2002, 04-16 Permit App: 02002607 DeckProject Number: 02002607 Inv: 1
_L.
Application
Date: 4/16/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 12 X 9 DECK
Setbacks: Front EXI Left: 20+ Right: 20+ Rear: 20+
Site Information:
Plat Key: 000758 Name: EVERGREEN SUB.TR.115,WESTFARMS PLAT4 District:
Contact: LUY, DENNIS
Address: 4904 N EVERGREEN RD
C - S - Z: SPOKANE, WA 99216
Phone: (509) 921-6582
Group Name:
Project Name:
Parcel Number: 46353.0802 Block:
SiteAddress: 4904 N EVERGREEN RD
SPOKANE, WA 99216
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: PHILLIPS, MARIA
Address: 4904 N EVERGREEN RD
SPOKANE, WA 99216
Hold: El
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 60
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released By:
vce:P"-A"f•fri4 4
Plan Review
Permits:
be System Review
Released By:
JA-
..aartezell
Operator: RMB Printed By: RMB Print Date: 4/16/2002
Project Number: 02002607 Inv: 1
Application Date: 4/16/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER Firm: OWNER
Phone:
Building Characteristics
Const Category: Addition Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 0 Stories: 1
Bldg W x D: 12 x 9 Building Sq Ft: 108 Sprinklers: El
Req Parking: 0 Handicap Parking: 0 Critical Materials:
This Application: Total Project:
Description Grp Type Notes So Ft Valuation Sq Ft Valuation
DECK R-3 VN 108 $794.88 108 $794.88
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Permit Type
Building Permit
Totals: 108 $794.88 108 $794.88
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$35.00
$4.50
$7.70
$47.20
Fee Amount Invoice Amount Amount Paid Amount Owing
$47.20 $47.20 $0.00 $47.20
$47.20 $47.20
$0.00 $47.20
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: RMB Printed By: RMB
Print Date: 4/16/2002
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: NO
A)
j( / (tF`v lea
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description:
ID'Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
0 Relocation
O Sign
O Tenant (New/Change)
O Other
Department Use Only
Water District/Purveyor.
Sewer District/Purveyor
Road width
Setbacks
Front Rear
Lek Right
School District:
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
0 led, i, n•hn d be .nn/t Ird rc�atrlln' lhi. hn i ,i
0 (firncr
Mtlte ld Mitt
Phone:
Fax:
( 2 I 6 5-6 Z
-/ l v
n
❑ Applicant:
Phone.
Fax:
Mailing Address:
/MG `t I/ F i/r,' G (,Gti ,&(%
&tailing :\JJresc
2nd for sq. ft.
City, State, Zip(:rn,
1/6)l/f /AIL'IC.-- wA-G l °71
State, Zip
Construction type
0 Co rano,
en 0 , J L c.
Phone
Fax
(.r 1st Of project
❑ Architect; t:ngineer
Phone
Pas
&lading address
&tailing address
City, State Zip
$/ i/(/1 't L A
1 ) (
6
(:in-, State Zip
\\'1\ State Contractor license ia
Contact name:
PROTECT INFORMATION
Building Information
Building, height to peak
r•- 1Cfl
L..)Dimensions
# of stories
Main tlr or sq. ft.
Unfinished basement sq. ft.
i, hLOccupancy
Total habitable space
2nd for sq. ft.
Finished basement sq. ft.
grow
Construction type
Garage x.. ft.
Deck sq. tt.
(.r 1st Of project
1 leaf source (electric. gas. etc.)
LL
(410(4
ZONE EkkaleeeN
ADDRESSAi
-3 .5
ROAD WIDTH51)
FRONT FLANKING
COM
REVIE'liED
/4)T's
slte la.T beng submltted for the purpose of
obtanre. cermlt and is a tnuT: and correct
represectabon of the pro;.-)esal. AH known property
lines/dln-ensloes. curb llnes. structures and easements
hnvo been :je t: fled lndlcated are wetlands,
bodies of water steep S'-'nES or o -r critical areas.
Signed:_
Date: /