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2002, 10-02 Permit App: 02008614 DuplexProject Number: 02008614 Inv: 1 4, Application Date: 10/2/2002 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: EAST 1/2 DUPLEX - GAS Contact: NW REGIONAL FACILITATIORS Address: 525 E MISSION C - S - Z: SPOKANE, WA 99202 Setbacks: Front 25 Left: 5 Right: 8 Rear: 46 Phone: (509) 484-6733 Group Name: Site Information:Project Name: Plat Key: 006123 Name: DISHMAN COMMONS 24 DUPLEXES District: F Parcel Number: 45291.1908 Block: 3 Lot: 11 SiteAddress: 9926 E 17TH LN SPOKANE, WA USA 99206 Location:: SPO Zoning: UR -12 Water District: Urban Residential -12 Owner: Name: NW REGIONAL FACILITATIORS Address: 525 E MISSION SPOKANE, WA 99202 Hold: ❑ Area: 4,550 Sq Ft Width: 45 Depth: 100 Right Of Way (ft): 32 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: :. ev Site Plan ' view/ Rcicased By: an Rev' Released By: w,� w.�w�nw .III UU i Approach / Drainage Released By: O- ,L-cf)- Landuse/Zoning Sewer Review Released By` 1 i Released By: t�- Operator: DMD Printed By: DMD Print Date: 10/2/2002 -7/30/©2- Project Number: 02008614 Permits: Inv: 1 Application Date: 10/2/2002 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: NORTHWEST REGIONAL Address: 525 E. MISSION AVE SPOKANE, WA 99202 Const Category: New Nbr Of Dwellings: Bldg W x D: x Req Parking: Description BASEMENT U RESIDENCE Grp R-3 R-3 Building Permit Firm: NORTHWEST REGIONAL FACILI Phone: (509) 484-6733 Building Characteristics Group: Occupant Load: Building Sq Ft: Handicap Parking: Type Notes VN VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor: NORTHWEST REGIONAL Address: 525 E. MISSION AVE SPOKANE, WA 99202 Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER HOOD -TYPE II Type: Building Height: Stories: Sprinklers: ❑ Critical Materials: This Application: Total Project: Sp Ft Valuation Sq Ft Valuation 864 $10,627.20 864 $10,627.20 864 $57,024.00 864 $57,024.00 Totals: 1,728 $67,651.20 1,728 $67,651.20 Units Unit Desc Fee Amount 1 Y OR BLANK $692.50 1 Y OR BLANK $4.50 1 Y OR BLANK $152.35 Permit Total Fees: Mechanical Permit Units 1 1 2 2 1 1 Operator: DMD Printed By: DMD $849.35 Firm: NORTHWEST REGIONAL FACILI Phone: (509) 484-6733 Unit Desc NUMBER OF NUMBER OF # OF UNITS NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Fee Amount $10.00 $12.00 $2.00 $20.00 $10.00 $10.00 $64.00 Print Date: 10/2/2002 Project Number: 02008614 Inv: 1 Application Date: 10/2/2002 THIS IS NOTA PERMIT Penalties will be assessed for commencing work without a permit Contractor: NORTHWEST REGIONAL Address: 525 E. MISSION AVE SPOKANE, WA 99202 Item Description TOILETSBIDETS SINKS TUBS DISH WASHERS CLOTHES WASHER FLOOR DRAINS WATER USING DEVICES Notes: Payment Summary: ;; Permit Type Building Permit Mechanical Permit Plumbing Permit Plumbing Permit Units 1 2 1 1 1 1 2 Fee Amount $849.35 $64.00 $54.00 Page 3 of 3 Firm: NORTHWEST REGIONAL FACILI Phone: (509) 484-6733 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Invoice Amount $849.35 $64.00 $54.00 $967.35 $967.35 Fee Amount $6.00 $12.00 $6.00 $6.00 $6.00 $6.00 $12.00 Amount Paid $0.00 $0.00 $0.00 $0.00 $54.00 Amount Owing $849.35 $64.00 $54.00 $967.35 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: DMD Printed By: DMD Print Date: 10/2/2002 SpoicARECourtnr a 11 PROJECT APPLICATION SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 Project Description: /V .e- w C TYPE OF APPLICATION SPECIFIC SITE INFORMATION Street Address: 9 5‘ a 6 £ / 7 — � 113 ,.2'1' 0' Building Permit O Change in Use o Grading 0 Manufactured Horne Permit 0 Relocation 0 Sign 0 Tenant (New/Change) 0 Other SPECIFIC SITE INFORMATION OWNER/APPLICANT INFORMATION 0 Indim' alio :toad be calla -red rraanfird ibis project o Ownci: 4c ; rf t.qh... t- y- 6 7 3 3 No r t A wes f e�.a,, .t / Fate 'j e 3 5.1s Street Address: 9 5‘ a 6 £ / 7 — � 113 ,.2'1' Assessor's Tax Parcel Number(s): Lot 1 /6,gAriz S / 4e. ''1' (- g 9j Legal Description: .r .,.----7...., 4 �Z`;7?r,�yi T.+•Jff'Y t l +' `, ''}� y[�r----1 s>w�k' F� .:t M' 1,�`B CEi$E.R'1_`)scTa„<�� J -eA i.l .; ... ^�+,�z'i-Y �2 �P`�r--�y. i � r `J. Lrt2"� T �`� .�:J .,w- i ¢Y, -may ..' > i 'l '�r4..., ` l..... "�iL K ". ya- ,+ .x ]....r .it' ;Tar $4,....e.�Sy� ''....Z � . T E s".", . 6- e�i �"`L nF� 4 �` Air '✓ 4Y, .,+ y `. `"+ ---Pc "R 4 nC ..'P�^t7t L"'A.0 *. ��`+ , "�' 4�xC ;s. Vt .'.'� %.: b'.�ti T ii+ti-L,fr..? "4 (,`x,4 -+�, a�\ �d ch"s'• 's'-. 'i�c �C `'s 't " ' n. .��.'�� `�. '.-,..‘,-,,-,--'• ' ✓ b pori z-. g c� u w- s'_ R•�.a;;s -'P- ? ,� ��3 :ei -:¢� ". �'"`er .'�?� "r C�� rt` t '' �^x" 'Y».t *�, w: �' ?c �n"`ar ._, . �i� T- - -,� y' w -4'''Z''' am. - �-'�'B--:Y ^\tea: � fie- & v q.. rc.�'ic. 'y. h. `Z: (r{ , ..... cc 7y. 4- ro 1. jet _ f `9F+` 4 "� "l�S�' - el' y� 4y�g 'S y fit` _� } J -`e. S'�e.. .':' + •�YL.,itY- S^'�.'P. 17" ,,.&�f� �TrilF/2` E OWNER/APPLICANT INFORMATION 0 Indim' alio :toad be calla -red rraanfird ibis project o Ownci: 4c ; rf t.qh... t- y- 6 7 3 3 No r t A wes f e�.a,, .t / Fate 'j e 3 5.1s 0 Applicant > _174-017- Fax: Fa Mg Addnrx ss' r t55 Masling Address: City, State, Zip -->,)oi(6, IIK 4_ 9742-0.2---- City, Sem, Zip ❑ Contractor —19- E P` 0 Architect/Engineer Phone Fax � Fax Marling address Aer Finished basement sq. ft. Marling address City, State Zip Construction type City, State Zip WA State Contractor license # Contact tunic /Vv ri4 lc)f 037y/ /.60-e /v/2� 25'3 /t ok PROJECT INFORMATION :- r Tin rmatian �,.- . . Building height to peak 20 ' # of stories / Main floor sq. ft t. e‘ y a Unfinished basement sq. ft. F( Dimensions z 2)(32 Total habitable space /7.2? floor sq. ft. /V/ Aer Finished basement sq. ft. (kcupanty group Construction type Garage sq' tv./A Deck sq. ft. Cost of -project I It -at source (electric, gas, etc.) a-3 . Make ti or signs ADDITIONAL SITE INFORMATION Are these Animates on the pa y? O Ycs WNo I%ycs• itkatify es axp/a Is any pan of the property within 250 feet of shoreline? 7jyu,ikdifj as site plat 0 Yes O'Flo What is the swat property sad (agmc feet or acres) What is the current use of this p • YS• 5'3( /00 Is your property in a designated wildlife habitat arra? 0 Don't know 0 Yes B" -No Is any part of the property within a 100 yr flood plain? IJ)ex ides* ea dap/ O Maybe 0 Don't know O Yes IWi o Are there any wetlands, streams or ponds within 200 1...e1 of the property? Ifyo idratir es sift fiat 0 Yes rNo Ca the site be served by a septic system? O Yes B'No Are or will there be wells located on the property? Ibex Ulm* es ibe site plan 0 Yes B'flo Is thus evidence of fill or excavation on the propaly? O Yes [04o Are there slopes greater than 30 on the property? (30 (t din 100 ft) ( GYe) 0 Yes IW'No Are aided ox hazardous materiels used or stored on site? 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