2002, 11-04 Permit App: 02009808 Finish BasementProject Number: 02009808 Inv: 1
Application
Date: 11/4/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: FINISH BASEMENT - FAMILY ROOM 4-a Contact: ROLLINS, ROBERT
Address: N. 2322 BRADLEY RD
C - S - Z: SPOKANE, WA 99212
Setbacks: Front Left: Right: Rear: Phone: (509) 891-2340
Group Name:
Site Information: Project Name:
Plat Key: 000098 Name: ASSESSORS PLAT # 01 District: H
Parcel Number: 35124.0701
Block: Lot:
SiteAddress: 2322 N BRADLEY RD
SPOKANE, WA 99212
Location:: SPO
Zoning: UR -3.5
Water District:
Area: 0 Sq Ft
Urban Residential 3.5
Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: ::..
Owner: Name: ROLLINS, ROBERT
Address: N. 2322 BRADLEY RD
SPOKANE, WA 99212
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Plan Review
Permits:
Operator: RMB Printed By: RMB Print Date: 11/4/2002
Project Number: 02009808 Inv: 1
r �
Application
Date: 11/4/2002
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Building Permit
Page 2 of 2
Firm: OWNER
Phone:
Building Characteristics
Const Category: Remodel Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: El
Req Parking: Handicap Parking: Critical Materials: Ell
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT R R-3 VN BASEMENT 600 $2,694.00 600 $2.694.00
FINISH
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Summary:
Permit Type
Building Permit
Disclaimer:
Totals: 600 $2,694.00 600 $2,694.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Fee Amount
$75.50
$4.50
$16.61
Permit Total Fees: $96.61
Fee Amount Invoice Amount Amount Paid Amount Owing
$96.61 $96.61 $0.00 $96.61
$96.61 $96.61 $0.00 $96.61 e
3 1/(01
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examine 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 he 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: 11/4/2002
Ailslik
SPOK 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:
�i d3_2.2 (//P >64,4 n,0 ala
Assessor's Tax Parcel Number(s):
Legal Description:
/2/4
Project Description:
Cuilding Permit
/mo%/ 145-0s1 &? /4MA-cr
El 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
Ei Indicate who dorrld be ,on/uaed tr ardin; /I is f,ojet/
❑ ( .neyr: //' /j n
C t 7/' s
Phone ..�� 9` esi/ /`� yQ
Fax- 5a, i e
t_7 � .plcant::
Phone:
Fax.
i `FY,p
lading Address
/2 !)�3�a Fi«.0//i
Dimensions
25 65
Mailing Address
2"°a fl(,(,, s`'. ft.
I��"
City, State, /.ip 7'
/1f'an� lel
v?/2
City, State, /p
Garage se. ft.
❑ Contractor
Phone
Fax
❑ Architect. 1(nginecr
Phone
Fax
Matting address
Mailing address
Goy, State Zip
City, State Zip
\\ :\ State Contractor license #
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
,2,5.
# of stories --�
Main floor sq. ft.
Unfinished basement sq. ft.
–‘151e—
Dimensions
25 65
Total habitable space
-O o
'�
2"°a fl(,(,, s`'. ft.
Finished basement sq. ft.
Goo
Occupancy group
Construction npc
6 / c k -cra.n
Garage se. ft.
Deck sq. ft.
'/r9
Cost of project
3 000
1 leat source (electric, gas, etc.)
Cubo 56 rte
Manufactured Home'"
Sign
Width:
length:
What is the square footage of the sign
face?
I low high is the sign?
Year:
Make:
# of signs
Area of existing signs
Fireworks display
Are critical or hazardous materials used or stored on site?
O Yes ® No
Address
Proposed use
Relocation
Fire Safety
Firm Name
What is the current se of this property?
ZP5 ; CIpPVF r
Previous address
Will the site be served by a septic system? ® Yes O No
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
Are critical or hazardous materials used or stored on site?
O Yes ® No
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
What is the current se of this property?
ZP5 ; CIpPVF r
Phone
Will the site be served by a septic system? ® Yes O No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
O Yes m No
Are there slopes greater than 30°/ on the property? (30� ft rise in 100 ft)
O Yes No
( /°/o)0 1/D
Are critical or hazardous materials used or stored on site?
O Yes ® No
Address
Inspector
Phone
0 Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 1 Yes No
Ifjyes, identb, on site plan
What is the current property size?
(square feet or acres) 73 X 2 50
Is any part of the property within 250 feet of a shoreline?
I f yes, /dente on site plan O Yes ® No
What is the current se of this property?
ZP5 ; CIpPVF r
Is your property in a designated wildlife habitat area?
O Don't know O Yes {g No
Will the site be served by a septic system? ® Yes O No
Is any part of the property within a 100 yr flood plain?
I f yes, idents' on site plan
O Maybe O Don't know O Yes ® No
Are or will there be wells located on the property?
If yes, ideate on the site plan O Yes ® No
Are there any wetlands, streams or ponds within 200 feet of the property?
I fyes, ident j� on site plan 0 Yes Ql No
Is there evidence of fill or excavation on the property?
O Yes m No
Are there slopes greater than 30°/ on the property? (30� ft rise in 100 ft)
O Yes No
( /°/o)0 1/D
Are critical or hazardous materials used or stored on site?
O Yes ® No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
0 Yes 0 No
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA? 0 Yes ® No
CI Yes ONo
Is public water available to the site? O Yes 0 No
Is the property inside the PSSA? O Yes ® No
Is the property located within 1000 feet of a Natural Resource Area?
DYes 0 N
Date Recenved:
Staff Representative.
METHOD OF PAYMENT
VISA
❑ C.\SI1 ❑ CIfl,CK ❑
❑ w ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I)\TI
I,;SPIRFS:
B.\NIiCARD NU1\1R1?l2:
\UI'I 101 1ZED SIGNATURE:
SUBTOTAI.
TOTAL FEE
MINIMUM PERMIT FEE IS $35.0/PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
CO UNIT' PERMIT CENTER