2000, 08-24 Permit App: 00007474 AdditionProject Number: 00007474 Inv: 1 Application Date:, 08/24/2000 Page I of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: RESIDENCE ADDITION - BATHROOM & Contact: HENRY DEVELOPMENT
DINNING ROOM Address: 1410 S HENRY RD
C - S - Z: GREENACRES, WA 99016
Setbacks: Front 35 Left: EX Right: EX Rear: EX Phone: (509) 228-0660
Group Name:
Site Information. Project Name
Plat Key: 001865 Name: ORCHARD AVENUE ADD(TR.1-228) District.
Parcel Number: 45063.3209 Block: Lot:
SiteAddress: 3417 N ELTON RD
SPOKANE, WA 99212
Location:: SPO
Zoning: UR -3.5
Water District:
Area: 0 Sq Ft
Nbr of Bldgs: 0
Urban Residential 3.5
Width: 84
Nbr of Dwellings: 1
Owner: Name: SVENDSEN, ERIK & CALICO
Address: 3417 N ELTON RD
SPOKANE, WA 99212
Hold: ❑
Depth: 75 Right Of Way (ft): 0
Review Information: .---. - �._ . �_� ...
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
Co
HEALTHDISTRICT
Hold Reasons:
Permit Conditions:
Review
Site Plan Review
�Emwly
Project Number: 00007474 Inv: I Application Date: 08/24/2000
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
------- - - Building Permit ---
Contractor: HENRY DEVELOPMENT Firm: HENRY DEVELOPMENT
Address: 1410 S HENRY RD Phone: (509) 228-0660
GREENACRES, WA 9016
Building Characteristics
Const Category: Addition Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 15
Bldg W x D: 28 x 16 Building Sq Ft: 376 Sprinklers: L1
Req Parking: 0 Handicap Parking: 0 Critical Materials: ❑
This Application:
Description Grp Type Notes Scl Ft Valuation
RES ADD R-3 VN 376 $23,312.00
Item Description
RESIDENTIAL VALUATION
STATESURCHARGE
RESIDENTIAL SURCHARGE
Contractor: HENRY DEVELOPMENT
Address: 1410 S HENRY RD
GREENACRES, WA 9016
Item Description
MINIMUM FEE ADJUSTMENT
VENTILATING FANS
Contractor: HENRY DEVELOPMENT
Address: 1410 S HENRY RD
GREENACRES, WA 9016
Item Description
TOILETSBIDETS
SINKS
SHOWERS
MINIMUM FEE ADJUSTMENT
Totals: 376 $23,312.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Stories: 1
Total Project:
Scl Ft Valuation
376 $23,312.00
376 $23,312.00
Fee Amount
$338.00
$4.50
$74.36
Permit Total Fees: $416.86
Mechanical Permit -
Firm: HENRY DEVELOPMENT
Phone: (509) 228-0660
Units Unit Desc Fee Amount
1 Select $25.00
1 NUMBER OF $10.00
Permit Total Fees: $35.00
Plumbing Permit
Firm: HENRY DEVELOPMENT
Phone: (509) 228-0660
Units Unit Desc Fee Amount
1 NUMBER OF $6.00
1 NUMBER OF $6.00
1 NUMBER OF $6.00
1 Select $17.00
Permit Total Fees: $35.00
Page 2 of 3
f~ • 4
Project Number: 00007474 Inv: I Application Date: 08/24/2000 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary
Operator: RMB
Printed By: RMB
Print
Date: 08/24/2000
Permit Type
Fee Amount Invoice Amount
Amount Paid
Amount Owiny
Building Permit
$416.86
$416.86
$0.00
$416.86
Mechanical Permit
$35.00
$35.00
$0.00
$35.00
Plumbing Permit
$35.00
$35.00
$0.00
$35.00
$486.86
$486.86
$0.00
$486.86
Notes:
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST- BROADWAY AVENUE
"In SPOKANE, WA 99260
Spomw COLKTY 509-477-3675
Project Description: ��G� : �ectY� -It� s
TYPE OF APPLICATION
Building Permit
O Change in Use
O Grading
1 O Manufactured Home Permit
O Relocation
O Sign
O Tenant (New/Change)
113 Other
SPECIFIC SITE INFORMATION
Street Address: 417 AJ. 2- [421,- 21, - VC
Assessor's Tax Parcel umber(s): Lr sO (� 3 _ 3 �2 o
Legal Descript' n-73
j
xx
,1 Je wanmen�vse r
Water District/Purveyor Sewer DrstnctlPuiveyor Road width Setbacks
%Front Rear
School Dii ict Fre Dtstitct Zoning
. .>z... - .n , .> ........ ...
':Left Right`
OWNER/APPLICANT INFORMATION
0 Indicate who should be contacted regarding this project
0 Owner:
Phone: SdQ 92/—Q�
C
❑ Applicant Phone:
{ C 4-^
/ co ✓V&'+4SC ax:
Fax:
Mailing Address:1
3 Ki I
IU , �l Ivr. P -A
Mailing Address:
City, State, Zip
City, State, Zip
Contractor
Phone �d _���_Q
❑Architect/I ngineer Phone
�p Fax �`G — 2 g—%
Fax '
Mailing address
n
Mailing address
City, State Zip
6
City, State Zip
WA State Contractor license X
Contact name:
1 -�- r -7 PROJECT INFORMATION
Manufactured Home
Sign'
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
d of signs
Area of existing signs
Relocation
.14 Safety
Previous address Fire Sprinkler Tent
Paint booth _ Fire Alarm Fireworks display _
Proposed use
alue
ADDITIONAL SITE INFORMATION
Are there structures on the property? A Yes O No
What is the current property size?
to j 32
I es, ident6 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
f'' by"
I es, identify on site plan 0 Yes No
Is your property in a designated wildlife habitat area?
Will the site be served by a septic system? 13 Yes O No
0 Don't know 13 Yes No
Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the property?
If yes, identify on site plan
If yes, identify on the site plan O Yes q No
O Maybe O Don't know O Yes No
Are there any wetlands, streams or ponds within 200 feet of the
Is there evidence of fill or excavation on the property?
property?
0 Yes 7 No
1 es, ide-ntijfy on siteplan 0 Yes 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 site?
% 0 Yes No
0 Yes No
DEPARTMENT USE ONLY
Date Received: Staff Representative:
ADDRESS . 3c -in 1�
ZONE (� 3 cs
ROAD WIDTHSo
FRONT FLANKING
COMMENTS
E/ EWER B
This site plan is being submitted for the purpose of
Qbtaining a building permit and is a true and correct
i`.&presentation of the proposal. All known property
4eTine5itiimensions, curb lines, structures and easements.
I have. been identified. Also indicated are wetlands,
bode
f water, steep slopes or r critical areas.
Sig
Date: & L% D o
D
m
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3.23-
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