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2002, 04-11 Permit App: 02002473 Storage BldgProject Number: 02002473 Inv: 1 Appli.cation THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: 24 X 32 DE'T'ACHED STORAGE BUILDING Contact: JONAS, WILLIAM & HELEN Address: 11212 E FREDERICK AVE C - S - Z: SPOKANE, WA 99206 Setbacks: Front 108 Left 68. Right: 6.5 Rear- 10 Phone: (509) 926-9417 Group Name: Site Information: Project Name: Date: 4/11/02 Page 1 of 2 Plat Key: CONV Name: CONVERTED CNTV DATA District: H Parcel Number: 45092.1602 Block: Lot: SiteAddress: 11212 E FREDERICK AVE SPOKANE, WA 99206 Location:: SPO Zoning: UR -3.5 Nater District Area: 15,000 Sq Ft Urban Residential 3.5 Owner- Name: JONAS, WILLIAM & HELEN Address: 11212 E FREDERICK AVE SPOKANE, WA 99206 Hold ❑ Width: 99 Depth: 150 Right Of \Vay (ft): 0 Nbr of Bldgs' 2 Nbr of Dwellings' 1 Review Information: Review Site flan Review Released By: e• ` Q Yak Plan Review Released By: Ce 'u&- r02� Permits: Operator: CKF Printed By: CKF Print Date: 4/11/02 Project Number: 02002473 Irv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/11/02 Page 2 of 2 Building Permit Contractor: OWNER Firm: OWNER Phone: Building Characteristics Const Category: New Group: U-1 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: 16 Stories: 1 Bldg W x D: 24 x 32 Building Sq Ft: 768 Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: ❑ This Application: Total Project: Description Grp Lug Notes Sq Ft Valuation So Ft Valuation STORAGE U-1 VN 768 $9.216 00 768 $9,216.00 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Notes: . --- Payueent Sumnran' Pemut Type Building Permit Totals: 768 $9,216.00 768 $9,216.00 Units Unit Dcsc 1 YORBLANK 1 YORBLANK 1 Y OR BLANK Fee Amount $163.00 $4.50 $35.86 Permit Total Fees: $20336 Fee Amount Invoice Amount $203.36 $203.36 $203.36 $20336 Amount Paid $0.00 $0 00 Amount Owing $203.36 $203.36 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the ow ner) 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: CKF Printed By: CKF Print Date: 4/11/02 rr' Ilk Spew COUNTY PROJE%T APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 \VEST BROADWAY AVENUE SI'OK.AANE, \VA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: I �% ),2 Yre A ac i c K Aver, Assessor's Tax Parcel Number(s): 1' 50 9 n Hoop_ Legal Description: Lor- 2 ;n Block 1 of {4fracres 2-e9la+ no. q- ✓n!, l5 P9, 92 Project Description: l✓© I e- I, \ ` va lrt •1 OA I.,. ii ;7, Budding Permit O Change in Use O Grading n Manufactured Home Permit ,O Relocation 0 Sign 0 Tenant (New/Change) 0 Other 0 ,\rchnen/bgtccer Department Use Only. \t'ver onirunun ict/Pzy- _ Seocr District/Purvcvur, ; - Road,width ' _ , :Setbacks ;Front:!.- , .. Rear; �( ' - Deft Right- - _ +'.... ... Schr,nl District. . Fire District. .. '/umng - .._ OWNER/APPLICANT INFORMATION Iru/mtle nbn than/d /,e amid, mi nterrhna l/ni Pm;e 1 0 (Inc Pion, '2O- q (/./7 -1-Ae\en soros Fax -\rncc.un WI\\ aw\ phony. 924— 9y17. •1 OA I.,. Mailing AJJrv, 11211 G, Freeci-Y Avc, Madmg AJJrc.. 11,212 L t Fe2ec c -K R✓�- On. Stare, Zip SFOtkaN..e G3 o—, 9gao, (r, State, Zip S1 K _ (duet. 99aa& 0 Contractor Phony Fax 0 ,\rchnen/bgtccer Phone Fa • hlailmg addres Construction npt ^'�9 II(j V� e 'V( Mailing alt1 (:in, State Zip Go, Seuv 'hes I feat s�nvee (Isle lc. gs. el c \V,\ Stam fumracmr heto.v = Contact name. PRO IECT INFORMATION I3uilding Infofmation ' ISudJin,g lit ,Ghl to peak# iAl \ nl slums 1 rot i\I:an floor It 7 IC/ la Unhnbabaser/km Is( baseny t r Dnnen>'111Is1 / 4 ^ �� 1 4.11h:�bitablr .p.¢< _ / 2.-i Il)rt.11. ti. r' Fnushcd basement try.. Occupancy wimp Construction npt ^'�9 II(j V� e 'V( (acigc .y. It. Deck sy ft.(:„,1 V if pmiyct .��� O0 t I feat s�nvee (Isle lc. gs. el c c Manufactured I-Iothe Sign r. Width Length: r \C9nw the square footage of the sign face? I low high is the sign? Year: Make: # of signs Area i if e'isting signs Are there slopes greater than 30% on the property? (30 it nse in 100 ft) • ( /%) 0 Yes No� Proposed use Value Relocation •_.'-'.. • - • • - Fire Safety; ' ' •. - Previous address Fire Sprinkler .fent Paint booth Fire Alarm Fireworks display _ Are there slopes greater than 30% on the property? (30 it nse in 100 ft) • ( /%) 0 Yes No� Proposed use Value Special_Inspections..Required? Non;ResidentialEnergy,Code.Compliance?! ' Finn Name What is the current use of this property?i 1 (e5ld ev 3 0 Phone Plana Isammer Phone I n.pecrors Are there any wetlands, streams or ponds within 200 feet of the property? 1f yes, irlenhf' on utep/run 0 Yes ClairNo Is there eFidence of fill or excavation on the property? �,( r 0 Yes ly No Are there slopes greater than 30% on the property? (30 it nse in 100 ft) • ( /%) 0 Yes No� Adkins.: Iii pector Phone ❑ Concrete ❑ \Welding 0 Bolting 0 Reinforcement Addtc ADDITIONAL SITE INFORMATION Are there structures on the property? l2( Yes 0 No If yes, identify on site plan What is the current propery size? i 5D ©D �� �t (square feet or acres) / r " Is any parr of the property within 250 feet of a shoreline? If res, 'dentin' on ,ate plan 0 Yes CR No What is the current use of this property?i 1 (e5ld ev 3 0 Is your property m a designated wildlife habitat area? 0 Don't know 0 Yes 1 No Will the site he served by a septic system? 0 Yes cit No Is any part of the properly within a 100 yr flood plain? lilies, ndent ' on me plan 0 Maybe 0 Don't know 0 Yes X No Are or will there be wells located on the property If�'es. ,door, on the site plan 0 Yes . 00 No _ , . Are there any wetlands, streams or ponds within 200 feet of the property? 1f yes, irlenhf' on utep/run 0 Yes ClairNo Is there eFidence of fill or excavation on the property? �,( r 0 Yes ly No Are there slopes greater than 30% on the property? (30 it nse in 100 ft) • ( /%) 0 Yes No� Are critical or hazardous maten:ds used or stored on sire,?,/ 0 Yes Of No DEPARTMENT USE ONLY Is the property in a designated Stonnwater Control Area? 0 Yes 0 No ' Is public sewer available to the site?-: , i O. Yes 0 No , . .. - Is the property inside the ASA? 0 Yes 0 No 0 Yes 0 No - Is public waver available to the site? .' ' 0 Yes '0' No Is the property inside the PSSA? 0 Yes 0 No - Is the property located within 1000feet of a Natural Resource Area? ❑ Yes ' ❑No - Dam Iteccned Sia(( It i pm'entame. METHOD OF PAYMENT VISA ❑ C\SII ❑ ci 0.:G: ❑ DISCOVER FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD I(XPIRI-S RANLC \RD NUIMIRI•.It \UTI It )It IZI!I) SI( INA I LIRE SURTO FAL TOTAL FEE MINIMUM PERMIT FEE LS VV5 PLr \St MASE CI IECKS PAVAM.E'1 O SPOKANE couNty PLRMI r CEN"ill ■■■■■■■■■■ ■■ n ■■■■■■•■■ ■■ 1 40. n e= 5 n■■■■■W ■■ ■■ :■■ .5 n ■■■■n■■■■■■■■■■■■■■n■ ■■ ■nn■■ ■■■■nn■■■■■■■■■■■ ■■■■ e. ■■n ■■i �' ■■ ■ m���■ ■■■� n■n■ `filo-- ■■■■ ■■■ ■■■■■■■■■@Le ■■■ ■■■■ ■■■■■■ 1 ci A■■ -re.. k■■■■■■■ n■ ■■■ ■i■■ ■n■�■■■n■■■■ ■■i■m■ ■ ■■■■ . � in n■ ■1 6 ■ ■ m■ M g• : ■n■a ■ n - ■ ° - ■■■■■■ ■■■■ n ■■: ■n - w ■■ ■■■■■ ■■n■ ■■■■ . ■■■■• ■■■■ 1 ■■n�■■ Ex-� s+�n3 0 8 � ■■ ■ ` ■ Via_ w ■■■• ■■■■■ 3 N d ■ 'owe es-ar pre w, ■■■■■■■■n■ t�... ■■■nn d ■ ■ rAD1 wt :02■ . Gal ■�n■■n ■■ -3 - d C C n� a O n ■ ■■■ mSA O. Em m t Era ■■ 51�E ■ NN`'>2v 2-E two, noatn lF'ede-'t'Gk th ■■■ nnn■■n■■■■■i■■ nn■■s■■■■■■■ ■n■■■■%■■■■ ■■■■■■■■