2002, 01-03 Permit App: 02000029 Finish BasementProject Number: 02000029 Inv: t
• Application
Date 1/3/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use FINISH BASEMENT, 3 BEDROOMS, LAUNDRY Contact GARCIA, GILBERT
ROOM & FAMILY ROOM Address: 3621 S FOX RD
C - S - Z: SPOKANE, WA 99206
Setbacks: Front Left: Right' Rear: Phone: (509) 922-1723
Group Name:
Site Information: Project Name:
Plat Key: 003146 Name: MIDILOME 1ST ADD District' F
Parcel Number: 45331.1207
Block: Lot.
SiteAddress. 3621 S FOX RD
SPOKANE, WA 99206
Location:: SPO
Zoning: UR -3.5
Water District.
Urban Residential 3.5
Owner: Name: GARCIA, GILBERT
Address: 3621 S FOX RD
SPOKANE, WA 99206
Hold: ❑
Area. 0 Sq Ft Width 0 Depth: 0 Right Of Way (ft): 50
Nbr of Bldgs. 1 Nbr of Dwellings. 1
Review Information: _ .
Review
Plan Review
Permits:
Released By:
Operator: RNIB Printed By. RMB
Print Date: 1/3/2002
Project Number: 02000029
Inv' 1
Applicatibn
Date: 1/3/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Address: 0
000000, 00 000000
Building Permit
Firm: OWNER
Phone: (000) 1)1)0-0000
Building Characteristics
Const Category: Remodel Group:
Nbr Of Dwellings: Occupant Load:
Bldg W x D: x Building Sq Ft:
Req Parking: Handicap Parking:
Description
Grp Type Notes
BASEMENT R R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes: .....
Payment Sununary:
Permit Type
Building Permit
R-3 Type: VN
Building Height. Stories:
Sprinklers: 0
Critical Materials: 0
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
900 $3,780.00 900 $3,780.00
Totals: 900 $3,780.00 900 $3,780.00
Units Unit Desc Fee Amount
Y OR BLANK $88.00
Y OR BLANK $4.50
YORBLANK $19.36
Permit Total Fees: $111 86
Fee Amount Invoice Amount
$111.86 $111.86
$111.86 5111.86
Amount Paid
$111.86
Amount Owing
$000
$1 1 1.86 $0 00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to he true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will he
complied with. Subsequent issuance of a permit shall not he contrued to he a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: RMB Printed By: RMB Print Date: 1/3/2002
eaTIL
Ili
ant
Spoiw COUNTY
O
Z
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 \VEST BROADWAY AVENUE
SPOKANE, \VA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: .3 l21 serudilrot %{e tl
i
Assessos Tax Parcel Number(s): 'j1/53 3 /. / 207
Legal Description:
Pl ei Ioayc /Jt? add- L7 .B.
Project Description:
Pols-A. A461/flit (dyeiJt /t. Dain j ado/ ear e /- ✓- Atere,$)
lir Budding Permit
O Change in Use
O Grading
O Manufactured 1 -Tome Permit
0 Relocation
O Sign
O Tenant(New/Change)
O Other
Department Use Only.
Ph(m'6s5-Q9)92G //Z 3
arcuci
0 Applicata- .
r5fhr/C AS
, Water Distort/Puneyor
-
Scu•cr Dhtrict/Purveyor- ..
Road uiJdt
.-"
;Setbacks
i. Front.
.'ILfc •, :.
.- ,.Rea
"'-
s Right ,
School District-
Pim District.' -
.
Zoning r -
.. -
OWNER/APPLICANT INFORMATION
0 I,Jnulr ///of) Jhov/l / e iuuL4 ial n arJirre dui /rr ar!
tKln, n.r
,J&r/ *.LaotHL
Ph(m'6s5-Q9)92G //Z 3
arcuci
0 Applicata- .
r5fhr/C AS
Photo
0Ah0C4 ra.
Marling Address,
362/ s.
FOisd.
/lading AJJre,
"ni hour sy, 1/
9
Cin, Stan',' Lip
SPD,kafl (,
A),
79260
( t, Stns, /zp
Decks ft.
u,l. tale
' Iell si ill Yle (duct ric. 1•:1\, etc.)
CAS -
Thine
I a
■ owtil ii/- e
Phone
Fa`
\Inning ad• c..
a.
NI.iilmg -Oda
Cm, Stars lip
Cnc Slate Zip
\\)\ Stave Contractor /error n
Conran name
PROTECT INFORMATION
Building Information ,:
Ru 1 ding height to peak
# of>tonta
\Lan 11,nr st. 0
intri //S6)
Unfinished base mem sy 11
/l✓/S 1/50
Dimension,
'roti' ',thimble space •.
"ni hour sy, 1/
9
1•rnislicd bawment ay. IL
yro
( )cclipanc\ tiniupA / r
��L
( 1 tis1 rncliin type
G.Irige.y. 0.
Decks ft.
(.IIsi of rtnicci.
�'/ a4��1
/ ,d4'
' Iell si ill Yle (duct ric. 1•:1\, etc.)
CAS -
➢UCOVER
nR
Manufactiire'd Home .-
Signe:
width:
length:
What is the square footage of the sign
face?
I low high is the sign?
Year:
Make.
# of signs '
Area of emsung signs
0 No
Are or will there he wells located on the property? �/
I f yes. identify an the rite plan 0 Yes IT No
,\JJre'.
Relocation;;
Fire, Safety
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks dtsplav
Proposed use
Value
. Special Inspectiofis-Requirdd? :
Non -Residential Energy Code,Colnpliaiice? i',
Firm Name
Is any parr of the property within 250 feet of a shoreline?
If yes, ideuhfl' on the plan 0 Yes a...No
Phone
What is the current use of this property?,
J
Plans [spinner
Phone
In pcciors
Is any part of rhe property within a 100 yr flood, plain? i
Des. identify an site plan
0 Maybe 0 Don't know 0 Yes 17 -No
0 No
Are or will there he wells located on the property? �/
I f yes. identify an the rite plan 0 Yes IT No
,\JJre'.
Is there evidence of fill or escacanon 011 the property? /
0 Yes IYl ,yNo
Are there slopes greater than 30% on the property? (30 ft se In 100 ft)
( /"/o) 0 Yes 7 -No
Are critical or h.vardous marenals used or stored on site? /
0 Yes m No
Inspector
Phone
O Concrete
O Welding
O Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there strictures on the property? Er Yes 0 No
If yes, tdentj' on .rite plan -
der Control Area?
0 Yes
\That is the current property size
(square feet in acres)
Is any parr of the property within 250 feet of a shoreline?
If yes, ideuhfl' on the plan 0 Yes a...No
Is the property inside the ASA?
What is the current use of this property?,
J
Is your property in a designated wildlife habitat area? �
/
0 Don't know 0 Yes LH No
r
Will the site be served by a septic system? 0 Yes g No
Is any part of rhe property within a 100 yr flood, plain? i
Des. identify an site plan
0 Maybe 0 Don't know 0 Yes 17 -No
0 No
Are or will there he wells located on the property? �/
I f yes. identify an the rite plan 0 Yes IT No
Are there any wetlands, streams or ponds yyvhin 200 feet of the property?
If yes. ident/' on the plan 0 Yes 13/i4'o
Is there evidence of fill or escacanon 011 the property? /
0 Yes IYl ,yNo
Are there slopes greater than 30% on the property? (30 ft se In 100 ft)
( /"/o) 0 Yes 7 -No
Are critical or h.vardous marenals used or stored on site? /
0 Yes m No
DEPARTMENT USE ONLY
Is the property in a designated Storm
• ,.
der Control Area?
0 Yes
0 No' ,
Is public sewer available to the site? 0 Yes . O No
. .
Is the property inside the ASA?
0 Yes
0 Yes
0 No
0 No
Is public water av:ulable to the site? 0 .Yes 0 No
.
Is the property inside the PSSA?
0 Yes
0 No
Is the property located within 1000 feet of a Natural Resource Area?
O Yes ❑ No ".
Date Remand
Staff Repo:NI:m.11 e'
METHOD OF PAYMENT
VISA "�,- II'f•F
❑ CAs1I CI IFI.K ❑ 0 ::_:,'- 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D.VII(:
B.\NKC.\RD NU,MISER•
:\UTI IORI%Iii) SI(;N.\TLIRI$
Sl lh'I'O I'.\I.
TOTAL FEE
.10N.1.1Wf PERMIT FEE /S $15ltl PLEASE
11 \6f. CI IItCKS PAYABLE -10 SPOKANE
' COL] 11 PER41I CEN1 ER
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