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2002, 06-25 Permit App: 02005158 Residence
Project Number: 02005158 Inv: 1 'Application Dae: 002 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE/ATTACHED GARAGE-FORCED Contact: TAILOR MADE HOMES INC AIR GAS Address: 11315 E MONTGOMERY C-S-Z: SPOKANE,WA 99206 Setbacks: Front 47 Left: 17 Right: 27 Rear: 35 Phone: (509)921-9677 Group Name: Site Information: Project Name: ...................................................................................................................................................................................................................................... Plat Key: 006128 Name: SP-1239-00 District: F Parcel Number: 45264.0452 Block: Lot: SiteAddress: 15422 E 24TH AVE Owner: Name: TAILOR MADE HOMES SPOKANE,WA USA 00000 Address: 11315 E MONTGOMERY AVE Location::SPO SPOKANE,WA 99206 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 11,075 Sq Ft Width: 91 Depth: 122 Right Of Way(ft): 20 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review In ormation: :. f Review Site Plan Review ' Released 1 Plan Review fReleased By. - __��! _- O2 Approach/Drainage Released By: ■++0 . ©© F JA 7,8 Sewer R� By, `%/1111 1 OA c 1e- �'�' ` Par e P rmtts: Operator: RMB Printed By: RMB Print Date: 6/25/2002 • 4 Project Number: 02005158 Inv: 1 Application Date: 6/25/2002 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: TAILOR MADE HOMES Firm: TAILOR MADE HOMES Address: 3020 N SULLIVAN RD S-6 Phone: (509)220-0295 SPOKANE,WA 99216 Building Characteristics Const Category: New Group: R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 26 Stories: 2 Bldg W x D: 42 x 31 Building Sq Ft: 2208 Sprinklers: ❑ Req Parking: 0 Handicap Parking: 0 Critical Materials: This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation 2ND FLOOR R-3 VN 682 $45,012.00 682 $45,012.00 BASEMENT F R-3 VN 374 $6,268.24 374 $6,268.24 BASEMENT U R-3 VN 576 $7,084.80 576 $7,084.80 GARAGE U-1 VN 616 $7,392.00 616 $7,392.00 RESIDENCE R-3 VN 576 $38,016.00 576 $38,016.00 Totals: 2,824 $103,773.04 2,824 $103,773.04 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $915.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $201.30 Permit Total Fees: $1,120.80 Mechanical Permit Contractor: TAILOR MADE HOMES Firm: TAILOR MADE HOMES Address: 3020 N SULLIVAN RD S-6 Phone: (509) 220-0295 SPOKANE,WA 99216 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 HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00 VENTILATING FANS 4 NUMBER OF $40.00 CLOTHES DRYER 1 NUMBER OF $10.00 Permit Total Fees: $86.00 Operator: RMB Printed By: RMB Print Date: 6/25/2002 Project Number: 02005158 Inv: 1 •Application Date: 6/25/2002 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: TAILOR MADE HOMES Firm: TAILOR MADE HOMES Address: 3020 N SULLIVAN RD S-6 Phone: (509)220-0295 SPOKANE,WA 99216 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 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 SEWAGE EJECTOR 1 NUMBER OF $6.00 WATER USING DEVICES 2 NUMBER OF $12.00 Permit Total Fees: $84.00 Notes . Payment Summary: .. . Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,120.80 $1,120.80 $0.00 $1,120.80 Mechanical Permit $86.00 $86.00 $0.00 $86.00 Plumbing Permit $84.00 $84.00 $0.00 $84.00 $1,290.80 $1,290.80 $0.00 $1,290.80 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 pros inions of laws and/or regulations governing this type of work will he complied with. Subsequent issuance of a permit shall not he 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: RMB Printed By: RMB Print Date: 6/25/2002 • idci PROJECT APPLICATION WORK SHEET ilmiltk SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT ALL ill 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 509-477-3675 SPOKANE COUNTY SPECIFIC SITE INFORMATION Street Address: E' /5 e j a s a LH-1-Th H-L1 I V e Assessor's Tax Parcel Number(s): ` S? /Q4 i 0 / s- Legal Description:� 2.' ........ ei1e C or sPa000 _ / - 3 Ct Project Description: A LV L L HO u-S L Building Permit O Change in Use 0 Grading 171 Manufactured Home Permit El Relocation El Sign El Tenant(New/Change) CI Other Department Use Only ; o" - water District/Purveyor: Sewer District/Purveyor Road width Setbacks �;` Front 5 t km Rear. School District Fire District: Zoning --'"l•�,)w��" up: � Left Right. ti.�J OWNER/APPLICANT INFORMATION lAI ( I I 01S Ei Indicate who should be contacted nZardin;this project ❑Owner: Phone: S-0 Cl — 1 Z/—S C/)7 ❑ Applicant: Phone: SOq" 9 24 -91.0 i i 7 9/L,Up- /9/AIXF /fG7NEs las: 5ei- 921- 9851 Tr)1Le/2. /ylAPP favi S I as:5G?- ?Z'-9857 Mailing Address: Mailing Address: //3/S- c: r /noA 6c-m Ek'-Y //3/5" C ifloNrGcs'"& y City,State,Zip City,State,Zip 17C5Kig266, WA, 94Z069 5PoKM/6 Iii-, 99 2.40(0 ❑ Contractor PhOOe G�-� " `Q 17 in Phone 7f9/1-0 .K ADE Ml )/ J Mailing address Mailing address //3)s 6, /YI ok -reavil�� City,State Zip City,State Zip SPb fWJ abet- , `i92-0(o WA State Contractollicense# Contact name: 7/9/L0vn1402388 PROJECT INFORMATION Building Information Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft. 2Ca' '2— 5710 53(.0 Dimensions , Total habitable space 2nd floor sq. ft. Finished basement sq.ft. 42` x -I 7-2,cD8 el 2 3`11 Occupancy grouponstruction type Garage sq.ft. Duck sq. ft. R sivL3 sr, /y"6`',.cFk r n4 e- CODA sr acnou 41[t. Cost of project I Ieat source(electric,gas,etc.) e Fig.6�s ( gocoo a 2O -4, ) Manufactured Home ' Sign, width: Length: What is the square footage of the sign flow 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? Finn Name Phone Plans Examiner Phone Inspectors: Address • Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Arc there structures on the property? O Yes No What is the current property size? _ sct fl- Ifyes,ident/,on site plan (square feet or acres) /7,01 5 Is any part of the property within 250 feet of a shoreline? What is the current use of this property? 0- If y - I f yes,identify on site plan O Yes g No 011 p'j"' LU,— Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes No O Don't know O Ycs No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? Ifyes,identify on site plan I.Eyes,identz on the site plan 0 Yes No O Maybe O Don't know O Yes 7,..No Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property? If jeer,ident f r on site plan 0 Yes P,No O Yes Xt No Arc 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 A,No 0 Yes No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No 0 Yes 0 No Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No O Yes O No Is the property inside the PSSA? 0 Yes` 0 No Is the property located within 1000 feet of a Natural Resource Area? O Yes 0 No Date Received: Staff Representative METHOD OF PAYMENT M CSV SUB"1'OTtV, VISA ❑ C:ASI I ❑ can?CK 0 ❑ ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD 1?xP1RI:S: TOTAL FEE BAN KCARD MINIMUM PERMIT FEE IS$35.00 PLEASE MAKE CHECKS PAYABLE.TO SPOKANE A Ul l LORI""/I:D SIGNATURE: COUNTY PERMIT CENTER Jun 17 02 05: 22p Bt11 G,-zham 14601 998-9375 p. 4 T i�t- rci'i3 s ' AO rAsvA--rt tokitic wAt To 24=4,44. .© t;i. Q .I. I 1 _1 _ _' -!. I 1 N 1 f 1 !/ 7! le 4fQ„ivy} O 7.V - _ ____ N o6 In -mmiEwa-" : a 3/A31A3a -_.."". C.1_Nd!ld'.N00 ONI>IN71h 1.NO H 09 N1. 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