2002, 10-30 Permit Application: 02009680 Carport AdditionProject Number: 02009680 Inv: 1
Application
Date: 10/30/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 20 X 24 CARPORT ADDITION TO EXISTING
STORAGE BUILDING
Setbacks: Front 100 Left: 30+ Right: 10 Rear: 50+
Site Information:
Contact: MY FAMILY CONTRACTOR
Address: 8525 N FREYA ST
C - S - Z: SPOKANE WA 99217
Phone: (509) 467 -0106
Group Name:
Project Name:
Plat Key: 001858 Name: OPPORTUNITY SUB.TR121 District: F
Parcel Number: 45164.0229 Block: Lot:
SiteAddress: 11704 E ALKI AVE Owner: Name: ANDERSON, WAYNE
SPOKANE, WA 99206 Address: 11704 E ALKI AVE
Location:: SPO SPOKANE, WA 99206
Zoning: UR 3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 25,420 Sq Ft Width: 82 Depth: 310 Right Of Way (ft): 40
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By: Vl
10 2- d
Plan Review
Released By:
Septic System Review
Permits:
Operator: CKF Printed By: CKF
Print Date: 10/30/2002
Project Number: 02009680 Inv: l
Application
Date: 10/30/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: MY FAMILY CONTRACTOR Firm: MY FAMILY CONTRACTOR
Address: 8525 N FREYA ST Phone: (509) 467 -0106
SPOKANE WA 99207
Building Characteristics
Const Category: Addition Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: El
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Sq Ft Valuation
CARPORT U -1 VN 480 $2,160.00 480 $2,160.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Summary
Permit Type
Building Permit
Totals: 480 $2,160.00 480 $2,160.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$75.50
$4.50
$16.61
$96.61
Fee Amount Invoice Amount Amount Paid Amount Owing
$0.00 $96.61
$96.61 $96.61
$96.61 $96.61 $0.00 $96.61
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: CKF Printed By: CKF Print Date: 10/30/2002
U Owner: Phone:
1, 44 .- 4 ivr _PA S, P Fax:
Mailing Address:
? v tj � 1=} (;
City, state, Zip
5 ;a N4
o"--
❑ Contractor
At a
Mailing address
dS P,S
City, state zip
OWNER /APPLICANT INFORMATION
El Indicate who should be contacted regarding this prnio r
❑ Applicant:
Mailing Address:
Phone:
Fax:
4
City, State, Zip
Phone
Fax
❑ Arch' ct/Engineer
16 G %7""0 ti. so,—
Phone
WA Staa(le Contractor license #
I 1
Nci
SPOMNE COUKI'Y
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509 - 477 -3675
Street Address:
SPECIFIC SITE INFORMATION
I17() ,,/ ,t 1kl,
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description:
❑ Building Permit
❑ Relocation
❑ Change in Use
CI Sign
I❑ Grading
❑ Manufactured Home Permit
❑ Tenant (New /Change) 0 Other
Mailing address
Fax
City, State Zip
Ad I r ra -�-
Contact name:
Building height to peak
L(
Difnensions
:A D? q
Occupancy group
Cost of project
PROJECT INFORMATION
# of stories
Total habitable space
Construction type
Main floor sq. ft.
\2"I floor sq. h.
Unfinished basement sq. h.
Finished basement sq. ft.
Garage sq. ft.
Deck sq. ft.
Heat source (electric, gas, etc.)
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
d of signs
Area of existing signs
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
Proposed use
Value
Inspectors:
Address
Inspector
Phone
0 Concrete 0 Welding 0 Bolting 0 Reinforcement
Address
Are there structures on the property? 0 Yes 0 No
If identify on site plan
What is the current property size?
(square feet or acres)
yes,
Is any part of the propeny within 250 feet of a shoreline?
If identify on site plan 0 Yes 0 No
What is the current use of this property?
yes,
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes 0 No
Will the site be served by a septic system? 0 Yes 0 No
Is any part of the property within a 100 yr flood plain?
If yes, ident 5 on site plan
0 Maybe 0 Don't know 0 Yes 0 No
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes 0 No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If identify on site plan 0 Yes 0 No
Is there evidence of fill or excavation on the property?
0 Yes 0 No
yes,
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( - %) 0 Yes 0 No
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
DEPARTMENT USE ONLY
Date Received:
METIIOD OF PAYMENT
Staff Representative:
VISA
❑ CASH 0 CHECK ❑ Vial= ❑'
,i1CCVE.
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE:
BANKCARD NUMBER:
EXPIRES:
SUBTOTAL
MINIMUMPERMITFtF,.ss. s.00P
" MI KECIIFC(S PAYABI E fl)SPC)KA
APR -05 -1900 2044
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ADDRESS 1 7 0
ZONE
ROAD WIDT 40
FRONT a FLANKING_,,
COMMENTS I
REVIEWED BY
This site pan is being submitted for the purpose of
obtaining a buNding permit and is a true and correct
representation of the proposal. All known property
linesidimensions. curb lines. structures and easements
have been identified. Also indicated are wetlands,
bodies of wat st-•• slopes or o r f,• al areas.
Signed: 4 f■ Li. /- -' .I. .
date: /I --,3D -7e 4 2-