2002, 05-24 Permit App: 02004069 Patio CoverProject Number: 02004069 Inv: 1
ApplicatiO'n
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 16 X PATIO COVER
Date: 5/24/02
45
Setbacks: Front NA Left: 30+ Right: 5+ Rear:
Site Information:
Contact: NOAH, WILLAIM
Address: 16309 E BROAD AVE
C - S Z: SPOKANE, WA 99216
2.0 Phone: (509) 926-3395
Group Name:
Project Name:
Plat Key: 005709 Name: CHINOOK NO. 3 (CHINOOK ESTATES) District:
Parcel Number: 46364.1002
Block: Lot:
SiteAddress: 16309 E BROAD AVE
SPOKANE, WA 99216
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Arca: 10,258 Sq Ft Width: 125
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Permits:
Operator: CKF Printed By: CKF
Owner: Name: NOAH, WILLAIM
Address: 16309 E BROAD AVE
SPOKANE, WA 99216
Hold: El
Depth: 80 Right Of Way (ft): 50
Released By: _
' Released By:
Print Date: 5/24/02
Page 1 of 2
izq z
4 t tet 2,4 • id
Project Number: 02004069 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/24/02 Page 2 of 2
Building Permit
Contractor: OWNER Firm: OWNER
Phone:
Building Characteristics
Const Category: New Group: U-1 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: 12 Stories: 1
Bldg W x D: 16 x X( Building Sq Ft: )i2%Vinklers:
Req Parking: 0 Handicap Parking: Critical Materials: E
This Application: Total Project:
Description Grp lym Notes Sq Ft Valuation Sq Ft Valuation
CARPORT U-1 VN PATIO 288 $1,296.00 288 $1,296.00
COVER
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Summary:
Permit Type
Building Permit
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined 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 be contrued 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.
Totals: 288 $1,296.00 288 $1,296.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Fee Amount Invoice Amount
$58.18 $58.18
$58.18 $58.18
Fee Amount
$44.00
$4.50
$9.68
$58.18
Amount Paid
$0.0o
$0.00
Amount Owing
$58.18
$ 5 8
51Lt
Signature:
Operator: CKF Printed By: CKF
Print Date: 5/24/02
4411
1111
SPOKARE CURVY
PROJECT °API1L`ICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, \VA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: 43°�
Assessor's Tax Parcel Number(s):
Legal Description:
Me Nei -I-. i6/0 -2 -
Project Description:
O Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
O Relocation
O Sign
O Tenant (New/Change)
O Other
Department Use Only
WaterDistrict/Purveyor
Sewer District/Purveyor "
Road -width . - ., .
'::Setbacks- - - -
Front . Rear.
Left _ Right
School District
Fire District: -
Zoning _ -
OWNER/APPLICANT INFORMATION
O InArde who ,how/d be . oniarted rraardino (hr:r nmin
Owner:Phone:
r /(// ,Q/Y�
Ah4
Far
Main floor sq. ft-
O Applicant:
Phone:
Fax:
Mailin AJJrcss:
/( 3c'9 :.
'3 Y
&
()cc }I ncv .roup
Maihng Address:
Garage sq ft-
(:in, State, Zip
SSe (C‘2).\ e_
(.
/1
qq Z- l h
City, Srate, Zip
O Contractor
Phone
fax
O Architect/ Engineer
Phone
Fax
Mailing address
Mailing address
Cin, State Zip
City, State Zip
WA Gate Contractor license =
Contact name:
PROTECT INFORMATION
Building Information
Building hcit;I'1 1u peak
/( I
It nt Mei:
I) NIW
Main floor sq. ft-
Unfinished basement sq. h.
Dimensions
Total habitable space
2"d floor sq ft.
Finished basement sq. ft-
()cc }I ncv .roup
Construction I-. pc
Garage sq ft-
Deck sq. ft.
Cost of prulcet
I feat source (electric. pas, etc.)
Manufactured Home
Sign
What is the square footage of the sign
face?
How high is the sign?
Width:
Length:
Year.
Make:
tt of signs
Area of existing signs
Proposed use
Value
Arc there slopes greater than 30°e on the property? (30 ft rise in 100 ft)
( / °'°) 0 Ycs No
,X re critical or hazardous materials used or stored on site?
0 Ycs 0 No
Relocation
Fire Safety
Firm Name
Previous address
Phone
Fire Sprinkler
Tent
Fireworks display T
—
Paint booth Fire Alarm
_, —
Proposed use
Value
Arc there slopes greater than 30°e on the property? (30 ft rise in 100 ft)
( / °'°) 0 Ycs No
,X re critical or hazardous materials used or stored on site?
0 Ycs 0 No
Special .Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
Is any part of the property within 250 feet of a shoreline?
\I(yes, identi on site pion 0 Yes 6,10_, No
Phone
s your property in a designated wildlife habitat arca?
0 Don't know 0 Ycs {a No
Plans E,
rnincr
Phone
Inspectors:
-
Is there evidence of fill or excavation on the property?
0 Yes 0 No
Arc there slopes greater than 30°e on the property? (30 ft rise in 100 ft)
( / °'°) 0 Ycs No
,X re critical or hazardous materials used or stored on site?
0 Ycs 0 No
AdJress
Inspector
Phone
0 Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
9 Arc there structures on the property? 0 Yes 0 No
fret, idol on site plan
'('hat is thc current property size?
ware fc ZS; or acres) t�—X
Is any part of the property within 250 feet of a shoreline?
\I(yes, identi on site pion 0 Yes 6,10_, No
\tI•hat is the current use of this property_•?
s your property in a designated wildlife habitat arca?
0 Don't know 0 Ycs {a No
\F•iII the site be served by a septic system? 0 Ycs 0 No
Is any part of the property within a 100 yr flood plain?
1fyr., idenidy on site plan
0 Maybe 0 Don't know 0 Ycs Cgis. No
Are or will there be wells located on thc property?
IJper, identify on the site plan 0 Ycs 0 No
Arc there any wetlands, streams or ponds within 200 feet of the property?
IJy s, iderd:fr on silo plan 0 Yes t LNo
-
Is there evidence of fill or excavation on the property?
0 Yes 0 No
Arc there slopes greater than 30°e on the property? (30 ft rise in 100 ft)
( / °'°) 0 Ycs No
,X re critical or hazardous materials used or stored on site?
0 Ycs 0 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Arca?
0 Yes 0 No
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No
O Ycs 0 No
Is public water available to the site? 0 Yes 0 No
Is the property inside the PSSA? 0 ,Ycs 0 No
Is the property located within 1000 feet of a Natural Resource Area?
0 Yes 0 No
Dais-Recrivrd
:,•tall Rt prs ss maths:
METHOD OF PAYMENT
IMMENN
VISA
p c_\sI 1 p (_lust; p .MIMI=
O
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE :
R_\NKC\RI) NUMBER:
I{\PIRNS-
I OR1XL•:D SIGNATURE:
SURTUT.IL
TOTAL FEE
MIN/M11.111 PERMIT FEF. IS $3ST91'r2. F
\UKP. CI II:C, s P. -VI -AISLE 10 IY)L{XI:
CUC\1Y PERMIT CIiNII-R
1.0vcoe2r9 --0/N sYnrer
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"CS)
4TYPE 1 CURB
INLET, STA. 14+00
ELEV. -2072.02
VINO, IMMO,
LOT 2 BLOCK 10
1340/4:6
SPOKANE CO. STANDARD
TYPE "A" DRYWELL WITH
TYPE 3 METAL FRAME &
GRATE. STA. 14+08 LT. 26.50'
GRATE EL -2071.39
16 3 (3g)H
/ Ar WIDTH ,5-
1:1=IONT FLANKING.,22...._
umiviENTs
BY
POND BOTTOM ELEV -2070.89
BERM ELEV. w2072.22
-TYPE F!" CURB
PROPERTY LJNE
5 -Cd/
)1/
2 • e:)25 CALE ,-20'
11.11111111 INLAND
PACIFIC
ENGINEERING
7“, • sot. 200 (50) 458-654°