2000, 06-12 Permit App: 00004855 Finish BathroomProject Number: 00004855 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/12/2000 Page 2 of 2
Contractor: OWNER
Address: 0
000000, 00 000000
Building Permit
Firm: OWNER
Phone: (000) 000 -0000
Building Characteristics
Const Category: Remodel Group:
Nbr Of Dwellings:
Bldg W x D:
Req Parking:
Occupant Load:
x Building Sq Ft:
Handicap Parking:
Description Grp Type Notes
RESIDENCE R -3 VN REMODEL
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
SEWAGE EJECTOR
MINIMUM FEE ADJUSTMENT
Payment Summary:
Operator: CKF
Permit Type
Building Permit
Plumbing Permit
Notes:
Totals:
Type:
Building Height: Stories:
Sprinklers: Ei
Critical Materials: El
This Application: Total Project:
Sci Ft Valuation Sci Ft Valuation
0 $350.00 0 $350.00
0 $350.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
0 $350.00
Fee Amount
$35.00
$4.50
$7.70
Permit Total Fees: $47.20
Plumbing Permit
Firm: OWNER
Phone: (000) 000 -0000
Units
1
1
1
1
1
Printed By: CKF
Fee Amount
$47.20
$35.00
$ 82.20
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Select
Permit Total Fees:
Fee Amount
$ 6.00
$6.00
$6.00
$6.00
$11.00
$35.00
Print Date: 06/12/2000
Invoice Amount
$47.20
$35.00
$82.20
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$47.20
$35.00
$82.20
Project Number: 00004855 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/12/2000 Page 1 of 2
Project Information:
Permit Use: FINISH BATHROOM IN BASEMENT
Setbacks: Front
Site Information:
Plat Key: 000500 Name: CORBIN ADD TO GREENACRES
Left: Right: Rear:
Contact: GRAY, BILL & JAYNE
Address: 17419 E ALKI AVE
C - S - Z: GREENACRES, WA 99016
Phone: (509) 924 -1902
Group Name:
Project Name:
Parcel Number: 55183.0223 Block:
SiteAddress: 17419 E ALKI AVE Owner: Name: GRAY, BILL & JAYNE
GREENACRES, WA 99016 Address: 17419 E ALKI AVE
Location:: GRE GREENACRES, WA 99016
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 2 Sq Ft Width: 210 Depth: 470 Right Of Way (ft): 40
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Lot:
District:
Hold: ❑
Department
BUILDING
Hold Reasons:
Permit Conditions:
Permits:
Review
Plan Review
G
BY: 01 `+k-A itJ' k1 ( ` i t(
AiMik
SPOKE CoUN rY
PROJECT APPLICATION
SPOKANE COUNTY Ii1VISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509 - 477 -3675
Project Description:
TYPE OF APPLICATION
Eit Building Permit
❑ Change in Use
❑ Grading
El Manufactured Home Permit
El Relocation
❑ Sign
❑ Tenant (New /Change)
❑ Other
SPECIFIC SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s):
I14-Ig &, AL
Legal Description:
epartmentUse Only
Water District /Purveyor. Sewer District /Purveyor
Road width
Fire District:.
Zoning
OWNER /APPLICANT INFORMATION
0 Indicate who should be contacted regarding this project
Setbacks
Front:
Left:
Rear:
Right:
ilt Owner: 0 �j�
W AA V. l/1 �% I2' /
Phone: 024--'16162--'
Fax:
❑ Applicant:
Phone:
Fax:
Mailing Address:
»kla :i
Dimensions
Mailing Address:
2nd floor sq. ft.
City, State, Zip
f2\0 gth, \ A
°I°LDI (2
City, State, Zip
Garage sq. ft.
❑ Contractor
Phone
Fax
❑ Architect /Engineer
Phone
Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
WA State Contractor license #
Contact name:
PROJECT INFORMATION
Building Information
Building height to peak
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
Total habitable space
2nd floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
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:
N of signs
Area of existing signs
Relocation
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
Proposed use
Value
Special Inspections Required?
Non- Residential Energy Code Compliance) .
Firm Name
What is the current use of this property?
Phone
Will the site be served by a septic system? O Yes O No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
O Yes O No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(/ To) J Yes CI No
Are critical or hazardous materials used or stored on site?
❑ Yes O No
Address
Inspector
Phone
O Concrete
❑ Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? ❑ Yes O No
If yes, identify on site plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan O Yes O No
What is the current use of this property?
Is your property in a designated wildlife habitat area?
O Don't know O Yes O No
Will the site be served by a septic system? O Yes O No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
O Maybe O Don't know O Yes O No
Are or will there be wells located on the property?
If yes, identify on the site plan O Yes O No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan O Yes O No
Is there evidence of fill or excavation on the property?
O Yes O No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(/ To) J Yes CI No
Are critical or hazardous materials used or stored on site?
❑ Yes O No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
❑ Yes ❑ No
Is public sewer available to the site? ❑ Yes ❑ No
Is the property inside the ASA?
❑ Yes
13 Yes
O No
❑No
Is public water available to the site? O Yes 13 No
Is the property inside the PSSA?
0 Yes
❑> No
Is the property located within 1000 feet of a Natural Resource
Area? ❑ Yes O No
Date Received:
Staff Representative: