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2001, 11-20 Permit App: 01010275 Finish Basement Laundry, BathProject Number: 01010275 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 11/20/2001 Page 1 of 3 Project Information: Permit Use: FINISH BATH/LAUNDRY ROOM IN BASEMENT Contact: CRAFTSMEN CONSTRUCTION Address: 123 N STONE C - S - Z: SPOKANE WA 99202 Setbacks: Front Left: Right: Rear: Phone: (509) 534-2267 Group Name: Site Information: Project Name: Plat Key: 001568 Name: MAURER SUB.OF TR.1 SANTA ROSA District: Parcel Number: 45073.0250 Block: Site Address: 7616 E BALDWIN AVE SPOKANE, WA 99212 Location:: SPO Zoning: UR-3.5 Urban Residential 3.5 Water District: Lot: Owner: Name: WAKEMAN, BRUCE Address: 7616 E BALDWIN AVE SPOKANE, WA 99212 Hold: 0 Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Rel. I ew -0 Releas Plan Review k - 20 Special Reviews Released By Operator: RMB Printed By: RMB Print Date: 11/20/2001 Project Number: 01010275 Inv: 1 Application Date: 11/20/2001 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit UNKNOWN upp UNKNOWN UNKNOWN, WA UNKNO N B,lding Characteristics Remodel -'' Group: "`- Occupant Load: x Building Sq Ft: Handicap Parking: Co Category: Nbr Of Dwe Bldg W x D: Req Parking: Description RESIDENCE Building Permit Firm: UNKNOWN Phone: (000) 000 -0000 Type: Building Height: Sprinklers: El Critical Materials: ❑ This Application: Grp Type Notes Sq Ft Valuation R -3 VN REMODEL 0 $17,107.00 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Totals: 0 $17,107.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Contractor: UNKNOWN c &PD Addre•. UNKNOWN UNKNOWN, WA UNKNOWN Item a cri . tion VENTILATI CLOTHES DRYER MINIMUM FEE ADJUSTMENT Permit Total Fees: echanical Permit Stories: Total Project: Sq Ft Valuation 0 $17,107.00 0 $17,107.00 Fee Amount $263.00 $4.50 $57.86 $325.36 Firm: UNKNOWN hone: (000) 000 -0000 µ U' Unit Desc 1 NUMBER OF 1 NUMBER OF 1 Contractor: ALPHA PLUMBING & HEATING Address: 13615 E. TRENT AVE SPOKANE, WA 99216 Item Description TOILETS/BIDETS SINKS SHOWERS CLOTHES WASHER FLOOR DRAINS MINIMUM FEE ADJUSTMENT Select Permit Total Fees: $35.00 Plumbing Permit Fee Amount $10.00 $10.00 $15.00 Units 1 1 1 1 1 1 Operator: RMB Printed By: RMB Firm: ALPHA PLUMBING & HEATING Phone: Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Select Permit Total Fees: (509) 535 -0727 Print Date: Fee Amount $6.00 $6.00 $6.00 $6.00 $6.00 $5.00 $35.00 11/20/2001 Project Number: 01010275 Inv: 1 Notes: Payment Summary: Type Building Permit Mechanical Permit Plumbing Permit • Application Date: 11/20/2001 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Fee Amount $325.35 $35.00 $35.00 Invoice Amount $325.35 $35.00 $35.00 Amount Paid $0.00 $0.00 $0.00 Amount Owing $325.35 $35.00 $35.00 $395.35 $395.35 $0.00 $395.35 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and fmds 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 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: 1 1/ZO,Q Operator: RMB Printed By: RMB Print Date: 11/20/2001 ' 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: 7( ( -5mxJ c.D �) Assessor's Tax Parcel Number(s): Legal Description: Project Description: J� '""^ Bc—VkL-- / �— ^�"` 1 ` �^� c Building Permit 0 Relocation O Change in Use O Grading O Manufactured Home Permit O Sign O Tenant (New /Change) O Other Department Use Only Water District /Purveyor: Sewer District/Purveyor Road width Setbacks Front: Rear: Left (tight. School District. Fire District: Zoning OWNER /APPLICANT INFORMATION ate mho should be ontaited reeardine this project Phone: 9 Zy - / 76 j -t �no.�cp l.'e_ ¢�a�Fax: 0 Applicant: Phone: Fax: Mailing Address: 7G(L C. )j4 -Qd2w i'.J - Mailing Address: City, State, Zip Q eC �'R c c._,----.,_ / 7 Z- f Z City, State, Zip Unfinished basement sq. it 71eontractor 53y_ Z, 2 (' 7 71("R-A- -5 Yt" E /3 Co L /� O h. -?7": Fax 5-3 (i " Z. aer) 0 Architect /Engineer Phone Fax Mailing address i23 ' S r e Mailing address Finished basement sq. ft. City, State Zip s P „x 't , -9 9 z,z City, State Zip WA State Contractor license # CAL/Or FTe=F -0/(-97 Contact name: Deck sq. ft. MATION Building Information l3uilding height to peak # of stories \Fain floor ;y. ft. Unfinished basement sq. it Dimensions Total habitable space 2 "d floor sq. ft. Finished basement sq. ft. Occupancy group Construction type Garage sq. ft. Deck sq. ft. Cost of project (/ , X07 • CZ Heat source (electric, gas, etc.) o' 1 Manufactured Home Sign width: Length: What is the square footage of the sign face? 1 low high is the sign? Year: Make: # of signs Area of existing signs Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) (,------ %) O Yes O No Proposed use Value Relocation Fire Safety 1' inn Name Previous address Phone Fire Sprinkler Tent Paint booth _ Fire Alarm Fireworks display Is there evidence of fill or excavation on the property? 0 Yes 0 No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) (,------ %) O Yes O No Proposed use Value Special Inspections Required? Non - Residential Energy Code Compliance? 1' inn Name What is the current use of this property? Phone Will the site be served by a septic system? O Yes XNo Plans Examiner Phone Inspectors: Is there evidence of fill or excavation on the property? 0 Yes 0 No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) (,------ %) O Yes O No Are critical or hazardous materials used or stored on site? O Yes O No Address Inspector Phone 0 Concrete O Welding 0 Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes O No Ifyes, 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? Ifyes, 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? 0 Don't know O Yes O No Will the site be served by a septic system? O Yes XNo Is any part of the property within a 100 yr flood plain? Ifyes, identify on site plan 0 Maybe O Don't know 0 Yes 0 No Are or will there be wells located on the property? Ifyes, identi,61 on the site plan O Yes 0 No Are there any wetlands, streams or ponds within 200 feet of the property? Ifyes, identify on site plan 0 Yes 0 No Is there evidence of fill or excavation on the property? 0 Yes 0 No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) (,------ %) O Yes O No Are critical or hazardous materials used or stored on site? O Yes O No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? O Yes O No Is public sewer available to the site? O Yes 0 No Is the property inside the ASA? 10 Yes O Yes O No O No Is public water available to the site? O Yes O No Is the property inside the PSSA? O Yes O No Is the property located within 1000 feet of a Natural Resource Area? O Yes O No Date Received: Staff Representative: METHOD OF PAYMENT ❑ CASH ❑ CHECK ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: SUBTOTAL TOTAL FEE MINIMUM PERMIT FEE IS $35.00PLE:ASE MAKE CHECKS PAYABLE TO SPOKANE COUNTY mama CENTER