2001, 02-01 Permit App 01000579 Residence, GarageProject Number: 01000579 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE W/GARAGE - GAS
Setbacks: Front 18 Left: 5 Right: 5 Rear: 15
Site Information:
Plat Key: 005619 Name: THE GREENS AT MIDILOME District: F
Page 1 of 3
Contact: BRENT PETERSON CONSTRUCTION
Address: 4108 S MCDONAL LN
C - S - Z: SPOKANE WA 99206
Phone: (509) 922-3130
Group Name:
Project Name:
Parcel Number: 45331.4815 Block: 1 Lot: 15
SiteAddress: 3850 S EAGLE LN
SPOKANE, WA USA 99216
Location:: SPO
Zoning: UR-3.5 Urban Residential 3.5
Water District: 007 MODEL
Area: 6,752 Sq Ft Width: 50 Depth: 105 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department Review
BUILDING Site Plan Review
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
ENGINEER
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
UTILITIES
Hold Reasons:
Permit Conditions:
Plan Review
Owner: Name: BRENT PETERSON CONSTRU
Address: 4108 S MCDONAL LN
SPOKANE WA 99206
Hold: ❑
Approach / Drainage
15 Special Reviews 44-5J
Sewer Review .i
LRele
Released By:
Released By:
Project Number: 01000579 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
PLANNING
Hold Reasons:
Permit Conditions:
Permits:
Landuse/Zoning
Contractor: UNKNOWN
Address: UNKNOWN Phone: (000) 000-0000
UNKNOWN, WA UNKNOWN
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: 16 Stories: 1
Bldg W x D: 55 x 35 Building Sq Ft: 4000 Sprinklers: 0
Req Parking: Handicap Parking: Critical Materials: 0
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Su Ft Valuation
BASEMENT F R-3 VN 2,000 $31,520.00 2,000
COV DECK R-3 VN 200 $1,892.00 200
GARAGE U-1 VN 630 $7,560.00 630
RESIDENCE R-3 VN 2,000 $124,000.00 2,000
Building Permit
Date: 2/1/01
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor:
Address:
Firm: UNKNOWN
$31,520.00
$1,892.00
$7,560.00
$124,000.00
Totals: 4,830 $164,972.00 4,830 $164,972.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
BLUE FLAME HEATING & A/C
6011 E 9TH
SPOKANE, WA 99212
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
AIR CONDITIONER:4-15 TONS
VENTILATING FANS
CLOTHES DRYER
Permit Total Fees:
Mechanical Permit
Units
1
1
1
2
1
6
1
Fee Amount
$1,220.00
$4.50
$268.40
$1,492.90
Firm: BLUE FLAME HEATING & A/C
Phone: (509) 536-0186
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$10.00
$12.00
$2.00
$20.00
$60.00
$10.00
$124.00
Page 2 of 3
Project Number: 01000579 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/1/01 Page 3 of 3
Plumbing Permit
Contractor: UNKNOWN Firm: UNKNOWN
Address: UNKNOWN Phone: (000) 000-0000
UNKNOWN, WA UNKNOWN
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 6 NUMBER OF $36.00
SINKS 3 NUMBER OF $18.00
SHOWERS 4 NUMBER OF $24.00
TUBS 1 NUMBER OF $6.00
DISH WASHERS 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
Payment Summary:
Operator: JAS
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Notes:
Printed By: JAS
Fee Amount
$1,492.90
$124.00
$120.00
$1,736.90
Permit Total Fees:
Print Date:
Invoice Amount
$1,492.90
$124.00
$120.00
$1,736.90
Amount Paid
$0.00
$0.00
$0.00
$0.00
$120.00
2/1/01
Amount Owing
$1,492.90
$124.00
$120.00
$1,736.90
ArtUV
SPOKE CouNi1 Y
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
5o
SPECIFIC SITE INFORMATION
C.•� lam- 4,14 .�
Assessor's Tax Parcel Number(s):
Street Address:
Legal Description:
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Project Description: - ._-
0 Building Permit
❑ Change in Use
O Grading
O Manufactured Home Permit
0 ReIocation
O Sign
O Tenant (New/Change)
O Other
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OWNER/APPLICANT INFORMATION
RI Indicate who should be contacted revardine' this t'roiect
❑ Owner: Phone:
Fax:
0 Applicant:
Phone:
Fax:
Mailing Address:
Mailing Address:
City, State, Zip
City, State, Zip
❑ Contractor 1 Phone 9l_,2_'�'/.�
13rLn/� P e j s a: , �sT1%ri. G lo61Fax
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0 Architect/Engineer
Phone
Fax
Mailing address
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Mailing address
City, State Zip
CP%-> LK3,-. - IA-/ 77 Zoe
City, State Zip
WA Siate Contractor license #
aKe-rii 'G oD ) B I
Contact name:
PROTECT INFORMATION
Bu
r on
Building height to peak
• ,/J/
# of stories
/
Main floor sq. ft.
2/00.
Unfinished basement sq. ft.
Dimensions
Total habitable space
2"d floors . ft.
Finished basement sq. ft.
Occupancy group
Construction type
--,644 — 6iroci `1)
Garage sq. ft.
D Tv
Deck sq. ft.
20G
Cost of project
Heat source (electric, gas, etc.)
Manuactul"ecome
Sign ire
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs
Area of existing signs
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Previous address
Paint booth
Fire Sprinkler
Fire Alarm
Tent
Fireworks display
Proposed use
Value
Firm Name
Phone
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
0 Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes 6 No
If yes, identify on site plan
What is the current property size?
(square feet or acres) 5 ° )e j 0-e.' x y,' y
Is any part of the property within 250 feet of a shore ' e?
If yes, identi& on site plan 0 Yes No
What is the current use of this property?
Z wvp .4 i 1
Is your property in a designated wildlife habitat area?/
0 Don't know 0 Yes I>3 No
Will the site be served by ! septic system? O Yes f No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
0 Maybe 0 Don't know 0 Yes No
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes Ltititi((( No
Are there any wetlands, streams or ponds within 200 fe t of the
property?
If yes, identify on site plan 0 Yes No
Is there evidence of fill or excavation on the property?/
0 Yes No
Are there slopes greater than 30% on the property? (3 t rise in 100 ft)
( / %) 0 Yes 0No
Are critical or hazardous materials used or stored on s' e?
0 Yes No
DEPARTMENT USE ONLY
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Date Received:
METHOD OF PAYMENT
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❑ CASH [HECK ❑ : ❑ _VISA
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FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
TOTAL FEE
MINIM( FM PERMIT TEE IS 335 00 PIT'ASE
MAKE CI IECKS PAYABLE "I O SPOKANE
( 0ILNTY PEKAr F CENTER.
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