The URL can be used to link to this page

Home My WebLink About2001, 12-20 Permit App: 01010985 GarageProject Number: 01010985 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 12/20/2001 Page 1 of 2 Project Information: Permit Use: ATTACHED GARAGE 24 X 28 Setbacks: Front 35 Left: EX Right: 5 Rear: 20+ Site Information: ....................................................... ............................... ....................... ............................... . Plat Key: 003217 Name: UPPER COLUMBIA ADD Contact: PUGH, KELLY Address: 1209 N ARTIES CT C - S - Z: LIBERTY LAKE, WA 99019 Phone: (509) 924 -3769 Group Name: Project Name: District: Parcel Number: 55181.4209 Block: SiteAddress: 1209 N ARTIES CT LIBERTY LAKE, WA 99019 Location:: LIB Zoning: UR 3.5 Water District: Area: 0 Sq Ft Nbr of Bldgs: 1 Review Information: Urban Residential 3.5 Lot: Owner: Name: PUGH, KELLY Address: 1209 N ARTIES CT LIBERTY LAKE, WA 99019 Hold: ❑ Width: 65 Depth: 312 Right Of Way (ft): 0 Nbr of Dwellings: 10 Review Site Plan Review Plan Review mil. 402- Septic System Review Permits: Released By 1J0 rc)Ai/4IC Operator: RMB Printed By: RMB Print Date: 12/20/2001 Project Number: 01010985 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 12/20/2001 Page 2 of 2 Building Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000) 000 -0000 000000, 00 000000 Building Characteristics Const Category: New Group: U -1 Type: VN Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 13 Stories: 1 Bldg W x D: 24 x 28 Building Sq Ft: 672 Sprinklers: El Req Parking: 0 Handicap Parking: 0 Critical Materials: ❑ This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation GARAGE U -1 VN 672 $8,064.00 672 $8,064.00 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Notes: Permit Type Building Permit Totals: 672 $8,064.00 672 $8,064.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Fee Amount Invoice Amount $188.11 $188.11 Fee Amount $150.50 $4.50 $33.11 Amount Paid $0.00 $188.11 Amount Owing $188.11 $188.11 $188.11 $0.00 $188.11 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 he 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 contrued 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: 12/20/2001 llik SPOIci6tNE COUNTY 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: / Z)c /) „ e Assessor's Tax Parcel Number(s): Legal Description: Project Description: [9 _/k 7 (I/if) L9' 13uilding 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: Right: School District Fire District Zoning OWNER /APPLICANT INFORMATION 0 Indicate who tbould he contacted rrtardin meet C_T�/(ht�ner: K -7' Pu Eel Phone: q�`t -37t I'ax: ❑ Applicant SA/46- Phone Fax: Mailing Address: R- 5 AL AILT1 6f CV, Dimensions 2.4762-? Mailing Address: 2 " floor sq. ft. City, State, Zip Occupancy group City, State, Zip Garage sq. ft. Contractor Selj t'h° °e lax ❑ Architect /Engineer Phone Fax Mailing address Mailing address City, State Zip City, State Zip WA State Contractor license # Contact name: PROTECT INFORMATION Building Information Building he`i ✓fight to peak # of stories Main floor sq. ft. Unfinished basement sq. ft. Dimensions 2.4762-? Total habitable space 2 " floor sq. ft. Finished basement sq. ft. Occupancy group Construction type Garage sq. ft. Deck sq. ft. Cost of project I !eat 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 signs Area of existing signs Fireworks display Are critical or hazardous materials used or stored on site? ❑ Yes IlMeNo Address Proposed use Relocation Fire Safety Firm Name What is the current use of this property? t-) 1(Oi -,111L Previous address Will the site be served by a septic system? CI Yes kEk to Paint booth Fire Sprinkler Tent Fire Alarm Fireworks display Are critical or hazardous materials used or stored on site? ❑ Yes IlMeNo Address Proposed use VilLic Special Inspections Required? Non- Residential Energy Code Compliance? Firm Name What is the current use of this property? t-) 1(Oi -,111L Phone Will the site be served by a septic system? CI Yes kEk to I'lans Examiner Phone Inspectors: Is there evidence of fill or excavation on the property? ❑ Yes C' No Are there slopes greater than 30% on the property? (30 ft e in 100 ft) ( / %) ❑ Yes D' No Are critical or hazardous materials used or stored on site? ❑ Yes IlMeNo Address ❑ No Is the prope located within 1000 feet of a Natural Resource Area? ❑ Yes 0No Inspector Phone ❑ Concrete ❑ Welding ❑ Bolting in Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? Er Yes ❑ No Ifyes, identift on site plan What is the current property size? (square feet or acres) >72.-- Is any part of the property within 250 feet of a shore e? Ifyes, identifr on site plan ❑ Yes D' No What is the current use of this property? t-) 1(Oi -,111L Is your property in a designated wildlife habitat area? —1 ❑ Don't know ❑ Yes 1['No Will the site be served by a septic system? CI Yes kEk to Is any part of the property within a 100 yr flood plain? Ifyes, ident on site plan ❑ Maybe ❑ Don't know ❑ Yes ❑ No Are or will there be wells located on the property? �� Ifyes, ident on the site plan ❑ Yes fiT No Are there any wetlands, streams or ponds within 200 et of the property? Ifyes, identibif on site plan ❑ Yes 2 No Is there evidence of fill or excavation on the property? ❑ Yes C' No Are there slopes greater than 30% on the property? (30 ft e in 100 ft) ( / %) ❑ Yes D' No Are critical or hazardous materials used or stored on site? ❑ Yes IlMeNo DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? ❑ Yes ❑ No Is public sewer available to the site? ❑ Yes Is the property inside the ASA? ❑ Yes ❑Yes ❑ No 0 N Is public water available to the site? Er/Yes ❑ No Is the property inside the PSSA? ❑ Yes ❑ No Is the prope located within 1000 feet of a Natural Resource Area? ❑ Yes 0No Date Received: Staff Representative: METHOD OF PAYMENT VISA ❑ CASH ❑ CHECK ❑ Min= ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DA'Z'E: EXPIRI?S: B:ANKC:ARD NUMBER: _AU'I'110R1 %FD SIGNATURE: SU BTOTAl . TOTAL FEE MINIMUM PERMIT FEE IS $35.A0PLEASI MAKE CHECKS PAYABLE TO SPOK.1\I COUNTY PERMIT CENTER t -\\ C.0 , N N rtr O ° O O rt !O acci 2 0 to ID 0