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2001, 06-18 Permit App 01004749 Residence, Garage . i Project Number: 01004749 Inv: 1 s Application Date: 6/18/2001 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: NEW RESIDENCE W/GARAGE- NATURAL GAS Contact: GREMY INC Address: 3922 S EAGLE LN C -S -Z: SPOKANE WA 99206 Setbacks: Front 18 Left: 5 Right: 5 Rear: 24 Phone: (509)924-9406 V/ Group Name: Project Name: Site Information: Plat Key: 005619 Name: THE GREENS AT MIDILOME District: F Parcel Number: 45331.4904 Block: 2 Lot: 4 SiteAddress: 3935 S EAGLE LN Owner:Name: ZAGELOW,VIVIAN SPOKANE,WA USA 00000 Address: 16785 ZAGELOW RD W Location::SPO ODESSA,WA 99159 Zoning: UR 3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 6,538 Sq Ft Width: 55 Depth: 100 Right Of Way(ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 'ew In ormatao Revs f Department Review BUILDING Site Plan Review Released By 4. t v Hold Reasons: Permit Conditions: BUILDING Plan Review Released By: 7 Hold Reasons: Cdea:et° (t/( iit9A-Q61- -t9A-14( Permit Conditions: ENGINEER Approach/Drainage Released By: G' v V Hold Reasons: Permit Conditions: !' UTILITIES Sewer Review Released By. . I`, L . Hold 'easons: Z �l'Y7.c7 Permit Conditions: -. Permits: i Project Number: 01004749 Inv: 1 Appliction Date: 6/18/2001 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: GREMY INC Firm: GREMY INC Address: 3922 X EAGLE LANE Phone: (509)924-9406 SPOKANE,WA 99206 Building Characteristics Const Category: New Group: R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: Building Height: 22 Stories: 1 Bldg W x D: 52 x 55 Building Sq Ft: 3272 Sprinklers: Req Parking: Handicap Parking: Critical Materials: 0 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT F R-3 VN 787 $12,403.12 787 $12,403.12 BASEMENT U R-3 VN 849 $9,814.44 849 $9,814.44 COV DECK R-3 VN 144 $1,362.24 144 $1,362.24 GARAGE U-1 VN 528 $6,336.00 528 $6,336.00 RESIDENCE R-3 VN 1,636 $101,432.00 1,636 $101,432.00 Totals: 3,944 $131,347.80 3,944 $131,347.80 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $1,055.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $232.10 Permit Total Fees: $1,291.60 Mechanical Permit Contractor: R&R HEATING&AIR COND Firm: R&R HEATING&AIR COND IN Address: 4019 E CENTRAL Phone: (509)484-1405 SPOKANE,WA 99207 Item Description Units Unit Desc Fee Amount GAS WATER HEATER 1 NUMBER OF $10.00 GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00 GAS PIPING 3 #OF UNITS $3.00 HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00 VENTILATING FANS 5 NUMBER OF $50.00 GAS LOG OR GAS INSERT 1 NUMBER OF $10.00 HOOD -TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $107.00 Project Number: 01004749 Inv: 1 Application Date: 6/18/2001 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: PIPER PLUMBING&HEATING Firm: PIPER PLUMBING& HEATING Address: PO BOX 3992 Phone: (509)534-6986 SPOKANE,WA 99220 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 3 NUMBER OF $18.00 SINKS 6 NUMBER OF $36.00 SHOWERS 2 NUMBER OF $12.00 TUBS 1 NUMBER OF $6.00 DISH WASHERS 1 NUMBER OF $6.00 GARBAGE DISPOSAL 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 FLOOR DRAINS 1 NUMBER OF $6.00 WATER USING DEVICES 3 NUMBER OF $18.00 Permit Total Fees: $114.00 Pa ment umma S Operator: MKC Printed By: MKC Print Date: 6/18/2001 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,291.60 $1,291.60 $0.00 $1,291.60 Mechanical Permit $107.00 $107.00 $0.00 $107.00 Plumbing Permit $114.00 $114.00 $0.00 $114.00 $1,512.60 $1,512.60 $0.00 $1,512.60 Notes: ;.. »:;...:.:>;;::>;::;::.;>;;;. >;:.;:.;., 1 1 PROJECT APPLICATION WORK SHEET Affin SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 SPO COLINUY 509-477-3675 SPECIFIC SITE INFORMATION Street Address: Assessor's Tax Parcel Number(s): Legal Description: Project Description: !�clGLci8 s�-� Building Permit C3 Change in Use O Grading O Manufactured Home Permit O Relocation O Sign O Tenant (New/Change) O Other OWNER/APPLICANT INFORMATION ❑/ Owner: Phone: ❑ Applicant: Phone: �j/ ZA � � earl fa � J 0 i Q A) Fax: Fax: Mailing Address: Mailing Address: City, State, Zip City, State, Zip // ❑ Contractor Phone ') J u: i �� f ❑ Architect/Engineer Phone Fax �.4 12 � 1 C.- `I Fax Mailing address Mailing address r City, State Zip > 4V City, State Zip WA State Contractor license # Contact name: A ' PROTECT INFORMATION � .,. u_ Width: Length: What is the square footage of the sign How high is the sign? face? Year: Make: #of signs Area of existing signs Previous address Fire Sprinkler Tent Paint booth_ Fire Alarm Fireworks display Proposed use i Value mix � �� A� 1 ��r� rtz p s� M `�ry/� }'��g ei` ;• ,5 4,? R "r+T l � 1 �r4# 41 � V � G{.0 Firm Name Phone Plans Examiner Phone Inspectors: Address Inspector Phone O Concrete O Welding 0 Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes 1.No What is the current property size? r If yes,identify on site plan (square feet or acres) ^ tr" Is any part of the property within 250 feet of a shoreline? What is the current use of this property? If yes,identify on site plan O Yes In No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes )7(No O Don't know O Yes No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?, If yes,identify on site plan If yes,identify on the site plan O Yes O No O Maybe O Don't know O Yes O No Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property?,- property? O Yes 0 No If yes,identify on site plan O Yes 0 No Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site? ( /ok) O Yes El No O Yes 0 No DEPARTMENT USE ONLY Is the property au a designated S orntwafer Cotxtr l Ax a Is public sewer available to the'site? Cf Yes°; 0,No Is the propert inside the ASA> D Yes C7 No Is public water avatlable to the_situ Q Yes:. © No Is the property instd�the PSSA d Yes El N Is the ro ert,located within 1000 feet of a Natural Resource Area. P P Y • `O Yes= Q=No Date Received: Staff Representative: METHOD OF PAYMENT MIME • ifC VE.f. SUBTOTAL ❑ CASH ❑ CHECK ❑ .� ❑ W ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: TOTAL FEE BANKCARD NUMBER: mtivrmUMFERMJTFEBIS$35.00PLEASB MAKE CHECKS PAYABLE,TO SPOKKANE AUTHORIZED SIGNATURE: COUNTYPERMITCENTER" AppR��� ZONE ROAp FRONT' COMMENTS BY REVIEW - Cc uhf+ C-t6 OW ti ZA GSL-6,J (0-r -v 1 at n 1s bm ,Indthe �'rod sit! �buildlnq iwn* kn= proPe�`/ otoknW4 t" �osa1. A� res send ease Wft tato of curb lines, strudu are wetlands, �r J 4 / �1 ►inesld n Ai sated sus' of h9meof vteter. .... 0� I Z' `(SNC jpa cN �C a H T5 -4c -k L114E- 743/ jV C 4 3935 � X07 7T#e u 5 A T 44rvi -or-►E