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1996, 07-19 Permit App: 96005692 ResidenceS PROJECT NUMBER= 96005692 APPLICATION DATE= 07/19/96 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT ---------------------------------------------------------------------------- SITE STREET= 12514 E 21ST AVE ADDRESS= SPOKANE WA 99206 PARCEL#= 45272.9040 PERMIT USE= RESIDENCE/ATTACHED GARAGE - FORCED AIR GAS PLAT#= 005170 PLAT NAME= THE ESTATES AT SOUTHWOOD PINES BLOCK= 1 LOT= 15 ZONE= UR -3.5 DIST#= F AREA= 00018084 F/A= F WIDTH= 100 DEPTH= 210 R/W= 50 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= STANTON SPOKANE STREET= 16720 NE 116TH AVE ADDRESS= REDMOND WA 98052 CONTACT NAME= VERNE JACOBSEN BUILDING SETBACKS: FRONT= 30 LEFT= 20 PHONE= 509 921 1610 PHONE NUMBER= 509 921 1610 RIGHT= 10 REAR= 20+ ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT ---------- ------------------------------------ -------------------------- BUILDING HOLD FOR FIRE DIST REQUIREMENT COMMENTS: BUILDING PLAN REVIEW REQUIRED v COMMENTS: BUILDING SETBACK REVIEW REQUIRED -� r ckiC-� COMMENTS: BUILDING SEWER PERMIT PENDING 9 <3 l � CONTRACTOR= DEAN HOUSLEY COMPANY LLC STREET= 16720 NE 116TH ST ADDRESS= REDMOND WA 98052 NEW= X REMODEL= 206 869 6618 ADDITION= CHANGE OF USE= a PROJECT NUMBER= 96005692 APPLICATION DATE= 07/19/96 PAGE= 02 DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 27 STORIES= 2 BLDG W X D = 70 X 30 SQ FT= 2301 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N DESCRIPTION GROUP TYPE SQ FT VALUATION --------- ----------- ----- ---- BASEMENT U R-3 VN ----- 1171 12881.00 GARAGE U-1 VN 720 8640.00 RESIDENCE R-3 VN 1171 69089.00 2ND FLOOR R-3 VN 130 7670.00 ITEM DESCRIPTION QUANTITY FEE AMOUNT ---------- ------------------------- RESIDENTIAL VALUATION -------- Y 760.87 STATE SURCHARGE Y 4.50 RESIDENTIAL SURCHARGE Y 167.39 ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= DEAN HOUSLEY COMPANY LLC PHONE= 206 869 6618 STREET= 16720 NE 116TH ST ADDRESS= REDMOND WA 98052 ITEM DESCRIPTION QUANTITY FEE AMOUNT ---------- ------------------------- GAS APPLIANCE<=100,000BTU -------- 1 12.00 GAS LOG OR GAS INSERT 1 10.00 CLOTHES DRYER 1 10.00 GAS WATER HEATER 1 10.00 GAS PIPING 3 3.00 VENTILATING FANS 5 50.00 HOOD -TYPE II 1 10.00 ***************************** PLUMBING PERMIT **************************** CONTRACTOR= DEAN HOUSLEY COMPANY LLC PHONE= 206 869 6618 STREET= 16720 NE 116TH ST ADDRESS= REDMOND WA 98052 ITEM DESCRIPTION QUANTITY FEE AMOUNT ---------- ------------------------- TOILETS/BIDETS -------- 3 18.00 TUBS 2 12.00 SHOWERS 1 6.00 SINKS 5 30.00 DISH WASHERS 1 6.00 CLOTHES WASHER 1 6.00 GARBAGE DISPOSAL 1 6.00 WATER USING DEVICES 2 12.00 CROSS CONNECTION DEVICES 1 6.00 PERMIT TYPE FEE AMOUNT ---------------------------- AMOUNT PAID ------------ AMOUNT OWING ------------- PROJECT NUMBER= 96005692 APPLICATION DATE= 07/19/96 PAGE= 03 PERMIT TYPE --------------- BUILDING PERMIT MECHANICAL PRMT PLUMBING PERMIT FEE AMOUNT 932.76 105.00 102.00 ------------- 1139.76 PROCESSED BY: BURRIS, ROBIN PRINTED BY: BURRIS, ROBIN AMOUNT PAID .00 .00 .00 ------------ .00 AMOUNT OWING 932.76 105.00 102.00 ------------- 1139.76 *******************************r THANK YOU a a� D APPLICATION INFORMATION hat is the JOB SITE address _ ASSESSOR'S tax parcel number? 1 j 62. Legal description as it appears on thdeed T- — - ,Ilei. ,40 � OWNER or OCCUPANT Phone. C5;Av Cgk Mailin address tate Zip 0 A/Ic )11-701V6 Who thou we contact regarding this project? p one What work is being done under this permit? Mo2�Z(�z�� jl/ Zone inspector district Propertysize Right of way Water district Building Building height # of stories to a,, imensions TOTAL SQUA A tate Contractor license # Main floor area Unfinished basement area al mg rens N '�� aJ n oor area i leo Finished basement area Architect/Engineer Garage areaQ, Size of decks, etc. What is the heat source) / What is the coat of your project) ' Manufactured Home Sign Width: Length: What is the square footage of the sign face) How high is the sign) Year: Make: Installer Contractor Wa State Contractor license # We State Contractor license # Mailing address Mailing address Relocation Fire Safety Previous address Fire Sprinkler _ Tent Paint booth _ Fire Alarm Fireworks display VALUE Contractor Contractor A State Contractor license # WA State Contractor license # ailing address I Mailing address Fuel Storage Tanks Swimming Pool !Circle one) Above round ''ander round Size / galions Private Contents of tank(s) Size !gallons Public/semi-private Contractor Contractor a State Contractor license # WA State Contractor license # Mailing address Mailing address GuivirLt it ALL APPLICABLE INFORMATION Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. CL m :vIDTRSO P�f,)NT low 2-0 Com",-T, W, ON