2002, 02-14 Permit App: 02000900 Residence Project Number: 02000900 Inv: 1 Application sate: 2/14/02 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-GAS Contact: MIK/GREENSTONE
Address: 1421 N MEADOWOOD LN
C- S-Z: LIBERTY LAKE WA 99019
Setbacks: Front Left: 5.3 Right: 5.4 Rear: y2. Phone: (509)458-5860
tr Group Name:
Site Information: Project Name:
Plat Key: 006123 Name: DISHMAN COMMONS District: F
Parcel Number: 45291.2116 Block: 2 Lot: 12A
SiteAddress: 10209 E 17TH LN Owner:Name: GREENSTONE CONSTRUCTION,I
SPOKANE,WA USA 99206 Address: 1421 N MEADOWWOOD LN
Location::SPO LIBERTY LAKE WA 99019
Zoning: UR-12 Urban Residential-12
Water District: 100 SPO CO WATER DIST#3A Hold: ❑
Area: 4,550 Sq Ft Width: 42 Depth: 106 Right Of Way(ft): 32
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan ReviewReleased By: `�` \---- Z ) i i —
TL"
Plan Review Released By:
Approach/Drainage Released BySew: 1 0'0 —
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Landuse/Zoning y� , )( ,, _, Released By: - 6 -0,2\_ ` G.S /y0
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Sewer Review 't''_ 4...``' (i .-el*'', Z Z c ( ( Released By4 �, , '
Project Number: 02000900 Inv: 1 , Application Date: 2/14/02 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: 10 Stories: 2
Bldg W x D: 32 x 53 Building Sq Ft: 1404 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VN 433 $26,846.00 433 $26,846.00
BASEMENT U R-3 VN 476 $5,502.56 476 $5,502.56
DECK R-3 VN 30 $220.80 30 $220.80
GARAGE U-1 VN 480 $5,760.00 480 $5,760.00
RESIDENCE R-3 VN 495 $30,690.00 495 $30,690.00
Totals: 1,914 $69,019.36 1,914 $69,019.36
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $705.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $155.10
Permit Total Fees: $864.60
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: JAS Printed By: JAS Print Date: 2/14/02
Project Number: 02000900 Inv: 1 Application Date: 2/14/02 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 $864.59 $864.59 $0.00 $864.59
Mechanical Permit $64.00 $64.00 $0.00 $64.00
Plumbing Permit $90.00 $90.00 $0.00 $90.00
$1,018.59 $1,018.59 $0.00 $1,018.59
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: JAS Printed By: JAS Print Date: 2/14/02
! , 1ihk PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
Iril n,, SPOKANE,WA 99260
SPOKANg Cour r 509-477-3675
Project Description: Single Family / New Construction
TYPE OF APPLICATION
O Building Permit 0 Change in Use 0 Grading O Manufactured Home Permit
O Relocation O Sign O Tenant (New/Change) O Other
SPECIFIC SITE INFORMATION
Street Address: /0 Z 0 9 . /-1 % L vi ! Sp e, k c1 n e i UJ l- . 97 c
Assessor's Tax Parcel Number(s): 95-"Z//, � t, 1 �J
Legal Description: 11 n nn
2 4
a ...` c�a .65 ;per. ' 'W3�i{�a - 3.it 1'' ;77- { t'.1m> .+ __
tz° s - nom: - Mat':
;��� 00.0-rtcL _ . Zoning•",
tom:..Y:..«. , ..., ,.; .
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
O Owner Phone: 458-5860 O Applicant: Phone:
Greenstone Const. -Fax: 458-5862 SAME Fax:
Mailing Address Mailing Address
1421 N. Meadowwood Lane
City,State,Zip City,State,Zip
Liberty Lake, WA. 99019
O Contractor Phone O Architect/Engineer Phone
SAME Fax Fax
'fes e l Mat m address
Mailingaddress 6.-`k 1 ' Fr k i �— l J' '7 S
City,State Zip City,Stat Zip
'WA State Contractor license Y Contact name:
PROJECT INFORMATION
ilding:Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
,ib' ip 4- — Ievel 195— 176
Dimensions Total habitable space 2°d floor sq.ft. Finished basement sq.ft.
32 ' 'e 3` /109 ': Ffi 933 -c-
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
R-3 V—N 460 30
Cost of project _ Heat source(electric,gas,etc.)
9 , -4.1 C1 d GAS - Forced Air
3at✓Lrele Sig .
Width: Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: #of signs Area of existing signs
R cika - Saf ti
Previous address Fire Sprinkler Tent
Paint booth_ Fire Alarm _ Fireworks display
Proposed use Value
xseetto ed� Non Resp alma, ,ftergreo e Coniplince).
Firm Name Phone Plans Examiner Phone
Inspectors Address
Inspector Phone
0 Concrete 0 Welding 0 Bolting 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? ❑ Yes 151 No What is the current property size?
If yes,identify on site plan (square feet or acres) 1 /5-6S- i/. (f,
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 Cl Yes il9 No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes Il No
0 Don't know ❑ Yes 5U 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 ❑ Yes rl No
❑Maybe ❑Don't know ❑ Yes t No
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property?
property? ❑ Yes II No
If yes, identify on site plan Cl Yes ll;l 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 fl No 0 Yes No
DEPARTMENT USE ONLY
Is herproper ru a designatedSturmwater Gonero # ear Ispublic.sewer avail�eito the si r • Yes Qat
C3 Yes b 1*Io
Is the property inside the Is public water available to the site? . ` l l o
E3 Yes: O No
Is the;property inside the I"S A? ❑ Yes. 13 No Is'tl e property• located vt it n 1000 eet f a Naxtt l esource
Area? C] desEC NO:
Date Received: Staff Representative:
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