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2002, 06-27 Permit App 02005301 Residence, GarageProject Number: 02005301 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE W/GARAGE - GAS Contact: REED, ROBERT Address: 19217 E NIXON C - S - Z: GREENACRES, WA 99016-9546 Setbacks: Front Left: Right: Rear: Phone: (509) 891-6128 Group Name: Site Information: Project Name: Plat Key: 005424 Name: SP-880-93 District: G Parcel Number: 55073.1144 Block: Lot: C SiteAddress: 1813 N CORBIN LN GREENACRES, WA USA 9901 Location:: GRE Date: 6/27/02 Page 1 of 3 Owner: Name: REED, ROBERT Address: 19217 E NIXON GREENACRES, WA 99016-9546 Zoning: UR-7 Urban Residential-7 Water District: 008 CONSOLIDATED IRRG #1 Hold: ❑ Area: 23,750 Sq Ft Width: 95 Depth: 250 Right Of Way (ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Approach / Drainage Q r Permits: Septic System Review Released By: Operator: JAS Printed By: JAS Print Date: 6/27/02 Project Number: 02005301 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: OWNER Const Category: New Nbr Of Dwellings: Occupant Load: Bldg W x D: 58 x 32 Building Sq Ft: Req Parking: Handicap Parking: Inv: 1 Description Grp llym Notes BASEMENT U R-3 VN GARAGE U-1 VN RESIDENCE R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor: OWNER Item Description DUCT SYSTEMS GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING AIR CONDITIONER:4-15 TONS VENTILATING FANS CLOTHES DRYER GAS LOG OR GAS INSERT Operator: JAS Totals: Building Permit Firm: OWNER Phone: Building Characteristics Group: R-3 Type: VN Date: 6/27/02 Page 2 of 3 Building Height: Stories: 1 2694 Sprinklers: Critical Materials: This Application: Total Project: S i Ft Valuation Sq Ft Valuation 1,309 $16,100.70 1,309 $16,100.70 440 $5,280.00 440 $5,280.00 1,385 $91,410.00 1,385 $91,410.00 3,134 $112,790.70 3,134 $112,790.70 Units Unit Desc 1 1 1 Y OR BLANK Y OR BLANK Y OR BLANK Permit Total Fees: Mechanical Permit Firm: OWNER Phone: Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 3 # OF UNITS 1 NUMBER OF 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Fee Amount $960.00 $4.50 $211.20 $1,175.70 Fee Amount $10.00 $10.00 $12.00 $3.00 $20.00 $30.00 $10.00 $10.00 $105.00 Printed By: JAS Print Date: 6/27/02 Project Number: 02005301 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: OWNER Item Description TOILETS/BIDETS SINKS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS WATER USING DEVICES Notes: Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Inv: 1 Plumbing Permit Firm: OWNER Phone: Units Unit Desc 2 NUMBER OF 3 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 2 NUMBER OF Fee Amount $1,175.70 $105.00 $78.00 $1,358.70 Permit Total Fees: Invoice Amount $1,175.70 $105.00 $78.00 $1,358.70 Date: 6/27/02 Page 3 of 3 Fee Amount $12.00 $18.00 $12.00 $6.00 $ 6.00 $ 6.00 $6.00 $12.00 $78.00 Amount Paid Amount Owing $0.00 $1,175.70 $0.00 $105.00 $0.00 $78.00 $0.00 $1,358.70 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: JAS Printed By: JAS Print Date: 6/27/02 Project Number: 02005301 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/27/02 Page 1 of 3 Project Information: Permit Use: RESIDENCE W/GARAGE - GAS Contact: REED, ROBERT Address: 19217 E NIXON C - S - Z: GREENACRES, WA 99016-9546 Setbacks: Front Left: Right: Rear: Phone: (509) 891-6128 Group Name: Site Information: Project Name: • Plat Key: 005424 Name: SP-880-93 Parcel Number: 55073.1144 Block: Lot: C SiteAddress: 1813 N CORBIN LN GREENACRES, WA USA 9901 Location:: GRE District: G Owner: Name: REED, ROBERT Address: 19217 E NIXON GREENACRES, WA 99016-9546 Zoning: UR-7 Urban Residential-7 Water District: 008 CONSOLIDATED IRRG #1 Area: 23,750 Sq Ft Width: 95 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: 9- cc" Q 74:6 r— Permits: Review Site Plan Review Approach / Drainage c „Fs345 Hold: ❑ Depth: 250 Right Of Way (ft): 30 Released Dy: Released By: _ Septic System Review 7 Released By: Sawa system desi ]t��e�1d for a , or gallons pet da ,, OCCUPANCY T ALLOWED until system knotailation has SRHD approval Operator: JAS Printed By: JAS Print Date: 6/27/02 Aitmlik 1 Spoi v\T CouNTY PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: 43/3 N CsrL•r ,tJC -S 604 99oI6 —7-� .1 Assessor's Tax Parcel Numbers}: Legal Des ption: t R�5 /r%v c 151 Project Description: /Veal 4Building Permit Cons • ke-CS O Change in Use El Grading O Manufactured Home Permit O Relocation C Sign O Tenant (New/Change) O Other Department Use Only Water District/Purveyor. Sewer District/Purveyor Road width Setbacks Front Left: Rear. Right School District Fire District. Zoning �-7 OWNER/APPLICANT INFORMATION 0 Indicate who should be contacted reeardinp Ibis Artt'ea Owner. Phone: f9/... 6 17x Fax: „orApplicant: //)) 3 Phone: - \_,Q..., Fax: Mailing Address: _ /4 Z 17 C N,) cwn. Mailing Address: City, State, Zip C5re..erl Ae re-S i 990 i L City, State, Zip Contractor hl1OiL Fax ❑ Architect/Engineer Phone Fax Mailing address Mailing address City, State Zip City, State Zip \VA State Contractor license # Contact name: PROTECT INFORMATION Building Information Building height to peak # of stories / Main floor sq. ft. /385 Unfinished basement sq. ft. cps? x3z. Dimensions 32- Total habitable space 13,:1. 2ad floor sq. ft. Finished basement sq. ft. Occupancy oup (- e.-5 . Constructio type g e.AAJ CaAS7 Garage sq. ft. 2.0X ZZ Deck sq. ft- iti.e. X Z1 Cost of project I //S, 000 I-Icat source (electric, gas, etc.) 9a5 F;:)oio C4... Manufactured Home 3i Width: Length: AX/hat is the square footage of the sigm ace? 1low high is the sign? Year: Make: # of signs Area of existing signs Relocation Fire Safety Previous address Paint booth Fire Sprinkler Tent Fire Alarm Fireworks display Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Firm Name Phone Plans llzaminer Phone Inspectors: Address Inspector Phone ❑ Concrete ❑ Welding ❑ Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? ❑ Yes ❑ No Ifyes, identIn, an site flan What is the current property size? (square feet or acres) Is any part of the property within 250 feet of a shoreline? If yet, ideltib an rite plan 0 Yes 0 No AXshat is the current use of this property? Is your property in a designated wildlife habitat area? ❑ Don't know 0 Ycs 0 No Will the site be served by a septic system? 0 Ycs 0 No Is any part of the property within a 100 yr flood plain? Ifj;es, ident f on rite plan 0 Maybe 0 Don't know ❑ Ycs ❑ No Are or will there be wells located on the property? I f yet, ichna0, an the the flan 0 Yes 0 No Are there any wetlands, streams or ponds within 200 feet of the property? Ifyes, identify on site plan 0 Yes ❑ No Is there ev Armee of fill or excavation on the property? 0 Yes 0 No ;Are there slopes greater than 30% on the property? (30 ft rise in 100 f) ( _%) 0 Ycs 0 No Are critical or hazardous materials used or stored on site? 0 Yes 0 No DEPARTMENT USE ONLY Is the property in a designated Stomawater Control Area? ❑ Yes ❑ No Is public sewer available to the site? 0 Yes --. 0 No Is the property inside the ASA? 0 Yes 0 No ❑ Yes ❑ No Is public water available to the site? 0 Yes ❑ No Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area? ❑ Ycs ❑ No ,. Date Received Staff Represcnraor. METHOD OF PAYMENT VISA ❑ GASl l rikci IFCK 0 UC*VER'; FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DAI 1 ?XP1121?S BANKCARD NUMB'!R: VUTIIORI ZIiD SIGNATURE: SUBTOTAI, TOTAL FEE MINIMUM PERMIT FEE IS 0.5.00 PLEASE A LSKE CHUCKS PAYABLE TO SPOKANE CO0NIS Nitwit CENTER 00'00'28" W NOTE: SIDE YARD AND REAR YARD SETBACKS ui SHALL BE DETERMINED AT THE TIME THE BUILDING PERMIT IS REOUESTED. EL. 2006.0 POND BOTTOM 4' 35' 25' 250.00' N 89'59'56" W 250.00' N 89'59'56" W --r EL. 2006.5 L RIM SPOKANE CO. TYPE "B" DRYWELL WITH TYPE "4" FRAME & GRATE STA. 3+05, 18' WEST OF C/L "208" POND SECTION 2' _6, I MIN. 10' 15' qP - CENTERLIN _J } TYPE "B" DRYWELL w I RIM EL= u I 2006.5 a1 w UJI• zI ire— 25'— SWALE 1' 80TTOMJ EASEMENT w 4 CC 0 0 0 \ 0 O LI\ Z\ 4 1 L- 1 P 0 15 30 60 SCALE: 1 30' EXPIRES 2-21-01 V: TRACT-C-WEST ca Q OD 0 N V) 0) o - co • U 0: Q - �U D I- D CY z0 O O w a 0 CHECKED BY: r-1 0 CD NOT TO SCALE