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2001, 08-09 Permit App: 01006669 AdditionProject Number: 01006669 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/9/01 Page 1 of 2 Project Information: Permit Use: RES ADD - FAMILY ROOM Setbacks: Front 40 Left: Right: 29 Rear: Site Information: Contact: ARLEY ROEMER CONSTRUCTION Address: 16116 E KAHLUA LN C - S - Z: MICA, WA 99023 Phone: (509) 999-9878 Group Name: Project Name: Plat Key: 001454 Name: LENNY'S SUB District: F Parcel Number: 45163.0549 Block: SiteAddress: 107 N BOWDISH RD 1/2 SPOKANE, WA 99206 Location:: SPO Zoning: UR -3.5 Water District: Urban Residential 3.5 Lot: Owner: Name: WILBUR, JIM Address: 107 N BOWDISH RD 1/2 SPOKANE, WA 99206 Hold: ❑ Area: 0 Sq Ft Width: 100 Depth: 140 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Department Review BUILDING Site Plan Review Hold Reasons: Permit Conditions: BUILDING Hold Reasons: Permit Conditions: Permits: Released By: Originally Released: 8/9/01 By: jshatto Plan Review Released By: Originally Released: 8/9/01 By: jshatto Project Number: 01006669 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/9/01 Building Permit Contractor: ROEMER CONSTRUCTION Firm: ARLEY ROEMER CONSTRUCTIO Address: 5516 E CATALDO AVE Phone: (509) 999-9878 SPOKANE, WA 99212 Page 2 of 2 Building Characteristics Const Category: Addition Group: R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: Stories: 1 Bldg W x D: 28 x 15 Building Sq Ft: 420 Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: 0 This Application: Total Project: Description Type Notes Sq Ft Valuation Sq Ft Valuation RES ADD R-3 VN 420 $26,040.00 420 $26,040.00 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Totals: 420 $26,040.00 420 $26,040.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Mechanical Permit Fee Amount $370.00 $4.50 $81.40 $455.90 Contractor: ROEMER CONSTRUCTION Firm: ARLEY ROEMER CONSTRUCTIO Address: 5516 E CATALDO AVE SPOKANE, WA 99212 Item Description DUCT SYSTEMS MINIMUM FEE ADJUSTMENT Payment Summary: Operator: JAS Permit Type Building Permit Mechanical Permit Notes: Phone: (509) 999-9878 Units Unit Desc 1 NUMBER OF 1 Select Permit Total Fees: Fee Amount $10.00 $25.00 $35.00 Printed By: JAS Print Date: 8/9/01 Fee Amount Invoice Amount Amount Paid Amount Owing $455.90 $455.90 $0.00 $455.90 $35.00 $35.00 $0.00 $35.00 $490.90 $490.90 $0.00 $490.90 ( t SPOKANE COUNTY PROJECT APPLICATION WORK SHEET SPOKANE. COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: /D 7 ,C 8E1 .5 Assessor's Tax Parcel Number(s): Legal Description: Project Description: Ld 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 tI Indicate ndo should be contacted n;;urdth this/roar ❑ (Toner: j bPhone d/ /11 // Vim') i / ` '-CJS'. I'ax: 9 a # of stories ❑ Applicant Phone: I'as: Mailing Address:\latlmg /%• /0 7 1? 12. 0 IA_ is, .. 41 2'd floor sq. R. Address' Occupancy group Cit -.y, State, ZipCity, w 1/t/4 Garage sq. ft. Duck sq. ft. State, Zip 1 Icat source (electric, gas, etc ) ❑ Contractors Phone D`p�✓1�►-p--.�— Ian C j Q0- F+ �'% u % r� ❑ Architect'1':n},nnccr Phone Fax Mailing address Nlailing address City, State Zip City, State Zip \\:\ State Contractor Irrense Contact name. PROTECT INFORMATION Building Information Building height to peak # of stories Main floor sq. ft. Unfinished basement sq. ft. Dimensions Total habitable space 2'd floor sq. R. 1 inished basement sq. ft. Occupancy group Construction type / ICf` Garage sq. ft. Duck sq. ft. Cost of project 1 Icat source (electric, gas, etc ) Manufactured Home Sign Width: Length: \Vhat is the square footage of the sign face? I1ow high is the sign? Year: Make: # of signs Arca of existing signs Fireworks display .\rc critical or hazardous materials used or stored on site? 0 Ycs 0 No Address Proposed use Relocation Fire Safety Firm Name What is the current use of this property? Previous address Will the site be served by a septic system? O Ycs 0 No Paint booth Fire Sprinkler Tent Fire Alarm Fireworks display .\rc critical or hazardous materials used or stored on site? 0 Ycs 0 No Address Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Firm Name What is the current use of this property? Phone Will the site be served by a septic system? O Ycs 0 No Plans I saminer Phone inspectors: Is there evidence of fill or excavation on the property? 0 Ycs 0 No \rc there slopes greater than 30°b on the property? (30 ft rise in 100 tt) (../---- ° °) 0 Ycs O No .\rc critical or hazardous materials used or stored on site? 0 Ycs 0 No Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION .\re there structures on the property? O Ycs O No If yes, identj, on site plan \\'hat is thc current property size? (square feet or acres) Is any part of the property within 250 feet of a shoreline? I f yes, ident j, on site plan O Ycs O No What is the current use of this property? Is your property in a designated wildlife habitat arca? 0 Don't know 0 Ycs 0 No Will the site be served by a septic system? O Ycs 0 No Is any part of the property within a 100 yr flood plain? I_ f yes, ldentl fp on site plan 0 Maybe 0 Don't know 0 Yes 0 No .\re or will there be wells located on the property? Yip's, ident j, on the site plan 0 Yes 0 No \rc there any wetlands, streams or ponds within 200 feet of the property? If yes, idem j, on site plan 0 Ycs 0 No Is there evidence of fill or excavation on the property? 0 Ycs 0 No \rc there slopes greater than 30°b on the property? (30 ft rise in 100 tt) (../---- ° °) 0 Ycs O No .\rc critical or hazardous materials used or stored on site? 0 Ycs 0 No DEPARTMENT USE ONLY Is the property in a designated Stormwatcr Control .\rea? OYcs 0 N Is public sewer available to the site? 0 Yes 0 No Is the property inside the ASA? 0 Ycs 0 Ycs 0 No 0 No Is public water available to the site? 0 Ycs 0 No Is thc property inside the PSSA? 0 Ycs 0 No Is the property located within 1000 feet of a Natural Resource Area? 0 Ycs 0 No Date Recon ed: Staff Representamc METHOD OF PAYMENT VISA 0 c.\sl i ❑ c1 ii x; 0 0 ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD I :SPIRT :S: BANK:C.\RD NUt\lBl?R: \UTI IORI '/IO) S1GN.\TURI :: SUBTOTAL TOTAL FEE MINIMUM PERMIT FEE IS $35.00 PLEASE. 1\1AKE CHECKS P \YABLF. TO SPOKANE COLNTT PIRVrr t;t: n?R Sold To Address Item 10-7158 9950 .5M/PV/498 Delivered To Customer Approval Sold By Delivery Date PLAN NO. L /5 JIoc1.se i © 1998 White Consolidated Industries, Inc., Printed in U.S.A. Special Instructions This 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 tines/dimensions, curb fines, structures and easements have been identifie Al . indicated are wetlands, bodies of water- : slopes or other critical areas. Signed: Date: p10 oar/ ADDRESS 1 ZONE 1. ROAD WIDTH FRONT C) -1-,J.LANKING COMMENTS �:f • REVIEWED E ' . ng1 We have excluded all cabinets not listed on this sheet. Diamond A reflection of heart and home. BOX: DR. STYLE: FINISH: QTY CABINET PRICE List Other Net Sales Tax Total