2002, 09-20 Permit App 02008196 Duplex, GarageProject Number: 02008196 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DUPLEX - ATTACHED GARAGE - FORCED AIR Contact: DIAMOND ROCK CONSTRUCTION
GAS Address: 15321 E MISSION
C - S - Z: VERADALE, WA 99037
Setbacks: Front Left: 12 Right: 12 Rear: 20+ Phone: (509) 924-8964
Group Name:
Project Name:
Site Information:
Plat Key: 005424 Name: SP-880-93 District: G
Date: 9/20/2002 Page 1 of 3
Parcel Number: 55073.1143 Block:
SiteAddress: 1821 N CORBIN LN
GREENACRES, WA USA 990
Location:: GRE
Zoning: UR-7 Urban Residential-7
Water District:
Lot: B
Owner: Name: DIAMOND ROCK CONST
Address: 15321 E MISSION AVE
VERADALE, WA 99037
Hold: 111
Area: 23,750 Sq Ft Width: 95 Depth: 250 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 2
Review Information:
Review
, Site Plan Review
4) •
J-Pd& CMPTI L4ii/
Plan Review
Approach / Drainage
oQ,PSQ,5-3
SepgihSystem Review
000.3PAN(
instaDation nas ZH L.; approval.
PerMits: . .
Released By:
Operator: RMB Printed By: RMB
Print Date: 9/20/2002
Project Number: 02008196 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Building Characteristics
Building Permit
Const Category: New Group:
Nbr Of Dwellings: Occupant Load:
Bldg W x D: x Building Sq Ft:
Req Parking: Handicap Parking:
Description Grp Type Notes
BASEMENT F R-3 VN
DECK R-3 VN
GARAGE U-1 VN
RESIDENCE R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218-8510
Type:
Building Height: Stories:
Sprinklers:
Critical Materials: 0
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,200 $20,112.00 1,200 $20,112.00
160 $1,252.80 160 $1,252.80
572 $6,864.00 572 $6,864.00
1,800 $118,800.00 1,800 $118,800.00
Totals: 3,732 $147,028.80 3,732 $147,028.80
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Fee Amount
$1,135.00
$4.50
$249.70
Permit Total Fees: $1,389.20
Mechanical Permit
Date: 9/20/2002 Page 2 of 3
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218-8510
Units Unit Desc
2 NUMBER OF
2 NUMBER OF
4 # OF UNITS
6 NUMBER OF
2 NUMBER OF
Permit Total Fees:
Fee Amount
$20.00
$24.00
$4.00
$60.00
$20.00
$128.00
Operator: RMB Printed By: RMB
Print Date: 9/20/2002
Project Number: 02008196 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: DIAMOND ROCK
Address: 15706 E VALLEYWAY AVE
VERADALE, WA 99037
Item Description
TOILETSBIDETS
SINKS
SHOWERS
DISH WASHERS
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Plumbing Permit
Units
4
6
4
2
2
2
4
Fee Amount
$1,389.20
$128.00
$144.00
Date: 9/20/2002 Page 3 of 3
Firm: DIAMOND ROCK CONSTRUCTIO
Phone: (509) 218-8510
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Invoice Amount
$1,389.20
$128.00
$144.00
$1,661.20 $1,661.20
Fee Amount
$24.00
$36.00
$24.00
$12.00
$12.00
$12.00
$24.00
Amount Paid
$0.00
$0.00
$0.00
$144.00
Amount Owing
$1,389.20
$128.00
$144.00
$0.00 $1,661.20
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: RMB Printed By: RMB Print Date: 9/20/2002
I I
Ainhk
SPox Corr rY
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: -fi r in
l 4
Assessor's Tax Parcel Number(s): C,
a73�1I`43
Project Description: D,.J/42/e.x.
EKBuilding Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
Water District/Purveyor.
-
Sewer District/Purveyor
Road width
Setbacks
Front Rear.
Left Righr:
School District
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
Indicate who !horrid be contacted re2ardi,n !hit bmeet
❑ Owner.
Phone:
Fax:
❑ Applicant Phone: 'LW ... g94Y
T/
mil 1.19 4i0"/Ot �ec,k COW S TL Fax: 9 al, — O 499
Mailing Address:
Mailing Address:
/ S 3 '-/ & . 7 rs, d.J Jl✓.e.
City, State, Zip
City, State, Zip
f e,,,c.F-brass t- 4- Q f o 37
❑ Contractor
Phone
Fax
❑ Architect/Engineer Phone
Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
\VA State Contractor license #
Contact name:
PROJECT INFORMATION
Building Information
Building height to peak
/8 ff
# of stories
/S."-
Main floor sq. ft.
/160
Unfinished basement sq. ft.
Dimensions
a6 x.7s-
Total habitable space
210 0
2nd floor sq. ft.
Finished basement sq. ft.
/2.06
—
Occupancy group
Constructjs'�' type
Garage sq. ft.
Deck sq. ft. f
Cost of project
Heat source electric, gas, etc.)
Manufactured Home
Sign
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make
# of sign
Area of existing signs
Relocation
Fire Safety
Previous address
Paint booth
Fire Sprinkler
Tcnt
Fire Alarm
Fireworks display
Proposed use
Value
Special Inspections
Required?
Non -Residential Energy Code Compliance?
Finn Name
Phone
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
0 Concrete
0 Welding
O Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? 0 Yes ErNo
Ifyes, identify on site plan
What is the current prope ty size?
(square feet or acres) "w I?C C. A-O, ea) /
Is any pan of the property within 250 feet of a shoreline?
If yes, idenfifyy an site plan 0 Yes riVNo
What is the current use oft is property?
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes No
Will the site be served by a septic system?, C Yes 0 No
Is any pan of the property within a 100 yr flood plain?
Ifyes, ideoqji au site plan ��
O Maybe CI Don't know CI Yes LYNo
.Are or will there be wells located on the property?
IJyes, idenfit� on the siteplan 0 Yes ffo
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, identify on site p/an 0 Yes h io
Is there evidence of fill or excavation on the property?
O Yes GifrNo
,Are there slopes greater than 30di on the property? (30 ft ryie in 100 ft)
( /%) 0 Yes C3/No
.1re critical or hazardous materials used or stored on site?
0 Yes GYic-o
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
0 Yes 0 No
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No
0 Yes 0 No
Is public water available to the site? O Yes ❑ No
Is the property inside the PSSA? O Ycs O No
Is the property, located within 1000 feet of a Natural Resource Area?
O Yes 0 No
Date Received.
Staff Repreor nti e
METHOD OF PAYMENT
VISA
❑ CASI I ❑ Cl 'PICK
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DA'19?:
I [XPIR1?S:
BANKCARD NUMBI01:
AUTII0R1VIId) SICN11TORIL
SUB"I01?ll.
TOTAL FEE
MINIMUM PERMIT FEE IS $/5.00 PLEASE
MAKE CHECKS PAYABLE TO SPOK ANE
COUNTY PERMIT CENTER
This site plan is; iNg suhmitted for the purpose of
obtaining a bui;airg permit and is a true and correct
representation of the proposal. All known property
linesldirnensions,.curb lines, structures and easements
have bee i. 'tifie.. Also in are wetlands,
bodies of ater, .t e_ -;pe'• ..- critical areas.
Signed: ��—
Date: 7'Z0-02_1
votrilojcw
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ROAD WIDTH
FRONT .1 FLANKING _---_
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re s
W— G 40.04
ASP 904 3)
3
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250.00'
Z
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4
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NOTE:
SIDE YARD AND REAR YARD SETBACKS
SHALL BE DETERMINED AT THE TIME
THE BUILDING PERMIT IS REOUESTED.
N 89'59'56 W
250.00'
2
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N 89'59.56" W
25'
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2'
SPOKANE CO. TYPE "B" DRYWELL r}i
WITH TYPE "4" FRAME & ORATE !Y
STA. 3+05. 18' WEST OF C/L
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6
MIN.
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SCALE:
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