2003, 03-26 Permit App: 03001962 Duplex East Half Project Number: 03001962 Inv: 1 Application Date: 3/26/2003 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DUPLEX-FORCED AIR GAS Contact: NORTHWEST REGIONAL FACILITATO
Address: E. 525 MISSION
C - S -Z: SPOKANE,WA 99202
Setbacks: Front 25 Left: 8 Right: 5 Rear: 43 Phone: (509)484-6733
Group Name:
Site Information: Project Name:
Plat Key: Name: District: F
Parcel Number: 45291.1915 Block: 3 Lot: 8A
SiteAddress: 10028 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: 4,550 Sq Ft Width: 45 Depth: 100 Right Of Way(ft): 32
Nbr of Bldgs: 1 Nbr of Dwellings: I
Review Information:
Review
Site Plan Review I Released By: O Par e�4.�
Plan Review -1-i).„, '"
Released By 13 • ,,
Approach/Drainage Released By: ' AI-D,
Sewer Review [—Released By: �'�. I -1_v�sq1Z-s i f 6`3
r 1.(Tt L(T tom' l�°�1P�V -C. p - ( 1
Permits:
Operator: RMB Printed By: RMB Print Date: 3/26/2003
Project Number: 03001962 Inv: 1 Application Date: 3/26/2003 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: NORTHWEST REGIONAL Finn: 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: Li
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 916 $11,266.80 916 $11,266.80
DECK R-3 VN 108 $845.64 108 $845.64
RESIDENCE R-3 VN 916 $60.456.00 916 $60,456.00
Totals: 1.940 $72,568.44 1,940 $72,568.44
Item Description Units Unit Desc Fee Amount
STA IE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $159.23
RESIDENTIAL VALUATION 1 Y OR BLANK $723.75
Permit Total Fees: $887.48
-- — 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
CLOTHES DRYER 1 NUMBER OF $10.00
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 4 NUMBER OF $40.00
Permit Total Fees: $74.00
Operator: RMB Printed By: RMB Print Date: 3/26/2003
Project Number: 03001962 Inv: 1 Application Date: 3/26/2003 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 I 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
Notes ..
Payment Summary: .
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $887.48 $887.48 $0.00 $887.48
Mechanical Permit $74.00 $74.00 $0.00 $74.00
Plumbing Permit $72.00 $72.00 $0.00 $72.00
$1,033.48 $1,033.48 $0.00 $1,033.48
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: RMB Printed By: RMB Print Date: 3/26/2003
Li! PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
.i• ti4 -4- SPOKANE,WA 99260
509477-3675 •
Project Description: '',/:t" -c,. C 0 :r, „. rR.,
TYPE OF APPLICATION
0-Building Permit 0 Change in Use 0 Gig 0 Manufactared Home Permit
O Rdocatton 0 Sign 0 Tenant(New/Change) 0 Other
SPECIFIC SITE INFORMATION
Street Address: •Co v Y c , /� .1,, A C
Assessor's Tax Parcd.Nttmber(s):
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OWNER/APPLICANT INFORMATION 45X I a0 4550
Pi bier*obcdadd k ardaded traanfugibispyid 1 F 56
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o O.ne > — c 7 e3 0 App5ca P
Marapg Adams= Maiwg Address
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Gt7,State.Zip Cay.State.ZP
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O Phone 0 Aid oxt/F w now '
' —M REVVED
CV,Sate rip Ciy,SateZip d2. ; t.1 .
R'AState Contactor Same* Contact*, _
PROJECT INFORMATION •
'1.,'•.::•-y;'.... .. r ' -�:a
. ..tel-'JS•i:. -e•:• ; �i� F {i` f� ••S't err+¢./_ice-`' 1+L:
Yin- ..<: .Y' .:er- •t.,Yr' •s'.•:'::.*?r�lr2-. , •r4ti�
Bugg height to peak N #of states Mast floor sq ft. l)nCsu hcd basement k
/? ' / P/,() /6
Dimensions Total habitable space ,,,,/ 2a sq.ft. Finished basement sq.ft.
. 3,2x 3 �
/' - P / /
Occupancy group Construction type Garage sq.It —Deck sq.ft.
Cost of project I feat source(electric,gas,tic.) ��
G.
""ng"'" What is the square footage of the sign How high is the sign? —
f face? ,
Year: Make: #of signs Area of existing signs
PYr nous address Fare
Sprinkler _
= = Tent
Paint booth Fire Mann_ Fireworks y
Proposed use Value
film } = _,- _ - i
Name Pho'e Pbas&Ra finer nose•
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Inspector: Address
inspector Phone
O Concrete 0 Wekfeng 0 Bolting 0 Raofctccmcnt Mims -
•
• • ADDITIONAI.SITE INFORMATION
Are there:fractures co the property? 0 Yes ti No What is the current property size?
'eek - (square feet-or saes) Y.5-". .3—X/D U
Is any part of the property within 250 feet of a shordioe? What is the euaent use of this property?
flrec •+•sNag 0 Yes 0-Flo
Is your property in a designated wiidGfe habitat area? Wry the site be served by q septic system?O Yes t3'No
0 Don't know 0 Yes 0410
Is any part of the property within a 100 yr flood plain? Are or la there be wells located on the property?
V."Ma .r lrre"ha Ifs MCI*It At xteplait 0 Yes O--Flo
O Maybe 0 Don't know 0 Yes Oslo
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fl or excavation on the property?
Ifjr4 idestia,err xtip/at 0 Yes Milo
0 Yes 0-'150
Are there slopes greater than 30%on the property?(30 h rise in 100 ft) Are critical or hazardous materials used or stored on site?
( _�'�•) 0 Yes D'f4o
0 Yes 0-"Flo
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Date Received: Safi ttepicsentIt .
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representation of the pr t,,al.All known property
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lines/dimensions. curb lines structures and easements
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have been ?ntni i. Also indicated are wetlands, '
bodies of water: steep sicpes or other Critical areas. +�� yii A, /,
Signed: -- i I
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