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2003, 03-26 Permit App: 03001958 Duplex East Half Project Number: 03001958 Inv: l 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: EAST 1/2 OF 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: 46 Phone: (509)484-6733 Group Name: Site Information: '^^ Project Name: Plat Key: Name: 0 i V,`�- 134,3 M s — District: F Parcel Number: 45291.1917 Block: 3 Lot: 7A SiteAddress: 10102 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: 1 Review Information: Review Site Plan ReviewI Released By: Plan Review Released By: „ - „ate.; -tc )-gc I N y CAWS Approach/Drainage Released By; `21 D Sewer Re 'ewReleased By. r '► t._ -�- Cor LtT(e5 APie0 V • Permits: Operator: RMB Printed By: RMB Print Date: 3/26/2003 Project Number: 03001958 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 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: D. Req Parking: Handicap Parking: Critical Materials: r-] This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT U R-3 VN 864 $10,627.20 864 $10,627.20 DECK R-3 VN 64 $501.12 64 $501.12 RESIDENCE R-3 VN 864 $57.024.00 864 $57.024.00 Totals: 1,792 $68,152.32 1,792 $68,152.32 Item Description Units Unit Desc Fee Amount STA 1'h SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $153.73 RESIDENTIAL VALUATION 1 Y OR BLANK $698.75 Permit Total Fees: $856.98 Mechanical Permit Contractor: NORTHWEST REGIONAL Finn: 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 WA 1'hR 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 Permit Total Fees: $64.00 Operator: RMB Printed By: RMB Print Date: 3/26/2003 Project Number: 03001958 Inv: I 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 TOILETS/BIDETS 2 NUMBER OF $12.00 SINKS 3 NUMBER OF $18.00 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 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 $856.98 $856.98 $0.00 $856.98 Mechanical Permit $64.00 $64.00 $0.00 $64.00 Plumbing Permit $78.00 $78.00 $0.00 $78.00 $998.98 $998.98 $0.00 $998.98 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 - . PROJECTl . - . - Alt' APPLICATION SPOKANE CO D1V1SAWAYIBORFOBADUILDINAG&ymiuECODE ENFORCEMENT 1026 w SPOKANE,WA 99260 509477-3675 SractiRg Caktrr t C 4,,,-,, e 1/ ;%, e ,-,_i • i* lie p,. - •-•-, Project Description: TYPE OF APPLICATION 0 Manufactured Home Permit 0 Grading (rinticfmg Permit 0 Change in Use 0 Tenant(Nevriarange) 0 Othet b Relocation 0 Sign , SPECIFIC SITE INFORMATION Street Address: >0/0.,,Z 7,-1- Assessor's Tax Parcel Numbet(s): 5—g .9 7. /9 ,/, Legal Desaiptioir yi)(e 0 Do, y,_ —to—25 .--7:--, ,,._,,, ,.-:--_,,.. _ --_, __. _._ __,..-__-:_-:_-___.___-_-,--___:--_:_-_---,--,,_-___:=__----------F--,--=---::,,:---:---:---:.-- ,-.=;,:-:-.-:::-.,_-__ :,--,--.-:7---„-::.:,....-i-,-_-;-:-'„,-..-:_:,,-,_-:-..-::;;_.;-• ,:,:,... ,::::::,--:,., :--_-"i--_-----,--_-__:-_-_-_-.:,------_-_-"--_-_'7_,E-::ff------:::7--7.-:_i_-:±-,::-.\-::::-'--------::---,-: _-_•_:-_-,:-:--i--, •--.1_,..-_-,--=-_,.-,,,,._;.--_-..-- ,-:-:-------:---:-:1._tif-i, -__ V?:• e?,L.1 :.,:--. •i-:----',.:- .1:-'` ;;'i'.,-,A=--5.--.-,,- 4go 3(9 'e_ tJ (75 ( 1--(-1 OWNER/APPLICANT INFORMATION PI Ufa*oak*odd k aigioded monk iiisprojxt I-15X ItO - RSSO Moe z/W-6 7 1 3 0 Anscifit 0 Ownec ..7) , Fa3C .— Et , _, c 'Maine Adages= Adam= P---4 c / -/e. ' - _ 1-' .2041 -1.::*: Cori,Seats Vp ii). _.5„Aip PhD= Ainlitect/Eogiseez . 0 Coat:actor Maw 0 raRECEIVED Fax -Mailing address Mailing adds= MAR fi 5 2flfri Gtr,Stab:rip . • C.icy.State VP Contact liall=i....,,,,,iew 75,3 ./era ? WA State Coletnactoalause# , ..„. _ , 4/0 i;I/ I- / ,,,,,?. ;-•••g i PROJECT INFORMATION - • -,,. -,-4.-—2-1;;,-0.47.. -..`:: .-:•••.... ......"' ", - -..;:.• . •.x -• — -:.e. .: -.--‘...... :::".-- '..".-., - . ... .. ..;.:*.i::-•••,;.;k7V.:?;:a.:, ' - ,. : ' /-:- -..•.. -- f.:;:•'' .,g.::::".:r'.-;/-•.•."--3 '••;1;,..? r:•'.--: -.:- •• - • .•::: - ,:s.-',..;,';'..,, :--:••••. ' 1 . • ' . ' •• ta.4hed basement •.,,,:._•.:••••:::p•i...,.:::•-•*; ::-"••• --'-::-`.'•.. •*, •. • ‘' ' • main&ors%ft Buldlng : to peak #of / Dimensions . Total habita " He 'cc i i 2141 sq.It Faushcd basement sq.it .2), 3 2 i 7 ,) ?` ," Garage sq.ft. beck sq.ft. J Construction type Occupancy grow /1/•/-4 4/ P Cost of prosect I kat source(electrk,gas,etc-) . - • - . - . - ;v':`. r:b.� �. s•'. . . V`'�*N" K >��iG�-�'r .=1atle`r � �3 'ss''-�:''_' `o. � z Y. Length: • What is the square footage of the sign How high is the sign? face? Year. Make #of signs Area of existing signs { Previous address Fere Sprinkler Tent Paint booth Fire Alarm_ 7 Proposed use Value Hem Na/Ye Phoue plant Enlooti _. .now Inrpeecoce Aachen • • tarporor nose O Concrete O Weld ng 0 Bolting 0 Reiufotoament Addams - • ADDITIONAL SITE INFORMATION Are there structures on the property? 0 Yes 134lo What is the entreat property size? -Vfie4 idostibisxtepfras (square feet or saes) YfA'/Q0 Is any part of the property within 250 feet of a shorted What is the eaarnt use of this property? Yfirt, ea Clalt_pfmr Yes (31 o Is your property in a designated widUfe habitat area? Wil the site be served by a septic system?O Yes 0-14o 0 Don't know 0 Yes IIrNo Is any part of the property within a 100 yr flood plain? Are or will these be wells located on the property? Il. •" isrph41 adarti,ea the axeplaas O Yes 0-/To O Maybe 0 Don't know 0 Yes Ilrislo Arc there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of 6fl or excavation on the propererly? Ifjrr,irki#as lir plot 0 Yes [[ No O Yes @'Fjo Are there slopes greater than 30%on the property?(30�h�• in 100 A) Are critical or hazazdoas materials used or stored on site? OYes © No _ OYes O14o • DEPARTMENT USE ONLY 4Qptc�_'Y-��f c4 1�•• •••• '••• rt •. 1`lriir... TK,E _ !L ,.� �Y'ir.. � v a��tf4-stiff iY' -., }� ` r-• •,( :�_.-: '. Y#.s•••*EU Nb • • . �t •• '� a?rs.t S.!: :.•• _ !• 1 4 z'e• ``" r't •i• t 5 � y -• � .. yy ••j�ac .•:Y!- r{;... { •. '?.•:�.. � tss,yy ;. `t.iY h 1 ti tS' .o Y Y.. } �tsde the°PS :: ..r.� You:-•:cr.N.• •a•:s,}f • �. •.r 'yw '�' 'ZLi?�"�.s - z_'.�` t+St'[�-'�"d�"3'r•'.�. r" .:ry{Y::.. r•t.a. •••• • .err i„)••.d:• s'r. 't•)•••3. . .. a :i ..ri `S.;<< s.Yy� • r � s- � tir�,.�+�.-^rt1t.�Lj"�'�•S S �. .%%:- •:a' S: 7 'Y1S %> .a.SY 1 �vrtK.' .;4 Date Receive& Staff itetYaemYptisc t 1 1 i 1 I i { 1 • i • 6 j i # 1 3 . 1 g t\-1*‘ L , - /0/62-f This s e q, e!•ng sutrntted for.he purpose of circ .ndisat ...,- i correct represerfabiof of the prop sal A11 knc~ n property {{ tinesldi ensu s. cure 1-ies. s uctir es uiid easements �,3 f s have hen :'enti`ed.4,so 'nd ate. a'--wetlands, s or other critical areas. � \. bodies of water, steep ops i f s;�r� Mme!/c ; i; ROA V1'€DTH 3.7 ,:,:.): .,1/4i ? !� _. I raG :::,‘ t, .4.,,, REV lE ', C1) ' _--..,1— m US 1