2002, 06-25 Permit App: 02005162 Residence Project Number: 02005162 Inv: 1 Application I te: 1 25/2002 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 33 Left: 10 Right: 10 Rear: 46 Phone: (509)921-9677
Group Name:
Site Information: Project Name:
Plat Key: 006128 Name: SP-1239-00 District: F
Parcel Number: 45264.0453 Block: Lot:XI
SiteAddress: 15426 E 24TH AVE Owner:Name: TAILOR MADE HOMES
SPOKANE,WA USA 00000 Address: 11315 E MONTGOMERY
Location::SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 11,057 Sq Ft Width: 91 Depth: 121 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review In orm
ation: :.
Review
Site Plan Review i .-used By: .d{ _ , P ; u
Plan Revie Released By:
Approach/ Drainage Released By: i r_01 •-01_.
oonksiklae
Sewer Re 'ew Released By.
.CI L t te S 'AceR3UQi 0-4 St_OS
Operator: RMB Printed By: RMB Print Date: 6/25/2002
Project Number: 02005162 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: 22 Stories: 1
Bldg W x D: 63 x 39 Building Sq Ft: 2060 Sprinklers:
Req Parking: 0 Handicap Parking: 0 Critical Materials: El
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sp Ft Valuation
BASEMENT U R-3 VN 1,030 $12,669.00 1,030 $12,669.00
DECK R-3 VN 120 $939.60 120 $939.60
GARAGE U-1 VN 818 $9,816.00 818 $9,816.00
RESIDENCE R-3 VN 1,030 $67,980.00 1,030 $67,980.00
Totals: 2,998 $91,404.60 2,998 $91,404.60
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $842.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $185.35
Permit Total Fees: $1,032.35
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
. t
Project Number: 02005162 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
Payment Summary: :: . .
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $1,032.35 $1,032.35 $0.00 $1,032.35
Mechanical Permit $86.00 $86.00 $0.00 $86.00
Plumbing Permit $84.00 $84.00 $0.00 $84.00
$1,202.35 $1,202.35 $0.00 $1,202.35
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: RMB Printed By: RMB Print Date: 6/25/2002
l l PROJECT APPLICATION WORK SHEET
Ilk SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675
SPox(Covin
SPECIFIC SITE INFORMATION
Street Address: r• L.
15q, j A-kl/\
'Pc\)
Assessor's Tax Parcel Number(s): i./5?. 6 `', O L/�. 3
Legal Description: -. %)
ve `A TR O c Sf g7000 --44 :? ?
Project Description:
134 Building Permit ❑ Change in Use ❑ Grading El Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only tl
Water District/Purveyor. Sewer District/Purveyor Road wid Setbacks
� Front -+� Rear.
School District Fire District Zoning
Left Right
OWNER/APPLICANT INFORMATION (it K 1� i���J
9 Indicate uho should be contacted re ardini this project
❑Owner: r- /�/^( D /I'J� �//� Phone: 5a0,�q l-c..4. 77 ❑JJ'Applican�t:: ,Q `�1 �p Phone: Soci q 2/
'1(7i
rot :in • ltrild "o"'LS l:ax:5cy4 `/)J f 5 fikbyor ,d1 / owz- s Fax: 50 q / q6)57
Mailing Address: Mailing A dress:
]I 3 /5 E. 111nniaonery J/?I5 4. 14(v1Jaciey
City,State,Zip Cin-,State,Zip
+0 : 4 - A' r1 r ,.. . 1' / •
❑ Contractor J
Phone Wil) c.i g/ lid Architect;'I ngineer Phone
U/� ��
TCN . L Of MCA )I c NrteS Fax Fax
Mailing address Mailing address
)13 15 E, mom &tomer
City,State Zip Cin-,State Zip
,-
semvie r„l,', q ra a
V° State Contractor license# Contact name:
Thi L ;nh049RBB
PROJECT INFORMATION
Building Information
Building height to peak #of a )fl's �/ Main floor sq.ft. Unfinished basement sq.ft.
9.; ' {2.. /0 ?S(5 /° S C)
D mensions otal habitable space 2"cl floor sq.ft. Finished basement sq.ft.
G63 )( 3q ' 'I2.466
Occupancy group onstructx n type Garage sq.ft. Deck sq.ft.
A teS,'D-oi A•(A/A-7/44456d rr,,,,,o4e, _618 ia0
Cost of project I teat source(electric,gas,etc.)
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?
Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
Concrete O Welding 0 Bolting 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes No What is the current property size?
Ifyes,ident on site plan (square feet or acres) / / Q 5
Is any part of the property within 250 feet of a shoreline? What is the/� current use of this property?
Ifyes,ident on site plan 0 Yes No II I J" t L Gfi
Is your property in a designated wildlife habitat area? Will the sitCbe served by a septic system?0 Yes 4 No
0 Don't know 0 Yes No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identu on site plan Ifyes,ident'on the site plan 0 Yes No
0 Maybe 0 Don't know 0 Yes ,' 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,identOff on site plan 0 Yes No 0 Yes PrNo
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 A No 0 Yes A. No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes Cl No
0 Yes O No
Is the property inside the ASA? 0 Yes Cl No Is public water available to the site? Cl Yes 0 No
CI Yes ONo
Is the property inside the PSSA? Cl Yes Cl No Is the property located within 1000 feet of a Natural Resource Area?
OYes CI No
Date Received: Staff Representative:
METHOD OF PAYMENT
M :iC�11c SUB'I'O'1':1l,
❑ C:Asll ❑ CHECK ❑ Minn ❑ _ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
EXPIRES: TOTAL FEE
BANKCARD NUMBI,R: MINIMUM PERMIT FEE IS$35.AOPLEASE
MAKE CHECKS PAYABLE TO SPOKANE
AUTI TORI%I,D SIGNATURE: COIN11'PERMIT CENTER
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