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2002, 06-12 Permit App: 02004739 Residence - Project Number: 02004739 Inv: I Application Date: 6/12/02 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE W/GARAGE-NATURAL GAS Contact: GREENSTONE CONSTRUCTION,INC. Address: 707 W 7TH AVE STE 320 C-S-Z: SPOKANE,WA 99204-2833 Setbacks:Front 22.6 Left: 5 Right: 5 Rear: 15 Phone: (509)458-5860 Group Name: Site Information: Project Name: Plat Key: 006123 Name: DISHMAN COMMONS District: F Parcel Number: 45291.2120 Block: 2 Lot: 10A SiteAddress: 10127 E 17TH LN Owner: Name: GREENSTONE CONSTRUCTION,I SPOKANE,WA USA 00000 Address: 707 W 7TH AVE STE 320 Location::SPO SPOKANE,WA 99204-2833 Zoning: UR-12 Urban Residential-12 Water District: Hold: ❑ Area: 4,535 Sq Ft Width: 42 Depth: 109 Right Of Way(ft): 32 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released By: � _ Plan Review Released By: c. Approach/Drainage Released By: 6 •1? - Q 2•.. Landuse/"Zoning Relea d By: t4VC%C: 2-". frOlt „st- 44,YAck.L..._ Sewer Review Rel ased : i [--101- Gr'- s i c . Operator: CKF Printed By: CKF Print Date: 6/12/02 Project Number: 02004739 Inv: 1 Application' Date: 6/12/02 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Permits: Building Permit Contractor: GREENSTONE CONSTRUCTION Firm: GREENSTONE CONSTRUCTION L Address: 1421 N MEADOWWOOD LN Phone: (509)458-5860 LIBERTY LAKE WA 99019 Building Characteristics Const Category: New Group:R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: Building Height: 20 Stories: 2 Bldg W x D: 32 x 53 Building Sq Ft: 1404 Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: E This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation 2ND FLOOR R-3 VN 433 $28,578.00 433 $28,578.00 BASEMENT U R-3 VN 476 $5,854.80 476 $5,854.80 DECK R-3 VN 30 $234.90 30 $234.90 GARAGE U-1 VN 480 $5,760.00 480 $5,760.00 RESIDENCE R-3 VN 495 $32,670.00 495 $32,670.00 Totals: 1,914 $73,097.70 1,914 $73,097.70 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: R&R HEATING&AIR COND INC Firm: R& R HEATING &AIR COND INC Address: 4019 E CENTRAL Phone: (509)484-1405 SPOKANE,WA 99207 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 2 NUMBER OF $20.00 CLOTHES DRYER 1 NUMBER OF $10.00 HOOD-TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $64.00 Operator: CKF Printed By: CKF Print Date: 6/12/02 Project Number: 02004739 Inv: 1 Application Date: 6/12/02 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: DAVIS BROTHERS PLUMBING Firm: DAVIS BROTHERS PLUMBING IN Address: P 0 BOX 931 Phone: (509)927-4186 VERADALE,WA 99037 Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 2 NUMBER OF $12.00 SINKS 3 NUMBER OF $18.00 TUBS 2 NUMBER OF $12.00 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 CROSS CONNECTION DEVICES 1 NUMBER OF $6.00 WATER USING DEVICES 3 NUMBER OF $18.00 Permit Total Fees: $90.00 Notes: 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 $90.00 $90.00 $0.00 $90.00 $1,049.10 $1,049.10 $0.00 $1,049.10 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 contrued 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: 6/12/02 ► lPROJECT APPLICATION I0 I. SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT lb 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 SPOKE COUNTY 509-477-3675 Project Description: Single Family / New Construction TYPE OF APPLICATION O Building Permit O Change in Use O Grading O Manufactured Home Permit O Relocation O Sign O Tenant (New/Change) 0 Other SPECIFIC SITE INFORMATION Street Address: /6/ /0 7 E. / 7 0 le"K e/ ()v .ke/ �. T ''z0 g Assessor's Tax Parcel Number(s): 9SZl q/. ' ✓c��f.e✓`4- L s'?___el I. 2-\ZQ 1 Legal Description p _ 0 G �o� o� r� �o�k (-5 hs4.n CO vvt•I•tvrk� t . � ilM� T.: ai ' E ��st7>-v a . .� s ` -..- , a r - Fire Discnct Zontrn 1 . Left Right:- OWNER/APPLICANT INFORMATION 0 Indicate who should be contacted regarding this project 0 Owner. Phone: 458-5860 ❑Applicant: Phone: Greenstone Const. SAME „�; 458-5862 _Fax: Fax: MailingAddress: Mailing Address 1421 N. Meadowwood Lane City,State,Zip City,State,Zip Liberty Lake, WA. 99019 0 Contractor Phone ❑Architect/Engineer Phone SAME Fax Fax Mailing address Mailing address City,State Zip City,State Zip WA State Contractor license ii Contact name: PROJECT INFORMATION Building T"'nformation Building height to peak N of stories Main floor sq.ft. Unfinished basement sq.ft. 20 Spl '-E- level 99176 DimensionsTotal habitable space 2' floor sq.ft. Finished basement sq.ft. 3Z 5-3 /109 433 -6- Occupancy group Construction type Garage sq.ft. ,/ Deck sq.ft. R-3 V-N 7 6d 30 Cost of projectHeat source(electric,gas,etc.) a46/x/06 GAS - Forced Air Ifacede tiger Width: 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 Fire Sprinkler — Tent Paint booth_ Fire Alarm _ Fireworks display _ Proposed use Value era � ared Non • .e.: Ea egQde Co rp t , Finn Name Phone Plans Examiner Phone Inspectors Address • Inspector Phone O Concrete O Welding O Bolting ❑ Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes g No What is the current property size? If yes,identify on site plan (square feet or acres) 536— S1. /r4. Is any part of the property within 250 feet of a shoreline? What is the current use of this property? VACANT If yes,identify on site plan 0 Yes ® No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes J No 0 Don't know O Yes aa No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? If yes,identify on site plan If yes,identify on the site plan 0 Yes Ll No O Maybe ❑Don't know O Yes fi No Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property? property? D Yes IX No If yes,identify on site plan O Yes ria 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 f7 No ❑ Yes /4 No DEPARTMENT USE ONLY is theiproperty�n a designateel Starmwates C©ntr s Area?_` Is.public sewe> avai��to Sze sit ? e � - _ ❑ Yes b`.No _ Is'the propIs public water ava lab e. i the site l 1 - ❑ Yes_ ElG oto; Is the pro © Yes. Q Is the property A ? located vel n 100€ feet of L ttrr l t e." d Yes Date Received: Staff Representative: 1 "FAIRMONT RE' 10,127 E. 17th LANE SPOKANE, WA. 99203 LOT 10A -OF- ELocK 2 DISI-IMAN COMMONS LOCATED IN TIE NORTI-EAST 1/4 OF SECTION 29, T.25N., R.44E., W.M. (l'I SPOKANE COUNTY, WASE-IINOTON LOT AREA- 4,535 S . SCALE: 1" = 20' 509°0'45"E MN ... IMIIMINIMME I= E. IINIMI MP 1M IIM1 42 50' _T. 42.501 I 1 I rt' 13' ALLEY SEWER t UTIL ESMNT. coN�. 1 DRIVEWAY - I I n /FUTURE DUPLEX T - LLIS 1 .I _ ,.//� ___, / ,../ „/ / .,I I / , 1 , ,, // , I1 1OA '////// //// /1/ / ) 105 I / I 1 / / 1 �� / I ul // ./ -1 ?/ // y/�M I ' �I (DI / BI 1 ////' / 1 / / % / 1 11 // // / 4 /2/ �/ 1 , , / / : / / / // ././ ]-- , , 25' MIN B.S. 1 T / ..7 ze 2' \ 1 10' TIL, EASE. J AC - 25 02 I 1 1 1 1 1 ( r. 9.: (c,,' srf4cpct 42.5(3' 42 SO' • 3e 0.0 -- SS9`07'00"E OF 17th LANE This ste pan is being submitted for the purpose of ADDRESS I 2 e, i i'�l LA obtaining a building permit and is a true and correct representation of the proposal.All known property ZONE E i Z lines/dimensions.curb lines,structures and easements ROAD IA'iDTH$ .�° Zi_..� have been identified.Also indicated are wetlands, T t,7 FRONNKING bodies of water,stee p s s o •titer crib, . . -as. COMMENTS Signed: 1// ; - ' REVIEWED EY t q`' ` aTTA 1)L Date: 6 — l?—O