1996, 04-15 Permit App: 96002435 Residence PROJECT NUMBER= 96002435 APPLICATION DA' = 04/15/9. PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 15415 E 23RD AVE PARCEL#= 45261.4602
ADDRESS= VERADALE WA 99037
PERMIT USE= RESIDENCE / NAT GAS
PLAT#= 005665 PLAT NAME= HART'S CROSSWINDS 1ST ADD
BLOCK= 1 LOT= 2 ZONE= UR-3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 90 DEPTH= 135 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = VERA
OWNER= MATHIS CONSTRUCTION INC. PHONE= 509 993 2806
STREET= POB 14262
ADDRESS= SPOKANE WA 99214
CONTACT NAME= STUART BRYAN INC. PHONE NUMBER= 509 838 5686
BUILDING SETBACKS: FRONT= 40 LEFT= 23 RIGHT= 15 REAR= 48
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
kl (BUILDING PLAN REVIEW REQUIRED
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COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: J LARSON DATE: 04/15/96
BUILDING SEWER PERMIT PENDING 9 ., o? % ,7
COMMENTS: %, l '/
ENGINESJ APPROAC /FLOOD PLAI /.RAINAGE !/ 5)'i A � ,
COMMENTS: .,
******************************* BUILDING PERMIT *******************************
CONTRACTOR= MATHIS CONSTRUCTION INC PHONE= 509 456 9032
STREET= P 0 BOX 14262
ADDRESS= SPOKANE WA 99214
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 26 STORIES= 2
BLDG W X D = 52 X 46 SQ FT= 2162 SPRINKLER= N 14(REQ PARKING= #HANDICAP= CRITICAL MAT= N 2/ '
PROJECT NUMBER= 96002435 APPLICATION DATE= 04/15/9.6 PAGE= 02
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT F R-3 VN 356 5340.00
BASEMENT U R-3 VN 532 5852.00
DECK R-3 VN 100 700.00
GARAGE U-1 VN 528 6336.00
RESIDENCE R-3 VN 1274 75166.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 733.97
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 161.47
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= K T U OF SPOKANE PHONE= 509 467 4000
STREET= PO BOX 28899
ADDRESS= SPOKANE WA 99228-8899
ITEM DESCRIPTION QUANTITY FEE AMOUNT
GAS APPLIANCE<=100,000BTU 1 12.00
GAS LOG OR GAS INSERT 1 10.00
RANGE 1 10.00
CLOTHES DRYER 1 10.00
GAS WATER HEATER 1 10.00
GAS PIPING 3 3.00
VENTILATING FANS 3 30.00
HOOD -TYPE II 1 10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= K T U OF SPOKANE PHONE= 509 467 4000
STREET= PO BOX 28899
ADDRESS= SPOKANE WA 99228-8899
ITEM DESCRIPTION QUANTITY FEE AMOUNT
TOILETS/BIDETS 2 12.00
TUBS 1 6.00
SHOWERS 1 6.00
SINKS 3 18.00
DISH WASHERS 1 6.00
CLOTHES WASHER 1 6.00
GARBAGE DISPOSAL 1 6.00
FLOOR DRAINS 1 6.00
WATER USING DEVICES 2 12.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 899.94 .00 899.94
PROJECT NUMBER= 96002435 APPLICATIO13° DATE= 04/15/96 PAGE= 03
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 95.00 .00 95.00
PLUMBING PERMIT 78.00 .00 78.00
1072.94 .00 1072.94
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* PLAT NOTE: TOPIC = CONDITIONS DEPT = BUILD ! :y_ fit *
******************************************************* '***********;�***********
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n it/2OK TO ISSUE SEWER PERMITS PER BILLY 5/10/95 G;
PROCESSED BY: JOHN LARSON ..--- - ''
PRINTED BY: JOHN LARSON /� �/
******************************** THANK YOU ************************************
- APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
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Legal description as it appears on the property deed
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OWNER or OCCUPANT ��;4 r Phone
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Mailing address City,state Zip
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Who should we contact regarding this project? Phone
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Whatgqwork is being done under this permit?
C�On41-VG1;on oP Nt.k-,..-.) Arc h'l.
Lone .InsPector district: Property size Right of way width
H
Water district
I a.+
a
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Building Building height / #of stories
acs
Contractor Dimensions TOTAL SQUARE FOOTAGE
11 t tti /
WA State Contractor license# Main floor area Unfinished basement area
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Mailing address 2nd floor area Finished basement area
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Architect/Engineer Garage area Size of decks,etc.
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What is the heat source? /^ What is the cost of your project?
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Manufactured Home - Sign
Width: Length: What is the square footage of How high is the sign?
the sign face?
Year: Make:
Installer Contractor
Wa State Contractor license# Wa State Contractor license#
Mailing address Mailing address
Relocation Fire Safety
Previous address Fire Sprinkler _ Tent _
Paint booth_ Fire Alarm _ Fireworks display _
VALUE
Contractor Contractor
WA State Contractor license# WA State Contractor license#
Mailing address Mailing address
Fuel Storage Tanks Swimming Pool
(Circle one) Above-ground Underground Size/gallons Private
Contents of tank(s) (Size/gallons
Public/semi-private
Contractor Contractor
Wa State Contractor license# WA State Contractor license#
Mailing address Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
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ADDRESS:
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ROAD WIDTH: 5-6 ' r,aS,- kvotT,o L-c Z ask
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COMMENTS: Zrzoas. r�r+`5
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