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
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