2003, 03-26 Permit App: 03001965 Duplex West Half Project Number: 03001965 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: W 1/2 OF DUPLEX-NATURAL GAS Contact: NORTHWEST REGIONAL FACILITATO
Address: 525 E MISSION AVE
C -S -Z: SPOKANE,WA 99202-1824
Setbacks: Front 25 Left: 5 Right: 8 Rear: 37 Phone: (509)238-4397
Group Name:
Site Information: Project Name:
Plat Key: Name: �::. . _AA District: F.
,i —
Parcel Number: 45291.1916 Block: 3 Lot: 7B
SiteAddress: 10032 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 Sy Ft Width: 45 Depth: 100 Right Of Way(ft): 32
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review I Released By: \
H 0 L-4 ekriariC K..
Plan Review Released By: 6* 73
Special ReviewsReleased By: f)1
4
Approach/Drainage '
Released BtiT. '` 1"1 �Ci
Sewer Review [Released By R 1v 5 , `3
00(.4 6o3 leTta5_
Operator: CKF Printed By: CKF Print Date: 3/26/2003
Project Number: 03001965 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
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 912 $11,217.60 912 $11,217.60
DECK R-3 VN 64 $501.12 64 $501.12
RESIDENCE R-3 VN 912 $60,192.00 912 $60,192.00
Totals: 1,888 $71,910.72 1,888 $71,910.72
Item Description Units Unit Desc Fee Amount
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $157.85
RESIDENTIAL VALUATION 1 Y OR BLANK $717.50
Permit Total Fees: $879.85
Mechanical Permit
Contractor: UNKNOWN Firm: UNKNOWN
Address: UNKNOWN Phone: (000)000-0000
UNKNOWN,WA UNKNOWN
Item Description Units Unit Desc Fee Amount
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
HOOD -TYPE II 1 NUMBER OF $10.00
GAS WAFER HEATER 1 NUMBER OF $10.00
Permit Total Fees: $74.00
Operator: CKF Printed By: CKF Print Date: 3/26/2003
Project Number: 03001965 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: UNKNOWN Firm: UNKNOWN
Address: UNKNOWN Phone: (000)000-0000
UNKNOWN,WA UNKNOWN
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 2 NUMBER OF $12.0(1
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 USING DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $78.00
Notes
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $879.85 $879.85 $0.00 $879.85
Mechanical Permit $74.00 $74.00 $0.00 $74.00
Plumbing Permit $78.00 $78.00 $0.00 $78.00
$1,031.85 $1,031.85 $0.00 $1,031.85
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: 3/26/2003
A
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
•
1026 WEST BROADWAY AVENUE
<),1 SPOKANE,WA 99260
Swam laktrr
509477 3675
Project Description: /A v-1 (
) a f2 / 01) J) TYPE OF APPLICATION
Jc B�Permit O in Use 0
�� Grading 0 Manufactured Home Permit
0 Relocation O Sign 0 Tenant(New/Change) 0 Other
SPECIFIC SITE INFORMATION
Street Address: / . 4 sse L en-,'-- 70 'r'"
Assessor's Tax Parcel Numbet(s): r , C
S;
Legal Description .
4:_.,..,,.,.,...,_„..„,,,..,_,,,____, __,,_._„._„,„,,„:„..,___,___-•„_-_!..--,-_-,„--- --...,__ •._-_-_-_,•_;„,.-.„--__„„.„-„- ..„...,,-,z,,---,•,:,-=,,,,,, ,,..-4...„,-,...--,,,,,••••,,,v-,,,--zg.f.,-..--.-:4
,,_.---„c__,,,,,,,,,,t-... ..„..--_-z-•1„,..„,,-„..,-_:.-_-. ...,•-__.„,..i-,..,„_-„,_„,••,-::,,,-_-,...,..-_,,,,..:.;,._ _---„•_-:::-._ ,_ __,...„•_.-tn__,••._—__„:„-,,,,,...,„,,„...„...,-„,-%,_,......„„....,,,.4.-•.,,,, ,,,,...K,. ...-.,..„,w,„.„---„.
,,,•-•,:f„,„-----,,--_,-,...-.,,-„,,,- ___:,.„--z-...t,_•,--;,,,Eft,„--it--_,,,,,,....5_,, ,,,:_t: ":-.,---,-._••••---- ..
,_,
V- -
�,,�` -,.� `-7 '—' -a-�-�'"s \f�` - '.ws* . .ate+ tea.- '2
--a` t' �Z
OWNER/APPLICANT INFORMATION
El harrarte who, k wittockd, ,g
O o...ec 0f7xt r'-M a..,c 5-,-- pion= h7 '-6 7 3 3 O Appticm Plionc
5 ac
/pe '0714/ �Gi/� cc�OP' Fay
Far
Shft Aldo= Wang Add.es=
,15-076- ,e0/,' S%7 ,
Gtj,Stale.Zip City,State,Zip
O Contractor — —
Moe O Architect/Enema r Phone
Fax ._ a
Ma address - addass Fax
•
MAR 257 .
City,Suer rap City,Sate Zip
• a g '-' i-ti-3 9
•
WA State Contractor Waist# • Contact aawe
/Von/ . AF C173/ ��/ 9s3-!(o? --
PROJECT INFORMATION •
o.
•
•
-�..
: ;.•. : �:_�,:.' � >� e. ��; �tsixnati n. . F ., _. . . . . .•._' it ; :..5s-':. t, .
•
Building height to peak #of stories Main floor sq.ft. Unfinished boetatettt ft.
9/G2o 9� i 9/e2
Dimensions Total habitabk space _2O3 float sq.ftfinished basement sq.ft
�2t/X3S N/', -
Oeeupancq group Construction type Garage sq.ft- Ded:sq.ft..
A 6V ,
Cost of project I kat source( gas,etc.)
=z ;.--Si:.-''. P` �r vi'.�3.-. .�¢s rs ;' 3 a ii '3" dye �h .e.0`4`--i..- -x.
Length: _ t u the square footage of the sign How high is the sign? -
face?
Year: Make: #of signs Area of
existirt signs
A.
Pre.iousiddress _ a_ . . __ __ _E _— = Tent
Paint booth Fire Mann_ Fireworks display
Proposed use Value
z+
_. J'= } _ f E-- _
Fan Name P.40110 Plass Phase
Adages:
Moat
-
O Concrete 0 Wilding 0 Boling 0 Reinforcement Adams
•
• ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes U1-110 What is the current property size?
• Afi.I »• • (square teeter saes) • y5-7/00
Is any part of the property within 250 feet of a shordige? What is the current use of this property?
f7e,ideldift fa.unPies 0 Yes 131410
Is your property in a designated wrldife habitat area? Will the site be served by t+septic system?0 Yes f3-"No
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_• site plat i yje. ,ea lbr xteplow 0 Yes 0-'No
O Maybe 0 Don't know 0 Yes CrNo
Arc there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of®or excavation on the property?
Ifje4 rdr OR X.10/00 0 Yes 1171"--N-o 0 Yes t7'go
Aro there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are ethical or hazardous materials used or stored on site?
( %.) 0 Yes Ckflo
0 Yes II-No
•
DEPARTMENT USE ONLY
_fiat._ • ., lY _ •....,`ai++.-
•
•
a '�Y'� •*aZ••c:)' f,n •s•...�. tra� • ,Y ,.'..3, Y ai
t;= , TSr ,S5>s) -i.- • i1sf I .. r.r .• :.ri•x`..'. ., "r ` •;1C ' `� 3i ` _ '. `Y= .' a.bt� `iii irz - -,..---‘2 1-4, s j , ^'. "; „i�.r •gy� " fe ati.:''" Y , .. 7ati ti} a_ tir -
•
x.. z4`ii.t ,� te .c ,. ;r rts.". C. .T�. rt``Y'4 •7:.:•r'•�y• *lns.K.:.e}tl Np ,'a�,' s.... . ,;; , ? `"",. - iY� -yjsr _R .LY..r. ; ".•:... ciDaN0,9c..4Q.`,.17.1s i3 ' x Y•5. -xYi. .0
•
d.
•
•
• •-1s«o r � ,C ZiC' : :: .:L� 1CS •LJ. tlf : crprr • i 1��T < S..~-xti :aY :t,. ;�» ? 1. 1i--Ai:- r;. :rT ,:.. . :i •-.1. • •�n• vn --.^ x3Y � ���xrt.C. s4
•
•
•
4.
Date Xeceiveli Sq.Repusenotiec
This s'te p'an is being submitted for the purpose of }
obtainin0 a building permit and is a true and correct
representation of the proposal.Ali known property
lines/dimensions,curb lines,structures and easements
have been identified.Also indicated are wetlands,
bodies Of r,stee, o,es or other critical areas.
Signed:;, to ,_
Date: ' —/' 0 3 0
ADDRSS Y OP. 2. E 11 Ln
ZONE LAR•1l,
ROAD WIDTH 32 i
FRONT Th FL: ,N KING_
COMMENTS____,
REVU.WEI` .x.L _- L.___
QELLIG
r N
71 �--N
fV‘
(01
_.„\....„)
1 . ,e...4.
11
�_ .,_... 1 _ G-o`1
1 i
Gd
P
II k
i
kY I.
1
yy
4
ti
ao. o/ • o/ 71 -17'1 7. S7-7-7, a/1
p_
v- v 1v o i� jvoi..L-v/t -
0
o
-
„�� ti, r 9
4011110111111.6111h1 1
il ii £ 1
G
,
ty C
` 9x A eixo fI2PJv.
1 ,0,/ ;,z/ N4/
00-- c3z 01 1
,?,A0-7-4071re -7q11011': k
I �� -
c)
14-977,7A4e0 /-747471C) .
I% I
‘ r 1-- , , ' ,
--,,,,e. epx c,, -k. . ,
. ,
, . ,
, ,k , i
. .
Tv-4T P2i-i-- '
1,X11 H�1 V '� \
---) ,
. ID ‘ \ % . ,
\
0
N