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1995, 11-17 Permit App: 95009699 Residence / P1,10JEC4= NUMBER= 95009699 APPLICATION DATE= 11/17/95 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 11325 E 42ND CT PARCEL#= 45333. 1519 ADDRESS= SPOKANE WA 99206 PERMIT USE= RESIDENCE / ATTACHED GARAGE & NAT GAS HEAT PLAT#= 003423 PLAT NAME= FOREST MEADOW 2ND ADD BLOCK= 1 LOT= 19 ZONE= UR 3.5 DIST#= F AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 50 # OF BLDGS= # DWELLINGS= WATER DIST = OWNER= SILVERWOOD CONST. INC. PHONE= 509 443 0732 STREET= 124105 S SSNDS RD ADDRESS= VALLEY FORD WA 99036 CONTACT NAME= SILVERWOOD4=1 . P;'. ' NUMBE 9 43 0732 _ BUILDING SETBACKS: FRO LEF IGHT� ' REAR ****************************** REVIEW INFORMATION **************************** DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN REVIEW REQUIRED COMMENTS: r BUILDING SETBACK REVIEW REQUIRED �-' Y ra-2_;c j - 107 COMMENTS: 9 ENGINEER APPROACH/FLOOD PLAIN/DRAINAGE i1/r7, ia'°:=..�Tsl COMMENTS: HEALTHDIST NEW OR ADDITIONAL WASTE WATER J JIAPEEPS i1/025 1 id'COMMENTS: L � � ******************************* BUILDING PERMIT ******************************* CONTRACTOR= SILVERWOOD CONSTRUCTION, INC. PHONE= 509 838 2701 STREET= 12410 S SANDS RD ADDRESS= VALLEYFORD WA 99003 NEW= X REMODEL= ADDITION= CHANGE OF USE= DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 24 STORIES= 2 BLDG W X D = 42 X 29 SQ FT= 1703 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N PROJECT NUMBER= 95009699 APPLICATION DATE= 11/17/95 PAGE= 02 DESCRIPTION GROUP TYPE SQ FT VALUATION BASEMENT U R-3 VN 520 5720 . 00 DECK R-3 VN 80 560 . 00 GARAGE U-1 VN 559 6708 . 00 RESIDENCE R-3 VN 1183 68614 . 00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 558 .50 STATE SURCHARGE Y 4 .50 RESIDENTIAL SURCHARGE Y 117 .29 ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= BARTON HEATING & A/C INC PHONE= 509 922 5000 STREET= 11401 E MONTGOMERY AVE #3 ADDRESS= SPOKANE WA 99206 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= BELKNAP PLUMBING PHONE= 509 921 5913 STREET= 111 N SUNDERLAND RD ADDRESS= SPOKANE WA 99206 ITEM DESCRIPTION QUANTITY FEE AMOUNT TOILETS/BIDETS 2 12 . 00 URINAL 1 6. 00 TUBS 1 6. 00 SHOWERS 4 24 . 00 SINKS 1 6. 00 DISH WASHERS 1 6. 00 WATER USING DEVICES 2 12 . 00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 680 . 29 . 00 680 . 29 MECHANICAL PRMT 95 . 00 . 00 95 . 00 PLUMBING PERMIT 72 . 00 . 00 72 . 00 847 .29 . 00 847 .29 ' 1 !i `1 '1 ' 9-1)1 4 / 4. PROJECT NUMBER= 95009699 APPLICATION DATE= 11/17/95 PAGE= 03 ******************************************************************************* * SITE NOTE: TOPIC = CONDITIONS DEPT = BUILDING ******************************************************************************* SITES HAVE FILL - MUST HAVE COMPACTION TEST PROCESSED BY: JOHN LARSON PRINTED BY: JOHN LARSON ******************************** ************************************ THANK YOU i I APPLICATION INFORMATION What is the JOB SITE address? / ASSESSOR'S tax parcel number? E, 11313– 4 ),"—Q C/7 Legal description as it appears on the property deed OWNER or OCCUPANT Phone < I ,' /✓6✓wC)© 0/4sfil„c- ;Oil -1--v►c;, (5-0q) (-/ZI.3 --r7 -2 3,), Mailing address City,state Zip / Who should we contact regarding this project? P one What work is being done under this permit? qUetfbit Ci cone Inspector dist f+Ct rtysize Right of•way width? a) a) q Water districf < .. 0. a d 0 / Building Buildingheight #of stories {7 1 9 Contractor Dimensions TOTAL SQUARE FOOTAGE ) C-1/1 WA State Contractor license# Main floor area Unfinished basement area Nailing address 2nd floor area rinished basement area 5. i ID S�,ii , A/6ll y Fe,/d �✓6, L g03C Architect/ ngineer Garage area Size of decks,etc. 55q 1akq ' What is the heat source? What is the cost of your project? -1-;--A - 1. &4d Manufactured Homein 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. • 4 Site Plan tl 11 /'\ 0 3 6:1-1 ( 17'110:C.„ 3 ' \i/ INCLUDE THE FOLLOWING: ❑ All roadways, driveways & easments 0 Underground utilities ❑ Distances from center of roads, right of ways, 0 North arrow private roads & property lines 0 Septic tanks & wells O All existing & proposed buildings LEGAL OWER: SILVERWOUD CONSTRUCTION • C1;3TACT,NAME: KENT SCHLUTER C/0 SILVERW 00 CONST. (504)443-0732 NEW SYSTEM PERMIT APPROVALS Site ddress or Legal Description of Property: F 113?5 4?0R FT. Appl.#: q5-411h49 Parcel #:,r Subdivision/Block/Lot: 411133.1:45 LI? Ili FORr:3T .iaDOW 2ND ADO Critical Material User: DYes tratlo Segregation Date: CM Agreement Received-date: 100-foot setback required: DYes ,�1C Dlo Sewage Maintenance Agreement Required: DYes di'No Easement required: DYes gplo OASAG SCHD Density Requirements: Yes ONo Easement received - date: Method VI Method 2 0 Area of Special Concern: DYes cptio ID#: Other Agency Approval/Date: (i.e31_ ., Engineers, Utilities, TESTHOLE ROVAL G TURE AND DATE: Planning, DOH) INIMUM SPECIFICATIONS REQUIRED MINIUM ECIFICATIONS REQUIRED Flow rate (4,0 gal./day y dosage vol. 9) gal/cycle DISPOSAL FACILITY: TREATMENT FACILITY: 0 Drainfield Size:- Flow Rate /(Soil loading rate Septic Tank Size: /i gals. No. gals./ft= Xinches trench width) = OGrease Trap Size gals. No. lin.feet OCap Fill ]Sump Chamber Size: � j gals. No. / OSand Filter Bed: Flow Rate / 1.2 gals._ / ft.' 0 Leachbed: Flow rate /Soil loading DHblding Tank: gals. No. rate gals./ft.' = sq.ft. OBuilding Sewer DDist.Box DOther: " Alternative: DMoundPressure Dist.SSAS OSand Filter DOther: See Alternative System Specs. Attached. ••• MUST FOLLOW APPROVED PLOT PLAN *** Other EH Program Approval and Date: A Applicational Date: OFOOD OWATER AEC: ,���, ;/ /Z--/Eli DSCHOOL OWATER: '` DOTHER: Approved Application Expires: Double Plumbing Requested -Date: /,„? I .q-,' Building Department Release Date:I /Ig fps w Initials:� g]Required DRecommended DNA )See plot plan t Installer/Designee: Permit Issued Date:'fn/9c Expires:1l(q/q( Initials:,f(c) Installer Company: Multiple Unit Permit Expires: DNA Installer Signature: Final Inspection Signature: Date: NOTE: THIS IS A PERMIT ONLY WHEN THE APPROPRIATE SIGNATURE IS ENTERED UNDER 'APPLICATION APPROVAL SIGNATURE' AND 'PERMIT ISSUED' DATE IS COMPLETE. REMARKS: Page 2 - Permit REINSPECTION FEES REQUIRED Spokane County Division of Buildings West 1026 Broadway Avenue Spokane, Washington 99260 Address: L 113z-5 `I Project No.: (45.1" 1 1'5.9 A reinspection fee is required prior to any additional inspections on the 6‘(6 1 1`Al vl for this project. paid aid at our office, a reins ction made and ap*ov l granted. Do not proceed until the fee hasPe Please contact our office at 456-3675 for further information. Date: 6 -2 8 Inspector: a e RECEIPT SUMMARY TRANSACTION NUMBER: T9600940 DATE: 06/05/96 APPLICANT: BARTON'S HEATING PHONE= ADDRESS: 11401 E MONTGOMERY AVE SPOKANE WA 99206 CONTACT NAME: BARTON'S HEATING PHONE= TRANSACTION: REINSPECTION FEE FOR 95-9699 DOCUMENT ID: 1) 2) 3) 4) 5) 6) COMMENTS: FOR 1132/ E 42ND CT FEE & PAYMENT SUMMARY ITEM DESCRIPTION QUANTITY FEE AMOUNT RE-INSPECT FEE 1 50.00 TOTAL DUE = 50.00 TOTAL PAID= 50.00 BALANCE OWING= .00 PAYMENT DATE RECEIPT# CHECK# PAYMENT AMOUNT 06/05/96 00004991 20085 50.00 PROCESSED BY: KATHY CUMMINGS PRINTED BY: KATHY CUMMINGS ******************************** THANK YOU ************************************