2003, 02-12 Permit App: 03000869 GarageProject Number: 03000869 Inv: 1
Application
Date: 2/12/2003 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DETACHED GARAGE
Setbacks: Front NA Left: Right: 10 Rear: 10
Site Information:
.....................................
Contact: ORR, EDWIN R
Address: 702 N GREENACRES RD
C - S - Z: GREENACRES, WA 99016-9537
Phone: (509) 924-4723
Group Name:
Project Name:
Plat Key: 000498 Name: CORBIN ADD TO GREENACRES
District: G
Parcel Number: 55184.1007
Block: 10 Lot: 9
SiteAddress: 702 N GREENACRES RD
GREENACRES, WA USA 990
Location:: GRE
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Owner: Name: ORR, EDWIN R
Address: 702 N GREENACRES RD
GREENACRES, WA 99016-9537
Hold: ❑
Area: .,000.00 Acres Width: 100 Depth: 160 Right Of Way (ft): 50
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review
Site Plan Review
Released
Plan Review
Landuse/Zoning
Permits:
Released By'"
C� •3� -03 Loz c.i.Nb 14DA usZ/1 ta-r
Operator: JEF Printed By: JEF
Print Date: 2/12/2003
Project Number: 03000869 Inv: 1
Application
Date: 2/12/2003
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Building Permit
Page 2 of 2
Firm: OWNER
Phone:
Building Characteristics
Const Category: New Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height:
Bldg W x D: x Building Sq Ft: Sprinklers: 0
Req Parking: Handicap Parking: Critical Materials: 0
This Application:
Description Type Notes Sq Ft Valuation
GARAGE U-1 VN 1,728 $20,736.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Payment Summary:
Permit Type
Building Permit
Totals: 1,728 $20,736.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Stories:
Total Project:
Sq Ft Valuation
1,728 $20,736.00
1,728 $20,736.00
Fee Amount
$300.50
$4.50
$66.11
$371.11
Fee Amount Invoice Amount Amount Paid Amount Owing
$371.11 $371.11
$371.11 $371.11
$0.00 $371.11
$0.00 $371.11
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 construed 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: JEF Printed By: JEF Print Date: 2/12/2003
Ainik
SPOKANE COUNTY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 \X'EST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address:
>'o a N, am.04a 6" 61.ge•l.cc/-e. 1t4, , 1y0/6 9'f'3 >
Assessor's Tax Parcel Number(s): 1Ce s-s�8•�� ��Dy,
Legal Description:
C.rI.' -odd )4o G' #'* AAA* ,r Z 8' N ZS -2 9
Project Description: 131.4 .1'4/". . Al.•t. rf 8&+.,*4' Geac/p,B 4.6 of X -12v -'s99 4/17
0. Building Permit
❑ Change in Use
❑ Grading
O Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
In 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
El Indicate who should be cnnlacled rzeardini lhiv Amierl
73, Owner: Phone
I2/14,:4 e. Av gI a..5'b9 rot 474" 4' olti
El Applicant:
Phone:
f az:
Mailing Address:
70,2 R. Gwen r /9/
Mailing :Address:
Dimensions �
✓C ✓\Y ii.
City, State, Zip
abePe`4 air W , 9.9.,/‘-�.9ps",3�
city, State, Zip
finished basement sq. ft.
AContractor e7/ O/1 N .jG4Ae////e RPh."nr aQ D16, / "��yp
P�4e 1-* apor d.4e","
El Architect. Engineer
Phone
Fax
Mailing address
.01 7039 N, Ca,1-4e ,f/
Mailing address
Garage sq. ft.
l) ? z Si sd ''�
City, State Zip
$ ,I046�.a%6 .iii 8386'9
(:its, State Zip
I Icat soufce (electric, gas, etc.)
NDIrt
VV A State Contra 60•11% / > g�0 /��
F Fin/ ` e- r 7 — of J— .r/'L--
Contact name:
PROTECT INFORMATION
Building Information
Building height to peaky
A/
# of stories
Dain floor sq. ft.
/7 Res -t. /t
Unfinished basement sq. ft.
�--
Dimensions �
✓C ✓\Y ii.
Total habitable space
22"It door sq. ft.
finished basement sq. ft.
_
Occupancy group
last. o — Ste►":" e
Construction hype
1.42001 FC e
Garage sq. ft.
l) ? z Si sd ''�
Deck sq. ft.
-�
Costo roject
,0), 000, oa
I Icat soufce (electric, gas, etc.)
NDIrt
Manufactured Home
Sign
Width:
1,ength:
What is the square footage of the sign
face?
1 low high is the sign?
Year:
Make:
# of signs
Arca of existing signs
Fireworks display
Are critical or hazardous materials used or stored on site?
O Ycs K No
Address
Proposed use
Relocation
Fire Safety
I.irm Name
What is the current use of this property?
/21,,P1 •
Previous address
Will the site be served by a septic system?,14 Yes O No
Paint booth
hire Sprinkler
Tent
Fire Alarm
Fireworks display
Are critical or hazardous materials used or stored on site?
O Ycs K No
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
I.irm Name
What is the current use of this property?
/21,,P1 •
Phone
Will the site be served by a septic system?,14 Yes O No
I'lans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
O Yes 4 No
Are critical or hazardous materials used or stored on site?
O Ycs K No
Address
Inspector
Phone
O Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
.Arc there strictures on the property? • Ycs 0 No
If yes, identify on site plan
AWhat is the current property size?
(square feet or acres) 020� OG, de, SiAY";
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan 0 Yes ,14, No
What is the current use of this property?
/21,,P1 •
Is your property in a designated wildlife habitat arca?
O Don't know O Yes ti No
Will the site be served by a septic system?,14 Yes O No
Is any part of the property within a 100 yr flood plain?
I f yes. identif on site plan
O Maybe O Don't kno\v O Ycs ,, No
Are or will there be wells located on the property?
If yes, identif on the site plan 0 Yes „ TI'1 No
Are there any wetlands, streams or ponds within 200 feet of the property?
Ifyes, identif on site plan O Yes A No
Is there evidence of fill or excavation on the property?
O Yes 4 No
,Are there slopes greater than 30° o on the property? (30 ft rise in 100 ft)
( °-“) O Ycs Pt No
Are critical or hazardous materials used or stored on site?
O Ycs K No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
O Yes
O No
Is public sewer available to the site? O Yes O No
Is the property inside the ASA?
O Yes
0 Yes
O No
0 No
Is public water available to the site? O 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?
OYes 0 N
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
❑ C:ASII ❑ CI II?CK ❑ ❑
❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I(:XPIRI:S:
B:ANKC:ARD NUMBER:
.31_11.11()1Z1/.1.11) SIGN;A't'UKI::
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT FEE IS$35.e PLEASE
MAKE CIIFCKS PAYABLE T O SPOKANE
COUNTY PERMIT CENTER
/c2fil 475
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ADDRESS i -G "4''`c5
ZONE No` fiA
ROAD WIDTH
FRONT - FLANKING
COMMENTS
R VIFWFD
2
r _ r oP% i/e.► / 40_ 1: N e
1..749
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36
yg,
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