2002, 05-03 Permit App: 02003301 DeckProject Number: 02003301 Inv: 1
• Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/3/02 Page 1 of 2
Project Information:
Permit Use: RES ADD - DECK
Setbacks: Front
Site Information:
Left: 7 Right: Rear: 45
Plat Key: 005859 Name: RIVERWALK 8TH ADD
Contact: BRIESE, BRENT
Address: PO BOX 242
C - S - Z: GREENACRES WA 99016
Phone: (509) 892-5750
Group Name:
Project Name:
District: G
Parcel Number: 55085.5608 Block: 2
Lot: 4
SiteAddress: 19325 E FLAT ROCK RIVER Owner: Name: BRIESE, BRENT
GREENACRES, WA USA 9901 Address: PO BOX 242
Location:: GRE GREENACRES WA 99016
Zoning: UR -7
Water District:
Area: 7,751 Sq Ft
Nbr of Bldgs: 1
Review Information:
Urban Residential -7
Hold: ❑
Width: 70 Depth: 110 Right Of Way (ft): 35
Nbr of Dwellings: 1
Review
Site Plan Review
Plan Review
Released
Y:.
Originally Released:
Originally Released:
Permits: ., ,T
Operator: JAS Printed By: JAS
5/3/02 By: jshatto
Release
5/3/02 By: jshatto
Print Date:
5/3/02
Project Number: 02003301 Inv: 1
Application
Date: 5/3/02 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Const Category: Addition
Building Permit
Firm: OWNER
Phone:
Building Characteristics
Group: R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories: 1
Bldg W x D: 12 x 34 Building Sq Ft: 408 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Gra Type Notes Sq Ft Valuation Sq Ft Valuation
DECK R-3 VN 408 $3,194.64 408 $3,194.64
Totals: 408 $3,194.64 408 $3,194.64
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes • ._ .
Payment Summary ,
Permit Type
Building Permit
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Fee Amount
$111.86
Permit Total Fees:
Invoice Amount
$111.86
$111.86 $111.86
Fee Amount
$88.00
$4.50
$19.36
Amount Paid
$0.00
$0.00
$111.86
Amount Owing
$111.86
$111.86
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: JAS Printed By: JAS
Print Date: 5/3/02
Ainik
SPOKANE COWTY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, \(/A\ 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address:
ti3 z5 e. F(a+ T20,4
Assessor's Tax Parcel Number(s):
c--.
Legal Description:
Project Description: G,„:1. cti (.16 it 0 v o Na Sk
Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
El Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
Water District/Purveyor
Sewer District/Purveyor
Road width
Setbacks
Front Rear.
Left Right
School District:
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
0 Indicuie who .should be conlucled nLurdin, Ibis hro/ed
-ihsner:
gr.( v.. -N- B,, :42_ 4 -)CL
Phone: 5c 9_ w9„/ -- 5---7s o
F:x: See -34.-33{—,
El Applicant
Phone:
has:
Mailing Address:
o . g 04 Ci
Dimensions
Mailing Address:
2"1 floor sq. ft.
City, State, Zip
G".. aC v,k5 :
wA
9
96 W
City, State, Zip
Cost of project
❑Contractor
I Ieat source (electric, gas, etc)
Phone
Ias
❑ Architect; I [grocer
Phone
Ias
Mailing address
Mailing address
(.m', State /,p
City, State Zip
WA State Contractor license #
Contact Hanle.
PROTECT INFORMATION
r Building Information
Building height to peak
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
Total habitable space
2"1 floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft. 1j
Cost of project
I Ieat source (electric, gas, etc)
Manufactured Home
Sign
Width:
Length:
What is the square footage of the sign
face? , -
I low high is the sign?
Ycar:
Make:
# of signs
Arca of existing signs
Proposed use
Value
Address
Relocation
Fire Safety
Firm Name
Previous address
Phone
Fire Sprinkler
Tent
Fireworks display
Paint booth _ Fire Alarm
Inspectors:
Is there evidence of fill or excavation on the property?
O Ycs I No
Proposed use
Value
Address
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
What is the current use of this property? I
YL L 2 — t 'e`), A e ;d L,.k
Phone
Will the site be served by a septic system? O Yes gi,No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
O Ycs I No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( %) CI Ycs No
Are critical or hazardous materials used or stored on site?
CI Ycs tit No
Address
Inspector
Phone
O Concrete
O Welding
CI Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? . Yes O No
Ifyes, identij on site plan ps3 k
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
I, fyes, identifi, on site plan O Yes No
What is the current use of this property? I
YL L 2 — t 'e`), A e ;d L,.k
Is your property in a designated wildlife habitat area?
O Don't know O Ycs &No
Will the site be served by a septic system? O Yes gi,No
Is any part of the property within a 100 yr flood plain?
Ifyes, identi en site plan
O Maybe 154, Don't know O Yes O No
Arc or will there be wells located on the property?
Ifyes, identifi on the site plan O Yes ^ 1 No
;Are there any wetlands, streams or ponds within 209 feet of the property?
Ifyes, identify on site plan O Ycs No
Is there evidence of fill or excavation on the property?
O Ycs I No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( %) CI Ycs No
Are critical or hazardous materials used or stored on site?
CI Ycs tit No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
O Yes No
Is public sewer available to the site? Yes 0 No
Is the property inside the ASA? Yes O' No
Ycs O No
Is public water available to the site? 1 Yes O No
Is the property inside the PSSA? ,Yes O No
Is the pro r Located within 1000 feet of a Natural Resource Area?
O Yes [No
Date Received:
C'r
-.� . �J\
Staff Rep •sen
,
. .__, !fir'
METHOD OF PAYMENT
❑ CASII ❑ CIIN(,K
VISA
❑minim 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D:A1I?:
I:XPIRI:S:
B:WKCARD NUMBER:
AUTI IORI/ND SIGN ATTIRE:
SUBIOT.V,
TOTAL FEE
MINIMUM PERMIT FEE IS $35,OOPLEAS1s
MAKE CHECKS PAYABLE TO SPOKANE.
COUNTY PER.\11T CENTER
7
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This sfte set,,ni”ed for !`'E.:7.9.:21se of
obta;.:ng a t,-id!ng arA a re4t:- and correct
repres.en!ation ot the i.Nrvs& Ati known prope..-ty
linesidirnees-!ons, curb structures ar;r1 asements
have beederfHd Also T:dcated are werds.
bodies of 'sor other crihcal areas.
Signe
STREET