2002, 03-18 Permit App: 02001681 RemodelProject Number: 02001681 Inv: 1 Application Date: 3/18/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Parcel Number: 45063.2403 Block:
SiteAddress: 3711 N CENTER RD
SPOKANE, WA 99212
Location:: SPO
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 8,460 Sq Ft Width: 141
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:::.......................................................................
Review
Plan Review
Permits:
Lot:
Owner: Name: SCHWAN, KYLE
Address: 3711 N CENTER RD
SPOKANE, WA 99212
Hold: ❑
Depth: 60 Right Of Way (ft): 0
Operator: DMD Printed By: DMD Print Date: 3/18/20112
Project Number: 02001681 Inv: I Application\' Date: 3/18/21102 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without- a permit
Contractor: OWNER
Building Permit —
Firm: OWNER
Phone:
Building Characteristics
Const Category: Remodel Group: R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W Y D: x Building Sq Ft: Sprinklers: 11
Req Parking: Handicap Parking: Critical Materials: El
This Application: Total Project:
Description Grp Tyne Notes Sg Ft Valuation Su Ft Valuation
RESIDENCE R-3 VN INT 0 $5,000.00 0 $5,000.00
REMODEL
Item Description
RESIDENTIAL VALUATION
INVESTIGATION FEE
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 0 $5,000.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
I Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
0 $5.000.00
Fee Amount
$100.50
$100.50
$4.50
$22.11
$227.61
$227.61 $227.61 $0.00 $227.61
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: DMD Printed By: DMD Print Date: 3/18/2002
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEXIENT
AA All 1 1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
1 "511 509-477-3675
SPQMT,�E CQU�TT D� — I
SPECIFIC SITE INFORMATION
Street Address: -3-7 // , A) CeA)41
Assessor's Tax Parcel Number(s): a
Legal Description:
Project Description: Pz Azzlelt wazll.-)
0 Building Permit D Change in Use 13 Grading 0 _T\4anufactured Home Permit
0 Relocation 13 sign 13 Tenant (New/Change) 0 Other
W,
ePArtftient,,,;'t1J0-.se,,.,ni
Building height to peak
_\Vit Di ttict/ p
C3 Applicant: Phone:
44
S tb
7
I
Nbiling Ad&ctl:
IMI L,
%
ff-14
Mailing Address:
Cite, state, zip
Cost of proicct
}kat SOMCC (CICMIC, gas, etc.)
I �z
z
Sch6o],Distrkt:
1.7ire Dist
LJ Contrictor
Phone
❑ Architect/Engineer phone
it.
Fax
Pas
Mailing iddrcs.,
V 'M
Dimling address
(]i"., State zip
OWNER/APPLICANT INFORMATION
R Intliatp whn fhnulil he mnla,-Ied molitding 1hiv r)miuf
0,vn:
Building height to peak
Phone: (5o01 7 Z_ V— q 7 9/3
C3 Applicant: Phone:
44
DIMC119011s
Total habitable space
I
Nbiling Ad&ctl:
IMI L,
OCCLIP-nICY group
ff-14
Mailing Address:
Cite, state, zip
Cost of proicct
}kat SOMCC (CICMIC, gas, etc.)
Clr%,, State, Zip
LJ Contrictor
Phone
❑ Architect/Engineer phone
Fax
Pas
Mailing iddrcs.,
Dimling address
(]i"., State zip
cin., State Zip
WA Stite Contractor license #
Contact name
ra-Mayl MUNA a OWN RiTA FAS 11 Iralki I
Butldingr In o.rniation'
Building height to peak
# of stories
Main floor sq. ft.
Unfinished baSCMCr1tqq_ ft.
DIMC119011s
Total habitable space
2,,d floor sq. ft.
Finished basenictit sq. t - t.
OCCLIP-nICY group
Construction t_YPC
Garage sq. ft.
Deck sq. ft.
Cost of proicct
}kat SOMCC (CICMIC, gas, etc.)
Manufactured Home Sin 4
Width: Length: What is the square footage of the sign1 low high is the sign?
face?
Year: I Alake: p# of signs I Area of existing signs
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes O No
\C/hat is the current property size?
lfjes, identify on siteplan
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
What is the current use of this property?
I yes, identify on site lau O Yes O No
-
Is your property to a designated wildlife habitat area?
\Dill the site he served by a septic system? O Yes O No
0 Don't know O Yes O No
Is public water available, io the site? ' O Yes O No.
Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the properta?
I_fj,es, identib; on rite plan
1fjer, identi� oir the iteplan O Yes O No
O Maybe O Don't know O Yes O No
O No `
Are there any wetlands, streams or ponds within 200 feet of the property?
Is there evidence of fill or excavation on the property?
If jet, ideuti , on site lan 0 Yes O No
O Yes O No
.Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
Are critical or hazardous materials used or stored on sitee
% O Yes O No
O Yes O No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater.Control,Area? °
TOTAL FEE
Is public sewer`availalile,to, the'site? C3, Yes O No
OYes
.O No
;
-
Is the property inside the ASA?. O Yes ` -
O No `
Is public water available, io the site? ' O Yes O No.
Yest ;
O. No .
Is the liroperty inside the PSSA?' O I es`'
O No `
Is the'property7ocated within 1000 feet of a Natural Resource .Area?' '
:.Yes
o
Datc Rcccivcd: Staff Rcpreso,tativc:
METHOD OF PAYMENT
VISA Wil.
❑ CIIIICK
❑ C:\SII ❑ ❑ ._ _� . ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
FN1111ZFS:
B.\NKCA1ZD NUNIBI}:R:
\UTI IORI%G:D SIGNr\TUltli::�
TOTAL FEE
MIN/MUMPERMITFEEIS,E35.b0NI.I:\SI.;
..
;At;\IcE C7IBCI:$1'Al'A IJI.ii"1'O tiP01:.1N1r.
-
-COUNTY PER\IIT CEN'TL-T