2000, 07-13 Permit App: 00005905 AdditionProject Number: 00005905 Inv: 1
Application
Date: 07/13/2000 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RES ADD - DINING ROOM ADDITION Contact: R D PETTY CONSTRUCTION
Address: 20111 E TRENT
C - S - Z: OTIS ORCHARDS WA 99027
Setbacks: Front 30 Left: Right: Rear: Phone: (509) 924-0773
Group Name:
Site Information: Project Name:
Plat Key: 001938 Name: PARK ROAD ADD District: H
Parcel Number: 35131.0109
Block: Lot:
SiteAddress: 1422 N BOWMAN RD
SPOKANE, WA USA 99212
Location:: SPO
Owner: Name: SHEPPARD, HELEN
Address: 1422 N BOWMAN RD
SPOKANE, WA 99212-1154
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 10,400 Sq Ft Width: 80 Depth: 130 Right Of Way (ft): 50
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Department Review
BUILDING Site Plan Review
Hold Reasons:
Permit Conditions:
BUILDING Plan Review
Hold Reasons:
Permit Conditions:
HEALTHDISTRICT Septic System Review
Hold Reasons:
Permit Conditions:
Permits:
Release
Released By:
Project Number: 00005905 Inv: 1
,1
Application
Date: 07/13/2000 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: R D PETTY CONSTRUCTION Firm: R D PETTY CONSTRUCTION
Address: 20111 E TRENT AVE Phone: (509) 924-0773
OTIS ORCHARDS, WA 99027
Building Characteristics
Const Category: Addition Group: R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories: 1
Bldg W x D: 8 x 3 Building Sq Ft: 24 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RES ADD R-3 VN 24 $1,488.00 24 $1,488.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 24 $1,488.00 24 $1,488.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$49.50
$4.50
$10.89
$64.89
Payment Summary:
Operator: JAS Printed By: JAS Print Date: 07/13/2000
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $64.89 $64.89 $0.00 $64.89
Notes:
$64.89 $64.89 $0.00 $64.89
I Oc 1
SPOKE COUNTY
Project Description:
1
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
50`y47 7675
/E44LTYPE OF APPLICATION
?i, Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
0 Sign
0 Tenant (New/Change)
0 Other
SPECIFIC SITE INFORMATION
Street Address: /0 / 4/ 2 2
0 0 a)
Phone:
Fax:
Assessor's Tax Parcel Number(s):--3c--,
"
/ , Z5 / d/
State, Zip
5p 6 tb4 ,
Legal Description:
9,, ,7
(., .5 .,,,f,...vs-
Phone
❑lific:r�.A / `� [%
?/ A \ ` 4 74, Fax 9'D / 'U% 7 3
Department Use Only
Phone
Fax
Mailing address
o/l/ 4 xA...4... j .
Mailing address
Water District/Purveyor:
Sewer District/Purveyor
City, State Zip
Road width
Setbacks
Front:
ft:
Rear:
Right:
School District:
Fire District:
Zoning
Lij.. 3
OWNER/APPLICANT INFORMATION
Ei Indicate who should he contacted regarding this project
❑ Owneee one:
, !H r /Fax:
❑ A plicant:
Ce'b Yi( C
Phone:
Fax:
Mailing Address:
7 2 2- /0 t �S v -.c., ,r
Mailing Address: .-i
o› 0/1/ e
—�
;))�-City,
State, Zip
5p 6 tb4 ,
City, te,Zip)A'
9,, ,7
(., .5 .,,,f,...vs-
Phone
❑lific:r�.A / `� [%
?/ A \ ` 4 74, Fax 9'D / 'U% 7 3
❑ Architect/Engineer
Phone
Fax
Mailing address
o/l/ 4 xA...4... j .
Mailing address
City, Scat ,' /
610,-( s lC/id . 9 9o2 7
City, State Zip
WA State Contractor license #
Contact name:
PROJECT INFORMATION
Building Information
Building height tcypeak
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimension!/ ; /
Total habitable space
2nd floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project e r1j
_
Heat source (electric, gas, etc.)
Manufactured Home
Sign `'
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs
Area of existing signs
Relocation
Fire Safety
Firm Name
What is the current use of this property? �
�', C j
Previous address
Will the site be served by a septic system? O Yes O No
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
Are critical or hazardous materials used or stored on site?
O Yes XNo
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
What is the current use of this property? �
�', C j
Phone
Will the site be served by a septic system? O Yes O No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
O Yes No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( - %) O Yes `1,71 --No
Are critical or hazardous materials used or stored on site?
O Yes XNo
Address
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 'Yes 0 No
If yes, identify 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?
If yes, identify on site plan O Yes ' 'No
What is the current use of this property? �
�', C j
Is your property in a designated wildlife habitat area?
O Don't know O Yes V(No
Will the site be served by a septic system? O Yes O No
Is any part of the property within a 100 yr flood plain?
If yes, identib on site plan
O Maybe O Don't know O Yes . o
Are or will there be wells located on the property?
If yes, identify on the site plan O Yes o
Are there any wetlands, streams or ponds within 2 0 feet of the
property?
If yes, identify on site plan O Yes ,,2rto
Is there evidence of fill or excavation on the property?
O Yes No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( - %) O Yes `1,71 --No
Are critical or hazardous materials used or stored on site?
O Yes XNo
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Contro Ar ?
O Yes No
Is public sewer available to the site? O Yes ^No
Is the property inside the ASA?
`Yes
0
es
0 No
0 No
Is public water available to the site? 'Yes O No
Is the property inside the PSSA?
X Yes
0 No
Is the property located within 1000 feet of a Natural Resource
Area? 0 Yes 151 No
Date Received:
c)7 tEij
Staff Repres
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. Al! +-:nown property
lines/dimensions, curb lines, s ictures and easement:
have been identified. Aso re wetlands,
bodies er critical areas.
Signed:
Date:
tvk iv°