2003, 03-18 Permit App: 03001767 GarageProject Number: 03001767 Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: GARAGE (36 X 32 X 12) Contact MEHLBRECH, EUGENE
Address 11924 E GRACE AVE
C - S - Z: SPOKANE, WA 99206-2608
Setbacks: Front Left: 50+ Right 7 Rear. 7 Phone: (509) 928-5924
Group Name:
Site Information: Project Name:
Date 3/18/2003 Page 1 of 2
Plat Key: 999999 Name: RANGE District: 11
Parcel Number: 45091.1101
Block Lot:
SiteAddress• 11924 E GRACE AVE
Spokane, WA USA 992116
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Owner: Nance. MEHLBRECH, EUGENE
Address: 11924 E GRACE AVE
SPOKANE, WA 99206-26118
Hold: ❑
Area: ;4011.00 Acres Width: 911 Depth: 140 Right Of Way (ft): 50
Nbr of Bldgs 2 Nbr of Dwellings• 1
Review Information: ..........
Review
Site Plan Review
Released By:
Plan Review
Permits:
Originally Released: 3/18/2003 By: ,jshatto
Released Bv:
Originally Released: 3/18/2003 By jshatto
Operator JAS Printed By JAS
Print Date- 3/18/2003
Project Number: 03001767 Inv 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/18/2003 Page 2 of 2
Contractor: OWNER
Building Permit
Firm: OWNER
Phone:
Building Characteristics
Const Category' New Group: Type:
Nbr Of Dwellings Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft_ Valuation Sq Ft Valuation
GARAGE U -I VN 1,152 $13,824.00 1,152 $13,824.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes: . . ..
Payment Summary:
Permit Type
Building Permit
Totals: 1,152 $13,824.00 1,152 $13,824.00
Units Unit Desc
1 Y OR BLANK
I Y OR BLANK
1 Y OR BLANK
Fee Amount
$213.00
$4.50
$46.86
Permit Total Fees: $264.36
Fee Amount Invoice Amount Amount Paid Amount Owing
$264 36 $264.36 $0.00 5264.36
$26436 $264.36
$0.00 $264.36
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 be
complied with, Subsequent issuance of a permit shall not he construed 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: JAS Printed By. JAS
Print Date: 3/18/2003
ill
SPOK,ANCOUKIY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
C SITE INFORMATION
Street Address: E I IKZti Lrace. Ave—l.'n _ WO.. cleta°(,
Assessor's
Assessors Tax Parcel Numher(s): qsoci I i/ O r
Legal Description:
EM;tabeow RoP\ck LI 21(
Project Description: 6 arao,Q–/ Po/e. 31A -116'1;1j
CiZg-59z5'
Par
lik Building Permit
❑Change in Use
0 Grading
0 Manufactured Home Permit
0 Relocation
0 Sign
0 Tenant (New/Change)
0 Other
Department Use Only
CiZg-59z5'
Par
0 Apphemt.
OWre-'C
Water fumet/Purveyor
SewerDstnct/Purveyor
Road width
Setbacks
Fine
crit
Rear:
MOP
2m floor sq. ft.
0)4
School Distnct
Dinner
Firein
Z ^g
. 3.
OWNER/APPLICANT INFORMATION
do are tbisprgrd
'OwnerPhmrsoq-
EUoene_/r/M eHL"ec%
CiZg-59z5'
Par
0 Apphemt.
OWre-'C
Phone
Fax
Main floor sq. ft.
i /sz Sq.. f+
Mailing Aas.
E l lotam vita_ Au,---.
Mailing Address:
Total habitable space
/,/SZ sf 14
2m floor sq. ft.
0)4
Gty, Stat, Zip
S p oico t. W a,
°192-0(0
City, State, Zip
Construction type
/7of e b ,; lam(;�
Garage sq. ft.
0 Contractor
OW VNe.c
Phone
Pax
0 Architect/Engineer
Ciro✓\e r
Phone
Pr
MuLng address
Muting address
City, State Zip
City, State Zip
WA State Contractor here #
Contact mme
PROJECT INFORMATION
Building Information
Building height to peak s 4
/G
# of stones
Main floor sq. ft.
i /sz Sq.. f+
Unfirushed basement sq. ft.
NA
Dimensions
3 E x32.
Total habitable space
/,/SZ sf 14
2m floor sq. ft.
0)4
Fhushed basement sq. ft.
11/4
Occupancy group
llf�
Construction type
/7of e b ,; lam(;�
Garage sq. ft.
Deck sq. ft. ��
Cost of protect �{
Heat source (electric, gas, etc.)
Manufactured Home
Sign
Non -Residential Energy Code Compliance?
Width:
Length.
What is the square footage of the sign face?
How high is the sign?
Paint booth
year;
Make:
# of signs
Area of existing signs
display
_ _
Proposed use
Value
Relocation
Fire Safety
Non -Residential Energy Code Compliance?
Pim Name
Is your property in a designated wildlife habitat area?
❑ Don't know ❑ Yes 'IcNo
Previous address
Is any part of the property within a 100 yr flood plain?
Ifyes, identify on site plan
❑ Maybe ❑ Don't know ❑ Yes g No
Paint booth
Fire Spnnkler
Firewodc
Tent
_
Fire Alarm
display
_ _
Proposed use
Value
Inspector
Phone
Special Inspections Required?
What is the current property size?
(square feet or acres) 13,7OZ . Z
Non -Residential Energy Code Compliance?
Pim Name
Is your property in a designated wildlife habitat area?
❑ Don't know ❑ Yes 'IcNo
PhonePlans
Is any part of the property within a 100 yr flood plain?
Ifyes, identify on site plan
❑ Maybe ❑ Don't know ❑ Yes g No
Examiner
Phone
Impactors.
Is there evidence of fill or excavation on the ptop,.rty?
0 Yes :l No
Are there slopes greater than 30% on the property. (30 ft rise in 100 ft)
No
( /°A) 0 Yes�l
Address
Inspector
Phone
❑ Concrete
❑ Welding
❑ Bolting
❑ Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 4d Yes ❑ No
IT yes, identify on siteplan
What is the current property size?
(square feet or acres) 13,7OZ . Z
Is any part of the property within 250 feet of a shoreline?
Ifyes, idenbf on site plan ❑Yes $1 No
What is the current use of this property?
SIet°'(c ffcamli1i Testdeace-
Is your property in a designated wildlife habitat area?
❑ Don't know ❑ Yes 'IcNo
Will the site be served by a septic system? ❑ Yes (lik No
Is any part of the property within a 100 yr flood plain?
Ifyes, identify on site plan
❑ Maybe ❑ Don't know ❑ Yes g No
Are or will there be wells located on the property?
yin, rdenhfy on the site plan ❑ Yes Xl No
Area?
Are there any wedands, streams or ponds within 200 feet of the property?
If yes, idenk(y on tile plan ❑ Yes 71, No
Is there evidence of fill or excavation on the ptop,.rty?
0 Yes :l No
Are there slopes greater than 30% on the property. (30 ft rise in 100 ft)
No
( /°A) 0 Yes�l
Are critical or hazardous materials used or stored on site?
�,I
0 Yes No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
No
Is public sewer available to the site? 7 -es ❑
No
iles
Is the property inside the ASAI es 0 No
Yes O No
Is public water available to the site? Yes 0
No
Is the property inside the PSSA? Yes 0 No
Is the pro�7 e�rty� died within 1000 feet of a Natural Resource
0 Yes "V
Area?
Date Received
Ise 63
METHOD OF PAYMENT
Staff Reps tau
I
MA I
ElCASH ❑ CHECK ❑ S ❑ . ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE- EXPIRES
DUCOVER'
tati ono ass=
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
SUBTOTAL
TOTAL FEB
MINIDtUM PERMIT PEE 15 $SSW PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
COUNTY PERMIT CENTER
E (/92- C4 r()Q-
S kAck. To(7-06
Lof s, 2 ,i-{,S)Y' S = 13,-102.// ,2
G0.raLoy_s Z j 'lis Z SQ,„Ur��'�t'
Roj 16,5 ¥ -i
D S`� c. ncc cU t"1 p e.
SO_uceit_f
5
yci
This site,,. :,_ _ _ _ _ ted for theaurpose 8f
chrain nx ..... ;, r i . and is a triie and correct
represen:atlr^ of 11-i9 prrcc:al All known prcpe:ty
linestd -nensicr , cu structures and easesconts
have .:.; atd are wetlands,
bodies ci ;. .stte-c`rr.;;; or other • nticai areas.
Signe __� ✓ /i
Date
PASS
\\-),
P0'.•
I �
221
ZI,5
11e.SA.) Ct.
C t
CtOLS42—
\ ei
T ' 1
2.3'
•
RO'
Gace__ irIV