2001, 04-20 Permit App: 01002742 Finish Basement•
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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: i707� / &tz j y v`
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: -e i'/ f— 1244-74-'/
2,v
uilding Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
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DepartlneatUse- Only,.
Et/Applicant:
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Mailing Addrreesss: y�
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❑ Contractor Phone
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OWNER/APPLICANT INFORMATION
0 Indicate who should be contacted re¢ardine this vroiect
ID'Owner: Phone:
Ari '02-504 Fax:
Et/Applicant:
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Phone: yyk/or
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Mailing Addrreesss: y�
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gA Address:
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City, State, S.S�/'ip �./l�� z 0/
icy, State,
Unfinished basement sq. ft.
❑ Contractor Phone
I--e-rc! S ,t/ a (` be( Fax
h" Architect/Engineer
Phone
Fax
Mailing addres✓
Mailing address
Construction type )/,
Sial cur /' r -C
City, State Zip
City, State Zip
Cost of project -
WA State Contractor license N
ff t k i i 027771
Contact name:
PRO IECT INFORMATION
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s#Bullciing
'a '�3 "{tFS s le •' t Informationa�
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Building height to peak
ti of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
Total habitable space
2"4 floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type )/,
Sial cur /' r -C
Garage sq. ft.
Deck sq. ft.
Cost of project -
Heat source (electric, gas, etc.)
0./
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mantnacturea Oin
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Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
N of signs
Area of existing signs
Are there any wetlands, streams or ponds within 200 fee
property?
Ifyes, identh on site plan 0 Yes No
Proposed use
Value
Are there slopes greater than 30% on die property? (30 Vise in 100 ft)
(/ %) 0 Yes ifiL,No
Reoca ori x��
ter+, .,g�. - i v` wt.E23:"�.%
zr,Y".at ' o .rl`.ra >,� � 'eF-` .A t4,.
Fire Safe
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Previous address
Phone
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
_
Are there any wetlands, streams or ponds within 200 fee
property?
Ifyes, identh on site plan 0 Yes No
Proposed use
Value
Are there slopes greater than 30% on die property? (30 Vise in 100 ft)
(/ %) 0 Yes ifiL,No
Are critical or hazardous materials used or stored on site?
O Yes 0 No
ia,: h ss,a'x p -E, ` a a n-
+*S eetarans eetions e utred� '
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f a "IDS i �C
Non Restdet a ili,
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g� .Code nComplianee?
Firm Name
eirtlielireter
is P,r;,;. `aes" �' I `....
et p~
Phone
Is your property in a designated wildlife habitat arca?
0 Don't know 0 Yes No
Plans Enminer
Phone
Inspectors:
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes O No
Are there any wetlands, streams or ponds within 200 fee
property?
Ifyes, identh on site plan 0 Yes No
Address
Is there evidence of fill or excavation on the property?
O Yes 0 No
_
Are there slopes greater than 30% on die property? (30 Vise in 100 ft)
(/ %) 0 Yes ifiL,No
Are critical or hazardous materials used or stored on site?
O Yes 0 No
Inspector
Phone
O Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 14"Yes 0 No
Ifyes, identify on site plan
s seweravarlable�eoi1211t[fi?.� s''t A O}'cYe's vONisT? _'.
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What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreli
If yes, identify on site plan 0 Yes N
eirtlielireter
is P,r;,;. `aes" �' I `....
et p~
What is the current use of this property?
Is your property in a designated wildlife habitat arca?
0 Don't know 0 Yes No
Will the site be served by a septic system? 0 Yes 0 No
Is any part of the property within a 100 yr flood plain?
Ifyes, identify on site plan
0 Maybe 0 Don't know 0 Yes No
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes O No
Are there any wetlands, streams or ponds within 200 fee
property?
Ifyes, identh on site plan 0 Yes No
f the
Is there evidence of fill or excavation on the property?
O Yes 0 No
_
Are there slopes greater than 30% on die property? (30 Vise in 100 ft)
(/ %) 0 Yes ifiL,No
Are critical or hazardous materials used or stored on site?
O Yes 0 No
DEPARTMENT USE ONLY
y'�Ls clic property:tu: d gnaud+Stogmwa[e eControl Area> . "
sires. : `'.:c�.r`:`s= rit�'.�.'# i;fles,, f-`"�ra,
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Ii: the prop&f loca sc tt r�chii 1000 feet o"f a'tNaturalsResourceAree'a,�..,y�
.t`.,as. ,.-L..s�'-iiikl ,z... nY ry eiYCS.t�4r04l iCt 'iV ta.
Date Received:
METHOD OF PAYMENT
VISA
D CASH ❑ CHECK 0 Ian❑ 1.
DIJCOVFI?
FAXED PERMITS WILL ONLY BE ACEI'TED WI'Hi PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
AUIT!ORIZED SIGNATURE:
SUBTOTAL
c� y .t z<t . s
.sa r 'dx aTOA-gc�yT�AL FI E
MINIMUMPPRMITFEE IS$350UPLEASh I -
MAKE CI IECKS,PAYAELE 7O SPOKANE'a
'- COUNTY PEKM-kCENTER vdw..
Project Number: 01002742 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/20/01 Page 1 of 3
Project In formation:
Permit Use: FINISH BASEMENT - BATHROOM & EGRESS Contact: TERRY'S QUALITY SERVICE
WINDOW Address: 4019 S HOGAN ST
C - S - Z: SPOKANE WA 99203
Setbacks: Front Left: Right: Rear: Phone: (509) 448-1053
Group Name:
Site Information: Project Name:
Plat Key: 000382 Name: CHESTER HILLS ADD.
District: F
Parcel Number: 45291.0715 Block:
SiteAddress: 2326 S BALFOUR RD
SPOKANE, WA 99206
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: NELSON,
Address: 2326 S BALFOUR RD
SPOKANE, WA 99206
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information • ,
Department Review
BUILDING Plan Review
Hold Reasons:
Permit Conditions:
Pennits'
Released By:
Project Number: 01002742 Inv: 1
Application
Date: 4/20/01 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: TERRY'S QUALITY SERVICE INC. Firm: TERRY'S QUALITY SERVICE INC.
Address: 4019 S HOGAN ST Phone: (509) 448-1053
SPOKANE, WA 99203
Building Characteristics
Const Category: Remodel Group: R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: 0
This Application: Total Project:
Description Grp 1'vpe Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT F R-3 VN VALUE 0 $9,000.00 0 $9,000.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 0 $9,000.00 0 $9,000.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Fee Amount
$150.50
$4.50
$33.11
Permit Total Fees: $188.11
Mechanical Permit
Contractor: TERRY'S QUALITY SERVICE INC. Firm: TERRY'S QUALITY SERVICE INC.
Address: 4019 S HOGAN ST Phone: (509) 448-1053
SPOKANE, WA 99203
Item Description
VENTILATING FANS
MINIMUM FEE ADJUSTMENT
Units Unit Desc
1 NUMBER OF
1 Select
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00.
$25.00
$35.00
Contractor: TERRY'S QUALITY SERVICE INC. Firm: TERRY'S QUALITY SERVICE INC.
Address: 4019 S HOGAN ST Phone: (509) 448-1053
SPOKANE, WA 99203
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS l NUMBER OF $6.00
SINKS 1 NUMBER OF $6.00
SHOWERS 1 NUMBER OF $6.00
MINIMUM FEE ADJUSTMENT 1 Select $17.00
Permit Total Fees: $35.00
Project Number: 01002742 Inv: 1
•
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/20/01 Page 3 of 3
Payment Summon,:
Operator: RMB Printed By: RMB Print Date: 4/20/01
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$188.11
$35.00
$35.00
Invoice Amount
$188.11
$35.00
$35.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owinp
$188.11
$35.00
$35.00
$258.11 $258.11
$0.00 $258.11
Notes: