2003, 01-15 Permit App: 03000291 Storage BuildingProject Number 03000291 Inv 1
Applic'ation
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project /nforn:ation:
Date: 1/15/2003 Page 1 of 2
Permit Use. 16 X 24 STORAGE BUILDING (PARTIALLY
CONSTRUCTED)
Setbacks: Front 30+ Left 20+ Right' 3 Rear 5
Site /nforotation:
Plat Key: 1)04237 Name SUMMERFIELD EAST 03RD ADD
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name
RUDNITSKIY, VAN
5211 N BELLEVUE CT
SPOKANE, WA 99216
(509) 921-9673
District H
Parcel Number 46354.3510
Block:
SitcAddress: 5211 N BELLEVUE CT
SPOKANE, WA 99216
Location- VER
Zoning- UR -3.5
Water Deana
Arca: .1)1) Acres
Urban Residential 3.5
Lot:
Owner Name
Address
RUDNITSKIY, VAN
5211 N BELLEVUE CT
SPOKANE, WA 99216
Hold: ❑
\Vidth: 56 Depth: 107 Right Of Way (R). 51)
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: .., .
Review
Site
Released By: _UJ Vi lc_ e/t9
Plan Review
Released
Septic System Review et•t *402.
Landuse/Zoning
Permits:
Released By:
Released By -
side lid se-- 01eve4e_ 2g
Operator RMB Printed By. RMB
Print Date:
1/15/2003
Project Number: 03000291 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/15/2003 Page 2 of 2
Contractor: OWNER
Building Permit
Firm: OWNER
Phone:
Building Characteristics
Const Category NewGroup: Type
Nbr Of Dwellings: Occupant Load: Building Height:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application:
Stories:
Total Project:
Description Grp Tvpe Notes SU Ft Valuation SU Ft Valuation
STORAGE U-1 VN 384 $4,608.00 384 $4,608.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 384 $4,608 00 384 $4,608.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Fee Amount
$100.50
$4.50
$22.11
Permit Total Fees: $127 11
Notes:
SPECIAL LOT FEE OF $168.00 PLUS 9% PER ANNUM TO BE SUBMITTED FOR EAST
VALLEY SCHOOL DISTRICT PRIOR TO ISSUANCE OF PERMITS
Payment Summary:
Permit Type
Building Permit
Fee Amount Invoice Amount
$127.11 $127.11
Amount Paid
$0.00
Amount Owing
$127.11
$127.11 $127.11
$0.00 $127.11
Disclaifner:
Submittal of this application certifies the owner (or person(%) 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 ntll he
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 RMB Printed By RMB Print Date: 1/15/2003
Project Number: 03000291 Inv 1
Application
cc -
THIS IS NOT A PERMIT
Date 1/15/2003 Page 1 of 2
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use 16 X 24 STORAGE BUILDING (PARTIALLY
CONSTRUCTED)
Setbacks Front 30+ Lctt. 20+ Right 3 Rear: 5
I •
Site Information: I
Plat Key 11114237 Name SUMMERFIELD EAST 03RD ADD
Contact
Address
C - S - Z:
Phone:
Group Name:
Project Name:
RUDNITSKIY, VAN
5211 N BELLEVUE CT
SPOKANE, WA 99216
(5119) 921-9673
Distfict H
Parcel Number 46354.3510
Block
SueAddress: 5211 N BELLEVUE CT
SPOKANE, WA 99216
Location.. VER
Zoning UR -3.5
Nater Dtslnct:
Area .011 Acres
Urban Residential 3.5
Lot:
Owner Name
Address
RUDNITSKIY, YAN
5211 N BELLEVUE CT
SPOKANE, WA 99216
Hold: ❑
Width: 56 Depth 1117 Right Of Way (ft). 50
Nbr of Bldgs' 1 Nbr of Dwellings. 1
Review Information: :-
Review
Site Plan -Review,.,
'9L140J% t .N 6 ter}T-
Released B--- d 1 `tLlijMiy
ta-il'Pfv1 ! A -C
Plan Review,
Released;B'4r' 'G
Septic S2stem Review PIM 1-102.
Release' By:.:. / . -
L niluse/Zoning I
r� .1 t / d s E14 -k a.'��. - o ntn r i tty. & tcrrcL. t. !. i i IS 'h'rn rvl Cr.?
Permits:
Released By: .
Operator. RI11B Printed By. RMB
Print Date
1/15/2003
ASPOKANE'COUNTY
SPoicw COUKTY
Phone
1-a. %21—Q673
PROJECT APPLICATION WORK SHEET
DIVISION OF BUILDING & CODA::13NI7ORCIi.\IENI'
1026 \CVES'I' BROADWAY AVENUE'.
SPOKANE, \\'A 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: 5211 A r eat elm ex. !great /' %�f 792/
/,"J V" `/ ! ` J !O
Assessor's Tax Parcel Number`
(s)):
Legal Description:
Project Description:
?g[ Building Permit
O Change in Use
O Grading
❑ Manufactured Home Permit
0 Relocation
O Sign
O Tenant (New/Change)
O Other
Department Use Only ,-
Phone
1-a. %21—Q673
Water Dtsrdct/1]unctor.- ..
-'I-:.
Sever District/Purveyor
.
Road width
Setbacks•.•
Prone -
Idc
,-
Rear
_ .. .
Right `
School District . . h
..
Fire District.
Zoning
OWNER/APPLICANT INFORMATION
❑ Indicate mho Jaau/l lx t unl: /el ,t gamma /bi k trued
XO(�./nyc
/ /'
Phone
1-a. %21—Q673
❑ Applicant ®J /ter/ Phone /! s
yigrl r(1(/r�"/'pair//-J//-7,' Fay9 / 2/_9
Mailing Address
52// & /,ge« e au_
---
M.uln \Jd es. /
5 2// A/. Aezt e eat O—
ran-, Stam, rip
um
, nef6
:
cm, 'nate, Zip
he
G✓ry—
992e, 6
❑ Cont actor
Plaine
I'as
0 :\rc umn/ligr?necr
1 feat source (ciccmc. gas, etc)
Phone
fa.
Mailing address
Mailing address
Cary. Stan Lap
tit, Stale Zip
was, State contractor lianas
Contact name
PRO IECT INFORMATION
Building Information
l '
Building height to peak
t O t=Pihr
# of stone. 1
(
Nlaat floor sy it.
Unfinished baseman( ay. tt
Urntenetons\
4
total habitable space
'nn floor sal lit
Finishedbasement sq it
Occupancyfm nip
f :nest nitre in type
Gar:Ngc sy. ft
Dcck sq. ft
Cost of protect
1 feat source (ciccmc. gas, etc)
Manufactured Home
Sigri .
Width.
Length
What is the square t ititage of the .sign
(rice.
I low high is the sign?
Year:
Make.
# of signs
Arca of cxist fin sig»
Are there slopes greater than 30°'0 on the property? (30 ft rise in 100 ft)
( /%) O Yes 0 No
Proposed use
Value
Relocation :
Fire Safety
Pim, Name
Pri nous address
Phone
Fire Sprinkler
Tent
Paint booth Pyre Alarm
Fireworks display
_
Are there slopes greater than 30°'0 on the property? (30 ft rise in 100 ft)
( /%) O Yes 0 No
Proposed use
Value
-Special Inspections"Required?
Non -Residential Energy Code Compliance? -
Pim, Name
What is the current use of this property?
Phone
\Will the site be served by a septic system? 0 Yes I4.No
/
Plans I-ammer
Phone
Inspectors-
Is there evidence of fill or excavation on the property?
0 Yes No
Are there slopes greater than 30°'0 on the property? (30 ft rise in 100 ft)
( /%) O Yes 0 No
Are critical or ha'rardous materials used or stored on sit
0 Yes lifi No
Address
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes 'O No
If yes, ideanfy en ole plan
What is the current property size? 1 X n
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
If yes. identrfy on .trite plan 0 Yes gJ No
What is the current use of this property?
Is your property m a Designated wildlife habitat area?
O Don't know O Yes 171 No
\Will the site be served by a septic system? 0 Yes I4.No
/
Is any part of the property within a 100 yr flood plain?
IIf es. Irlenth on ole plan
O Alaybe 0 Don't know 0 Yes q No
Are or will there be wells located on the property?
I fjes, idenlh' on the ole plan 0 Yes I No
Are there any wetlands, streams or ponds \athtn 200 feet of the property?
If yet rdenlh, on site plan 0 Yes )R) No
Is there evidence of fill or excavation on the property?
0 Yes No
Are there slopes greater than 30°'0 on the property? (30 ft rise in 100 ft)
( /%) O Yes 0 No
Are critical or ha'rardous materials used or stored on sit
0 Yes lifi No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
0 Yes
_
0 .
Is public sewer available to the site? O' Yes 0 No
.. -
Is the property inside the ASA?
0 _Yes
O Yes
0 No - -
O No'
Is public water available to the site? 0 Yes 0 No
Is the property inside the PSSA?
O Yes
0 No
Is the property located within 1000 feet of a Natural Resource Area? . .
0 Yei 0 No
Date Itecen ed
0�, )S C3
Staff Rtpnsenum et
METHOD OF PAYMENT
❑ (=As!!
❑ GIIFI;K
VISA
❑ ❑ _ _ ❑
DIICOVER
: =75 =
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DA'I'II:
FSPIRI SS
BANKCARD NUMBER:
A LFII IORIZIiI) SIGN.\'I URI:
SUB'IO'IAI"
TOTAL FEE
MINIMUM PERMIT FEE IS 55500 P L EASE
i.KI! CHECKS PAVNR.P 10 SPOKANE
COL'Sn' PER\II 1' CEN t ER
This site plan is being submitted for the purpose of
obtaining a ;uilding peri Tit aid is a true and correct
representation of the proposal. Afl.known property
' lines/dimensions, curb.liries structures and easements
have bee�j ide tified. A r.o indicated are wetlands,
bodies of dgat , deep i pes or othcritical areas
Signed -
Date: Q(. 1,s 0>
ADDRESS •, 5A I �, S? V`ote
ZONE �.. �,
ROAD WIDTH'-• °
• FRONT__ FLANKING
COMMENTS •
•REViEWFD-E4Y
DOUBLE PLUMBING 5
USE 4" PVC PIPE ASTM D-3034 SDR35
OR ASTM F789 AT 2% SLOPE
REFERENCE CAPPED ENDS AND CLEANOUT
_a.
t
ADD ESS: N. 5211 Bellevue Court
LEGAL DEsO I TIC'i: Lot 10, Block
APPLICANT: Tupper, Inc.
Job 625
FNA CASE
15, Summerfield
STYLE: 22^0
East 3rd A.d-li ;.ion
PONEa : WWP
w4TEc: Trentwood
SCALE: 1" = 20'
DATE: 4/2Z/67