2001, 09-13 Permit App: 01007880 AdditionProject Number: 01007880 • Inv: i
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/13/01 Page 1 of 2
Project Information:
Permit Use. RES ADD - 2ND FLOOR FAMILY ROOM OVER
Contact: NORDBY, WAYNE
EXISTING GARAGE Address: 916 N BESSIE RD
C - S - Z: SPOKANE, WA 99212
Setbacks. Front Left: Right: 4 Rear: Phone: (509) 926-2612
Group Name:
Site Information: Project Name:
Plat Key: 001288 Name: HUTCHINSON'S ADD
District: F
Parcel Number: 45181.1514
Block: Lot:
SiteAddress: 916 N BESSIE RD
SPOKANE, WA 99212
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Owner: Name: NORDBY, WAYNE
Address: 916 N BESSIE RD
SPOKANE, WA 99212
Hold: ❑
Area: 0 Sq Ft Width: 75 Depth: 120 Right Of Way (ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: ,
Department Review
BUILDING Site Plan Review
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
PLANNING
Hold Reasons:
Permit Conditions:
Permits:
Plan Review
Landuse/Zoning
Released By:
Project Number: 01007880 Inv: 1
•
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Dater 9/13/01 Page 2 of 2
Building Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone
000000, 00 000000
(000) 000-0000
Building Characteristics
Const Category: Addition Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: Stories: 2
Bldg W x D: 21 x 25 Building Sq Ft: 542 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: E
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VN 542 $33,604.00 542 $33,604.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
GAS PIPING
GAS LOG OR GAS INSERT
MINIMUM FEE ADJUSTMENT
Payment Summary:
Totals: 542 $33,604.00
Units
1
1
1
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Mechanical Permit
542 $33,604.00
Fee Amount
$433.00
$4.50
$95.26
$532.76
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 # OF UNITS
1 NUMBER OF
1 Select
Permit Total Fees:
Fee Amount
$1.00
$10.00
$24.00
$35.00
Operator: JAS Printed By: JAS Print Date: 9/13/01
Permit Type
Building Permit
Mechanical Permit
Fee Amount Invoice Amount
$532.75 $532.75
$35.00 $35.00
Amount Paid
$0.00
$0.00
Amount Owing
$532.75
$35.00
$567.75 $567.75 $0.00
$567.75
Notes• , .
Department Review
BUILDING Site Plan Review
Project Number: 01007880 • Inv: 1 � Application
THIS IS NOT A PERMIT
Date: 9/13/01 Page 1 of 2
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RES ADD - 2ND FLOOR FAMILY ROOM OVER Contact: NORDBY, WAYNE
EXISTING GARAGE Address: 916 N BESSIE RD
C - S - Z: SPOKANE, WA 99212
Setbacks: Front Left: Right: 4 Rear: Phone: (509) 926-2612
Group Name:
Site Information: Project Name:
Plat Key: 001288 Name: HUTCHINSON'S ADD
District: F
Parcel Number: 45181.1514
Block: Lot:
SiteAddress: 916 N BESSIE RD
SPOKANE, WA 99212
Location:: SPO
Owner: Name: NORDBY, WAYNE
Address: 916 N BESSIE RD
SPOKANE, WA 99212
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 75 Depth: 120 Right Of Way (ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
PLANNING
Hold Reasons:
Permit Conditions:
Toleasei} 83 •
a4e fine)
Plan Review
a�
6/
Landuse/Zonin
Permits:
1AI
dillik
ATI
inig
SPOT tll'i: COUNTY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT '
1026 \VEST BROADWAY AVENUE
SPOKANE, W:\ 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address. W42
gar HT ieSS/,e
Assessor's Tax Parcel Number(s):
Legal I)esctiptuon:
45/F1 1514
Project Description: / idr// an Ort ' lob S €
Budding Permit
O Change in Use
O Grading
O Manufactured Home Permit
O Relocation
O Sign
O Tenant (New/Change)
O Other
'Department Use Ori1} `-..... ".
Water District/Pun'cror '
'
- Senn Dntrict/Puncyor ..
Road raidth
-Scrbacks
Front. Rear ,
- '
Ink Right:
School District:
hire ()noir'. '
Zoning
..
OWNER/APPLICANT INFORMATION
l� Iaelna/ru/m ihoul//'e,nn/hledn'Qmrinn /hripnyn/
Plane
/0 hvncr / //•
Warne l or�id r.,. 9o�(P oZ{o/�
El,,,,,,,,,mi,hrna
a,
hl.u1 _ti t-,
�/� /►lov/h e /e Al
Mailing \JJrms
Cm, Son, /.p -
90%'an� ./Jct- t g9a/.
Car,11Af. /Air
Uniimshed bast -int nt sg ft.
0 Cnntracwr J p„,„,,
1'a.
0 Architect/1ntneer
Phone
has
Mailing address
Mailing .iddrt
unitm
Finished bassq. P.
cin. ',laic Zip
liin. Stan Zip
\\ A Stam Conuactnr httnsv n
( r na nr
Drck sy ft.
PRO IECT INFORMATION
Building Information - -
Budding he ,Ght to pink
.r of .Innis
\bun ilo rsy i1
Uniimshed bast -int nt sg ft.
Dunensmps
i6"x 25
/
//
Total habitable space
2nd floor al. ft
unitm
Finished bassq. P.
Occupancy Gump
Construct], in la re
(aragc.y it
Drck sy ft.
( osr of project
1 loaf source (elect (lc, gas, eta)
Manufactured Home
Sign '„
Width:
Length
\\9ia'n the squat footage of the id in
face?
I low high is the sign?
Year
Make:
# of signs
Area of existing signs
l'hone
Proposed use
Value '
Is there evidence of fill or eccaimnan an the property:
❑les n
Relocation
Fire Safety -
Non -Residential EneteCod'e Conipliance? '
Previous add It55
Is the property inside the I'SSA? 0 Yes ❑ No- -'
- :
1'I re Sprinkler
Tent
Paint booth Fire Alarm
Fireworks display
_
l'hone
Proposed use
Value '
Is there evidence of fill or eccaimnan an the property:
❑les n
Ale thele slopes greater than 30"6 on the prnperry? (30 ft rise
( /%) 0 Yes o
Special Inspections Required?
•
Non -Residential EneteCod'e Conipliance? '
Farms Name
Is the property inside the I'SSA? 0 Yes ❑ No- -'
- :
property?/
What is the current use of this property?//
Phone
stair Rvpre.cn1Anc
the site be served by a scpnc system+�S"es 0 No
Plans ll'aminer
l'hone
I mpec nr.
Are there any wetlands, streams or ponds within 200 few -ref the property?
If yer, Idrut j' on site plan ❑ Yes a""No
Is there evidence of fill or eccaimnan an the property:
❑les n
Ale thele slopes greater than 30"6 on the prnperry? (30 ft rise
( /%) 0 Yes o
0 ft)
Are critical or ha'rardous materials used or stored on site?
0 lyes yYAn
Address
B:\til:(:,\IID NUMB' iR
\Lti I11)Itliiti) SIGN GURU'.
In.pecmr
Phone
❑ Concrete
0
\\'clding
0 Bolting
0
Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there stnlctures on the property? Encs 0 No
Urn, idennfaou saep/nu
is public sewer available to the site? • . - 0 Yes 0 No
- .. .
\Vhat is the current property size?..— /
(square feet or acres) / S X /a5
Is any part of the prnperrs a shin 250 fret of a shnrelin 1:
I/Ito, Identify on .r//e plan 0 Yes No
Is the property inside the I'SSA? 0 Yes ❑ No- -'
- :
property?/
What is the current use of this property?//
k your property in a designated utldhfc habitat area?\\/ill
in Don't know 0 Yes•
No
stair Rvpre.cn1Anc
the site be served by a scpnc system+�S"es 0 No
Is any pan of the plopert within a 100 vt flood plain?
Ifni, idrn/i(' on .iiee plan
0 \ lavbe 0 Don't know 0 Yes N(
CREDIT CARD
Are or will there be wells located on the property?
IJj-er, Meath, on the Me pian 0 Yes to
Are there any wetlands, streams or ponds within 200 few -ref the property?
If yer, Idrut j' on site plan ❑ Yes a""No
Is there evidence of fill or eccaimnan an the property:
❑les n
Ale thele slopes greater than 30"6 on the prnperry? (30 ft rise
( /%) 0 Yes o
0 ft)
Are critical or ha'rardous materials used or stored on site?
0 lyes yYAn
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Atea?
0 Yes 0 No
is public sewer available to the site? • . - 0 Yes 0 No
- .. .
Is he property inside the .1SA? ❑ Yes ❑ No
❑Ycs - ❑ No
Is public water available to the site? , 0 Yes 0 No '
Is the property inside the I'SSA? 0 Yes ❑ No- -'
- :
Is the property located within 1000 feet of a Natural Resource Area?
❑. Yes ❑ N.. ,. ., - . .
Ualc 11 ttcntt1
stair Rvpre.cn1Anc
METFIOD OF PAYMENT
VISAj
CREDIT CARD
Sultl(u:\I.
GILMEER
OF A MAJOR
■ (::\s11 0 t:IINCIC • • !.•,-g?_. ■
FAXED PERMITS WILL ONLY BE ACEPTED WITI I PAYMENT
D.\ll'- I'.XI'I ItI*S
TOTAL FEE
MINLN(LrI PERMIT FEE ISS,.(r.pp
PLEASE 'IIIA: 0 IPCICS en'.l111100
SPOKANE COIN ll l I R'II r Lys -11:R
. '
B:\til:(:,\IID NUMB' iR
\Lti I11)Itliiti) SIGN GURU'.
f
This site plan is being submitted for thepurpose 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 identifi- ,. Also indicated are wets: ds,
bodies of grater teep slopes or other careas.
Signed:
Date:
kfarbAcit
N