2002, 09-27 Permit App: 02008452 Deck, Patio CoverSPOx COQ
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:
322 N EA-A4/4/ /
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: 4-rte) Eve, r )2_ _Q
'- Building 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 should be contacted re ardinp this "ect
❑ Owner: Phone:
"� Try n� N `C l7-- J. ei,triM L Fax:
/
Building height to peak
Ell Applicant:
Phone:
Fax:
Mailing Address:
I ) - r-1 136Hitify4 ad
Dimensions
Mailing Address:
2 ""1 floor sq. ft.
City, State, Zip
/
City, State, Zip
Garage sq. ft.
❑ Cont ctor Phone
Fax
❑ 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 height to peak
# of stories /
1
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
Total habitable s ace
2 ""1 floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
f feat 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
\rca of existing signs
Proposed use
Value
Address
Relocation
Fire Safety
Firm Name
Previous address
Phone
Fire Sprinkler
Tent
Fireworks display
Paint booth _ Fire Alarm
Inspectors:
Is there evidence of fill or excavation on the property?
0 Yes 0 No
Proposed use
Value
Address
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 0 No
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)
( / %) 0 Yes 0 No
Are critical or hazardous materials used or stored on site?
0 Yes O No
Address
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE I
Are there structures on the property? 0 Yes O No
Ifyes, idenntib, 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, identifr 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 0 Yes 0 No
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, ident , on site plan
0 Maybe 0 Don't know 0 Yes 0 No
Are or will there be wells located on the property?
Ifyes, ident ' on the site plan 0 Yes 0 No
Are there any wetlands, streams or ponds within 200 feet of the property?
Ifyes, identifr 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)
( / %) 0 Yes 0 No
Are critical or hazardous materials used or stored on site?
0 Yes O No
DEPARTMENT USE
Is the property in a designated Stormwater Control Area?
O Yes 0 No
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA? O Yes 0 No
0 Yes 0 No
Is public water available to the site? O Yes 0 No
Is the property inside the PSSA? 0 Yes 0 No
Is the property located within 1000 feet of a Natural Resource Area?
Cl Yes El No
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
❑ CASH ❑ CHECK ❑ 1111111111 ❑ ❑
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.LX)PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
COUNTY PERMIT CENTER
Project Number: 02008452 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/27/02 Page 1 of 2
Project Information:
Permit Use: 12 X 20 DECK/PATIO COVER
Setbacks: Front EXI Left: 30+ Right: 29 Rear: 30+
Site Information:
Contact: BUTCHER, EARNEST J
Address: 1322 N BANNEN RD
C - S - Z: SPOKANE, WA 99216
Phone: (509) 928 -5915
Group Name:
Project Name:
Plat Key: 002773 Name: VERADALE HEIGHTS, 11TH ADD TO
Parcel Number: 45142.2414 Block: Lot:
SiteAddress: 1322 N BANNEN RD
SPOKANE, WA 99216
Location:: SPO
Zoning: UR -3.5
Water District:
Area:
Urban Residential 3.5
0 Sq Ft Width: 86
Nbr of Bldgs: 1
Review In formation:
Review
Site Plan Review
Plan Review
Septic System Review
Nbr of Dwellings: 1
District:
F
Owner: Name: BUTCHER, EARNEST J
Address: 1322 N BANNEN RD
SPOKANE, WA 99216
Hold: ❑
Depth: 125 Right Of Way (ft): 0
9
Released By: 0,_44-A-617-W,
Released By:
Released By:
APOE- *11
1 Mil Id
o
Operator: CKF
Printed By: CKF
Print Date: 9/27/02
Project Number: 02008452 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/27/02 Page 2 of 2
Contractor: OWNER
Building Permit
Firm: OWNER
Phone:
Building Characteristics
Const Category: Addition Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height:
Bldg W x D: x Building Sq Ft: Sprinklers:
Req Parking: Handicap Parking: Critical Materials:
Stories:
This Application: Total Project:
Description Type Notes Sq Ft Valuation Sq Ft Valuation
CARPORT NONE VN 240 S.F. 0 $1,808.00 0 $1,808.00
PATIO
COVER @
4.50 /S.F.
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Summary:
Permit Type
Building Permit
Totals: 0 $1,808.00 0 $1,808.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Fee Amount
$78.31
$78.31
Permit Total Fees:
Invoice Amount
$78.31
$78.31
Fee Amount
$60.50
$4.50
$13.31
$78.31
Amount Paid
$0.00
$0.00
Amount Owing
$78.31
$78.31
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: 9/27/02
09/27/2002 12:59 5093241567
qtr er -oe 01:49PM SPOKANE CO BLDG DEPT
Project Number_ 02008452 Inv; 1
SRHD EHS PAGE 01/01
P.1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
frolectXnforrna Qti:
Permit Use; 12 X 20 DECK/PATIO COVER
Date; 9/27/02 Page I of 2
Setbacks: Front EXY Left: 30+ Right: 29 Rear: 30-i-
Rif Information:
Contact: BUTCHER, EARNEST ,I
Address: 1322 N BANNEN RD
C - S - Z: SPOKANE, WA 99216
Phone; (509) 928 -5915
Group Name:
Project Name:
2 , nx. V:; /, 1("'. <4i 441,.24 a "r ,.„,
Flat Key: 002773 Name: VERA,DA.LE HEIGHTS, 11TH ADD TO
Parcel Number; 45142.2414 Block: Lot:
• • • _a :1,a 'H,P,','.. :5'r_.f sL lik
District: F
SitcAddress; 1322 N BANNEN RD Owner: Name; BUTCHER, EARNEST J
SPOKANE, WA 99216 Address: 1322 N BANNEN R.0
'Location:: SPO SPOKANE, WA 99216
Zoning: UR -3.5 Urban Residential 3,5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 86 Depth: 125 ` Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings:
/evjew Information: •,: y..
eview
Site Plan Review
Plan Review
Septic Sys .m Review
/ /' ./ •
+- !-
Permits:
Operator: CKF Printed By: CKF
1
ReleasedlBy: _r
Released,By:
e. '9 . ?--. r• • ,'big. • ... .. (- ''CAa•,Y'.;
• -c."2"':tnmadf/l:a+tp •: r- ..r>9#,dk •,:1",-5, 4 ' •M•2". 7`:EmproR'T"
Print Date; 9/27/02
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Address:
Z I e�r-m / /31 h, ?t // a- SCO7c/? 1-
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—CRESS N I3 2l / e4
ZONE U41, •5
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ROAD WI� f
FRONT h. is L
COMMEN S
REVIEWED BY
This s:te ;lan is being submitted for tie purpose or
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of w =ter, steep =lo, -s ther riti at areas.
Signed:
Date: