2002, 06-19 Permit App: 02004953 Shop'Project 7<lumber: 02004953 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SHOP (30 X 36 X 10-6)
Date: 6/19/02
Setbacks: Front
Site Information:
Left: 5 Right: Rear: 5
Contact: FERGER, MONTE
Address: 1221 N CALVIN RD
C - S - Z: SPOKANE, WA 99216
Phone: (509) 928-6746
Group Name:
Project Name:
Plat Key: 002774 Name: VERADALE HEIGHTS 12TH ADD
Parcel Number: 45142.2904 Block: Lot:
SiteAddress: 1221 N CALVIN RD Owner: Name: FERGER, MONTE
SPOKANE, WA 99216 Address: 1221 N CALVIN RI)
Location:: SPO SPOKANE, WA 99216
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 12,600 Sq Ft Width: 90 Depth: 140 Right Of Way (ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Hold: Ei
District:
Review
Site Plan Review
Plan Review
Septic System Review
Ok
Permits:
Operator: JAS Printed By: JAS
Released By:
Released By:
Page 1 of 2
Released By:
Print Date: 6/19/02
Project Number: 02004953 Inv: I
Application ,
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/19/02
Contractor: OWNER
Building Permit
Firm: OWNER
Phone:
Building Characteristics
Const Category: New Group: U-1 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: 15 Stories: 1
Bldg W x D: 30 x 36 Building Sq Ft: 1080 Sprinklers: E
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
STORAGE U-1 VN 1,080 $12,960.00 1,080 $12,960.00
Totals: 1,080 $12,960.00 1,080 $12,960.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $200.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $44.11
Notes:
Payment Summary:
Permit Type
Building Permit
Permit Total Fees: $249.11
Fee Amount Invoice Amount
$249.11 $249.11
$249.11 $249.11
Amount Paid
$0.00
$0.00
Amount Owing
$249.11
$249.11
.P'
Page 2 of 2
Disclaimer:
Submittal of this application certifies the owner for 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: JAS Printed By: JAS
Print Date: 6/19/02
ZAJA
11
SPOI�AW C XJN FY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
L-17 73/q6 509-477-3675
SPECIFIC SITE INFORMATION
Street Address:
Assessor's Tax Parcel
,I),2/ Ar 6/UV/NJ 619 f Z4/4 f /r!
Number(s): 2 !090i/
) 9 e L/
Legal Description:
Project Description: L' U/4J SI/el) „771,/ i?, L k I/,4/2 )
% Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
0 Relocation
O Sign
O Tenant (New/Change)
O Other
Department Use Only
Water District/Purveyor.
Sewer District/Purveyor -
Road -width . .. ,
-
?•-.Sediack_S - -
Front Rear.
.Left . Right
School District
Fire District: -
Zoning
OWNER/APPLICANT INFORMATION
El Induute oho ;hou/d be rontarted re dr t/n:rhrajt:,
❑ (Tyner: Phone
//��/j']] /�j py- f/^'n
/ `r 1 OA) / i f4 6sei - Fax:
PRO ECT
/
f;V 6 7�L
t7 'G'
n
0 Applicant:
Phony.
Fa.:
Marling address: JMailing
/ /v l N 64///iii
Address:
Unfinished basement sq. ft.
Circ, Stare, Zip
-V4A' /Viv�' , A' a
7l a2 le
Circ, state, Lip
aec
0 Contractor Phone
Fax
Finixlxd basement sq. tt-
0 Architect/Fnginecr
Phone
Fax
Mailing address
Mailing address
Deck sq. ft.
City, State Lip
C f
�D
City, State Zit.
11cat source (ch.-uric.;as, etc.)
\‘'A Stare Contractor license =
Contact name -
ame:
PROJECT INFORMATION 1�+ iz-Q-
"lieBuilding Information 1 ���
Building height Si) peak /
rJ
# of stories
/
Main floor sq. It.
Unfinished basement sq. ft.
Dimension •
io
/
3t?
<' l a iS
lo
aec
2"d floor sq. ft.
Finixlxd basement sq. tt-
()ccup.uxv tiruup
Construction me
Garage sq. ft.
Deck sq. ft.
Cost o1prOIcct
C f
�D
_
11cat source (ch.-uric.;as, etc.)
Manufactured Home
Length:
Sign
What is the square footage of the sign
face?
How high is the sign?
Width:
Year.
Make:
# of signs gn
Area of existing signs
Fire Alarm
Arc there slopes greater than 30% on the property? (3 ft rise in 100 ft)
( / 0/0) 0 Ycs No
Proposed use
Value
Relocation
Fire Safety.
Firm Name
Phone
Prey-ious address
Phone
Paint booth
Fire Sprinkler
Tent
Fireworks display
Fire Alarm
Arc there slopes greater than 30% on the property? (3 ft rise in 100 ft)
( / 0/0) 0 Ycs No
Proposed use
Value
Phone
0 Concrete
0 Welding 0 Bolting 0 Reinforcement
Special Inspections Req {tired?
Non -Residential Energy Code Compliance?
Firm Name
Phone
Plans Examiner
Phone
Inspectors:
Arc or will there be wells heated on the property?
f )•es, iden1 f on the site plan ❑ Yes No
Address
Is there evidence of fill or excavation on the property?
0 Yes n No
Arc there slopes greater than 30% on the property? (3 ft rise in 100 ft)
( / 0/0) 0 Ycs No
Are critical or hazardous materials used or stored on site?
0 lyes No
Inspector
Phone
0 Concrete
0 Welding 0 Bolting 0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? . Yes 0 No
fyet, identft on tike plan
What is the current property size?
(square feet or acres) 92 X / yt
Is any part of the property within 250 feet of a sh reline?
If yer, idem an lire plan 0 Yes No
What is the current use of this property?
/t4�
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes No
Will the site be served by a septic system? 0 Ycs A No
Is any part of the property within a 100 yr flood plain?
If jes, xdenlyy on file plan
0 Maybe 0 Don't know 0 Ycs No
Arc or will there be wells heated on the property?
f )•es, iden1 f on the site plan ❑ Yes No
Q'
Are there any wetlands, streams or ponds within 2 et of the properrl?
Ifjrt, ideal on site plan 0 Yes P No
Is there evidence of fill or excavation on the property?
0 Yes n No
Arc there slopes greater than 30% on the property? (3 ft rise in 100 ft)
( / 0/0) 0 Ycs No
Are critical or hazardous materials used or stored on site?
0 lyes No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
❑ Yes ❑ No
Is public sewer available to the site? ❑ Yes 0 No
Is the property inside the ASA? 0 Yes 0 No
D Yes ❑ No
Is public water available to the site? 0 Yes 0 No
Is the property inside the PSSA? ❑,Yes 0 No
Is the property located within 1000 feet of a Natural Resource Area?
❑Ycs 0 N
Dm,: RCCCIN cd
Nair lit prc.a-ntan a -
METHOD OF PAYMENT .
0 C.\sII
❑ (:IIIA(:K
VISA
DUMWD
D
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1).\TL:
B.\NE;(:.\RI) NUMBER:
EXPIP ES.
\li I I lORIZI•:I) SIGNATURE
TOTAL FEE
MINLMIJ 1 PERMIT FEE 15 SJ500PLEASE
NUKE CI IECI` P.\YAIKLE TO SI•01- V'J
CrNTT PERM ITCINI TR
Proposed
\garage
30x36'
Shoe 4-0 1)04 1"
R.Lade.
•
Existing residence
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0 . -a0
q � 'ow• �Na��� �t
existing ' 0
septic tank
RO'
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y