2001, 11-29 Permit App: 01010527 Demo House, GarageProject Number: 01010527 Inv: 1
Application
THIS IS NOTA PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/29/2001 Page I of 2
Project Information:
Permit Use: DEMO OF HOUSE AND GARAGE
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: 000000 Name: UNKNOWN
Contact: DON WOOD INC
Address: 502 N GLEN
C - S - Z: SPOKANE, WA 99206
Phone: (509) 000-0000
Group Name:
Project Name:
District: G
Parcel Number: 55173.0517 Block:
SiteAddress: 624 N BARKER RD
GREENACRES, WA USA 990
Location:: GRE
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Arca: 93,350 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Plan Review
Lot:
Owner: Name: DON WOOD INC
Address: 502 N GLEN
SPOKANE, WA 99206
Hold: fl
Depth: 0 Right Of Way (ft): 0
:1;teleit.Sed
,C(-4-
9ti QC -Q)-9- 112-7
Contractor: LOUIS RAY
Address: PO BOX 3512 Phone: (509) 924-2040
SPOKANE, WA 99220
Demolition Permit
Firm: LOUIS RAY
Item Description Units Unit Desc Fee Amount
STATE SURCHARGE 1 Y OR BLANK $4.50
DEMOLITION 900 SQ FEET $35.00
COUNTY SURCHARGE 1 Y OR BLANK $7.70
Operator: DMD Printed By: DMD
Permit Total Fees: 547.20
Print Date: 11/29/2001
Project Number: 01010527 Inv: 1
Notes:
Appliegtion
THIS IS NOT PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/29/2001 Page 2 of 2
Permit Type
Demolition Permit
Fee Amount Invoice Amount
$47.20 $47.20
$47.20 $47.20
Amount Paid
$0.00
Amount Owing
$47.20
$0.00 $47.20
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 he 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: DMD Printed By: DMD
Print Date: 11/29/2001
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 \CTEST BROADWAY AVENUE
SPOKANE, \\'A 99260
509-477-3675
OF' io5:27
,., �pSPECIFIC SITE INFORMATION
Street Address: /�i/ /d aid2 !7I 4 ,i e"7'," c2c
Assessor's Tax Parcel Number(s):
(f��f /l
Legal Description:
Project Description:
❑ Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured FTome Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
5( Other
Department -Use Only'
Building height to peak
Phone:
Pas:
Nlailing AJdiecs, n ,_
97, 6C)crt, // _i
Nlailing Address!
\Vint
'
U t t/pun)
'..
)' °
S ver Do i ct/I , ncyor-. '. _
.
- .. _-
Riad
....
Jth
r
Seibncks
Don wa
:"
`
-
12cav
Right:
inch
.
I D ance
City, Sime zi�p�,/!�[/!/�� �� � ~ U
Ire Jisco t
n
1 fu
OWNER/APPLICANT INFORMATION
El lndi,v/e who yhadd he mnlaaed nfardin Mir mid
❑(Tenor: iii.:CIApplicant
�l !i isix:
Building height to peak
Phone:
Pas:
Nlailing AJdiecs, n ,_
97, 6C)crt, // _i
Nlailing Address!
Dimensions
90 )L30
(„„..s.,,,„
' qqo2'&6
Gtr. Sure, zip
Finished basement sq. ft.
a0'y3v
()ccupnncc group '
❑ Conaacu Phone 7;4 2.,0��
7
ClArchitccr/Fn onccr
phone
Fax
Ras 92-7 SY&7
Mailing address
doe,' 3 5-12‘.
Nlailing address
City, Sime zi�p�,/!�[/!/�� �� � ~ U
City, store "/sip
\\ A State Conrrn(tor hems!
x_it —'" L $- /y3O&
tbmact name:
PROTECT INFORMATION
Builduig Information
.. ..
Building height to peak
k or sd mos..
t
:Slain floor sq. ft.
90/ 3 v
Unfinished basement sq. ft.
/1" /I
Dimensions
90 )L30
Tn1n1 habitable space
2'W hour sq. ft.
4/#
Finished basement sq. ft.
a0'y3v
()ccupnncc group '
Coil ruction ape
ilae
(arage so. 1t.
/)'.- x 2.d
Deck sq. ll.
i//,
Caw odpmject
I Zeal source (electric. gas, ole.)
Manufactured Home .
Length:
Sn
What is the square footage of the sign
fate? ,
I low high is the sign?
Width:
Yeas
Make:
kt of signs
Area of existing signs
_ _
Inspectors
Proposed use
Value
i
Relocation ,
Fire safety --
afetyPrecious
Non -Residential -Energy; Code Compliance?
Pres >usaddress
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes 0 No
Fire Sprinkler
'fent
Paint booth I:ire Alan
Fireworks display
_ _
Inspectors
Proposed use
Value
Special: Inspections Requited?
AVhat is the current property size?
(square feet or acres)
Non -Residential -Energy; Code Compliance?
Finn Name
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes 0 No
Phone
Is any part of the property within a 100 yr flood plain?
J(yer. idenfi(' an site plat
0 \ lavbe 0 Don't know 0 Ves 0 No
Are or will there be wells located on the property?
IJyer. identift on the site plan 0 Yes 0 No
Plans Examiner
Phone
Inspectors
Are critical or hazardourmaterials used or stored on site?
0 Yes 0 No
Address
Inspector
Phone
0 Concrete
0 \\'elding
0 Bolting
0
Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes 0 No
Wye:. idenhfj' on site plan
AVhat is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
I( yes, identi(j, on ritep/at 0 Yes 0 No
\Vhat 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? 0 Yes 0 No
Is any part of the property within a 100 yr flood plain?
J(yer. idenfi(' an site plat
0 \ lavbe 0 Don't know 0 Ves 0 No
Are or will there be wells located on the property?
IJyer. identift on the site plan 0 Yes 0 No
Arc there any tvetlands, streams or ponds within 200 feet of the property?
If yes, identifyon site plan 0 Yes 0 No
Is there evidence of fill or excavation on the property?
0 Yes 0 No
Are there slopes greater than 30"/o 011 the property? (30 ft rise in 100 ft)
(/%) 0 Yes 0 No
Are critical or hazardourmaterials used or stored on site?
0 Yes 0 No
DEPARTMENT USE ONLY
Is the property in a designated Stonnwater Control Area?
"OYes
0 N
Is public sewer available to the site?: O =Yes ' : O' No
- ...
Is the property inside the ASA?
O_ Yes
O Yes
O No
. O No. _
Is public watey'available to the site?.O`Yes 's0- No
Is the property. inside the PSSA?
O \ es
o .No
Is the property located -within 1
ithi000 feet ofa Nature Resource'Area?
Ilam Received:
Staff Represem('i, c
METHOD OF PAYMENT
❑ C:\SI1 0 CHECK 0 =20❑ ""Y
DIJC•VER
_x ,cam
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
EXPIRES:
BANK(::ARD NUAIBIOt:
:AUII IORIZISD SIGNATURE:
UIRE:
SUBTOTAI.
- - `-TOTALFEE•
MINIMUM PERMITFEEr5$3.00PUlASE
V1:'Kit Ci tECKS PAYABLE 10 SPOKANE
COUNTY PERMTCItN'IER . -