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2003, 03-31 Permit App: 03002095 AdditionPROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 \X/EST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: I I I S. T3ekoLEy 2:b - Assessor's Tax Parcel Number(s): S2 LI q . (1©7 cl Legal Description: Led r -Iy (565 Arri2' /-/[_!� coj Project Description: 79 z i' I- s- STp2../ k©DiTi n►3 C F 2A w E Cc,iV T �eTrexl} 1. Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Horne Permit ❑ Relocation O Sign ❑ 'Tenant (New/Change) ❑ Other Department Use Only Water District/Purveyor. Sewer District/Purveyor Road width Setbacks Front Rear. Left Right: School District Tire District: Zoning OWNER/APPLICANT INFORMATION © 1ndhlik o ho should be olu'ac <'d .wz/'c'r .ed 71,(hiner: Phone: S-09, 9 Z Z_ G369 ��// w�= 9zo X5 ----e- F-17= 1"llk►-I(..ItcQS IL,,x: ❑ Applicant- Phone: Si�MC Fax Mailing Address. Ill' s- 13 2 AL)lay RD. Meiling .1ddre»• City, Stale. Zip SpokA0: \c(.4. Agz12 -01 39 Cin, Stale, Zip r4 CuPhone nlractor ovI K1 L � 6,A..1� eAL. Fax Phone ❑ Architect,'Iinginccr RECEIVED S ANM ktPOKANE COUNTYI .,x Mailing address aJdre,.s MAR 2003 Ctn. tale Zip t:,t,, State tip 31 AC / gate ( :ontractttr kens # t ,",,rt name. BUILDING CODE ENFORCEMENT PROTECT INFORMATION Building Information buil In height to peak # of stories \Iain fluor sq. R. Unfinished basement sy. ft. Dimensions 2'I4 `I 2 fele Total habitable apace ((�Cp C)FSC) fJ C lt,' E X LSt 1Jt,l(r 2cI Floor sy. It. Zg8 Finished basement sq. ft. jf ( )eeupancv group �'f= ►Z Construction type F12_4 MM1(� Garage ski. ft. S2� E,X's'S1rs7�wltr 7 j�j 1�c�t rw i_t E b s k-1 o p l)c sy. Il. Inst of project 11C31 st>urcc (CICO nc, gas, etc.) Manufactured Home ' Sign' Width: Length: \(That is the seluare footage of the sign face? 1 low high is the sign? • Year: Make: # ,f signs Area of existvig signs Proposed use Value Relocation Fire Safety I'imt Name Previous address Is your property in a designated wildlife habitat arca? ❑ Don't know ❑ Ycs (I No Fire Sprinkler Tent Paint booth i_ Fire .\)arm ___ -s display Phone Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? I'imt Name What is the current use of this property? T /2(-5SDE/eT2/9 L Is your property in a designated wildlife habitat arca? ❑ Don't know ❑ Ycs (I No Will the site be served by a septic system? ❑ Yrs I$ No SEK/eta m r3E .7-AISr4CL f 4 + 0,Dice0 tip) Phone \rc or will there be wells located on the property? If yes, identify on the.eNe plan ❑ Yes Xf No Plans Examiner Phone Inspectors \re critical or hazardous materials used or stored on site? ❑ Yes lgi No Is the property inside the ASA? ❑ :\cIdre.s ❑ No Is public water available to the site? ❑ Yes 0 No ❑ lnspccte>r Phc>nc ❑ Coucrctc ❑ Welding ❑ 13o1 mg ❑ Reinforcement .\dares, 0 ADDITIONAL SITE INFORMATION .\ re there srrucntres on the property? 'Ycs ❑ No If yes ideitt j, on site plan \\ 'hat is the current propern- size? (square feet or acres) L/ Zi 700 ,/....43 Is any part of the property within 250 feet of a shoreline? Ifyes, idrntij, on site ❑ Ycs CKNo What is the current use of this property? T /2(-5SDE/eT2/9 L Is your property in a designated wildlife habitat arca? ❑ Don't know ❑ Ycs (I No Will the site be served by a septic system? ❑ Yrs I$ No SEK/eta m r3E .7-AISr4CL f 4 + 0,Dice0 tip) Is any part of the property' within a 100 yr flood plain? I/,yer, identijj, on site plan ❑ Maybe ❑ Don't know ❑ Yes A No \rc or will there be wells located on the property? If yes, identify on the.eNe plan ❑ Yes Xf No .\re there any wetlands, streams or ponds within 200 feet of the propern'? I f yes, idem j, on site phn, ❑ Yes No Is there evidence of till or excavation on the property? ❑ Yes XI No .\re there slopes greater than 30% on the property? (30 ft rise in 100 ft) (�_° o) ❑ Yes 1VJ No \re critical or hazardous materials used or stored on site? ❑ Yes lgi No DEPARTMENT USE ONLY Is the property in a designated Stomiwater Control Arca? TOTAL FEE MINIMUM PERMIT FEE IS $35,00PLEASE MAKE CI IE:CK_S PAYABLE TO SPOKANE COUNTY PERMIT CENTER Is public sewer available to the site? ❑ Yes ❑ No ❑ Ycs ❑ No Is the property inside the ASA? ❑ Ycs ❑ No Is public water available to the site? ❑ Yes 0 No ❑ Ycs ❑ No Is the property inside the PSSA? 0 Ycs 0 No Is the property located within 1000 feet of a Natural Resource Area? 0 Ycs 0 No 1)ate Received: Staff Rcgrescntauvc: METHOD OF PAYMENT EMEMI VISA ❑ (;,\S11 ❑ CliEcK ❑ ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD D,\TI:: R,\NKC,\RD NU\IRI?R: \1'1i IORI'/,l.I) SIGN.\'Ii Rk: 1?XPIRFS: SUBTOTAL TOTAL FEE MINIMUM PERMIT FEE IS $35,00PLEASE MAKE CI IE:CK_S PAYABLE TO SPOKANE COUNTY PERMIT CENTER -7- ja * LA�1 CiouLc.--cv L- Cr�I.I 'F'mvt-k . MArKILIQL---_c_s RI\sc E ikoYc-eO -Vk 10 M<f 47- r/(/ TI -J G A c) p, \ (() (LI Rzcmooe_ BeAO I /-eS5 7tL4 fa SD )o rz CuST 1^-y IL) Ces442_( O DA- v S r A e vw4 Fe ,` eT i%h (' -c a td r fio PROJECT#: V3- CP s '\4-1( CthkidAea. Site Plan: 3 c1 Q3 Plan Review: Septic/Well: (Stormwa er: 1'Ylcu k4ae___ t 3 t b 1C-70trSly Slaki car. Crrl, Lak16Y, tk-C Th-za;tr3 Sewe� L .)4J4 PPC 03%1 0, t0f UTiLITleS ow: i(At 03- .P0611 roach/Drainage: Peiicc 1-Ic't Ves-ieali f 5eokne car► -11 3-31 a3 1N311301103N3 3000 9N1011119 E001 T JVH ury aon13���ods PROJECT #: DS -c9orl Site Plan: Plan Review: Septic/Well: Stormwater: Or -7b CoAmiirc: Approach/Drainage: RECEIVED SPOKANE COUNTY MAR 3 2003 BUILDING CODE ENFORCEMENT AJe- criaia 41- zs-2 1444 ,9074 soci • , Sci zc) „ o°r 2_1. 6‘cY 14M, 470,1 30 - ".-tTI tCr- 84 2c)' 2 a) "C0 2 , t. ,, cf) .7- ,., ci) u) o ja.. ni EU 13 0... = S C • in fL..) ti )._ o ce — t; a) ..– CO 71 - ..' 0 GI ('. .0 .- '1,-,. -,-- . •'`. _c LI -..- ..c _ - 15 uj1 .., , c 0 0 , (i) -TO -0 V) • ,, . 0a 6, c 0 0 1— 0 C.- := ..0 _0 cn CT) 0 P\-toNie M3L (ovE Z _coas Ec-E aT LT LLOE R-1bt1/4.3 E. LJ E-A5 e..As t_416t•-i 11 LO 6-12.6-sS /(,i4 scAua me AA 1,,tr -r-