2003, 10-03 Permit App: BLD-03-02679 GarageSpokane
1.. Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
10713 E EMPIRE AVE
SPOKANE WA 99206-4573
ACCESSORY BUILDING
26 X 30 GARAGE ADDITION TO RESIDENCE
(OWNER IS CONTRACTOR)
WATSON, G RENE
WATSON, G RENE
10713 E EMPIRE AVE
SPOKANE, WA 99206-4573
Lot: Blk:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
Application #: BLD -03-02679
Applied: 10/03/2003
Issued:
Expires: 03/31/2004
Parcel No: 45054.0318
Phone: (509) 926-6028
Phone:
Lic No:
Zoning:
General Information:
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
14820
16
26 X 30
1
61+
100+
54
EXISTING
u-1
wood
1
no
no
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
25.13
251.25
4.50
280.88
0.00
280.88
CITYOF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Initials / Date
Building
Plan ing
THIS IS NOT A RECEIPT
10/03/2003 15:15 5093241567
j
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner.
Applicant:
Addross:
Contractor:
Add ae:
SRHD EHS
TO 3241567
PAGE 01
P.01/02
THIS IS NOTA PERMIT
Penalties will be assessed for
commencing work without a permit
ACCESSORY BUILDING
10713 E EMPIRE AVE
SPOKANE WA 99206-4573
26 X 30 GARAGE ADDITION TO RESIDENCE
(OWNER IS CONTRACTOR)
WATSON, 0 RENE
WATSON. G RENE
10713 E EMPIRE AVE
SPOKANE, WA 992054573
Lot: Elk:
Application #: BLD -03-02679
Applied:
Issued:
Expires:
Parcel No: 45054.0318 Zoning:
Phone: ! (609) 926-6028
Phone:
Ue No:
10/03/2003
03/31/2004
General Information:
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
14820
16
26X30
1
61+
100+
54
EXISTING
U-1
wood
1
no
no
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
DeposIts/Receipts:
Total Due:
,25.13
251.25
4.50
280.88
0.00
280.88
CITY 0 • ' N VALLEY
AP ' ' '• VED FOR SUBMITTAL
initials/ Date
Building
Pian ing
THIS 18 NOT A RECEIPT
SEP 30 2003 15:18
509324156? PAGE.01
Altlik
.'.
SPOKANE COUNTY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNIV DIVISION OF BUILDING & CODE ENFORCEMENT
1026 \VEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC'SITE INFORMATION
Street Address: a \ 0-7 1
Assessor's Tax Parcel Number(s):
Legal 1Description:
Project Description:
)Fr Building Permit
Change in Usc
11 Grading
fJ Manufactu-red Home Pennit
Relocation
El Sign
CI Tenant (New/Change)
CI Other
. .. .. . ,
tUseOnly
PParI111 1-1..,. '-•
Phone: 92_...k,— 6, 0 .:,..6."
D n ,,,,,,,g's
'
t• . • .
Phone:
Fax:
Mailing Address:
,• ll'
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-2 se,k;Di,itrct/T>i.,,-6.)(), ......•.!-
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Road 'a dth
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/on ig
City, State Zip
OWNER/APPLICANT INFORMATION
El Indict& who shnbIll be ,onbieled troardin" this rneljeel
gi Owner:
G. .e...n -e_ (.0 a:\-.
Phone: 92_...k,— 6, 0 .:,..6."
D n ,,,,,,,g's
'
0 Applicant:
Phone:
Fax:
Mailing Address:
Mailing Address:
City, State, Zip
pO\S",l11,,9_- Qa \
1
np4--0
(,)
City, State, Zip
o ontractor
c
_)Q_\C
i ),,,,,„
Fax
CI Architect/Engineer
phone
Fax
Mailing address
,
Nailing address
City, State Zip
.
::
City, State Zip
WA State Contractor license 4
Contact name:
PROJECT ;INFORMATION
•-'
13uilding height to peak
Dimensions.
a; X "3Dgo
Occupancy group
Cost of project
g ODO ' OD
# of stories
Total habitable space
Construction type
34:\ Ok C 1Atk-a
Main floor sq. ft.
TtO
?'"I floor sq. ft.
•\n
Unfinished basement sq. ft.
Finished basement sq. ft.
+As.
Garage sq. ft.
D s
Deck sq. ft.
Heat source‘ (electric, as, etc.)
Manufactured Home
Sid
Width:
I ,ength:
What is the square Footage of the sign
face?
How high is the sign?
Year:
Make:
# of sips
Arca of existing signs
Previous address
Fire Sprinkler
Paint booth Fire Alarm
fent
Fireworks display
Proposed use
Value
Special.Inspections Required
..:
;" ;;
... 1111
Non -Residential Energy Code Compliance?;
Pira Name
Is your property in a designated wildlife habitat area?
0 Don't know 0 Ycs Cr, No
Phone
Is any part of the property within a 100 yr flood plain?
Ijyer, 'dent/b' on site plan
0 Maybe 0 Don't know 0 Ycs N( No
Plans I:xaminer
Phone
Inspectors:
Arc there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( / %) 0 Yes No
Are critical or hazardous materials used or stored on site?
0 Ycs .17 No
Address
Inspector
Phone
O Concrete
O Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? IFIZ.Ycs 0 No
If yes, 'dent/1Y Y on site plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
Ilyes, identib, onsite plan 0 Ycs It(No
What is the current use of this property?
(,1Ae_ 1.-,0,( U.,) c:
Is your property in a designated wildlife habitat area?
0 Don't know 0 Ycs Cr, No
�(
Will the , c be served by a septic systein? 0 Yes`� No -
Is any part of the property within a 100 yr flood plain?
Ijyer, 'dent/b' on site plan
0 Maybe 0 Don't know 0 Ycs N( No
Arc or will there be wells located on the property?
Ijyes, identi6, ort the site plan 0 Ycs . No
Arc there any wetlands, streams or ponds within 200 feet of the property?
If yes, identify on site plan D Ycs A No
- is there evidence of fill or excavation on the property?
0 Ycs .'gr No
Arc there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( / %) 0 Yes No
Are critical or hazardous materials used or stored on site?
0 Ycs .17 No
DEPARTMENT USE ONLY
s the property iii a dcsignatcd Storrnwatcr:Control r\rc a? d
Is public seweravulabk';to the site
0 i
Is the property.insidc the•ASA?
Ni
Is'pub1ic'watcf'available'to the site?,:
•
IS the Oroperty insidcthc.PSSA?
Is•thctproperty.located:wrthin 1000 feet of a Nattiral Resource Arca?;
O, Yes O,:No
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
❑ CASI-t 0 CHECK ' ❑
DLIC®VEt
•
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1)A'1'11?:
EXP11U S:
B:ANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTO•I'AL,
TOTAL FEE
,.. MINIM IM PERMIT FEE IS 535001 1.1,tW
1\1:\LI CI11 CKS 1 AYA1/1.1- P0.SPOKANIS
cot � ri P1 IDII 1' C ILII„
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