2002, 03-01 Permit App: 02001256 Shed!hi
10111
SPOKARE COUNT-IY
PROJECT APPLICATION WORK SHEET
SPOKANE COUN'T'S DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, \VA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: 3 ) so.
0 4/5 11. 2cOli
Assessor's Tax Parcel Number(s):
Legal Description:
?o LE 6 u
d . (PPPD4-TcJN;1-')-r te).
Project Description: 1 tO X c2. '-1 x e ' t.„_)AtL H-q'r.
CkI t-lding Permit
O Change in Use
O Grading
O DGmufacntred I-Ioine Permit
0 Relocation
O Sign
O Tenant (New/Change)
O Other
Department Use Only.
Phone
,:as5ecr-lay -0315
0 Applmani:
Phone.
Fay
{\C'atcr Drstnct/1'urseyor.
...
'+:;•: ;:.t
. >; ...
rSesser Dnmct/Piney,
... .. 'R:
2nd floar vl ft
.'k nd-widths
:Setbacks.':
Pmol.-
Left. .
." -
Rsir`. ,-
Right
School Distnct •,
-
—
Fire Distract:
i,.
- •
.Zoning,
•
OWNER/APPLICANT INFORMATION
0 India/e who 'bomb) be, ontr,led rrrnau& !hit ponea'
Liguns.
GLEO Su,Ro
Phone
,:as5ecr-lay -0315
0 Applmani:
Phone.
Fay
Malting Address.
fO, aes iL37
Unncnntnnate
1(aX'r
g-`-1 F
Matting Address.
.
2nd floar vl ft
cin, state. %'i
1f&t4.�4D46c, Le)/
. 9 ro3 7
up • State, Zip
Cnnalmenon type
foLL Pamie—
❑ (onnactor
Phone
las
❑ Architect/Pni neer
Phone
Pns
Mille aLid re\\
iv b .r✓E
Mailing address
Cin, State Zip
Cat.4ats Zip
\\ A State Contractor license a
Contact name
PRO IECT INFORMATION
` Building Information
Itudding hught to peak
# of stones
rSinl%&LL
\lain flour sq ft.
I'Z/ S&•FT
Lint -unshed basement sq it.
---
Unncnntnnate
1(aX'r
g-`-1 F
rota]otal habitable ypacc
e_
2nd floar vl ft
',lobbed b. nun sq_ it
l Iccupance group
Cnnalmenon type
foLL Pamie—
Garage sq. It
Deck sq. 11.
ast 111'010[1I
A.000..°°
Icat source (clime. gas. etc )
Manufactured Home --''' ; '
Si-gi
width:
1 • , Ii:
What Is the square footage of the stgn
face%
11 1,1;.k.:_bighis the sigm?
Year
Make:
# of signs /
Arca of casting signs
Inspector.
Fireworks display
Is the property located within 1000 feet of a Natural Resource Area?
❑Yes 0 N
Relocation " , "
Fire -Safety
Noir-Reside•ntia1Energy,Code Compliance?:-. '.
-Examiner
1 inn Naos
Previous address
Phone
--
Fire Sprinkler
/
Tent
Paint booth Etre
Inspector.
Fireworks display
Is the property located within 1000 feet of a Natural Resource Area?
❑Yes 0 N
Proposed use
Value
77
Special Inspections -Required?
' -
Noir-Reside•ntia1Energy,Code Compliance?:-. '.
-Examiner
1 inn Naos
1 your property in a designated vaIdhfe habitat area;
0 Don't know 0 Yes o
Phone
--
Is any parr of rhe property within a 100 yr flood plain?
I(yes, identify on siteplan
0 Maybe 0 Don't know ❑ Yes r2f-No
Are or will there be wells located on the property?
1f fes, ideu/* on The site plan 0 Yes 71, No
Plans
Thune
Inspector.
Are critical or haiardous matenas used or stored on site?
0 Yes IR, No
Is the property located within 1000 feet of a Natural Resource Area?
❑Yes 0 N
Address
Inspector
phone
❑ Concrete
El Welding
El Bolting
❑
Reinforcement
Addre"
ADDITIONAL SITE INFORMATION
Are there structures on the propert? ❑ Yes 0 No
Ups. ;reran on site plan
What is the current property size?
(square feet or acres)
Is any part of the property \within 250 feet of a shoreline?
//yes. rden/ifj, an fife plan 0 Yes iso
\What is the current use of s property?
(_Val) L Mc.) fl:
1 your property in a designated vaIdhfe habitat area;
0 Don't know 0 Yes o
Will the site be served by a septic system? 0 Yes jit No
Is any parr of rhe property within a 100 yr flood plain?
I(yes, identify on siteplan
0 Maybe 0 Don't know ❑ Yes r2f-No
Are or will there be wells located on the property?
1f fes, ideu/* on The site plan 0 Yes 71, No
Are there any wetlands, streams or ponds wvlain 200 feet of the property?
1(pes, ulentj' on rile plan 0 Yes INC No
Is there evidence of fill or excavation on the property?
0 Yes % No
Are there slopes greater than 30% on the property+ (3(1 ft ase m 100 ft)
( _ %) 0 Yes *No
Are critical or haiardous matenas used or stored on site?
0 Yes IR, No
DEPARTMENT USE ONLY
Is the property in a designated Stonnwatei Control Area?
0 Yes
-
❑ -No -
Is public sewer available to the site? 0 Yes 0 No .
Is the property inside the ASA?
"
0 Yes'
❑ Yes
❑
❑
No '
No-
Is pubhc water available to the site? - - 0 Yes 0 No
-
Is the property inside the PSSA?
0 Yes
❑
No -
Is the property located within 1000 feet of a Natural Resource Area?
❑Yes 0 N
bate R cc''id
Sof( Reproc tI n e
METHOD OF PAYMENT
VISA
0 c.\si1 ❑ CHECK 0 =0 ❑ . 0
DIICSVER
KJ MCI 5==
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
NSI'Iltl-s.
1tAN KC.\RU SU\IHI•.li:
mi/.i?) sl(7N.\ Illlipi
SUlil'(1'1'Al.
TOTAL FEE
MINIMUM PERMIT FEE IS v5xPIx L
\I. KE Ct IECKS PAYABLE rO SIOK\NE
" COL NAY 1'1' HMI l' CENTER
'
Project Number: 0200/256 Inv: 1
• A plication
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/1/2002 Page 1 of 2
Project Information:
•
Permit Use: DETACHED DRY 16 X 24 SHED% Contact SUKO, GLEN
Address2310 S BLAKE RD
C- S- Z SPOKANE, WA 99216
Setbacks: Front 61 Left: 7 Right: 102 Rear: 10 Phone (5119) 924-0315
Group Name'
.Site Information: Project Name.
Plat Key 001846 Name: OPPORTUNITY TERRACE 4TH ADD District: F
Parcel Number: 45271.2505
Block Lot:
SiteAddress: 2310 S BLAKE RD
SPOKANE, WA 99216
Location:: SPO
Zoning: UR -3.5
Water Distract:
Area: 0 Sq Ft
Urban Residential 3.5
Width: 125
Nbr of Bldgs' 2 Nbr of Dwellings: 1
Review Information: - -
Owner Name: SUKO, GLEN
Address: 23111 S BLAKE RD
SPOKANE, WA 99216
Hold: ❑
Depth: 95 Right Of Way (ft) 611
Review
Site Plan Review
Plan Review
Permits:
Released BS':
Operator: DMD Printed By. DMD
Print Daic: 3/1/2002
Project Number. 02001256
Inv: 1
i.-
Application'
Date 3/1/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Address: 0
000000, 00 000001)
Const Category: New
Nbr Of Dwellings:
Bldg W s D: 16 x
Req Parking:
Building Permit
Firm: OWNER
Phone: (1)1)1)) 1)1)0-0000
Building Characteristics
Group: U-1 Type- VN
Occupant Load: Building Height. 12
24 Building Sq Ft: 384 Sprinklers: ❑
Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
384 $4,608.00 384 $4,608 00
Description Grp Type Notes
GARAGE U-1 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Sumrnarv:
Permit Type
Building Permit
Stories. 1
Totals: 384 $4.608.00 384 $4,608.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$100 50
54.50
$22.11
$127.11
Fee Amount Invoice Amount Amount Paid Amount Owing
$127.11 $127 11 $0 00 $127 1 1
$127.11 $127 11
$0 00 $127 11
Disclaimer:
Submittal of this application certifies the os%ner (or person(s) authorized by the owner) has both examined and finds the intbrmation
contained within to he true and correct, and agrees that all provisions of laws and/or regulations governing this hype of work will be
complied with. Subsequent issuance of a permit shall not he contrued 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 Date' 3/1/2002
ADDRESS
:23/6
ZONE
ROAD WIDTH
FRONS
COMMENTS
REVIEWED BY
'KING --.------
Prof° €
e
/2 F
This site pian is t;eina s:itt.m :t' d for rheourpose 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 identified. Also indicated are wetlands,
bodies of water, stee or other crit. al area
Signed:
Date: / DoL
,46u57..
LEA/ 5c_t_c�a