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2002, 08-30 Permit App: 02007493 GarageI1I SowE Cout' ry sP 78N PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, 99260 7153 509-477-3G-36 75 T —� SPECIFIC SITE INFORMAT] ON' Street Address: (0 s. r Assessor's Tax Parcel Number(s): Legal Description: nto3 Project Description: \1(1- \1(10` Ore -rote 1 Ouilding Permit O Change in Use O Grading O Manufactured Home Permit 0 Relocation O Sign O Tenant (New/Change) O Other Depaiunent Use Only Water District/Punepor School District -. Road width OWNER/APPLICANT INFORMATION 0 InAFaall 1'lp (I10YJd /Jt nnlm-rd nputhinp flnr/irgeR 0 owner Phone( S3-43 a -i IZober4 Nel<nn Fax: 0 Applicant: Phone: Fax: &lalling:\ddrix:/Mailing C1-10to S. �40r Address: Dimonsiuns cin. snit. Zip 4 3p 4• awi,aata Cin', State. Zip Finished basement sq. tr. f> ,nnaen,r -- Phonc@I/4)'%C40a, Tracer\ g O4,41./ -Rua Id PTs I'a` ❑ Architect/Engineer Phmc Fax Mailing address Mailing address I Icat source (electric,' as, etc.) fin Slave Lip .J' -c -re, ,.1A. 44-1ta Circ. Sum zip \C:\ Ion uacnu hcen.e ss -re WIV/$L 113 Un Contact name: PROJECT INFORMATION 1oi+ y�X �0' - Building Information Building height to peak 14' #ret Stories I Main Iloor sq. tt. gla0 = 115 20 Lrntinished bascnnnt sq. 11. Dimonsiuns Total habitable space p. 2d Otat . It. y _3 3.S70, Finished basement sq. tr. Uccup.usc group Construction r),J.,fli. Garage sq. It. Deck sq. it. Cost of puiject I Icat source (electric,' as, etc.) II int SPoFW' £ Cowry • 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): Legal Description: Project Description: O Building Permit O Change in Usc O Grading O Manufactured Home Permit O Relocation O Sign O Tenant (New/Change) O Other Depai tinent Use Only Water Districr/Pur.gor School District ;.Road width Setbacks 'Front Rear. Right ' OWNER/APPLICANT INFORMATION 0 /adnate who !ho le rr;✓rdinr dGrr/tn*d ❑ (Tuner Phone: Fax: ❑Applicant: Phone: Fax: dlailing Address: DITt'11SI0I15 . Mailing AJdmss: 2"a floor sq. It. Cee, State. Zip ( )ccup:mcc wunp Cin, State. Zip Garage sq. It. ❑ Gnomeun Phone Fax ❑ Architect/Engineer Phone Fax Nailing -address AL dins address :it., Slate Zip Cin, State Zip W:\ Aare Contractor license a Contact name: PRO IECT INFORMATION Building Information Building hci_ht to peak # of stories \lain floor sy. ft. Unfinished basonunr sy. It. DITt'11SI0I15 . Total habitable space 2"a floor sq. It. Finished basement s1. ft. ( )ccup:mcc wunp Consrruehnn rape Garage sq. It. Deck sq. ft. U ost nIpn,ic r I leaf >nurce (clecrric, gas. etc.) Project Number: 02007493 Inv: 1 Application Date: 8/30/2002 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: ......................... Permit Use: DETACHED GARAGE Setbacks: Front 122 Left: 75 Right: 5 Rear: 211 Site Information: Plat Key: 000382 Name: CHESTER HILLS ADD Contact: TOWN & COUNTRY BUILDERS Address: 5918 E TRENT C - S - Z: SPOKANE, WA 99003 Phone: (509) 535-9016 Group Name: Project Name: District: F Parcel Number: 45294.0103 Block: SiteAddress: 2406 S BALFOUR BLV SPOKANE, WA 99206 Location:: SPO Zoning: UR -3.5 Water District: Arca: tl Sy Ft Urban Residential 3.5 Width: 0 Nbr of Bldgs: 2 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Lot: Owner: Nance: NELSON, ROBERT Address: 2406 S BALFOUR RD SPOKANE, WA 99206 Hold: ❑ Depth: 0 Right Of Way (ft): 60 Plan Review Permits: Released Operator: DMD Printed By: DMD Print Date: 8/30/2002 Project Number: 02007493 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/30/2002 Page 2 of 2 Building Permit Contractor: TOWN & COUNTRY BUILDERS Firm: TOWN & COUNTRY BUILDERS 1 Address: 5918 E TRENT AVE Phone: (509) 535-9016 SPOKANE, WA 99212 Const Category: New Nbr Of Dwellings: Bldg W x D: s Req Parking: Building Characteristics Group: Occupant Load: Building Sq Ft: Handicap Parking: Type: Building Height: Sprinklers Critical Materials: ❑ This Application: Description Grp Type Notes Sq Ft Valuation 960 $11,520.00 GARAGE U-1 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Stories: Total Project: • Sq Ft Valuation 960 $11,520.00 Totals: 960 $11,520.00 960 $11,520.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Fee Amount $188.00 $4.50 $41.36 $233.86 Conditions of approval exist for lots sen'ed by Ponderosa Ln. A habitat management plan is on file. See file for Ponderosa Lit. - jforry Payment Summary: Permit Type Building Permit Fee Amount Invoice Amount $233.86 $233.86 $233.86 $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 he construed to he 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: DMD Printed By: DMD Print Dale: 8/30/2002 ADDRESS��'I�4� �, M A us I 'N•A ZONE :‹ 100 FLANKING 1 1 ~ V- Il l.l�6 ti .Defoc9 S,r T This site plan is being submitted for the purpose of, obtaining a, building permit ands a true and correct representation of the proposal !AII known property lines/dimensions, comings, structures .ncleasements, have beeniidontified. Also indicated • • etlands, --bodissafwata •sp slo.-,_..critical_are_. ..... ' " /CJ. Afire Signed: Date: iX yPX /0" irdeak