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2000, 10-23 Permit App: 00009660 Duplex East Half
4 Project Number: 00009660 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: 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: 10 Right: 5 Rear: 20 Phone: (509)484-6733 Group Name: Site Information: Project Name: Plat Key: 006123 Name: DISHMAN COMMONS District: F Parcel Number: 45291.9121 Block: 3 Lot: 3A SiteAddress: 10134 E 17TH LN Owner:Name: NORTHWEST REGIONAL FAC SPOKANE,WA USA 00000 Address: 525 E MISSION AVE Location::SPO -, + - -- - SPOKANE,WA 99202-1824 i ZHing: UNKN_..- Unknown WatefZistrict: Hold: ❑ 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 // BUILDING Site Plan Review Released By.�CJh Q ^Q`� 1TC `� Hold Reasons:_` 'd ly ,(� Y, t% i F[04 s_ -13 fin / ,`U CrCA/frl--- - Permit Conditions: l-43 l\il N‘ BUILDING Plan Review „,---7 z /2 , Released By: .,- 4',:i ......_ /Q--..7 S`=-4o CHold Reasons JA:,_a k Permit Conditions: ENGINEER Approach/Drainage I Released By: # D - ,(6/ ._-_4C:1,5 Hold Reasons: 4 Permit Conditions: UTILITIES Sewer Review Released By: Told Reasons: Lt-1 i u► V", <.._,- - / Permit Conditions: PLANNING Landuse/Zoning OR ' t�, ` Released By: i ® , ' `` _ .ri Hold Reasons;, Permit Conditions: R-- Z. ^^+-et • Permits: '`7 <_ J " 1) _. c 31_ <.. r , I ��r-� �- \,)CIL] �;Tti�/��( ��- T `�� --F 12-c- 1� ��... C;r1,iU��L71 ON 1,•-- . 'q) It Pc.e-x” /4-t t Cif;t` r-)t f,c,/\',,,'S 6 r (L#'1.-- f ' " /''? -- r � Project Number: 00009660 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: 18 Stories: 1 Bldg W x D: 32 x 32 Building Sq Ft: 1648 Sprinklers: ❑ Req Parking: 0 Handicap Parking: 0 Critical Materials: E This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT U R-3 VN 792 $9,155.52 792 $9,155.52 COV DECK R-3 VN 170 $1,608.20 170 $1,608.20 RESIDENCE R-3 VN 856 $53,072.00 856 $53,072.00 Totals: 1,818 $63,835.72 1,818 $63,835.72 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $667.50 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $146.85 Permit Total Fees: $818.85 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 3 NUMBER OF $30.00 Permit Total Fees: $54.00 r a Project Number: 00009660 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 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 PIPING-DWV 2 NUMBER OF $12.00 WATER USING DEVICES 2 NUMBER OF $12.00 Permit Total Fees: $60.00 Payment Summary: Operator: RMB Printed By: RMB Print Date: 10/23/2000 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $818.85 $818.85 $0.00 $818.85 Mechanical Permit $54.00 $54.00 $0.00 $54.00 Plumbing Permit $60.00 $60.00 $0.00 $60.00 $932.85 $932.85 $0.00 $932.85 i 0 iiLi PROJECT APPLICATION 2mIllik SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT AU 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 509-477-3675 SPOK11\T COuNrY Project Description: ,'1l h ‘`( Cu''✓5 r,P&C [I°A/ TYPE OF APPLICATION D Building Permit ❑ Change in Use El Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other SPECIFIC SITE INFORMATION Street Address: (0 l 34 L i i 7" LQ ile- ,� Assessor's Tax Parcel Number(s): t,, r' A ��pC f5 .3 i .` G'I;�re i <7e,5--,vi (g /(2q Legal Description: Department Use Only Water District/Purveyor. Sewer District/Purveyor Road width Setbacks Front: Rear: School District: Fire District. Zoning Left Right: OWNER/APPLICANT INFORMATION _ " G F 0 Indicate who should be contacted regarding this project 2`� )Le x / /pu ? sf�J /Owner. ,('1 / Phone: (r6"/ —167 3, ❑ Applicant: �` Phone: AZI,TN arts r /� ei V N i/L : YR3 7-Y5- ,j r//`fY` XS Fax: Mailing Address: MC(L e IA'17)/�S Mailing Address: e s;S !'755.0„/ City,State,Zip )/2°K li Ail;-; ( /,04 g f, n Cih State,Zip Phone �.J t1 'f5” d ❑ Contractor r ❑ Architect/EngineerL SC /e)✓c.1 Phone So<Yt L Fax Fax y .- 7/ Mailing address Mailing address 0 3 N. (./ 5N/,d6 idd✓ Sc); -7-l2 , 03 City,State Zip City,State Zip S124)KdiM - / lII qq u, VA'A State Contractor license# Contact name. / / G ,vo1(��/AF� ©? 7J1 Jo,a1j��1419sgpr2,-M�'Y JCOr; ,iff,i 5/1;.- ,, PROJECT INFORMATION Building Information Building height to peak,, #of stories Main floor sq.ft.��� Unfinished basementsq. 1�J 7Cy . ' er✓0✓� � / Dimensions lbtal habitable space (",,.."--,/ 2' floor sq.ft. Finished basement sq.ft. Occupancy group Construe ton tape r Garage sq.ft Q �� Deck sq.ft. / 7 J W(J p / t(�r Cnie Pc'T Cost of project �� / I leaf source(electric,gas,etc.) //49_5 Manufactured Home Sign Width: Length: What is the square footage of the sign I Iow high is the sign? face? Year: Make: #of signs Area of existing signs Relocation Fire Safety Previous address Fire Sprinkler Tent Paint booth Fire Alarm Fireworks display Proposed use Value Special Inspections Required? Non-Residential Energy Code Compliance? Firm Name Phone Plans Examiner Phone Inspectors: Address Inspector Phone 0 Concrete O Welding 0 Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? 0 Yes lgf No What is the current property size? A Ifyes,idents on site plan (square feet or acres) ( I �00 i Is any part of the property within 250 feet of a shoreline? What is the current use of this property? Ifyes,ident61 on site plan o Yes nj No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?o Yes Eir.--No 0 Don't know 0 Yes d No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?�� Ifyes,identi'on site plan Ifyes,ident on the site plan o Yes Ld iv o CI Maybe o Don't know 0 Yes nit No Are there any wetlands,streams or ponds within 200/feet of the property? Is there evidence of fill or excavation on the property? Ifyes,identzs on site plan 0 Yes gNo 0 Yes n'No Are there slopes greater than 30°'s on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site? ( /%) O Yes O No O Yes Q"No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes O No CI Yes ONo Is the property inside the ASA? O Yes O No Is public water available to the site? O Yes O No D Yes O No Is the property inside the PSSA? O Yes O No Is the property located within 1000 feet of a Natural Resource Area? DYes No Date Rccciv ed: Staff Representatis C: