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2003, 01-03 Permit App: 03000045 Storage BuildingProject Number: 030000-15 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 1/3/2003 Page 1 of 2 Project Information: Permit Use: STORAGE BUILDING (24 X 30 X 8) Contact: BARCLAY, PATRICK Address: 8815 E BOONE C - S - Z: SPOKANE WA 99212 Setbacks: Front Left: Right: Rear: Phone: (509) 991-6468 Group Name: Site Information: Project Name: Plat Key: 006284 Name: SP -1308-02 District: F Parcel Number: 45181.0318 Block: Lot: A SiteAddress: 8815 E BOONE AVE SPOKANE, WA USA 99206 Location:: SPO Owner: Name: BARCLAY, PATRICK Address: 8815 E BOONE SPOKANE WA 99212 Zoning: UR -3.5 Urban Residential 3.5 Water District: 005 HUTCHINSON Hold: ❑ Area: .00 Acres Width: 69 Depth: 155 Right Of Way (ft): 40 Nbr of Bldgs: 2 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Plan Review Permits: Released By: Released Bv: ��--- Operator: JAS Printed By: JAS Print Date: 1/3/2003 Project Number: 030000-15 Inv: 1 Application Date: 1/3/2003 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: OWNER Const Category: New Nbr Of Dwellings: BldgWxD: r Req Parking: Description STORAGE Building Permit Page 2 of 2 Firm: OWNER Phone: Building Characteristics Group: Type: Occupant Load: Building Height: Stories: Building Sq Ft: Sprinklers: ❑ Handicap Parking: Critical Materials: U This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 720 $8,640.00 720 $8,640.00 Grp Type Notes U-1 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Notes: Payment Summary: Permit Type Building Permit Totals: 720 $8,640.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: 720 $8,640.00 Fee Amount $150.50 $4.50 $33.11 $188.11 Fee Amount Invoice Amount Amount Paid Amount Owing $188.11 $188.11 $0.00 $188.11 $188.11 $188.11 $0.00 $188.11 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: JAS Printed By: JAS Print Date: 1/3/2003 PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, W:\ 99260 509-477-3675 SPox COUNTY SPECIFIC SITE INFORMATION Street Address: e g — r pe Assessor's Tax Parcel Number(s): L� / d / G1/ / %e/ Legal Description: Project Description: PG' /e MP 9 71 Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other Department Use Only Water District/Purveyor Sewer District/Purveyor Road width Setbacks Front Rear. Left: Right School District: Fire District: Zoning OWNER/APPLICANT INFORMATION Indicate who should he , nnluded tt &mdinp this rrgia7 R Owner Greta) Pit r l`C G rC� y Phone so�- Qq/" `, 44g ha,,: v El Applicant: Phone: I -as: Ma ling Address:/ Dimensions[x 6 `J Mailing Address: 2"�1 floor sq. ft.Finished M�� City, State, Ai) sfi'aI?e) VI �r �� Construction\pe u Pale k/ 0079 (:m, State, Zip Deck sq. ft. /1/14 71Contractor I Teat source (electriV7 )c.) PhonePhone 1 -ax El Architect/Engineer Fax Mailing address Mailing address Cin, State Zip 1.1t, State Zip \\ A State Contractor license # Contact name - PROTECT INFORMATION Building Information Building height to peak /y # of stories / Main floor sq. ft. Z Q Unfinished base nt sq. ft. V7 Dimensions[x 6 `J Total habitable space 2"�1 floor sq. ft.Finished M�� basement sq. ft. M/4 C)ccupanc group 5 410 Construction\pe u Pale k/ 0079 Garage sq. ft lU/�I Deck sq. ft. /1/14 Cost of prof ct�OM I Teat source (electriV7 )c.) Manufactured Home Sign Width: Length: What is the square footage of the sign lace? 1 Iow high is the sign? Year: Make: # of signs Area of existing signs .\rc there slopes greater than 30° o on the property? (30 ft rise in 100 ft) ( 0o) ❑ Ycs ID No Proposed use Value Relocation Fire Safety Pine Name Previous address Phone lire Sprinkler Tent Paint booth Fire .\larm Fireworks display _ .\rc there slopes greater than 30° o on the property? (30 ft rise in 100 ft) ( 0o) ❑ Ycs ID No Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Pine Name \\hat is the curren use o this property? r 5i,n fe to/f{i/ lire' property?, / Phone Will the site be served by a septic system? ❑ Yes ® No Plans Examiner Phone Inspectors: Is there evidence of fill or excavation on the property? ❑ Ycs ❑ No .\rc there slopes greater than 30° o on the property? (30 ft rise in 100 ft) ( 0o) ❑ Ycs ID No .\re critical or hazardous materials used or stored on site? ❑ Ycs ® No Address Inspector Phone ❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address ADDITIONAL SITE INFORMATION .\re there structures on the property? ® Yes ❑ No If yes, identi, 0n Si/Pp/WI What is the current property size? (square feet or acres) /'( QCT e Is any part of the property within 250 feet of a shoreline? Ifj�es,ident on site plan ❑ Ycs ® No \\hat is the curren use o this property? r 5i,n fe to/f{i/ lire' property?, / 1s your property in a designated wildlife habitat arca? ❑ Don't know ❑ Ycs ® No Will the site be served by a septic system? ❑ Yes ® No Is any part of the property within a 100 yr flood plain? If yes, identify 011 site plan ❑ Maybe ❑ Don't know ❑ Ycs ® No Are or will there be wells located on the property? Ifyes, idelltifi 011 the site plan ❑ Yes ell No Are there any wetlands, streams or ponds within 200 feet of the property? Ifyes, idellt , o11 site plan ❑ Yes ® No Is there evidence of fill or excavation on the property? ❑ Ycs ❑ No .\rc there slopes greater than 30° o on the property? (30 ft rise in 100 ft) ( 0o) ❑ Ycs ID No .\re critical or hazardous materials used or stored on site? ❑ Ycs ® No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? ❑ Ycs ❑ No Is public sewer available to the site? ❑ Yes ❑ No Is the property inside the ASA? ❑ Ycs 0 Ycs ❑ No 0 No Is public water available to the site? ❑ Ycs ❑ No Is the property inside the PSSA? 0 Ycs 0 No Is the property located within 1000 feet of a Natural Resource Area? ❑ Ycs ❑ No Date Received: Staff Rcprescntati, c: METHOD OF PAYMENT VISA ❑ (:.\S1 I 0 (J IECK ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD D.Vll BANKCARD NU1\IBI :R: IAPI RI(S: .\L1110RI/EI) SIGNATURE: SUBTOT.\l, TOTAL FEE MINIMUM PERMIT FEE IS S35.00PLEASE MAKE CHECKS PAYABLE TO SPOKANE COUNTY PER\Itt CENTER Pg_trio ?---t-1*- E Boo"7 e_ tiont,:achArtd Warne ADDRESS 86° ZONE Lt -1i . S ROAD WIDTH jA FRONT'( ett ELANKI G COMMENTS REVIEWED E