0000 000000,00 000000 Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 2 NUMBER OF $12.00 SINKS 4 NUMBER OF $24.00 SHOWERS 1 NUMBER OF $6.00 TUBS 1 NUMBER OF $6.00 DISH WASHERS 1 NUMBER OF $6.00 GARBAGE DISPOSAL 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 WATER USING DEVICES 3 NUMBER OF $18.00 Permit Total Fees: $84.00 Payment Summary: Operator: RMB Printed By: RMB Print Date: 09/19/2000 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,114.70 $1,114.70 $0.00 $1,114.70 Mechanical Permit $73.00 $73.00 $0.00 $73.00 Plumbing Permit $84.00 $84.00 $0.00 $84.00 $1,271.70 $1,271.70 $0.00 $1,271.70 Notes: _..__ . „ (DG - - -_--7. 7 7 , 4 , i I PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT Aitlik 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 S o IIE Cou r 509-477-3675 Project Description: H a JS TYPE OF APPLICATION S Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign 171Tenant (New/Change) ❑ Other SPECIFIC SITE INFORMATION Street Address: a d z / A 7—'4i is kt0 A q, 4, /k.) W°2-- ' / 1 52-01 le 5 b° Assessor's Tax Parcel Number(s): ` Legal Description: ` / ,3 /a c 1- J Q7 JI �$� Water District/Purveyor S ° e c ''' I:i '5 1'-',! irk! d 3 `� *gam" fC tS�r, A F� #�3 �y; 't f Z V' xy,a, rr. `�G .V- Raver -s ^•- ��` ..r�a r }} a 2 V�0,'_ 7, .'k�� °,: OWNER/APPLICANT INFORMATION IZI Indicate who should�lbe contacted regarding this project Owner: M d Phone: �' / —>��j Hi— 11 Applicant: Phone: t Fax: "J a rn Fax: Mailing Address: n� �' Mailing Address: /33/6 E . A I.f, /04 1 City,State,Zip / City,State,Zip ��JOAra H 'F1 i Viet. �y C}4 / l tb/ ❑ Co/ntractor Phone ❑Architect/Engineer Phone Fax Fax Mailing address Mailing address d i L7 City,State Zip City,State Zip WA State Contractor license X Contact name: PROJECT INI ORMATION„ `9ems 7,r '''''''').;:4 4# Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft. / kr./o /1, w t..) Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft. � D 0 44' h `'' Occupancy group Construction type Garage sq.ft. Deck sq.ft. ,ccy Pi-a Al Cost of project Heat source(electric,gas,etc.) 9' �.�= "t .-� p'�x ,�,c�?'..,,,...„,,,,,,,vv �4 +If�( � ,,s :,, ,g n " �,,,_kti yid;k 4. Width: Length: What is the square footage of the sign How high is the sign? face? Year: Make: #of signs Area of existing signs 6 �� '.�c raid � � s � � �; � ''� r �a�'��` r, c� __ F, ., A, , Previous address Fire Sprinkler Tent Paint booth_ Fire Alarm Fireworks display Proposed use Value V1651:444irt:'7-37•'7' „�;J,p t y `r` 4� �g / &�'. xs, : a� �` a�^ �.,.�,` f `.x^ ; r�s1. "/.. , ."k.-.,,�.x'vk- .. ."�. S.*& Ara+ w , „, 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 pi No What is the current propert size? If yes,identi on site plan (square feet or acres) �� 1 y0 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 O Yes L No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes GI No O Don't know O 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? If yes,identify on site plan If yes,identify on the site plan Cl Yes CSI No O Maybe O Don't know O Yes 51 No Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property? property? O Yes 031 No If yes,identify on site plan O Yes 09 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? ( /%) O Yes No O Yes 19 No DEPARTMENT USE ONLY � e ope y to a designated Ssox water Co '' .A;.t'ea t'' Is:-.,,,,,,,,,,,:',7,-,n,,,,,•-•.',-,,..,..,..filtd sewer available to the sste? q © `Y Q No b I tli�pxo Z�";..44..,...i—,-...,—....--tC! Ye'' t No Y”'' Is pulse watex*vailable to the stte? •CIA Yes •Q I.To£ �',•� ' Yes C7�:No .M. r tz • Is the ppn gy,azlstde the PSSA .,..:::::::----•Yes O No > Is the p`i'opexty'loeajted wrthm lOOGfeet of a Datta..,:..„,,,:,_.,,,,,:,..,,‘,x,, ,,,,,, II � r& . l'ADY : 9 o. Date Received: Staff Representative: METHOD OF PAYMENT � ��fC Vit:_ SUBTOTAL VISA ❑ CASH ❑ CHECK ❑ _ ❑ 0 FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: TOTAL IT BANKCARD NUMBER: MINIMUAlI'ERIlITFEEISS SGOPLEASLr M,AKEC H EC S PAYABI,1wTQ SPL It021 AUTHORIZED SIGNATURE: COUrrriPE f trot tt . ...\ 'TYPE "B" DRYWELL WITH TYPE 4 METAL FRAME & GRATE CURB DROP STA 0+44, RT 26.00' STA 0+52.78 GRATE EL=2053.82 2054.72 TC 20TH AVENUE \ /ar _ i \1.86' L., N , ...... - 1.4atelt, .• •)N4.) 1 b I -1. 62.80' POND L AEASEMENT _ - LEVEL, FLAT POND . // id, • -.../ ,p • (7; 4 c7i BOTTOM AREA=312 SF - I 2-4.-07' .. BTM EL=2053.32 29.00' _J A/,.44 - ri-1' k.,/ 1."7‘. 30'..-1311LDING SETBACK 1.17' \ "\ TYPE "B"-0- ---7--. p 1.(1,4 ••• CURB & GUTTER g t9.4 CO ,r ) i•,-,--e":::-'- '-'-- i'-'- - • < 1 k 1 C.) e) .c ri g j_H Ililltit‘ lk (1) lit: i Lc2j ! 0. V) ; ,r-• . • o N W4, SO 29865 ti,/ 0 . Z Wa- :_ -----1 4'/ON 0 AL P 14.V64 0 r, 71 4'CI 1 [EXPIRES 110:14, t/ .-- 7) )6A-• A , ADDRESS: 1 - A I.--- - --. . a aur..sor:1 I il Ailli i a, N KlG: diN ZONE: t.,(e 3 6--- WIDTH:: _ This so •-.• " •-,•i,-. 5. L.--."`+-4'-"--, nIrrose of 0:: obid tainini-;,-.. ou • tr::;o• . corre-ct 7 represemauon 3i The : ...)c.,..al ,•",.ii :-,F,T•shn property -- lines/dimensions.curb$ros, structu es and easementE have been identified. ix)indicated are wetlands, bodies o_fwtaZ,steep apes or ot 4r critical areas. 9171' Date: 9 - ( . ,()0 ,7: :!,1::,INSvprilo : . ow garmin 4. . SCALE: 1"=20' 1 I 1 pipm INLAND ENGINEERING 1% LOT 1 , BLOCK 3 PACIFIC AUTUMN CREST 4TH ADDITION 707 West 7th • Suite 200 (509) 458-6840 DATE: 11-10-94 J Spokane, WA 99204 FAX: (509) 458-6844j \•...........—...—...........