2002, 05-29 Permit App: 02004163 Sun RoomAlHi
SpomNE COUNTY
PROJECT. APPLICATION WORK SHEET
SPOKANE COUNT]' DIVISION OF BUILDING & CODE ENFORCEMENT
1026 \VEST BROADWAY AVENUE
SPOKANE, \V:\ 99260 _.
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: 31 1 4, I+•0.4n
Assessor's Tax Parcel Number(s):
yS2.463. S2OS-
Legal Description:
Eu scru.AAikon. f- 1 9i1 -a etcia4 �Lt,
Luis 1K 2.S
Project Description: Sk.lr\ IC CO i k.
f5i( Bmlding Permit
❑ Change in Use
O Gradrng
❑ \Ianufacnucd Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
O Other
Department -Use Only -
0 AppI canr
Building Information
Phone
a.
—
i;;,-
Water Dot nct/Pun:cyur
' ..
Main 11nor sy li
Sewer Dianct/Puncyur`
_.
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. Road width.
Ca,, Sun, 71p
Setback-
ont.
Isle
Isle
•. Rear. •�.
...Right
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m-.[.. `, ';i
SchooDot
net. A.ct.
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rug District -
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mailing aJJm..
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OWNER/APPLICANT INFORMATION' '
I di ale u ho Jmn4/ be wadded m;an/nada. q'pn/ 7.
groin nee - Phone: 5(�.1 11, I
e - 1 `r � tesk. �D �=�Q Fa'
0 AppI canr
Building Information
Phone
a.
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l,Iading Adtrc..- '•Y a
311(p S. aa:. A."1,n C4-
,\I uhnp,\JJw..
Main 11nor sy li
Unfinished ba,crnent sy ft.
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Cin. Uaic, /l ,
e as 4-k UJ6 4943 7
Ca,, Sun, 71p
`./
'""t thmrsy 0
15tushCd basement .y- B
54.(:".11,1c,€'.�`, Phone 9u 7 J&4'
A PtlDM (�S Pa. 4» 138 &a.
o` O
0 ,\rchncu/hnhn a
Phone
Garagc sy 0.
Mailing address
A.O. gest 1%41-1cg
mailing aJJm..
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ua
l lc ai o u'c' (clecmc g.is, etc )
C Sum'/,p
SQbca...IL ()A - flail q(- /76 e
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\\ A Sun. Contractor hccmc =
11 (LE A• M RD 662. C L
t:nntut n.,,nc
PROTECT INFORMATION
Building Information
Building hcihht to peal,
/OR. lI
# of stones i
Main 11nor sy li
Unfinished ba,crnent sy ft.
1)u ensnm.
Total habitable space
'""t thmrsy 0
15tushCd basement .y- B
Occupancy go nip
Cunsn ucnun type
Garagc sy 0.
Deck sq it
riot nt , lit(
^
ua
l lc ai o u'c' (clecmc g.is, etc )
Manufactured Horne '
Sign �. 'I
Width:
Length
\Vhat is the square footage of the sign
fact?
I -low high is the sign?
Year:
Make:
# of signs
Arca of existing signs
Are there slopes greater than 30% on the property? (30 ft rise in 100 0)
( /%) 0 Yes . No
pre xiou address
-
t,
Relocation
Non-Residenti 1EEnergy.Code Compliance?
'i
What is the current use of this property?
Phone
Will the site be.served•by a septic system? O Yes 01 No ,
t I •, ,u ,. 1 . r•
,-'I
Plans Examiner
Fire Safety
Inspectors:
Is there eaidence of fill or excavation on the property?
\ 1. a AJ 't.7 0 Yes Vi Not,:4"l.1 ,
Are there slopes greater than 30% on the property? (30 ft rise in 100 0)
( /%) 0 Yes . No
pre xiou address
-
t,
.
. • 1• 41 ...s,„ a 1 arc Sprinkler I
a
J S.,;;;;`„, booth ._. ,. Fire rAlanri
r'
)
1
, 'fent _
Fireworks display
O Reinforcement
Address
Proposed use
1v a P -' W s.>, ' '•f
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Value' \. l.t+ !.i- x .. it i tai rl i C --iJ ... I
Special Inspections Requited?
Non-Residenti 1EEnergy.Code Compliance?
Firm Name
What is the current use of this property?
Phone
Will the site be.served•by a septic system? O Yes 01 No ,
t I •, ,u ,. 1 . r•
,-'I
Plans Examiner
Phone
Inspectors:
Is there eaidence of fill or excavation on the property?
\ 1. a AJ 't.7 0 Yes Vi Not,:4"l.1 ,
Are there slopes greater than 30% on the property? (30 ft rise in 100 0)
( /%) 0 Yes . No
Are clitical'or hazardous materials used or stored on site? y
„I)D:-.
Address
Impector
Phone
O Concrete
O Welding
O Boltutg
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
.Are there structures on the properly? KYes O No
If yes, idenlih' on site plan
\\-'hat is the current property size?
(square feet or acres) -
Is any pan of the property within 250 feet of a shoreline?
If yes, identify on site plan O Yes cit) No
What is the current use of this property?
Is your property in a designated wildlife habitat area?
O Don't know O Yes IX No
Will the site be.served•by a septic system? O Yes 01 No ,
t I •, ,u ,. 1 . r•
,-'I
Is any part of the property within a 100 yr flood plain?
Iyer, iden/b' on site plat
0Maybe I%)on't know O Yes O No
Are or will there be wells located dti'ihie'properW--/- % ' =''''" ' C t
',Ties, idenkb, on the the plan , is O Yes�No
- i 2 . i :2 `Yet,..,1I1 • .y, 4/ ) I :7
Are there any 'edam's, streams or ponds within 200 feet of the property?
7f yes, ideut1/4on site plan 0 Yes No
Is there eaidence of fill or excavation on the property?
\ 1. a AJ 't.7 0 Yes Vi Not,:4"l.1 ,
Are there slopes greater than 30% on the property? (30 ft rise in 100 0)
( /%) 0 Yes . No
Are clitical'or hazardous materials used or stored on site? y
„I)D:-.
DEPARTMENT USE ONLY
-Is the property in a designated Stormwater Control Arca? ,
-.D Yes
-
0 No
Is public sewer available tothe site? " ` ' O Yes, - O'No `
Is the pioperty inside the ASA?
- ..
O Yes
'O',Yes
0 No
O No.
Is public water artilaI,I iii the site?."' ' -'• O. 1' es t' 0 NO "1-7
Is the property inside the PSSA? _
.
: ' 0 lyes
0 No-
Is the property located within 1000 feet Of a Nattird Res"ourcelAtea? 3,`e 'i
O. Yes. 0 N
Date Received:
Staff Represcneni.o:
,ME'T'HOD OP PAYMENT
VISA
❑ (_:ASI I 9 CAH ?CK ❑ 0 .. _ 0
FAXED PERMITS WILL ONLY BE ACEPTED WITI-1 PAYMENT OF A MAJOR CREDIT CARD
DIICOVER
EXPIRES:
N:ANKC:ARD NUA181iIt:
:\UTI I(ItI%U.D SI( NA I IJ10.:
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1V/a1PERMIT FEE1 .LG NG\ '
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COma' PSRMIrl'(rs'](
Project Number. 0200-1163 Inv. 1 Application Date. 5/29/2002
r "
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SUN ROOM ADDITION
Contact: DREAM ROOM DESIGN
Address: PO BOX 141708
C - S - ZSPOKANE, WA 99214
Setbacks: Front EXI Left: 9 Right. EX Rear: 25 Phone. (5119) 922-7388
Group Name.
Site Information:Proicct Name
Plat Key: 1105857 Name EVERGREEN POINT 9TH ADD District. F
Parcel Number. 45263.52115
Block: Lot:
SiteAddress: 3116 S BANNEN CT
VERADALE, WA USA 99037
Location:: VER
Zoning: UR 3.5
Water District: 0111 VERA
Owner. Name: MECKINBERG, BRUCE
Address: 3116 S BANNEN CT
VERADALE, WA 99037
Hold: ❑
Area. 11,995 Sq Ft Width 11 Depth. 0 Right Of Wap (ft). 50
Nbr of Bldgs' 0 Nbr of Dwellings. 0
Review Information:
Page 1 of 2
Review
Site Plan Review
Released
Plan Review Released By:
kp --4-;--c f ftd-P f11(f Are -n
Permits:
Operator: RMB Printed By: RMB
Print Date 5/29/2002
Project Number 020041 63 Inv. 1
Xpplication
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/29/2002 Page 2 of 2
Building Permit
Contractor: DREAM ROOM DESIGN LLC Firm: BILL CONANT/DREAM ROOM DE
Address PO BOX 141708 Phone: (509) 922-7388
SPOKANE, WA 99214
Building Characteristics
Const Category: Addition Group R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 10 Stories. 1
Bldg W x D: 9 x 13 Building Sq Ft: 117 Sprinklers: 0
Req Parking: 0 Handicap Parking 1) Critical Materials ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
SUN ROOM R-3 VN SUNROOM 0 $16,507.00 0 $16.507.00
VALUE
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 0 $16,507.00 0 $16,507.01)
Units Unit Desc
I Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$251.50
$4.50
$55.11
$310 11
Notes:
OK TO ISSUE SEWER PERMITS FOR BLOCK 24 - LOT 1 BLOCK 25 - LOT I. 2. 3, 5. 6. 7
OK TO ISS BUILDING PERMITS FOR ALL OTHER LOTS. BUT DO NOT ISSUE SEINER
PERMITS PER GENE REPP 6/5/97 OK TO ISSUE SEWER PERMITS ON ALL LOTS PER BILLY
7/27/97
Payment .Summary:
Permit Type
Building Perini(
Fee Amount Invoice Amount Amount Paid Amount Owing
5310.11 $310 11 $0.00 5310.11
5310.11 5310.11
50.00 $310.11
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the oss ner) 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 he
complied with. Subsequent issuance of a permit shall not he 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: RM B Printed By: RMB
Print Dale 5/29/2002
ADDRESS 5.3k1t4:) C -r
ZONE lUZ__-�,s
ROAD WIDTH 5
FRONT `S FLANKING
COMMENTS -----
REVIEWED f'3Y
•
UV
This site plan is being submitted for the purpose of
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 wafter,, steep sl . or other crit;/ teas,
Signed: W
Date: ` ., ' O ?
1( .L o 1),vm its Co'