2000, 10-23 Permit App: 00009653 Duplex West Half Project Number: 00009653 Inv: 1 Application Date: 10/23/2000 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: WEST 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: 20+ Phone: (509)484-6733
Group Name:
Project Name:
Site Information:
Plat Key: 006123 Name: DISHMAN COMMONS District: F
Parcel Number: 45291.9121 Block: 3 Lot: 3B
SiteAddress: 10130 E 17TH LN Owner:Name: NORTHWEST REGIONAL FAC
SPOKANE,WA USA 00000 Address: 525 E MISSION AVE
Location::SRO:, , ,'"- , ' SPOKANE,WA 99202-1824
ZonEtwe., Unknown
..../
Wate . . . Hold: 0
Area: 4,500 Sq Ft Width: 45 Depth: 100 Right Of Way(ft): 32
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department Review
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BUILDING Site Plan Review Released By: ea i ........ , _ a_ Arr „. --, A
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( Hold Reasons: P(._0 AIN i rk.;c.7 AC:"1:11c c,e-- ‘c--) ''
Permit Conditions: :---) CUPP2-0 Val' -7- - --- -- -"11111111116 —
BUILDING Plan Review
Released By:
(,_ ,-_____------
Permit Conditions:
ENGINEER Approach/Drainage ,
Released By: 10,.. PA.
Hold Reasons:
Permit Conditions:
UTILITIES Sewer Review Released By:
72. P
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t-CTi(..IT!C_',, A-1-7;;)i-t\At_ (.:(r'r -IC C.>`.--, L/ ' a-JJA ic
Permit Conditions:
PLANNING Landuse/Zoning V R I a
Hold Reasons:./t. [-Released By:
Permit Conditions: ti iz—
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Permit
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Project Number: 00009653 Inv: 1 Application Date: 10/23/2000 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:R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 16 Stories: 1
Bldg W x D: 30 x 42 Building Sq Ft: 1082 Sprinklers: El
Req Parking: 0 Handicap Parking: 0 Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
COV DECK R-3 VN 112 $1,059.52 112 $1,059.52
RESIDENCE R-3 VN 1,082 $67,084.00 1,082 $67,084.00
Totals: 1,194 $68,143.52 1,194 $68,143.52
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $698.75
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $153.73
Permit Total Fees: $856.98
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
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
Permit Total Fees: $44.00
- -- -- 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
CLOTHES WASHER 1 NUMBER OF $6.00
WATER USING DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $48.00
Project Number: 00009653 Inv: 1 Application Date: 10/23/2000 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Operator: RMB Printed By: RMB Print Date: 10/23/2000
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $856.98 $856.98 $0.00 $856.98
Mechanical Permit $44.00 $44.00 $0.00 $44.00
Plumbing Permit $48.00 $48.00 $0.00 $48.00
$948.98 $948.98 $0.00 $948.98
Notes:
lan is being submitted far the purpose of
obtaining a building permit and is a true andocorrrrtY
ect
representation of the proposal,All known property P 3 kSS
linesldimensions,curb lines,structures and easements f .F . I(._ ( I-1�
This site pL�
have been identified.Also indicated are wetlands,
., WIDTH
oI T 7F ► ING
bodies of water,steep slopes or other critical areas
Signed: F�;(4��'tvCEN .T
Date:
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