2003, 03-14 Permit App: 03001643 AdditionProject Number: 03001643 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: ADD BEDRM,BATHRM,UTILITY RM,&2NDFL Contact: SCOTT, JOHN T
DORMER/REM STAIRS&KITCHEN Address: 3701 N DICK RD
C - S - Z: SPOKANE, WA 99212-0000
Setbacks: Front 35+ Left: 16 Right: Rear: Phone: (509) 927-9479
Group Name:
Site Information: Project Name:
Plat Key: Name:
Date: 3/14/201)3 Page 1 of 3
District: H
Parcel Number: 45063.2804
Block: Lot:
SiteAddress: 3701 N DICK RD
SPOKANE, WA USA 99212
Location:: SPO
Owner: Name: SCOTT, JOHN T
Address: 3701 N DICK RD
SPOKANE, WA 99212-0000
Zoning: UR -3.5 Urban Residential 3.5
Water District: 002 ORCHARD AVENUE Hold: ❑
Area: 9,200 Sy Ft
Width: 80 Depth: 115 Right Of Way (ft): 40
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released
Plan Review
Meas
Septic System Review
Permits:
Operator: JAS Printed By: JAS
itele1.104:I3y:
Print Date: 3/14/2003
Project Number: 03001643 Inv: /
Applicatiyn
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Date: 3/14/2003 Page 2 of 3
Contractor. OWNER
Const Category: Addition
Nbr Of Dwellings:
Bldg W x D: s
Req Parking:
Firnr OWNER
Phone:
Building Characteristics
Group:
Occupant Load:
Building Sq Ft:
Handicap Parking.
Description Grp Type Notes
2ND FLOOR R-3 VN
BASEMENT U R-3 VN
RES ADD R-3 VN
INCLREMO
DEL
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: OWNER
Item Description
VENTILATING FANS
CLOTHES DRYER
Contractor: OWNER
Hein Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
Operator JAS
Type:
Building Height.
Sprinklers
Stories:
Critical Materials' ❑
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
43 $2,838.00 43 $2,838.00
214 $2,632.20 214 $2,632.20
461 $30,426.00 461 $30,426.00
Totals: 718 $35,896.20 718 $35,896.20
Units Unit Desc Fee Amount
I Y OR BLANK $451.00
I Y OR BLANK $4.50
1 Y OR BLANK $99.22
Permit Total Fees:
Mechanical Permit
$554.72
Finn: OWNER
Phone:
Units Unit Desc
3 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Firm: OWNER
Phone:
Units Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Printed By JAS Print Date:
Fee Amount
$30.00
$10.00
$40.00
Fee Amount
$6.00
$6.00
$6.00
$6.00
$6.00
$6 00
$36.00
3/14/2003
Project Number: 03001643
Notes: . .
Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/14/2003 Page 3 of 3
Payment Summary:
Permit Tvpe
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$554.72
$40.00
$36 00
Invoice Amount
$554.72
$411 00
$36 I)0
$631.72 $630 72
Amount Paid
$0.00
$(1 00
$0 00
Amount Owing
$554 72
$40 00
$36.00
$0.00 $630.72
Disclaimer:
Submittal of this application certifies the owner (or perrson(%) authorized by the owner) has both examined and finds the information
contained within to he 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 construed to be a permit for, ur an approval of, any violation of any of the
provisions of the code or of any other state or local law's or ord inanses.
Signature:
Operator: JAS Printed By. JAS Print Date: 3/14/2003
Ii41
sikI S
SPOMNJ COur ux
PROJECT APPLICATION WORK SHEET
SPOKANE. COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 \VES f BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMA'T'ION
aozE
Street Address: 3 70/ ti O; /e /`s)
Assessor's Fax Parcel Number(s):
9So63. deaV
Legal Description: / p
OfeAard Ave Add Pr a( 837 Ai NO //j-
Project Description: SrnCy/e n;' OWp,t/,ne
!a' Building Permit
O Relocation
O Change in Usc
O Sign
r /
O Grading
613
O Tenant(New/Chank
O \lanufactu
Other
ornc Permit
Departrncnt Usc Only-.
_I
.•
ilmhn• \JJrt.�
7 A) D;ck k
Aladmg\JJrca.
Water Dutncr/Pur.epor
-Road
Sea er Dumet/Pnneyor
d
_•.`
•'/.:.:"
r .. -
, G�Rear
-
/ -
< ;' -
Right .
-
ere'
. .
ItoSchool
Dismct
Fire Duma.
Zoning
s-_Left
OWNER/APPLICANT INFORMATION •
IV\g".rr Ph''c sag 44)7 9+,79
JOA/1 .SCerr I,,
0 Applicant Phone.
Some os Clones- r,.
ilmhn• \JJrt.�
7 A) D;ck k
Aladmg\JJrca.
,,
a
s of m Wq F9.1/ off
Cin. Stale, Zip❑
G•mrac I I'hunc
�P O S O .tt"tr.
O Architect/Engineer Phnne SO 9 -Volt 70096
I)eS;9a AMance tae Sag- 4008 - V 9�
Mading'Wire..
Mailing aJJms.
9/8 N 4C5044 of joi/e o
' p
Cin, Si arc zip
_leokone lig 990)/01
\\:\ Cnnuannr Int ft
Contac nar
Don 1e4r;cAs-
Building Information
Building ht iglu to peal.
/ ^ c
0.d.torics
l
O/
Alain floor hy. 11
997 '
l.hrlinubtJ bast ma tit Nil ft.
0
Uimuronn.
r
S k37r
In7al 111 �/c .p In
G
as finer all
y
Is kJ ba.cnwn.y II-
0
Occup Ina group
r inlrini.eu)on ()pa
(Y�CJ
Garage ay [7.
b/18
Decksy Ir.
(}nl or in),(,),)
(]00
I lent .Dura (thane gas. CAC.)�
E/9c1t.0 i 5005
Manufactured Home
Sigel - ' '
Width
Lurgth
What ,s rhe square footage of the sign
face?
1 lure high is the sins?
Year
Make_
# of stgnc
.\rca or existing signs
Phone
Proposed use
Value '
'
Relocation
Fire -Safety •
Previous address
rim, Name
Fire Sprinkler
Tent
Paint booth _ Fire Alarm _
Fireworks display
Plans E\am,ner
Phone
Proposed use
Value '
'
Date RIrci"d
Special Inspections Required? \
What Is the current property >iier
(square feet of acres)
Non -Residential Energy Code Compliance?
rim, Name
-
Phnne• ,
Are or will there be wells located on rhe property)
lJher, itieulh an /he sift plan ❑ lyes 0 No
Plans E\am,ner
Phone
In.pmor.
No
-
Date RIrci"d
Addreas
1n pcunr
Phone
❑ Concreie
♦:.
0 Welding
0 Bolting '❑ Reinforcement
1
3 .,
l',.
Address
r
ADDITIONAL SITE INFORNIATION
Arc there structures on thc property? le lyes 0 Nu ""
If yes, rrlelr/If on site Poll •
What Is the current property >iier
(square feet of acres)
1s any part of the ptoperty within 250 feet of a shoreline)
If irleadnfp an sift plan 0 Ycs WNo
What is the current use of this property?
Soar/e / 'ni /V 04..,e/7:7 9
Is you' property in a designated w ildli fc habitat atca>
ILS Don't know 0 les 0 No
Will the sue be to cd bt a septic system? R Tes 0 No ,
Is any part of the property within a 100 yr'flood plain?
If yet, dentin, on sift plan
0 Maybe 0 Don't know 0 Ycs ® Nu
Are or will there be wells located on rhe property)
lJher, itieulh an /he sift plan ❑ lyes 0 No
Arc there any wetlands, streams or ponds within 200,feet of the property'?
ft. yes, idem/Ify on de Plan 0 les I!I No
Is there ca idence of fill or e'caa anon on the property?
- 0 l cs f�No
Arc there slopes greater than 30° o on the property? (30 �ft rise in 100 ft)
( —°°) 0 Yes iO No
Are cnucal or haiardous materials used or stored on site??
0 Ycs-fel No
DEPARTMENT USE ONLY
Is the property in'a designated Stormwater Control Area?
❑ Yes
❑
No
Ts public sewer available to thc site? 0 Yes 0 No
Is the property inside the ASA?' '
' • 0 • Yes
❑ Yes ,
0
0
No -
No
Is public waver available to thc site? 0 Ycs 0 No
Is the property inside the PSSA?
0 ,lyes •
0
No
Is the property located within 1000 feet of a Natural Resource Area?
0 Ycs ❑ No
Date RIrci"d
Mali II. pn-a m., Inc
METHOD OF PAYMENT
❑ (:ASII
VISA®
❑ CIIIiLI: ❑=OM 0
El
iscsvER
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D.\•I I . .
RANI:(: NICD N1'.\IHI.I(
I XI'IRI:S-
.\UTI 10151%1'.1) Sl( N.VI URI
AB IOI.\l.•
L5
TOTAL FEE
MLV/.MUAI PERMIT FEE 15535001'1.r. UE
\I.\Ll (1 II:CIJ t\t \1111. IU SPOILA\I.
(UL Nll PCR\' I f Cl-Nl}.R
dYra , it•!',
i
Nc-
ro
CONC. RETAINING
WALL W/ 42' HIGH
GUARDRAIL
r
'lab` RISERS
II' TREADS—sr
r: i
1 1
10. 1
1 SEPTIC I
L J
J
24'-0'
24'-0'
2 X WALL STUDS o 16' O.C.
4•
ADDRESS3 O� ~
ZONE
ROAD WIDTH D��,�I�I
FRONT?yta— F
COMMENTS
REVIEWED BY
EXISTING
GARAGE
EXISTING
SI -10F)
off,,'
r
to
GARAGE
ADDITION
MATCH EXISTING CONC. FLOOR
ELEVATION
ENGINEERED TRISSES ABOVE
TO MATCH EXISTING GARAGE
ROOF SLOPE
ROOFING MATERIAL TO MATCH
EXISTING
SIDING TO MATCH EXISTING
'•3
J
w
1-
4
nil WON.
w
MIS
In MOMS
WI* In
04025 REGIS ' RED
/qcr"ITECT
1.4
�ONA.HENRICH
STATEOFWASHINGTON
4 F7OR FLANS •
SCALE; "4' • I. -W
432 S0. FT. EXI6TM6 MAIC
461 50. FT. ADDITION MAR
43 S0. FT. ADDITION UPFOR
'214 50. FT. BASEMENT 6T(
344 S0. FT. GARAGE ADD
,I