2001, 03-02 Permit App: 01001177 GarageProject Number: 01001177 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/2/01 Page 1 of 2
Project Information:
Permit Use: DETACHED GARAGE (30 X 40 X 10) Contact: BILL WIRTH/PACIFIC CONTR
Address: 101 N STONE
C - S - Z: SPOKANE WA 99202
Setbacks: Front 83 Left: —IT' Right: 18 Rear: 12 Phone: (509) 534-4304
1 Group Name:
Site Information: Project Name:
Plat Key: 001110 Name: HALLE'S SUB District: D
Parcel Number: 35232.4607 Block: 7 Lot:
SiteAddress: 621 S CUSTER RD
SPOKANE, WA USA 99212
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Owner: Name: JOHNSON, ROY L & BARBAR
Address: 621 S CUSTER RD
SPOKANE, WA 99212-0326
Hold: ❑
Area: 8,100 Sq Ft Width: 60 Depth: 135 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 0
Review Information:
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
PLANNING
Hold Reasons:
Permit Conditions:
Permits:
Review
Site Plan Review
Plan Review
Landuse/Zoning
jReleasedB
','Released By.
Project Number: 01001177 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/2/01 Page 2 of 2
Building Permit
Contractor: PACIFIC METAL BUILDINGS INC. Firm: PACIFIC METAL BUILDINGS INC.
Address: 101 N STONE ST Phone: (509) 534-4304
SPOKANE, WA. 99202
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 40 Building Sq Ft: 1200 Sprinklers: El
Req Parking: Handicap Parking: Critical Materials:
This Application: Total Project:
Description Grp Type Notes So Ft Valuation So Ft Valuation
GARAGE U-1 VN 1,200 $14,400.00 1,200 $14,400.00
Totals: 1,200 $14,400.00 1,200 $14,400.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $225.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $49.61
Payment Summary:
Operator: JAS
Permit Type
Building Permit
Notes:
Permit Total Fees: $279.61
Printed By: JAS Print Date: 3/2/01
Fee Amount Invoice Amount Amount Paid Amount Owing
$279.61 $279.61 $0.00 $279.61
$279.61 $279.61 $0.00 $279.61
SPOKAM COtNNrY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Ca o -/ S G' A-0
Assessor's Tax Parcel Number(s):
Street Address:
Legal Description:
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Project
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Project Description: 3► K- teD k /D / (0c -r t:,/fr.70 ,
,Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
0 Relocation
O Sign
O Tenant (New/Change)
O Other
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Mailing Address:
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OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
❑Owner. -�` Phone:.. 3s-_ 0/,t( n
/-0 V . #104 .S 0 Fax: V
0 Applicant:
Phone:
Fax:
Mailing Address:
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Mailing Address:
City, State, Zip
City, State, Zip
Unfinished basement sq. ft.
__
ntnttor Phone5:3-1(p '!
!� (4I c C Alleti t C.:1t. �'/ 4ax S i% a- i/
0 Architect/Engineer
Phone
Fax
ailngaddress C
/o I Al . L ;-g, J
Mailing address
Finished basement sq. ft.
City, Slat; Zip
E-,,.. (-0'4- 9y21o02-3 W,?
City, State Zip
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WA State Cont or license t
Contact name:
Deck sq. ft.
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PROTECT INFORMATI
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v"k.•i°
ornapflon
' FSI.
Building height to peak
/5_i
it of stories /
Main floor sq. ft.
Unfinished basement sq. ft.
__
Dimensions(t ',#Total
,-3o')— cf0 K id
habitable spa5e
nl f
2°d floor sq. ft.
Finished basement sq. ft.
Occupancy group
Const on typGarages
s`%
4
. ft.
2 2-00 °-
Deck sq. ft.
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•
Cost ofproject a
` /d, i'e/
Heat source (electric, gas, etc.)
1)0,.) L
Manufactured:Home.
Sign
Width: ..-- 'Length:
Previous address
What is the square footage of the sign •
face?
igh is the sign?
Year:
Make:
# of signs
Area of existing signs
Relocation ::.::::.....
Fire Safety ...
Firm Name
Previous address
Fire Sprinkler
Tent _
Fireworks display
_
Paint booth Fire Alar
_ _
_
Proposed use —
Value
Address
Special Tris ,; eGtonRe uiared� :' �:: ;:::
p , . , q . ,
on.R.esident,a Ener Code Compliance?
.. �y
Firm Name
Phone
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes- 7 No
Plans Examiner
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
0 Maybe io Don't know 0 Yes El, No
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
0 Yes 1p No
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Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(/ %) 0 Yes 14 No
Address
/
# G
a�`
Inspector
="-
Phone
0 Concrete 0 Welding
0 Bolting
0 Reinforcement
Address
PX ��'.
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ADDITIONAL SITE INFORMATION
Are there structures on the property? I Yes 0 No
If yes, identify on site plan
What is the current property size? Ler-7
(square feet or acres) 64 3c/33 _ I / 7 7
Is any part of the property within 250 feet of a shoreline?
If yes, identifi' on site plan 0 Yes 9) No
What is the current usof this property?
t Lo is-de.E.
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes- 7 No
'I{_�—a`
Will the site be served by a septic system? 0 Yes 0 No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
0 Maybe io Don't know 0 Yes El, No
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes 0 No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan 0 Yes JO No
Is there evidence of fill or excavation on the property?
0 Yes 1p No
lI
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(/ %) 0 Yes 14 No
Are critical or hazardous materials used or stored on site?
0 Yes Y No
DEPARTMENT USE ONLY
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Date Received: ma -6(
SALE/DEVELOPMENT SEGREGATION
This application to be completed in entirety before we can process, Including all
documents passing properties Into new *ownerships with their respective mailing
addresses. Include new record of survey, if any (recorded copy).
PARCEL NUMBERS:
APPLICANT
Name` a' y -h vtsa'^-
Address 6,21 5. c u? j -- 7e a -
City 5,6
Stote 1,✓%f - G Zip ?9;---f.-2--
Phone 52� to Work t -/i5-7-16,3
OWNER (IF NOT APPLICANT)
Name
Address
City
State Zip
Owner
0 Lessee
APPLICANT IS:
❑ Purchaser
0 Other
Name
Address
City
State Zip
TAXPAYER(S)
Name
Address
City
State Zip
Name
Address
City
State Zip
Add sheets if more taxpayers
3"o Z/
TAX STATUS: ,% nri)
. All property -tax must be current
by state law, before application
can be accepted.
PLEASE READ BEFORE SIGNING: Division of land for the purposes of sale or lease must be divided in
accordance with applicable state and local lows governing such divisions. (Contact your local city or county
planning deportment for futher information) Complete this form and return together with supporting
documents (if any) to the Spokone County Assessor's Office at West 1116 Broadway, Spokane ,WA 99260.
Telephone: 456-3698
*This segregation application is for the division of property (same owner); sale or lease, or
transfer of ownership (more than one owner), by recorded contract or deed.
6141/Le...
3- —
OWNER'S, OR AGENT'S SIGNATURE
(Date)
NOTES:
(PLEASE SHOW THE BUILDING
LOCATIONS ON ASSESSOR'S MAP)
-h) Ce -g
ages car&adEll
PLANNING' DEPARTMENT REVIEW
Approved /O —65
/
Dented
OFFICIAL'S SIGNATURE
Date received in El
Assessor's Office040\4C-
1'(
By (signature)
Proposed 30 x 40 x 10 <
Detached Garage 40 -
135
CD
$3`
9ax..2o isting
Garage
Existing
House
Roy Johnson
621 S. Custer Road
90'