2000, 07-24 Permit App: 00006306 Covered Patiothilik
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Spoi<m Cou y
Project Description: Go a eitel 4 71/C
PROJECT APPLICATION On' & 30(to
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
TYPE OF APPLICATION
IPL Building Permit
❑ Change in Use
❑ Grading
0 Manufactured Home Permit
0 Relocation
0 Sign
0 Tenant (New/Change)
0 Other
SPECIFIC SITE INFORMATION
Street Address: Z.
/ !� , /Q h
Assessor's Tax Parcel Number(s):
Legal Description:
(toe ?gay/
1-{ s as 1 ' 0'71$
Water Disiriet/Purveyor`;
.:School Dis`tiict.:.
Sewer Distikt/Ptirve for
OWNER/APPLICANT INFORMATION
El Indicate who should He contacted regarding this protect
IN Vest(zotoN
ea_Owncr. -
�
5( Olt Ale Wei/
Phone:
Fax:
370 6;675`
❑ Applicant.
Unfinished basement sq. ft.
Phone:
Fax.
Mail /Address
WS S ig/a.A
2"^ floor sy. ft.
Finished basement sq. ft.
Mailing Address:
'n� O
ta-Ac`
Garage sq. ft.
City, State, Zip
Cost of prole
,/ / d go
City, Stave, Zip
0 C tractor
4A -e—
•
Phone
Fax
-'
0 Archnea/engineer
Phone
Fax
Mailing adt rens
Mailing address
City, State Zip
City, State Zip
WA State Contractor license ro
Contact name'
PROJECT INFORMATION
Building Information::. "
Budding eight to peak
/
//of stories
G
Main floor sq. h.
Unfinished basement sq. ft.
Dtmy�tsipys A /
Total habitable space
2"^ floor sy. ft.
Finished basement sq. ft.
Occupancy group✓o`ip//l"
Construction ttyype
i�
Garage sq. ft.
Deck sq. ft.
Cost of prole
,/ / d go
Heat source (electric, gas, etc.)
Manufactured°-Home;.•S
gfr
Width: i :'. s
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs
Area of existing signs
Relocation::.:::; '%;::. .iq - :•: =; : ,
Fire,Safety`>
:,Non=Residenbial'Energy Code:Compliance?
Previous address
Fire Sprinkler
Tent
Paint booth Fire Alarm
Fireworks display
_
Phone
Proposed use
Value
Special Inspections
Reguired2, `„ _ ;, ..•,; : ,:_
:,Non=Residenbial'Energy Code:Compliance?
What is the cuyrgnt use of this property?
if/gine-
Firm Name
Will the site be served by a septic system? 0 Yes &No
Phone
Are or will there be wells located on the property?
If yes, identify on the sue plan 0 Yes ilt No
Plans Examiner
Phone
Inspectors.
Are critical or hazardous materials used or stored on site?
0 Yes 0. No
•
Address
Inspector
Phone
O Concrete
O Welding
LI Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? Ft Yes O No
!f yes; identify on site plan • - .
What is the current property size?x ?
(square feet or acres) / /Q `' 90 t
Is any part of i.he property within 250 feet of a shoreline?
If yes, identifybn site plan ' 0 Yes RI No
What is the cuyrgnt use of this property?
if/gine-
Is your property in a designated wildlife habitat area?
O Don't know 0 Yes IL No
Will the site be served by a septic system? 0 Yes &No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
0 Maybe 0 Don't know 0 Yes IL No
Are or will there be wells located on the property?
If yes, identify on the sue plan 0 Yes ilt No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan 0 Yes Cil- No
Is there evidence of fill or excavation on the property?
0 Yes e' No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( -----"%) 0 Yes ait No
Are critical or hazardous materials used or stored on site?
0 Yes 0. No
DEPARTMENT USE ONLY
Is [he ro _est in a:designated Stoiiitwater Conired:Aiea?',:^
,..,.. ..._,....... ..:.- _..O. -:Yes '; O No=:
Is publz ewer: a idilable to the site?
flNo
Is`ih'e;pi-operty: inside'ihc ASA?::.
0:,
H;thepropei'ty inside the; PSSA?'"":
?Is pubhc'water'adailable'to_.the site?
lIs'tlie;property-Ib itedwifliiit 1000 feet ofa-.Naftiral'Resource '
O ;Yes ..0; No. . ,
Date Received:
Staff Representative.
Project Number. 00006 306 Inv: /
•
Application
Date: 07/24/2000 Page I of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: COVERED PAT10
Setbacks: Front 25 Left: EX Right: 20 Rear: EX
Site Information:
Contact. HENSON, SCOTT
Address: 615 S BLAKE RD
C - S - Z: SPOKANE, WA 99216
Phone. (509) 370-6575
Group Name:
Project Name:
Plat Key: 001669 Name: MOORE'S SURBURBAN HOMES ADD
District: F
Parcel Number: 45221.0718 Block.
SiteAddress: 615 S BLAKE RD
SPOKANE, WA 99216
Location:: SPO
Zoning: UR 3.5
Water District
Lot:
Owner: Name: HENSON, SCOTT
Address: 615 S BLAKE RD
SPOKANE, WA 99216
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth 0 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information • -,
Department Review
BUILDING Site Plan Review R ased B t.. .�
Hold Reasons. �? `—(„e- \ " _ —21ay/�V
l
Permit Conditions:
BUILDING Plan Review \ LReleased By: 4tfief0-1 cl i vvc
Hold ReasonsNkl u Ns- e -re, ciZEzgi.(] 42,,q
Permit Conditions:(n5PenCc>C2.— Cja wag L`) --b,
Permits: ,
Project Number: 00006306 Inv: 1
Application
Date: 07/24/2000 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 000000
Const Category: New
Nbr Of Dwellings
BldgWxD: 8 x
Req Parking:
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Group: R-3 Type: VN
1 Occupant Load: 0 Building Height: 10
36 Building Sq Ft: 288 Sprinklers: ❑
0 Handicap Parking: 0 Critical Materials: 0
This Application: Total Project:
So Ft Valuation Sq Ft Valuation
288 $2,724.48 288 $2,724.48
Description Grp Type Notes
COV DECK R-3 VN
Item Description
RESIDENTIAL VALUATION
INVESTIGATION,FEE
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Pavotent Sumtnarr
Operator: RMB
Stories: 1
Totals: 288 $2,724.48
Units Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
288 $2,724.48
Fee Amount
$75.50
$75.50
$4.50
$16.61
$172.11
Printed 13y: RMB Pr
nt Date: 07/24/2000
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $172.11 $172.11 $0.00 $172.11
$172.11
$172.11 $0.00
$172.11
Notes: ,
STOP WORK ORDER PLACED BY #52 DAN HOWARD FOR A ROOF
EXTENSION (6 X 30) BY TFIE HOMEOWNER. INVESTIGATION FEES
REQUIRED. Diane
at -L
ADDRESS
ZONE
ROAD WIDT
FRONT_
COMMENT
REVIEWED
r.
ib
•
FLANKING
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
tines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of , s p lopes or other critical areas.
Signed: ,�y�
Date: 7 — 2q -r
`s 1
4131
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