2003, 03-26 Permit App: 03001960 Duplex East Half Project Number: 03001960 Inv: I 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: j,A5T 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: 5 Right: 10 Rear: 33 Phone: (509)484-6733
Group Name:
Site Information: Project Name:
Plat Key: Name: y VM r f � Ns District: F
Parcel Number: 45291.1918 Block: 3 Lot: 6B
SiteAddress: 10106 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: U
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 Review ,._---- eased By' ... P4 O
svce
Plan Bo, Released By: -t 7
kt &-fix ?001 OALC3
Approach/DrainageReleased By: �► j -
•
Sewer Rte'v (� Released By: 1 `� 1\.(V_WRS
,, WOGO 'td f u t I'`IES 424 olr t. o3- 1/6
Permits:
Operator: RMB Printed By: RMB Print Date: 3/26/2003
Project Number: 03001960 Inv: 1 AYuCatiOn 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: ❑
Req Parking: Handicap Parking: Critical Materials: 0
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
COV DECK R-3 VN 56 $563.92 56 $563.92
RESIDENCE R-3 VN 1,064 $70,224.00 1,064 $70,224.00
Totals: 1,120 $70,787.92 1,120 $70,787.92
Item Description Units Unit Desc Fee Amount
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $156.48
RESIDENTIAL VALUATION 1 Y OR BLANK $711.25
Permit Total Fees: $872.23
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 WA 1'ER 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: 03001960 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
TOILETS/BIDETS 1 NUMBER OF $6.00
SINKS 2 NUMBER OF $12.00
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
WATER USING DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $54.00
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $872.23 $872.23 $0.00 $872.23
Mechanical Permit $64.00 $64.00 $0.00 $64.00
Plumbing Permit $54.00 $54.00 $0.00 $54.00
$990.23 $990.23 $0.00 $990.23
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
t 1 PROJECTPF
_- SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
- ' fill SPOKANE,WA 99260
Ss GMT 509-477 3675 •
`t�I/�y'f
Project Description: /k' +i;', c I'. 1 � t G'i
TYPE OF APPLICATION
O'�utldiag Permit 0 Change in Use O Grading
0 Manufactured How Permit
0 Relocation O Sign 0 Tenant(New/Change) 0 Other
SPECIFIC SITE INFORMATION
Street Address: 0/0 6 F /7
Assessors Tax Parcel Number(s): y/)9/, ./, .7,e,
z ir �
-,-.'•-•':' - __�_ _. ._ K, ^c..fs3 €'3'.54_i. _ -'3^?:s.t t3 '`� �L;..
OWNER/APPLICANT INFORMATION 4 S 1C 103 -4 5So
0 Is Arsee amid kariedwaitIbsPreect 31.?(
a ,7/, I ( Pc( s
13 Ownoc
€i C .//.'.�, "‘,i ' hfat�Address
City.s rr rar.sd+;rr
�,��1 f= 3 it3 • 9 ,2-. 2
meg
o Contractor - Phone
o - Phase
MA%address
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eEcFtvFn
MAR .2 5 2003
WA Sate Contactor Contact
PROJECT INFORMATION •
•
•
Building height to yak" #of= s. Main tloo�:4 • Unfinished'
rrr tishra basemcr►t
iu i
/
DTotal habitable spser� 24 floor sq.ft rr abasement sq ft.
,-4,2X 3 6 /c /Y/,fit / ,
Occupancy group Constnsction typo
Garage N.ft Ikck sq.ft.
Cost of project I kat sourer(ckwic,gas,vie)
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Width: Length: devcluare face?
Year Make #of signs Area of existing signs
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Tent
Previous address
._ Paint booth Fire Alarm_ Fareworia&splay
Proposed use Value
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plans Euganer
Mae
Has Name ?tame
Addeess
Inspector=
Inspector Phase
0 Concrete Cl Welding CP Bolting 0 Reinforcement Address
•
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ADDITIONAL SITE INFORMATION
What is the mutat property size?
Are there structures on the property? 0 Yes ergo
.V."Akin*eff sal e Plea - . (square feet acres) q5x /00
250
What is the cument use of this property?
Is any part of the y wi
propertthin feet of a
If.re4 ideirtih ea it Oils 0 Yes sh=
Will the site be served by si septic system?0 Yes Cilofslo
Is your property in a designated wildlife habitat area? _
0 Don't know 0 YesL No _
d the property?
Is any part of the property within a 100 yr flood plain? Are or will there lbe wells locateon
Vjet aka*et tbe el it plea 0 Yes Ergo
V.Ye4 iladifi of site Phi
D Maybe 0 Don't know 0 Yes Ergo
Arc there any wetlands,streams or ponds within 200 feet of the property? Is there evidence offl or excavation on the property?
yes? ra.,„ .
0 Yes 63-14o
If"iekstijj,at eik filar
Are critical or hazardous materials used or stored on site?
Are there slopes greater than 30%on the property?(30 ft use in 100 ft)
0 Yes IEYAo
0 Yes Erk,
( -,----%)
•
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DEPARTMENT USE ONLY
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Staff Repecsestatirc
Date Received
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