2001, 04-25 Permit App: 01002863 Pole BuildingProject Number: 01002863 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/25/01 Page 1 of 2
Project Information:
Permit Use: 36 X 36 POLE BUILDING Contact: ON THE ROCK CONST/ED POMRANKY
Address: PO BOX 19315
C - S - Z: SPOKANE, WA 99219
Setbacks: Front 40+ Left: 50+ Right: 12 Rear: 6 Phone: (509) 993-7512
Group Name:
Site Informations Project Name:
Plat Key: 002602 Name: SWAN ACRES 1ST ADD
District: H
Parcel Number: 46353.1805
SiteAddress: 5409 N BEST RD
SPOKANE, WA 99206
Location:: SPO
Zoning: UR -3.5
Water District:
Block: 1 Lot: 5
Urban Residential 3.5
Owner: Name: MINJARES, SYLVIA
Address: 5409 N BEST RD
SPOKANE, WA 99206 .
Hold: ❑
Area: 0 Sq Ft Width: 105 Depth: 160 Right Of Way (ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Department Review
BUILDING Site Plan Review
Hold Reasons:
Permit Conditions:
BUILDING Plan Review
Hold Reasons:
Permit Conditions:
HEALTHDISTRICT Septic System Review
Released By
Released 13y:
Released By: 1_0 )",`,-
Hold Reasons: /�/
Permit Conditions: /L1Q S t o `� A t °�" eJ, pLC±
1 taii> —e... - l 1.r e s yS `T6 �Jt�r/Ce I�.g SMT hely
Permits: , J
Project Number: 01002863 Inv: 1
• .
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/25/01 Page 2 of 2
Building Permit
Contractor: ON THE ROCK CONSTRUCTION Firm: ON THE ROCK CONSTRUCTION
Address: PO BOX 19315 Phone: (509) 993-7512
SPOKANE, WA 99219
Building Characteristics
Const Category: New Group: U-1 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: 16
Bldg W x D: 36 x 36 Building Sq Ft: 1296 Sprinklers: E
Req Parking: Handicap Parking: Critical Materials: ❑
This Application:
Description Grp Type Notes Sq Ft Valuation
GARAGE U-1 VN 1,296 $15,552.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 1,296 $15,552.00
Units Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Stories: 1
Total Project:
Sq Ft Valuation
1,296 $15,552.00
1,296 $15,552.00
Fee Amount
$238.00
$4.50
$52.36
$294.86
Payment Summary: ,
Operator: MKC Printed By: MKC Print Date:
Permit Type
Building Permit
Notes:
Fee Amount Invoice Amount
Amount Paid
4/25/01
Amount Owing
$294.86 $294.86 $0.00 $294.86
$294.86
$294.86
$0.00
$294.86
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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:
5410
Assessor's Tax Parcel Number(s):
eco 3 5-3 e I Yar
Legal Description:
Project Description:
-9It &_-(Aiarrj.
Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
0 Relocation
0 Sign
O Tenant (New/Change)
O Other
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Mailing address
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Ciry, Sta Zip
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City, State Zip
OWNER/APPLICANT INFORMATION
0 Indicate who should be contacted reearding this nroiect
0 Owner: Phone: 7aa — 3 3 / 0
SC -Ares Fix:
Llg( f([J.., /�i `�.(ti
0 Applicant:
Phone:
Fax:
M nAddress: J
54/09 A-2 13es11-
Mailing Address:
Unfinished basement sq. ft.
Ciry, State, Zip
Icrcy-c (4 9 �I
City, State, Zip
2"4 floor sq. ft.
fJ Contractor/104i r d Pert.• 6:1467::.Phone Q 9 3 7s—I .
L� /7 c4AJ (ice Fax C
❑ Architect/Engineer
Phone
Fax
Mailing ddress�
VC NO5{ Gcjj/s
Mailing address
Cost of project -
Ciry, Sta Zip
oK - Cut_ ??,P.19
City, State Zip
WA Slate ontnctor liegiaseo Gk c # * 9 Du
Contactname:
PROTECT INFORMATION
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BualeilnpInformatlon'
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Building height to peak
# 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
.Pole-
Garage sq. ft-
sc x31
Deck sq. ft.
Cost of project -
Heat source (electric, ga.s, etc.)
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Sign
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Width:
Length:
What is the square footage of the sign
face?
How high is rhe sign?
Year:
Make:
# of signs
Area of existing signs
Address
'^ rw-'%' aw'xs: $'""' ss �` ''" r`''
.,elocatim— y
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w^FA%'urw r __ d L�ieus `:}nv^T�'� V' :F"w v�u�>aiis.SdIYC.'u
,SF- "'S' .y>f .vx ,�
Fire Safe g
,.«. q ,y A�tT..^.. .iA
..� a��5i"1^ S4Y�'.
Previous address
Fire Sprinkler
Tent
Paint booth Fire Alarm
Fireworks display
_ _
Inspectors:
Proposed use
Value
Seciaifir
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Ptectl Peri . reds `
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€Non ofe d Energy Code Co eertarbealai1/41/4.1/4 6t..,:: saifree. fi
Firm Name
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes No
Phone
. Is any part of the property within a 100 yr flood plain?
If yes, idem on site plan
0 Maybe Don't know 0 Yes 0 No
Plans Examiner
Phone
Inspectors:
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(-------%) 0 Yes No
Are critical or hazardous materials used or stored on site?
0 Yes No
Address
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? .Yes O No
If yes, identify on site plan /70 t-cSe
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan O Yes X No
What is the anent use of this property?
`e s ,
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes No
Will the site be served by a septic systemIi. Yes O No
. Is any part of the property within a 100 yr flood plain?
If yes, idem on site plan
0 Maybe Don't know 0 Yes 0 No
Are or will there be wells located on the property?S,�
lfyes, identify on the site plan 0 Yes A—No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan 0 Yes l No
Is there evidence of fill or excavation on the property?
0 Yes No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(-------%) 0 Yes No
Are critical or hazardous materials used or stored on site?
0 Yes No
DEPARTMENT USE ONLY
togrtmwa[e Con[rolAreaa
the;p pnr{ynadgnatedS1/4
.+'Y,'nkes;,x':0 No
"'a"s'�
`
IspubbcsWefavadabl?TS fthesr .:h O Yes` --0. N
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Ls the propeerty tn: de t aA5 •a�'>"�'L'S ! dO Yes; O N6'
'dear... Yes' KNat,`
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Y9tNRx:
TIs public wateravatlable to rhe sate? �z s Ff ; rr0 ^Yes J Mb # �`
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Is the proper[y'mside t o PSSp>.a.-.�„ '+¢ . h -13 Yes
O Noe
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TIs the property lonatcd wrthm 1000 feeiTof a'INatural Resource. can
._..!'.a' ". Yd ' .=.'`1":ai'iiak4:45Tigalt
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
9 CASH 0 CHECK 9 n 0
DIMMER
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BAN1XCARD NUMBER:
AUTHORIZED SIGNATURE:
SIJRTOTAL
$+ tisy.�F+
TOTAL I'EE
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