2002, 06-06 Permit App: 02004519 RemodelProject Number: 02004519 Inv: 1
Application
Date: 6/6/02
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: REMODEL GARAGE ON SOUTH END OF BLDG Contact AL , RON J
TO 2 BDRMS
Address 3511 N ELTON RD
SPOKANE, WA 99212
(509) 928-0454
Setbacks: Front
Site Information:
Plat Key: 001865 Name: ORCHARD j AVENUE AD
Left: Right: Rear:
Parcel Number: 45063.3212
-5,�>Z
Phone:
x} Grou Name:
Project Name:
(TR.1-228)
`.
t,
Lot:
Page 1 of 2
H
SiteAddress: 3511 N ELTON RD Owner: Name: ALLEN, RON J
SPOKE, WA 99212 Address. 351 ELTON d
(, 1
Location:: SPO SPOKANE, WA 99212
Urban Residential 3.5
Zoning: UR -3.5
Water District:
Area:
Nbr of Bldgs,
Review Information: 1
Review
Plan Review
Width: 0
Dwellings: 1
Hold: ❑
Right Of Waft): 40
Septic System Review
Perm its:
b r -f- q(;› -71 3 6 h ctA_PM- v) Adult- F
'IO, C\L CcirapU>k C .l -I-- +t ciao i ctoJ Cbl - f.asJu-
'.�--l�.tA- 4-1-77-, (`feA-ss� , ` 2-4' -rt'� 1- -Fi L� O s
e cAJLArwy-1.5 bAeLq-i -P_JutkE - ri-azd- (tiOAs I
I lb. e 1—LLLOAI a (5-
•
0+ bAitiopm-s (c -k Lupd64)61,73-1/100-&-, I, A
\ L& LOV' (-61-LLSS ae_
d)0V-10-620 '
--Sewage-system-designed
bedrooms only.
Operator: CKF
Printed By: CKF
Print Date: 6/6/02
Project Number: 02004519 Inv: 1
4 -
Application
THIS IS NOT A PERMIT
Penalties w411 be assessed for commencing work without a permit
Date: 6/6/02 Page 2 of 2
Contractor: OWNER
Const Category: Remodel
Nbr Of Dwellings:
Bldg W x D:
Req Par
Building Permit
Firm: OWNER
hone:
Building Characteristics
Group: R-3 Type: VN
Occupant Load: Building Height:
,
9
9 Sprinklers: Oil
F p
x Building Sq Ft:
Handica Parking:
Descri thn'" ' Grp Type
RESIDENCER-3• VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE ��
RESIDENTIAL SURCHARG
Notes:
EXISTING 2 BEDROOMS IN RES
AND (2 STUDY/COMPUTER ROOM.
Payment Summary: ----- ---
Permit Type
Building Permit
Notes
REMaODL
of otal?
Units
1,
1
1
Critical Materials:
Thi pplicatt n
Sq Ft Valuation=
srt
0 $3;0000.(fO�
0 $3,
Unit Desc
-YpOR B ANK
YfOR BLANK
Y`OR.BLtK
Per""'t Total_ Les:
Stories:
Total Project:
Sq Ft
Valuation
$3,000.00
0 $3,000.00
Fee Amount
$75.50
$4:50`"` w
$16.61..
Disclaimer:
flJJ
Fee Amount Flnvoice.Amount
$96161' ,_, a? $96.61
$96.61 $96.61
Amount Paid Amount Owing
$0.00 $96.61
$0.00
$96.61
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 per it 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 ocal laws or ordinances.
Signature:
Operator: CKF Printed By: CKF
Print Date:
6/6/02
SPOKARE COUNTY
Street Address: .(38 1
Assessor's Tax Parcel Number(s): - -
bOU3 32_
Legal Description:,
&Thar() HVe 14-1..)1-) n 11)5 ,75if. of. of
retr. PeAmocc. ucc—trm-E0 rtIc..('
4
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 \VEST BROADWAY AVENUE
0")
SPOKANE, WA 99260
509-477-3675.
SPECIFIC SITE INFORMATION
Eltnn
Project Description: AO d n ext o
por 4 2 Mr)OlowS
50 Building Peirnit
0 Relocation
O Change in Use
O Grading
o 0/29e L.spiCQ_
O Manufactured Home Permit
O Sign
O Tenant (New/Change)
O Other
Depaament Use Only
Water Distncr/Purveyot
Sewer District/Pun-eyor
• Road -ividth
School District
Fire District:
Zonings.:
. •
.•.
Righr:
OWNER/APPLICANT INFORMATION
A3 0„-§1k,
.)Cn 4-5uwn F-1 len
Phone:
IN:
9,),(,g g -c -f
p Applicant
50 the
Linfinishc(1 bascrocnt sq. ft.
Phone:
.
Fax:
Mailing Addr,ss:
1 ) N. 6m
ik01 .
Finished basement sq. ft.
Mailing Address:
Construction rypc
(-ate sq. ft_
Cite,
C
Cp
trl
99
19sr
City, State, Zip
0 (
ontractor
Phone
Fax
0 Architect/Engineer
Phone
Fax '
Mailing address
Marling address
City, Stare Zip .
City, State Zip
\VA Stale Contracior license. #
Contact name:
. 1
..
,.
ikar ,
Building Information
Building height in peak
/4 of stories
2.%
Main floor sq. It.
Linfinishc(1 bascrocnt sq. ft.
Dimcnsi,wis
Total habit:161c Tact-
LtC60 C . c
..?"d floor sq_ ft.
Finished basement sq. ft.
(ktupancy group
Construction rypc
(-ate sq. ft_
Deck sq. ft.
Cost of rrineci
.
1 kat source (cluaric. gas, ctc.)
}
Manufactured Horne
Fire Safety
Width:
Length:
What is the square footage of the sign
face?
How high is thc sign?
Year.
Make:
# of signs
Area of existing signs
Address
Proposed use
Value
Relocation
Fire Safety
Finn Name
Previous address
Plans Examiner
Paint booth
Fire Sprinkler
Tent
Fireworks display
_
Fire Alarm
Address
Proposed use
Value
Inspector
Phone
0 Concrete
0 Welding
0 Bolting 0 Reinforcement
Special.: Inspections: Required?
Non -Residential Energy Code Compliance?
Finn Name
Phone _
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
0 Concrete
0 Welding
0 Bolting 0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? 0 Yes 0 No
If yes, identi on site plan
Is any part of the property within 250 feet of a shoreline?
Ifyes, ideut f on site plan 0 Ycs O No
is.your property in a designated wildlife habitat arca?
0 Don't know 0 Ycs 0 No
What is,thc current property size?
(square feet or acres)
What is the current use of this property?
Is anv part of the property within a 100 yr flood plain?
Ifyet,
ident6, on site plan
0 Maybe 0 Don't know 0 Ycs 0 No
Are there any wetlands, streams or ponds within 200 feet of the property?
Eyes, ideirt f on site plan ❑ Ycs 0 No
Arc there slopes greater than 30% on the property? (30 ft rise in 100 ft)
�)
0 Ycs 0 No
\Y'iIl the site be served by a septic system? 0 Ycs 0 No
Are or will there be wells located on the property?
iJyes, identffi, on the sit( plan 0 Yes 0 No
Is there evidence of fill or excavation on the property?
O Ycs ❑ No
.\rc critical or hazardous materials used or stored on site?
O Yes O No
DEPARTMENT USE ONLY
Is the property in a designated Storrnwater Control Area?
O Yes 0 N
Is the property inside the ASA? . 0 Yes 0 No
O Yes O No
Is thc property inside the PSSA? O ,Yes 0 No
Date Received:
Sta(f Rcpre>entati.r.
Is public sewer available to the site? 0 Yes 0 No
Is pubic water available to the site? 0 Yes 0 No
Is the property located within 1000 feet of a Natural Resource Area?
0 Ycs 0 No ! - . ! 1
METHOD OF PAYMENT
®CASH CHECK =MEE iCllfE
VISA
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAY HENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
B:\NK(:.\RD NUMBER:
ALIT) ) IC/RIVED SIGN.17 VRE:
1.
S1'B'f(YI•.\I.
TOTAL FEE
MINIMUM PERMIT FEE IS VS. t 7PrE.1-'4.:
MAKE CI UECKS PAY. BIT: TO SPOKANE
COUNTY PERMITCF\nR
06/07/2002 08:24
5093241567
SPOKANE • REGIONAL
HE/ILTH
DISTRICT
Fax
Fax:
Phones
(177-- r 3
SRHD EHS
Environmental Health
1101 West College Avenue, Room 402
Spokane, WA 99201
Phone ! 509-324-1560
FAX 509-324-3603 or 324-1567
Phone:
PAGE 01/02
Date:
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Urgent ❑ For Review [] Please Comment
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This facsimile may contain privileged and confidential information Intended only for use by the individual or entity named above. If the reader of
this message is not the intended recipient, or the employee or agent responsible to deliver this information to the recipient, you are hereby
notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in
error. please call the sender's telephone number listed above,
06/07/2002 08:24 5093241567
: •
!.4.i 02004519
- '
,.,1-7-' I,
Inv. 1 • yz, ofs Date: 6/6/02
, ,..• -;.. , ,..', '
• - • ,A A;
TMX$''4it 40., IT
, Penalties will be assessed,for otrimen'' ing work without a permit
' ., -- :.••.eTv;nrCLi-': ',, ' /,
Projectinformation:
Permit Use: REMODEL GARAGE ON SOUTH ENDO
TO 2 BDRMS
Setbacks: Front Left: Right: Rear
Site Information:
Plat Key: 001865 Name: ORCHARD AVENUE
Parcel Number 45063.3212 Block:
SiteAddress: 3511 N ELTON RD
SPOKANE, WA 99212
Location:: SPO
7 -Ming: UR -3.5
Water District:
Area: 0 Sq Ft Width: 0
Nbr of Rldgs: 0 Nbr of Dwellings: 1
Review Information:
Contact: ALLEN, RON J
Address: 3511 N ELTON RD
C S - Z: SPOKANE, WA 99212
Phone: (509) 928-0454
Group Name:
Project Name:
ADD(TR.1-228)
Urban Residential 3.5
Revi
Plan Review
• Lot:
Owner: Nate:
Address:
DiStriCt:
1- a,
ALLEN, RON J
3511 N ELTON RD
SPOKANE, WA 99212
Hold: El
Depth: 0 Right Of Way (ft): 40
Septic System Review
-Sewage :vs -tear -designed-- ---
1-far kedtopifis
Permits:
e L." pA4.4
)2-0 -7-- 7? -,9 )15"
Operator: CKF •
4
/ 6 /...d (A, --•
— 91i --E/ D'f3-7
S.,7 ST:0-r-- •
ifitt'aftri4 ft.:- 0.14';,1 tilt! t!,i;11;. 4: el' *117..:4),;.
Si /Se, d ,
Printed Ity:. • cp‘• •
•. •
. .
• •
• •
Print !late: 6/6/02 •