2002, 10-02 Permit App: 02008616 Storage Bldg1 i I
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MI
SPOKA4 COINI'Y
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:
Assessor's Tax Parcel Number(s): Z/3---e) 73. 0 2. (l_2_
Legal Description:
Project Description:
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❑ Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New /Change)
❑ Other
ArtIXlPutve
OWNER /APPLICANT INFORMATION
t71 or who should be contacted regarding this project
❑ Owner:
Phone:
Fax:
❑ Applicant::
Z /-JC a
Building height to peak
Phone:
Fax:
Main floor sq. ft.
Mailing Address:
7� o7
as /c+'4/;,-,
Mailing Address:
2.d floor sq. ft.
Finished basement sq. ft.
Occupancy group
City, State, Zip
y )
Garage sq. ft.
1‘v
City, State, Zip
Cost of project
r2UU _ v v
Heat source (electric, gas, etc.)
tl9 ,
❑ Contractor
` �
/.3 C e
Phone
Fax C-,J _/ ' U 3 / Ci
❑ Architect/Engineer
0j4/1 (�.t /i'7 .fi P -i' .
Phone
Fax
Mailing address
Mailing address r
Ciry, State Zip
1- O).<-
Lc.�- 7 J,2 O -7
City, State Zip 1
5 ),--, G� K -4. 6.f...../`
y .
0
_S--
WA ate Contractor license #
)/ t _j'
Contaef. name: /
!mod h r y-- c'
n q?.
�
.
r
Building height to peak
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
-t° '13.2
Total habitable space
2.d floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
1‘v
Deck sq. ft.
Cost of project
r2UU _ v v
Heat source (electric, gas, etc.)
tl9 ,
Manufactured tiolne S1
Width:
Length: What is the square footage of the sign
face?
How high is the sign?
Year:
Make: # of signs
Area of existing signs
Are there any wetlands, streams or ponds within 200 feet of the
property? m✓
Ifyes, identify on site plan 0 Yes 0 No
Is there evidence of fill or excavation on the property?
O Yes p No
Are there slopes greater than 30% on the property? (3041 rise in 100 ft)
( / %) 0 Yes 01 No
Relocation
Fire Safety
Previous address
Fire Sprinkler
Paint booth _ Fire Alarm
Pent
Fireworks display
Proposed use
Value
eclat Inspections Require
on-Residential Energy Code
oilpllance
Firm Name
Phone
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
0 Concrete O Welding 0 Bolting O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes No
If yes, identify on site plan
What is the current property size?
(square feet or acres)
Is any pan of the property within 250 feet of a shorelin
If yes, identify on site plan O Yes ,O No-E'J/c!
What is the current use of this property?
„ '
Is your property in a designated wildlife habitat area?
0 Don't know O Yes po
Will the site be served by a septic system? O Yes 0 No
Is any part of the property within a 100 yr flood plain?
Ifyes, identify on site plan .✓
13 Maybe 0 Don't know O Yes gr No
Are or will there be wells located on the property?
If yes, identify on the site plan O Yes t No
Are there any wetlands, streams or ponds within 200 feet of the
property? m✓
Ifyes, identify on site plan 0 Yes 0 No
Is there evidence of fill or excavation on the property?
O Yes p No
Are there slopes greater than 30% on the property? (3041 rise in 100 ft)
( / %) 0 Yes 01 No
Are critical or hazardous materials used or stored on site?
O Yes ,.0 No
DEPARTMENT USE ONLY
GIs the property in a designated Stormwatcr Control Area?
O Yes D No
Is public sewer available to the site? O Ye NO-- `= 0 N '
Is the property inside the ASA?
O Yes
OYcs
D No
ONo
Is public water available to the site? O Yes D 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
VISA
❑ CASH ❑ CHECK ❑ IMEN1111 ❑
D11019VE
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
TOTAL PEE
MINIMUM PERMIT PEE IS $35.00 PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
COU■TY PERMIT CENTER
Project Number: 02008616 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: STORAGE BUILDING (30 X 32 X 10)
Date: 10/2/02 Page 1 of 2
Setbacks: Front Left: 5 Right: 45 Rear: 27
Site Information:
Contact: RICHARD/EBCO
Address: 1517 N LACEY
C - S - Z: SPOKANE WA 99207
Phone: (509) 535 -0774
Group Name:
Project Name:
Plat Key: 002335 Name: SANTA ROSA PARK BLKS 13 & 14
Parcel Number: 45073.0242 Block: 1 Lot: 3
SiteAddress: 7609 E BALDWIN AVE
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -3.5
Water District:
Area: 9,800 Sq Ft Width: 80
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Urban Residential 3.5
Review
Site Plan Review
Originally Released:
Plan Review
Originally Released:
Permits:
Operator: JAS Printed By: JAS
Owner: Name: KINCAID, TONY
Address: 7609 E BALDWIN
SPOKANE, WA 99000
District: H
Hold: ❑
Depth: 122 Right Of Way (ft): 50
Released By:
10/2/02 By: jshatto
Released By:
10/2/02 By: jshatto
Print Date: 10/2/02
Project Number: 02008616
Inv: 1
Application -
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/2/02 Page 2 of 2
Contractor: EBCO CONSTRUCTION
Address: 1517 N LACEY
SPOKANE, WA 99207
Const Category: New
Nbr Of Dwellings:
Bldg W x D: x
Req Parking:
Description
STORAGE
Grp
U -1
Building Permit
Firm: RICHARD EBCO CONSTRUCTION
Phone: (509) 535-0310
Building Characteristics
Group:
Occupant Load:
Building Sq Ft:
Handicap Parking:
Type Notes
VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Summary:
Permit Type
Building Permit
Totals:
Units
Type:
Building Height:
Sprinklers: ❑
Critical Materials: ❑
Stories:
This Application: Total Project:
Sq Ft Valuation
960 $11,520.00
960 $11,520.00
Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Fee Amount Invoice Amount
$233.86 $233.86
$233.86 $233.86
Sq Ft Valuation
960 $11,520.00
960 $11,520.00
Fee Amount
$188.00
$4.50
$41.36
$233.86
Amount Paid
$0.00
Amount Owing
$233.86
$0.00 $233.86
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: JAS Printed By: JAS Print Date: 10/2/02
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