2001, 06-15 Permit App: 01004730 AdditionProject Number: 01004730 Inv: 1 irlication Date: 6/15/2001 Page 1 of 2
THIS IS -NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Parcel Number: 45161.0754 Block: Lot:
SiteAddress: 1004 N FOX RD
SPOKANE, WA 99206
Location:: SPO
Zoning: UR 3.5
Water District:
Area: 0 Sq Ft Width: 98
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: .:
Owner: Name: PARKER, BILL
Address: 1004 N FOX RD
SPOKANE, WA 99206
Hold: ❑
Depth: 185 Right Of Way (ft): 50
Department Review l t
BUILDING Site Plan Reviewwimarert , .# 'I kLiw:.l� i& . ��
Hold Reasons:
Permit Conditions:
BUILDING Plan Review
Hold Reasons:
Permit Conditions:
HEALTHDISTRICT
Hold Reasons:
Permit Conditions:
Permits: ;;;:::::.:.. :.;:.; :>;:.;:.;.;:.;:.;>;>;::;:.;::::>;>;::;;::.:::.;:::::.... :...:..:.:::>: ;.::.;:..............:.:...... ..
Project Number: 01004730 Inv: 1 Ap �n Date: 6/15/2001
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor:
Address:
Building Permit
PANAGOS CONSTRUCTION Firm: PANAGOS CONSTRUCTION
17311 N RUBY RD Phone: (509) 465-4805
SPOKANE, WA 99218
Building Characteristics
Const Category: Addition Group: R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: 14
Bldg W x D: 14 x 16 Building Sq Ft: 224 Sprinklers: El
Req Parking: Handicap Parking: Critical Materials: ❑
This Application:
Description Grp Tyne Notes So Ft Valuation
RESIDENCE R-3 VN 224 $13,888.00
Totals: 224 $13,888.00
Stories: 1
Total Project:
Sa Ft Valuation
224 $13,888.00
224 $13,888.00
Page 2 of 2
Item Description
Units
Unit Desc
Fee Amount
RESIDENTIAL VALUATION
1
Y OR BLANK
$213.00
STATE SURCHARGE
1
Y OR BLANK
$4.50
RESIDENTIAL SURCHARGE
1
Y OR BLANK
$46.86
Permit Total Fees:
$264.36
Payment ay Summary: um a
ry
Operator: MKC Printed By: MKC
Print Date:
6/15/2001
Permit Tune
Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit
$264.36
$264.36
$0.00 $264.36
$264.36
$264.36
$0.00 $264.36
Notes:.;:.
.....................................................................................................................................................................................................................................................................
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
"fifiR
SPOKANE,09-477 3675 9260
SPECIFIC SITE INFORMATION
Street Addr, 0 y � x �� � /. U
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: / AJz �
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant (New/(:hange) ❑ Other
Department Use Only
Water District/Purveyor
Sewer District/Purveyor
Road width
Setbacks
�X/4 l "/-7 6 (]—�— Fax:
Mailing Address:
Unfinished basement sq- ft.
Front: Rear.
Left Right:
School District:
Fire District:
Zoning
3
OWNER/APPLICANT INFORMATION
❑ (honer:
Phone
❑ Applicant: phone:
// / /LL
I as:
�X/4 l "/-7 6 (]—�— Fax:
Mailing Address:
Unfinished basement sq- ft.
Mailing Address.
v()L -0 =vX
Z2 3
City, State, Zip/
S 7
City, Stltc, Zip
c�/c" i� r• GV.9
lam'/_ 0
S c'' �
❑ Cqu(rnctor
Phone �r
/ �� �7�
Phone
❑Architect/Engineer
f,/�� AG d s —"-'s-I
a,
Fax
Mailing address
Mailing address
12311 �6
Cin, State Zip
On, State Zip
\\A ate Contractor license =
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
# of stories
Alain door sq. ft.
Unfinished basement sq- ft.
Dimensions
/y v6
Total habitable space
21111 Floor sq. ft.
Finishcd basement sq. ft.
( )ccupancc groUr
Construction tope
Garage sq. ft.
Deck sq. ft.
Cost of Protect
I Icat Source (electric, gas, ctc.)
Manufactured Home -,
S'
Width:
Length:
What s the square footage of the sign
face?
Mow high is the sign?
Year:
Make:
# of signs
Area of existing signs
O Don't know O Yes O No
Is any part of the property within a 100 yr flood plain?
,Are or will there be wells located on the property?
Relocation
Fire Safety
Previous address
Dire Sprinkler 'fent
Inspectors:
Paint booth Fire A]arm Fireworks display
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name phone
plans Examiner Phone
Inspectors:
Address
1 es, identifi, on site plan O Yes O No
Inspector Phone
13 Concrete O Welding O Bolting O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes O No
What is the current property size?
1 es, identify on site lata
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
What is the current use of this property?
1 es, identifi, on site plan O Yes O No
O No
Is your property in a designated wildlife habitat area?
Will the site be served by a septic system? O Yes O No
O Don't know O Yes O No
Is any part of the property within a 100 yr flood plain?
,Are or will there be wells located on the property?
Ifyes, ident�h, on site plan
Ifyes, identib! on the site plat O Yes O No
O Nlavbe O Don't know O Yes O No
O Yes O No
Are there any wetlands, streams or ponds within 200 feet of the property?
Is there evidence of fill or excavation on the property?
I es, identify on site plan O Yes O No
O Ycs O No
Are there slopes greater than 301/o on the property? (30 ft rise in 100 ft)
;Are critical or hazardous materials used or stored on sitee
�% O Yes O No
O Yes O No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
Is public sewer available to the site? O Yes O No
O Yes
O No
Is the property inside the ASA? 0 Yes
O No
Is public water available to the site? O Yes O No
O Yes
O No
Is the property inside the PSSA? O Yes
O No
Is the property located within 1000 feet of a Natural Resource Area?
O Yes O No
Date Recciccd: Staff Represattatne:
METHOD OF PAYMENT
❑ CASII ❑ (:111:Ch ❑ ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATF:
BANKCARD NUINIBIT:
\UTI10RIX1,11) SIGN:A'I ITF:
SU11TO AL
TOTAL FEE
MINIMUM PERMITFEE IS$35.1201T :ASE
AI:IKIC CHECKS 11XUILF" "1'0 SPOKANE
COCN'IAPI?lt\1I'1, CEN "IHR
B5 )
EXISTING RESIDENCE
Q
. a ( R
Cy
x
; I
CATALDO AVE. ibc,
I
FLOOR PLAN
SCALE: 1/4' - 1'-0'
ZONE
ROAD W!
FROM' , -091-2— F LAI N K I N G
COUMP
IT
- EXISTING
w d I
ard eas---- EXISTING
's, rareas.
at dY
of
it. , ---15
SEPTIC TANK
CATALDO AVE. ibc,
I
FLOOR PLAN
SCALE: 1/4' - 1'-0'
ZONE
ROAD W!
FROM' , -091-2— F LAI N K I N G
COUMP
IT
- EXISTING