2002, 12-17 Permit App: 02011114 Duplex West Half Project Number: 0201111-1 Inv: 1 Application Date: 12/17/2002 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: MARTY HARE/NW REG FACILITATOR
Address: 525 E MISSION AVE
C - S -Z: SPOKANE,WA 99202-1824
Setbacks: Front 25 Left: 5 Right: 8.5 Rear: 48 Phone: (509)991-3763
Group Name:
Site Information: Project Name:
Plat Key: 006123 Name: DISHMAN COMMON 25 DUPLEXES District: F
Parcel Number: 45291.1914 Block: 3 Lot: 8B
SiteAddress: 10024 E 17TH LN Owner: Name: NORTHWEST REGIONAL FACILI
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: •,550.00 Acres Width: 45 Depth: 100 Right Of Way(ft): 32
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information: .
Review
Site Plan Review Released By:
-(6 54 Cv r , see- _ gli17‘f"Sfr
Plan Review Released By: -! "� Z
Approach/Drainage Released By:
Landuse/Zoning Released By: ._.
3f,tileecit,s /7114 ,
Sewer Review0Released By <<'"tom ' — �-'�
if - / ._. -.�
Operator: CKF Printed By: CKF Print Date: 12/17/2002
Project Number: 0201111-1 Inv: I Application Date: 12/17/2002 Page 2 of 3
THIS•IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Permits:
... ..........
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: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT U R-3 VN 928 $11,414.40 928 $11,414.40
DECK R-3 VN 64 $501.12 64 $501.12
RESIDENCE R-3 VN 928 $61,248.00 928 $61,248.00
Totals: 1,920 $73,163.52 1,920 $73,163.52
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $730.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $160.60
Permit Total Fees: $895.10
Mechanical Permit
Contractor: UNKNOWN Firm: 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
CLOTHES DRYER 1 NUMBER OF $10.00
Permit Total Fees: $64.00
Operator: CKF Printed By: CKF Print Date: 12/17/2002
Project Number: 02011114 Inv: 1 Application Date: 12/17/2002 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 4 NUMBER OF $24.00
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 PIPING-DWV 2 NUMBER OF $12.00
Permit Total Fees: $78.00
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $895.10 $895.10 $0.00 $895.10
Mechanical Permit $64.00 $64.00 $0.00 $64.00
Plumbing Permit $78.00 $78.00 $0.00 $78.00
$1,037.10 $1,037.10 $0.00 $1,037.10
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 laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be 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: CKF Printed By: CKF Print Date: 12/17/2002
1 PROJECT APPLICATION " %`, '
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SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT/ /p�'h
1026 SPOKANE,WABROADWA99260 AVENUEY �'4,
lilt 509-4773675
Sp Coeur
Project Description: it
TYPE OF APPLICATION
O Building Permit 0 Change in Use 0 Grading 0 Manufactured Home permit
O Relocation O Sign O Tenant(New/Change) 0 Other
SPECIFIC SITE INFORMATION
Street Address c •
/00 V V / Z-G. ,
Assessor's Tax Parcel Number(s): I71 2Y/! //
Legal Description .
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OWNER/APPLICANT INFORMATION
El Lacate oho should k ardaded, ,sIbispqur
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O o.aeeIlona e/gy_ 6 7 3 -3 0 App5canc plana
A4 i'tA Lit"lee_-oma/ Fa /9 0/
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O Cont*
now O A,chit ctie&,eer rlWne
Mailing sddcess Main g address
�,,�� a State Zip
WA Sate ContractoricesseIt contact name •
PROJECT INFORMATION •
? ;; :gig` ` ' • ;�_.:i• � t,a.:: . _ ;:
Building height to peak #of stories Main floor a}ft Unfinished basnnent -ft
f„2x- A 9°2 1
Dimensions , Total habitable space 2 floors .ft. Finished sq.ft.
yx 3 Er A7/4-
Occupancy Construction type Garag/t=t•�sq j� Deck sq.f�
Cost of project I Taal/'/source(electric,gad etc.)
et,.5
ddaifii: :? P'j'`5+7;�PSX� i'.. .•�t 4` -'�...r,y.,r.,,F:..s,;a w''1Yt.c8+'
V�7 •.�.a.�z C`r�i' `•3,.sif s1. �� -'�`ate,`> r
is the square footage of the sign How high is the sign?face?
-t
Year. Mak= #of signs Area of
existing signs
- `f �Ts' �1 --51 . �r � -Y( r
4 Y 2c
Previousaddtess
Fut Sprinkler Tent _...
Paint booth Fire Mann Filewsuks display
Proposed use Value
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Fm Naaae Phone _ =
Plm____ Phone
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laspeetorm
Address
kapecoar Phone
O Concrete 0 Welding 0 Bolting 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O'Yes 13 No What is the euamt
property size?
'#),e4 ex sal Was (square feet or acres) y5,S?' /0 C
Is any pact of the property within 250 feet of aWhat is the tauceat use of this property?
Vie4 kk os die Pia, 0 Yes sh= _
Is your property in a designated wrldEfe habitat area? Wal the site be served by a septic system?0 Yes OeNo
0 Don't know 0 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?
V. id`�' iftePha gym ides*as the tile Ara Cl Yes GI—No
0 Maybe 0 Don't know 0 Yes O'No
Are there say wedaads,streams or ponds within 200 feet of the property? Is there evidence of®or excavation on the property?
Ifjr�,ideakJ�as site filag O Yes t 1lo
0 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 O No
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