2002, 05-20 Permit App: 02003871 GarageProject Number: 02003871 Inv:
,
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 26 X 36 ATTACHED GARAGE
Date: 5/20/02 Page 1 of 2
Setbacks: Front 30 Left: 8 Right: NA Rear: 80+
Site Information:
Plat Key: 001641 Name: MIRABEAU RANCH ADD
Parcel Number: 45091.1068 Block: 10
SiteAddress: 12019 E BUCKEYE AVE
Spokane, WA USA 99206
Location:: SPO
Zoning: UR -3.5 Urban Residential 3.5
Water District: 999 UNKNOWN
Area: 12,040 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Perin is:
Operator: CKF Printed By: CKF
Contact: HAGREEN CONST.
Address: 5412 S HAYFORD RD
C - S - Z: SPOKANE, WA, 99224
Phone: (509) 244-3191
Group Name:
Project Name:
District: H
Lot: 7
Owner: Name: PFEIFFER, CHARLIE
Address: 12019 E BUCKEYE AVE
SPOKANE, WA 99206-4643
Hold: L
Depth: 0 Right Of Way (ft): 60
e, leased By:
Released By:
461-Z141, - 2-
rYC C
Print Date: 5/20/02
Project Number: 02003871 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/20/02 Page 2 of 2
Building Permit
Contractor: HAGREEN CONSTRUCTION Firm: HAGREEN CONSTRUCTION
Address: 5412 S HAYFORD RD Phone: (509) 244-3191
SPOKANE, WA 99204
Const Category:
Nbr Of Dwellings:
Bldg W x D: 26
Req Parking:
Description
GARAGE
Addition
Occupant Load:
x 36 Building Sq Ft:
Handicap Parking:
Building Characteristics
Group: U-1 Type: VN
Building Height: 13 Stories: 1
936 Sprinklers:
Critical Materials: LJ
This Application: Total Project:
Grp Tvpe Notes Su Ft Valuation Su Ft Valuation
U-1 VN 936 $11,232.00 936 $11,232.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Summary:
Permit Tvpe
Building Permit
Totals: 936 $11,232.00 936 $11,232.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Fee Amount Invoice Amount
$233.86 $233.86
$233.86 $233.86
Fee Amount
$188.00
$4.50
$41.36
$233.86
Amount Paid
$0.00
$0.00
Amount Owing
$233.86
$233.86
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.
Signature:
Operator: CKF
Printed By: CKF Print Date:
5/20/02
Aink
SPOKE COUNTY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 \VEST BROADWAY AVENUE
SPOKANE, \VA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: 0,47✓i
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description:
Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
El 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
flute u'hco/lidded n'airdrnc Mr/ fmjee/
❑ Owner. Phone:
'1 r ,7e1 � Yti"--
❑ Applicant-
Phone:
Pas:
Mailing Address:
hlaihng Address:
Dimensions
siX
City, State Zip
5;'` ".�" c 6',..,. s+'. I..
Cin, State, Zip
Finished basement sq. ft.
Phone
f-1 +'ii' `C ^104-'/C'i' " , las .e.
❑Architect, l .n aneer
Phone
l'as
tfailling address
6S7/z /4 /.'''(-�/I 'CI
flailing address
I !cat source (electric, gas, (tc.)
Cm, state Lip / e
Citi, State Zip
R .\st, to Contractor license :=
Ci ei c {(..- o 661,12
Contact name:
PROTECT INFORMATION
Building Information
Budding height to peak
/3'
# of stories
*'rG96
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
siX
Total habitable space
2nd floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction I -pc
Garages ft.,
3G Q
Deck sq. ft.
Cost of project
I !cat source (electric, gas, (tc.)
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?
0 YesI Bio
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 Yes a'Nio
Paint booth
Fire Sprinkler
'Tent
Fire Alarm
Fireworks display
Are critical or hazardous materials used or stored on site?
0 YesI Bio
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 Yes a'Nio
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
O Yes Tr -No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( .............,-0,0 0 Yes ITtei o
Are critical or hazardous materials used or stored on site?
0 YesI Bio
Address
Inspector
Phone
O Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? DYes O No
If yes, identi_ on site plan
What is the current prope siz.9?
(square feet or acres) ,%5- X / VC.,,
Is any part of the property within 250 feet of a shoreline?
I:yes. identifi on site plan O Yes Ergo
What is the current use of this property?
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes 0 No
Will the site be served by a septic system? O Yes a'Nio
Is an. part of the property within a 100 yr flood plain?
If yes, identify on site plan
O Maybe O Don't know O Yes M No
Are or will there be wells located on the property?
Ifyes, identifi on the site plan O Yes L9' No
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, identifi on site plan O Yes I7Ko
Is there evidence of fill or excavation on the property?
O Yes Tr -No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( .............,-0,0 0 Yes ITtei o
Are critical or hazardous materials used or stored on site?
0 YesI Bio
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
O Yes O No
Is public sewer available to the site? O Yes 0 No
Is the property inside the ASA? 0 Yes 0 No
O Yes O No
Is public water available to the site? 0 Yes 0 No
Is the property inside the PSSA? 0 Yes 0 No
Is the property located within 1000 feet of a Natural Resource Area?
DYes 0No
Date Rcccnrd.
Staff Representative.
METHOD OF PAYMENT
VISA
0 C \SI 1 0 CHECK 0 0 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
B.\NKC.\RD NUMBI?R:
EXPIRES:
\ TORI''/ED SIGNATURE:
SUB')YYl'.\l.
TOTAL FEE
MINIMUM PERMIT FEE IS S35.A9PLE.\SIC
MAKE C}IECNS PAYABLE '1-0 SPOKANE
COUNTY PERMIT CENTER
ADDRESS I2
ZONE
ROAD NV i Err f I C;70
KING
COMMENTS
Lc -Q/
REVI
• This'. --.-;;;ng submitted for ff E. purpose of
Obtiining a b...liding permit and is a true and correct
representation of the proposal. All known property
Dries/dimensions. curb lines. structures and easemen
have been identified. Also indicated are wetlands,
bodies of watr.:r sic es gather cntical areas.
Signed:
Date-
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