2002, 10-02 Permit App: 02008591 DuplexProject Number: 02008591 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/2/02 Page 1 of 3
Project Information:
Permit Use: EAST 1/2 OF DUPLEX - GAS
Setbacks: Front 25 Left: 10 Right: 5 Rear: 33
Site Information:
Plat Key: 006123 Name:
Contact: NORTHWEST REGIONAL FACILITATO
Address: E. 525 MISSION AVE
C - S - Z: SPOKANE, WA 99202
Phone: (509) 953-1608
Group Name:
Project Name:
DISHMAN COMMONS 24 DUPLEXES
Parcel Number: 45291.1907 Block: 3
SiteAddress: 9922 E 17TH LN
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -12
Water District:
Urban Residential -12
Area: 4,550 Sq Ft Width: 45
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:_,_,
Review
Site Plan Review
Plan Review
Approach / Drainage
Land use/Zoning/
` 0.
Sewer Review 7Th
6 . 6z72,3z,
Operator: JAS Printed By: JAS
Lot: 12A
Owner: Name:
Address:
District: F
NORTHWEST REGIONAL FACILI
E. 525 MISSION AVE
SPOKANE, WA 99202
Hold: ❑
Depth: 100 Right Of Way (ft): 32
r---..._- ��
Released By
<- z
Released By:
Released By
/0 -2 -CZ.
-------------- -
Released By:
/4 —2.-0Z.
Released By:
Print Date: 10/2/02
Project Number: 02008591 Inv: 1
Permits:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/2/02 Page 2 of 3
Contractor: NORTHWEST REGIONAL
Address: 525 E. MISSION AVE
SPOKANE, WA 99202
Building Permit
Firm: NORTHWEST REGIONAL FACILI
Phone: (509) 484-6733
Building Characteristics
Const Category: New Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height:_Stories:
Bldg W x D: x Building Sq Ft: Sprinklers:
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Sq Ft Valuation
RESIDENCE R-3 VN 1,064 $70,224.00 1,064 $70,224.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 1,064 $70,224.00 1,064 $70,224.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Fee Amount
$711.25
$4.50
$156.48
$872.23
Contractor: NORTHWEST REGIONAL Firm: NORTHWEST REGIONAL FACILI
Address: 525 E. MISSION AVE Phone: (509) 484-6733
SPOKANE, WA 99202
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
HOOD -TYPE II
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
2 #OF UNITS
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: JAS Printed By: JAS
Permit Total Fees:
Fee Amount
$10.00
$12.00
$2.00
$20.00
$10.00
$10.00
$64.00
Print Date: 10/2/02
Project Number: 02008591 Inv: 1
Application
THIS 1S NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/2/02 Page 3 of 3
Contractor: NORTHWEST REGIONAL
Address: 525 E. MISSION AVE
SPOKANE, WA 99202
Item Description
TOILETSBIDETS
WATER USING DEVICES
MINIMUM FEE ADJUSTMENT
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Firm: NORTHWEST REGIONAL FACILI
Phone: (509) 484-6733
Units Unit Desc
1 NUMBER OF
2 NUMBER OF
1 Select
Permit Total Fees:
Fee Amount Invoice Amount
$872.23
$64.00
$35.00
$872.23
$64.00
$35.00
$971.23 $971.23
Fee Amount
$6.00
$12.00
$17.00
$35.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$872.23
$64.00
$35.00
$971.23
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 construed 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: 10/2/02
Project Description:
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
/1/2- Co71.571v- Gam,aY.
TYPE OF APPLICATION
OBuilding Permit
O Change in Use
0 Grading
0 Manufactured Home Permit
O Relocation
0 Sign
0 Tenant (New/Change)
0 Other
SPECIFIC SITE INFORMATION
Street Address:9F.2;1 / 7
0 Applicant: Mona
-5n 0//_ Fax
/q6-7
e '111. 5.5 =rryti
Assessor's Tax Parcel Number(s): 07,,- fa II' z.XOY/Z 3
42_,./e7/..5_,/-
q
t/' /4- / 5.20'2_
Legal Description:
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OWNER/APPLICANT INFORMATION
0 Iudiaae mbo should be roulaacd rrgardiag d r y ja7
O Owner: Photic 4/15.– 6 7 3 3
/✓ort(.we5,A5.0„4/%i+c.'/./F7'tinfax:{83 -d 3y5-.
0 Applicant: Mona
-5n 0//_ Fax
Milling Address
>2S
e '111. 5.5 =rryti
Mailing Address
City, State, Zip
J�-2akA�-,.,F
q
t/' /4- / 5.20'2_
City, State, Zip
Contractor0 Phone
S A In L Fax
0 Architect/Engineer Phone
r1 _ ': � _.e4_4-4 Fax
Mailing address
Total habitable space
Mailing address
ao 3 /V /44-a./(,.-1!:.;,..
City, State Zip
Occupancy group
Ci, State Zip
alp. •e:..,c- 1.v A-- 57.20/
WA State Contractor license #
A/or/4 /1I 0k 73/
Contact statue
kepi /1/4 F S3/ea f
PROJECT INFORMATION
RECEIVED
SEP 2 7 2002
Building height to
b
/b '
peak
# of stories
/
Main floor ft.
/C6 y
Unfinished basement sq. ft.
/1/C//
Dimensions
0 4/2-
Total habitable space
24d floor sq. ft.
/v/,+
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
I leat source (electric, gas, etc-)
t a.5
RECEIVED
SEP 2 7 2002
Width:
Year.
Lanes
Make
What is the square footage of the sign
face?
ft of oyns
ADDITIONAL SITE INFORMATION
Ate there structures on the property? 0 Ycs O—No
Ifyec antiya ikplat
What is the current properly size
(square fat' or ares) .yjr. TX/00
Is any part of the property within 250 feet ofa shoreline?
IfPr. iesI es ikphm 0 Ycs Oiyo
What is the current use of this p rpm
Is you property in designated wildlife habitat area?„....fl
Don't know 0 Yes 0
\o the site be served by a septic system?O Ycs 0-"No
Is any part of the property within a 100 yr flood plain?
. ides* as die
]lyn�/
O Maybe O Don't know 0 Ycs fYNo
Are or will there be wells located on the property?
'J dew&aR fbe Akpka D Ycs alslo
Are there any wetlands. streams or ponds within 200 feet of the property?
!Inc UentiJ os itepyon 0 Yes Ino
Is there evidence of 60 or excavation on the properly?
O Yes O'go
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( /y) O Yes D4io
Are critical or hazardous materials used or stored on site?
O Yes Rico
DEPARTMENT USE ONLY
Date Received
StaffRgnee.entative.
3' ADDITIONAL R/W TO
BE DEDICATED
229.05'
r
in IP
9920 5' UTILITY—1 't-
c cMcJT 1 co
10' UTILITY
EASEMENT
1
28,386 S.F.
589.42'
— • — N89' 10'45"W
228.41'
M EASEMENT
85.94'
5,143.40 TQTAL)
S89'20'04"E
10010
T
N
N
25' B.S.
DRAINAGE
EASEMENT 2
28,205 S.F.
17' WIDE FUTURE -
R/W ACQUISITON
AREA
572.74'
1 112.99'
10026 1
S00'51'08"W
3
14,076 S.F.
'
N89'20'04"W
65.00'
10' UTILITT--0-i
EASEMENT �
0
O
t0
-71
228.39'
6
33,938 S.F.
9919
10' UTILITY
EASEMENT
0
rn
228.34'
26' ,ALLEY, SEWER &
UTILITY EASEMENT
5
24,203 S.F.
?5' B.S.
10015
500'51'08"W
(46
0
SOO' 51.08"W
116.01'
DRAINAGE
EASEMENT
4
12,184 S.F.
S00'51'08"W
313.23'
T10
738.10'
S89'07'00"E
228.28'
10027
A T4 +1- 65.00'
86.04'
N00'49' 15"E
16'
i
IT' I -FOUND 5/8" I.P.
NT I 0.14' NORTH OF
LINE.
�--FOUND 1/2" I.P..
0.08' NORTH OF
I INF.
S89'07'00"E 1303.76'
S89'07'00"E 1 1333.76'
1 1333.85'(R1)
(8
' ' "
,! `
5.49'
) 14
00
u
0
3A o�12B
0 S.F. �
.
5.51'— —
45.51' 45.49'
9918 + 9922
• 10U
: EASEMENT
0 0pI0
O O
00 'ii,00
0'-
OI 12A
4,550 S.F. �i 4,550 S.F.
i
—45.49'— -- —45.51'—
45.51' 1 45.49'
9926 r 10004
.
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p Q O�. o
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No `x''00 ,Ng
o o'.- o
o�11B OI 11A o
4,550 S.F.`�i 4,550 S.F.
i
— —45.49'— -'' -45.51'— --
45.51' L 45.49'
10008 [10012
- p!• O
0.0 O0
O O
Flo �0
o:o
10B OI 10A $
4,550 S.F.'i 4,550 S.F. "
I
—45.491'— -•- —45.51'— --
45.51' i 45.49'
10016 i 10020
• p�.
.'O
p
010
96 oi- 9A
4,550 S.F. Ni 4,550 S.F.
I
—45.49'— — —45.51'—
o0
O
�0
o
--
45.51' j 45.49'
10024 J 10028
!.
0,0 0-
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to fob
- 8B 18i- 8A g
4,550 S.F. (4i 4,550 S.F. N
I
—45.49'— — —45.51'— —
45.51 '
10032 fi
. 2
01.
0 p; O
"�IOo
- 7B g'--
4,550 S.F. `1 4,.
I
—45.49'— -:" —
IT' I -FOUND 5/8" I.P.
NT I 0.14' NORTH OF
LINE.
�--FOUND 1/2" I.P..
0.08' NORTH OF
I INF.
S89'07'00"E 1303.76'
S89'07'00"E 1 1333.76'
1 1333.85'(R1)
(8
nq submittedYor I^=ur,pose of
I permit and i9 a trueand correct
re proposal. All kmvn property
orb Coes, structuros and easements
d. Also indicated are wc'!ands,
yep slopep , Other critical areas.
,j'cCstk!