2002, 04-08 Permit App: 02002305 AdditionProject Number: 02002305 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencin orlkwithout a permit
Date: 4/8/02 Page 1 of 3
Project Information:
Permit Use: RESIDENCE ADD'N --BF H344 7 -ban Contact: M 1' A CONSTRUCTION
BATHROOM/LAUNDRY ROOM + RE -ROOF Address: 8711 S CEDAR RD
C - S - Z: SPOKANE SVA 99224
Setbacks: Front NA Left: 38 Right: 20+ Rear: 25+ Phone: (509) 448-4821
Group Name:
Site Information: Project Name:
Plat Key: 999999 Name: RANGE
District: H
Parcel Number: 35121.9028 Block:
SiteAddress: 7020 E CARLISLE AVE
SPOKANE, WA 99212
Location:: SPO
Zoning: 1)12-3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: 1)OLAN, JAMES
Address: 7020 E CARLISLE AVE
SPOKANE, WA 99212
Hold: ❑
Arca: 0 Sy Ft Width: 128 Depth: 155 Right Of Way (ft): 40
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released 13y: _C t_yt..ziZ Lf . S ' 0-a
Plan Review
Released By: C.( t2tA2.. t2 _1 ✓ 6-D2
Septic System Review
Sewage system designed Released By: .r% f2_,O r -h- !' y r
Asn ' bedroom aaiy.
/40,,-fry-,-ccJ ee-cee v_.6e..jdo /Wva/*c z4t-Qt2cN�
Permits: --
Operator: CKF Printed By: CKF
Print Date: 4/8/02
Project Number: 02002305 Inv: /
Application
THIS ISNOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/8/02 Page 2 of 3
Contractor: M P A CONSTRUCTION
Address: 8711 S CEDAR Phone: (509) 448-4821
SPOKANE, WA 99224
Building Permit
Firm: M P A CONST - MORRIE AMAN
Building Characteristics
Const Category: Addition Group: R-3 'Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories: 1
Bldg W x D: 20 x 30 Building Sq Ft: 600 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application:
Description Grp Type Notes Sq Ft Valuation
RES ADD R-3 VN 600 537,200.00
RESIDENCE R-3 VN RE -ROOF 0 54,500.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: OWNER
Item Description
VENTILATING FANS
CLOTHES DRYER
MINIMUM FEE ADJUSTMENT
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
CLOTHES WASHER
WATER PIPING - DWV
MINIMUM FEE ADJUSTMENT
Operator: CKF
Totals: 600 341,700.00
Units Unit Desc
Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Firm: OWNER
Phone:
Units Unit Desc
Units
1
1
1
1
Printed By: CKF
NUMBER OF
NUMBER OF
Select
Permit Total Fees:
Total Project:
Sq Ft Valuation
600 537,200.00
0 54,500.00
600 $41,700.00
Fee Amount
$505.00
$4.50
$111.10
$620.60
Plumbing Permit
Firor: OWNER
Phone:
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Select
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$10.00
$15.00
$35.00
Fee Amount
$6.00
$6.00
$6.00
56.00
$6.00
$5.00
$35.00
4/8/02
Project Number: 02002305
Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/8/02
Notes:
Payment Summary. —
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Page 3 of 3
Fee Amount Invoice Amount
$620.60
335.00
335.00
$620.60
335.00
$35.00
$690.60
Amount Pa id
50.00
30.00
$0.00
Amount Owinu
• $620.60
335.00
$35.00
$690.60 $0.00
$690.60
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: 4/8/02
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Street Address: 7O 20
kr,
Assessor's Tax Parcel Number(s):
Le:gaI Description:
SPECIFIC SITE INFORN1ATION
Project Description: &at /4_, of I. (e. roc
Building Penni( I O Change in Use
0 Relocation
0 Grading
0 Sign
0 Tenant (New/Change)
I0 \ la n u factured }-Tome Pcnnit
0 Other
tr,n.•
OWNER/APPLICANT INFORMATION
bu/ieau who ,hould br fon/acted rr>;urdinn Thi pmje,t
/ig N ana'
r7i PC ra.:
Mailing Address:
Department Use Only
Water District/I'u,'e,or
Phone
Fan: vyy-vee_
Sewer D -r c:/Purveyor
-Road width
_.
From Rear
.
Ise It: Righo
School Danlcu
Fire DiStriCV
Zoning
tr,n.•
OWNER/APPLICANT INFORMATION
bu/ieau who ,hould br fon/acted rr>;urdinn Thi pmje,t
/ig N ana'
r7i PC ra.:
Mailing Address:
LI App&an°
/gA4 GI-z.ri
Phone
Fan: vyy-vee_
Building
Mailing Address
Building information
S -I—r (.4-44 79/2 /2
Ga, State, Zip
# of sums
I] Cnnvnanr Phone
Al /OA Girw,;t raa yVPVVt2/
hitting
0 Architect/ Engineer
Phone
Fax
address
p
e7// f ode -Lop,
Cin
Mailing address
-ISnal hab sbl/c-pacc
%oU
inns Lip
„ , limpl;,nt„ct, e°r4k,� 792 2V
G,, Stare Zip
1 ini>Ind ba.crn`1 t.y. 1,
N/`
n been
m,oe'ti * -if Qa-/T/
omact
Cmine:
1 imslam'on n
P''
/7
Gar ngc sy.G
)ontcr-
• .•-gI.-.,. .... vnn.n 1 Ivry
Building
Building information
hrig6r to peal;
# of sums
\lam floor> it
ars 14
4i
h
Unfinished ba.-cmum sy. It.
Dim.nsn m^^. y
tTo A 30
Uccup.incr
-ISnal hab sbl/c-pacc
%oU
- Sik
pia floor
/i11
1 ini>Ind ba.crn`1 t.y. 1,
N/`
gn nip
1 imslam'on n
P''
/7
Gar ngc sy.G
Doi; .y.&_ -
Iv
Cost rel pntjcct
3o, ow
1 Icut>ource ( I.crric. gas tile.)
b'lanufactured Rome
Sign
width:
Length:
What is the square fotnage or the sign
face?
How high is the sign?
Year
Nlake
R at signs
Arca or existing signs
Plana EsamL,er
propose) usr
Value
Starr Ilrpr..e roti e. -
Relocation
Fire Safety
Non -Residential Energy Code Compliance?
Previous address
Is your property in a designated wildfire habitat arca?
0 Don't know 0 l'cs 0 No
Fire Sprinkler
Tent
Paint booth Fire Alann
Fireworks display
_
Plana EsamL,er
propose) usr
Value
Starr Ilrpr..e roti e. -
Special Inspections Required?
AAhat is the current property size
(square feet 01 acres)
Non -Residential Energy Code Compliance?
Finn Name
Is your property in a designated wildfire habitat arca?
0 Don't know 0 l'cs 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?
II jrt, Mena fr on si/e plan
0 \lactic 0 Don't know 0 Yes 0 No
Phone
Ate there any wetlands, strcanx or ponds within 200 feet of the pu)perte?
If yes, identify on site plan 0 Ycs 0 No
Is there evidence of fill or eseavatinn on the property?
0 lyes 0 No
Plana EsamL,er
Phone
Inspectors:
Starr Ilrpr..e roti e. -
Addren
Inspector
Phone
❑ Conactc
❑
Welding
0
Bolting
0
Reinforcement
Address
ADDITIONAL SITE INFORMATION
Arc Mere structures on the property% 0 lyes 0 No
Ijyes, ide:,1:5 on site plan
AAhat is the current property size
(square feet 01 acres)
Is any part or rhe property within 250 feet of a shoreline?
I/ yes, idol/ijr on site plan 0 Ycs 0 No
\Ghai is the current use of this property?
Is your property in a designated wildfire habitat arca?
0 Don't know 0 l'cs 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?
II jrt, Mena fr on si/e plan
0 \lactic 0 Don't know 0 Yes 0 No
Arc or will there be wells located 011 the property?
If yet. Iden(' on the site Nem 0 Yes 0 No
Ate there any wetlands, strcanx or ponds within 200 feet of the pu)perte?
If yes, identify on site plan 0 Ycs 0 No
Is there evidence of fill or eseavatinn on the property?
0 lyes 0 No
Arc there slopes greater than 30% on the property? (30 ft rise in 100 fl)
( ------%) 0 Yes 0 No
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
DEPARTMENT USE ONLY
Is the property in a designated Stomawater 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 Yes
0
0
No
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 Arca?
0 lyes 1 No
Dare Itecened:
Starr Ilrpr..e roti e. -
METHOD OF PAYMENT
V®
❑ ISA
(:\sII ❑ (:Mata: 9 =pm❑
FAXED PERMITS WILL ONLY BE ACEPrEO WITI 1 PAYMENT OF A MAJOR CREDIT CARD
R:\NyC.\RD NL'AI141,1t:
EN PI It CS:
\U'II IOI:Ii.I:I) SIGN.\TUI:P::
SUB IUL\ I.
TOTAL FEE
MINIMUM PERMIT FEE IS OS 001`1.F. ME
al aKr 0 ni ICS rty. Uul E' 10 SPOK\V!
0 )1.NTY FERMI 'r CI:NtER
.ADDRESS 10 20
ZONE
ROAD NS ;r
FROM
COMMM1EN
REV1 'WED"D1'._447AW
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