2000, 12-06 Permit App: 00011034 Pole BuildingProject Number: 00011034 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/06/2000 Page 1 of 2
Project Information:
Permit Use: 30 X 36 POLE BUILDING
Setbacks: Front EXI Left: 5 Right: 40 Rear: 17
Site Information:
Plat Key: 001835 Name: OPP.TR. 1-354
Parcel Number: 45171.0715 Block:
SiteAddress: 9921 E BOONE AVE
SPOKANE, WA 99206
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Contact: DAHLSTROM, TROY
Address: 9921 E BOONE AVE
C - S - Z: SPOKANE, WA 99206
Phone: (509) 922-3309
Group Name:
Project Name:
Lot:
Owner: Name: DAHLSTROM, TROY
Address: 9921 E BOONE AVE
SPOKANE, WA 99206
Hold: ❑
Area: 0 Sq Ft Width: 75 Depth: 145 Right Of Way (ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
District: F
Review Information:
Department
BUILDING
Hold Reasons:
Permit Conditions:
Review
Site Plan Review
BUILDING Plan Review
Hold Reasons:
Permit Conditions:
HEALTHDISTRICT Septic System Review
Hold Reasons:
Permit Conditions:
Permits:
Released By:
Project Number: 00011034 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/06/2000 Page 2 of 2
Contractor: OWNER
Address: 0
000000, 00 000000
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Const Category: New Group: U-1 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: 15
Bldg W x D: 30 x 36 Building Sq Ft: 1080 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application:
Description Grp Type Notes
GARAGE U-1 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Payment Summary:
Operator: JAS
Permit Type
Building Permit
Notes:
Stories: 1
Total Project:
Sq Ft Valuation Sq Ft Valuation
1,080 $12,960.00 1,080 $12,960.00
Totals: 1,080 $12,960.00 1,080 $12,960.00
Units Unit Desc Fee Amount
1 Y OR BLANK $200.50
1 Y OR BLANK $4.50
1 Y OR BLANK $44.11
Printed By: JAS
Fee Amount
$249.11
$249.11
Permit Total Fees: $249.11
Print Date:
Invoice Amount
$249.11
$249.11
12/06/2000
Amount Paid Amount Owing
$0.00 $249.11
$0.00 $249.11
110c1
Aignik
SPOKAIV COURTY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
--1103-(
Street Address:
Assessor's Tax Parcel Number(s):
'I527/, 0076
Legal Description:
Project Description:
;ft—Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
0 Relocation
O Sign
O Tenant (New/Change)
O Other
OWNER/APPLICANT INFORMATION
0 Indicate who should be contacted reQardin2 this project
%Owner:
Building height to peak
Phone: -72_ Z _3 jc:''%
Fax:
0 Applicant:
Phone:
Fax
Mailing Address:
(/ Sc7 / 5 i
t-'' •'-e
2"1 floor sq. ft.
Mailing Address:
Occupancy group
City, State, Zip
Garage sq. ft.
Deck sq. ft.
City, State, Zip
Heat source (electric, gas, etc.)
0 Contractor
Phone
Fax
0 Architect/Engineer
Phone
Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
WA State Contractor license tl
Contact name:
PROTECT INFORMATION
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' ;. ..�?s� ss>-'"= is �`°::;.Px �?��� .`F�+. _ F '°s
Building height to peak
# of stories
/
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions / y/
Total habitable space
2"1 floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc.)
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i �aezc •w..rs� :Le T.,; a''�S`
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�.:�•.�`„ .�,��;, rm �P� � '� ;�.
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'°*rd. Zi.�. ���re.? , s��x,='va.'�k`r, ,.'i
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4`{� a'� x
Width:
Length:
,
What is the square footage of the sign
face?
.�y���p, ..
How high is the sign?
Year:
Make:
# of signs
Area of existing signs
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
Proposed use
Value
Firm Name
Phone
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
0 Concrete O Welding 0 Bolting 0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes 0 No
If yes, identify on site plan
What is the current property size? _ / i
(square feet or acres) %, X /'5
Is any part of the property within 250 feet of a shoreline?
If yes, identf on site plan 0 Yes ;11 -No
What is the current use of this property?
/'-cy , , , fS
Is your property in a designated wildlife habitat area?.
0 Don't know 0 Yes ;, No
Will the site be served by a septic system? 0 Yes lNo
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 `15 --No
Are or will there be wells located on the property? /
If yes, identify on the site plan 0 Yes ''E3- No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan D Yes --No
Is there evidence of fill or excavation on the property?
--D Yes 0 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
Date Received:
DEPARTMENT USE ONLY
Staff Representative:
METHOD OF PAYMENT
VISA
❑ CASH ❑ CHECK ❑ .NOME ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE:
BANKCARD NUMBER:
EXPIRES:
AUTHORIZED SIGNATURE:
SUBTOTAL
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MAKEI iECTSPA,YIttaIOSPLitANE`
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Thls site plan is being submitted for thepurpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
Ilnes/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of water, steep slopes orSitier c ' " areas.
Signed'
�Z-2'
Gate: / 2-6 --CC)
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