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2003, 02-12 Permit App: 03000851 AdditionProject Number: 03000851 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 2/12/2003 Project Information: Permit Use: RESIDENCE ADDITION - KITCHEN & UNFINISHED BASEMENT Setbacks: Front EXI Left: 20+ Right: 20+ Rear: 50+ Site Information: Plat Key: 000650 Name: DORNS ADD Contact: BOWMAN, JOHN & LINDA Address: 8210 E BOONE AVE C - S - Z: SPOKANE, WA 99212 Phone: (509) 891-3308 Group Name: Project Name: District: Parcel Number: 45182.0703 Block: SiteAddress: 8210 E BOONE AVE SPOKANE, WA 99212 Location:: SPO Zoning: UR 3.5 Water District: Area::,000.00 Acres Lot: Owner: Name: BOWMAN, JOHN & LINDA Address: 8210 E BOONE AVE SPOKANE, WA 99212 Hold: ❑ Width: 80 Depth: 150 Right Of Way (ft): 60 Nbr of Bldgs: 2 Nbr of Dwellings: 1 Review Information: Page 1 of 3 Review Site Plan Review Plan Review Permits: Operator: RMB Printed By: RMB Print Date: 2/12/2003 Project Number: 03000851 Inv: 1 r r Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 2/12/2003 Page 2 of 3 Contractor: OWNER Const Category: Addition Nbr Of Dwellings: Bldg W x D: Req Parking: Description BASEMENT U RES ADD Building Permit Firm: OWNER Phone: Building Characteristics Group: Occupant Load: x Building Sq Ft: Handicap Parking: Grp R-3 R-3 Type: Building Height: Stories: Sprinklers: Critical Materials: This Application: Total Project: Type Notes Sq Ft Valuation Sq Ft Valuation VN 290 $3,567.00 290 $3,567.00 VN 290 $19,140.00 290 $19.140.00 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor: OWNER Item Description VENTILATING FANS MINIMUM FEE ADJUSTMENT Contractor: OWNER Item Description SINKS DISH WASHERS WATER USING DEVICES MINIMUM FEE ADJUSTMENT Totals: 580 $22,707.00 Units 1 1 1 Unit Desc Y OR BLANK Y OR BLANK Y OR BLANK Permit Total Fees: Mechanical Permit 580 $22,707.00 Fee Amount $325.50 $4.50 $71.61 $401.61 Firm: OWNER Phone: Units Unit Desc 1 NUMBER OF 1 Select Permit Total Fees: Plumbing Permit Firm: OWNER Phone: Units 1 1 1 1 Operator: RMB Printed By: RMB Unit Desc NUMBER OF NUMBER OF NUMBER OF Select Permit Total Fees: Print Date: Fee Amount $10.00 $25.00 $35.00 Fee Amount $6.00 $6.00 $6.00 $17.00 $35.00 2/12/2003 Project Number: 03000851 Inv: 1 Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 2/12/2003 Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount Invoice Amount $401.61 $35.00 $35.00 $401.61 $35.00 $35.00 $471.61 $471.61 Amount Paid $0.00 $0.00 $0.00 Amount Owing $401.61 $35.00 $35.00 $0.00 $471.61 Page 3of3 Disclaimer: Submittal of this application certifies the owner (or person(s) 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 will be 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: 2/12/2003 Adtwilk SPOKANE Coves PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 \VEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: /Q d o Assessor's Tax Parcel Number(s): Legal Description: Project Description: Ol, dJ t(' rt hal Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other Department Use Only Water District/Purveyor. Sewer Distnct/Pun-eyor Road width Setbacks Front Rear. Left: Right: School Distnct Fire Distnct: Zoning OWNER/APPLICANT INFORMATION l� I rulra h u hn hnuld hr m hated re wrdin" this / rn/ea ❑ Owner ' ',�A 'y_y^! g 0 IA) V 1Ck ft. � D k tk. I , Phone 69 9.',/ .3 S` 9 ) I as ❑ Applicant: Phone Fax Nfailmg Address. g /o & .13o o --f) Dimensions / // Mailing Address. 2"" floor sq. ft. Crn,State it p 5, (5 ktet h se. Was._ 99Na/„. City, State, Zip Garage sc. ft. ❑ Contractor Syr-) -e_ Cost of.yogct Phone 1 -ax ❑ ArchitecL'f.ngineer Phone I ax Mailing address Mailing address (at`, State hp Citi, State Zip WA State Contractor Incense 4 Contact name: ECT INFORMATION Building Information Building height to peak # of stones 1 Main floor sq. ft. 2 5 6 Unfinished basement sq. ft. & el Dimensions / // 'Total habitable space 2"" floor sq. ft. Finished basement sq. ft. Occupancygroup Construction type °z,Y6 Garage sc. ft. Deck sq. ft. Cost of.yogct 1 feat source (electric, gas, etc.) Manufactured Home Sign I. Width: Length: What is the square footage of the sign face? 1 low high is the sign? Year: Make: # of signs Area of existing signs Fireworks display Is there evidence of fill or excavation on the property? ❑ Ycs rifNo Address Proposed use Relocation Fire Safety Firm Name Is any part of the property within 250 feet of a shoreline? If j�es, ident/, on site plan ❑ Ycs I4 No Previous address > S ce n — Paint booth lure Sprinkler Tent Fire Alarm Fireworks display Is there evidence of fill or excavation on the property? ❑ Ycs rifNo Address Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Firm Name Is any part of the property within 250 feet of a shoreline? If j�es, ident/, on site plan ❑ Ycs I4 No Phone > S ce n — Plans Examiner Phone Inspectors: Are or will there be wells located on the property? flies, ident ' 0/1 the site plan ❑ Yes [9 No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, identify on site plan ❑ Ycs ESI No Is there evidence of fill or excavation on the property? ❑ Ycs rifNo Address Are critical or hazardous materials used or stored on site? ❑ Ycs (1 No Inspector Phone ❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address ADDITIONAL SITE INFORMATION Arc there structures on the property? Ycs ❑ No If yes, identz, 0n site plan What is the current property h size?R / z ' (square feet or acres) C y / 70 Is any part of the property within 250 feet of a shoreline? If j�es, ident/, on site plan ❑ Ycs I4 No What is the cur;si.iit use of this pr crty? `f > S ce n — Is your property in a designated wildlife habitat area? ❑ Don't know ❑ Ycs (I No _y Will the site be served by a septic system? ❑ Ycs Qr No Is any part of the property within a 100 yr flood plain? I f j'es, Identzj' on site plan ❑ Maybe ❑ Don't know ❑ Ycs I[ No Are or will there be wells located on the property? flies, ident ' 0/1 the site plan ❑ Yes [9 No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, identify on site plan ❑ Ycs ESI No Is there evidence of fill or excavation on the property? ❑ Ycs rifNo Are there slopes greater than 30° o on the property? (30 ft rise in 100 ft) ( --------O'0 ❑ Yes 1J No Are critical or hazardous materials used or stored on site? ❑ Ycs (1 No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? ❑Yes 0 N Ts public sewer available to the site? O Yes ❑ No Is the property inside the ASA? ❑ Ycs ❑ Yes ❑ No ❑ No Is public water available to the site? ❑ Yes ❑ No Is the property inside the PSSA? ❑ Yes ❑ No Is the property located within 1000 feet of a Natural Resource Area? D Ycs ❑ No Date Received. Staff Representative METHOD OF PAYMENT VISA c,\SI1 ❑ CI !MX 0 0 ' ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD I)ATI .: B.\NKC:\RIS NUMBI:R: l:XPIRI.S: \UI'I IOR1/.I'a s1GN.\'1'URI':: SUBTOT,\l. TOTAL FEE MINIMUM PERMIT FEE IS $35.00PLEASE MAKE CHECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER do0 a0a3, c\ �aoa� 05 1 5 1 2 0 t] otleskcs Tace d�c^e` 1'have Geer 1d ho hGtt'\ " sokWa` e