2002, 06-04 Permit App: 02004360 Roof Covering PorchProject Number: 02004360 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/4/2002 Page 1 of 2
Project Information:
Permit Use: NEW ROOF COVERING OVER FRONT PORCH 8 Contact: KIRKPATRICK, CHARLES R
X 12 Address: 1301 N GREENACRES RD
C - S - Z: GREENACRES, WA 99016
Setbacks: Front 64 Left: EX Right: EX Rear: EX Phone: (509) 924-4597
Group Name:
Site Information: Project Name:
Plat Key: 002043 Name: PLAT"A" GREENACRES IRRDISTRICT District:
Parcel Number: 55181.2242
Block: Lot:
SiteAddress: 1301 N GREENACRES RD
GREENACRES, WA 99016
Location:: GRE
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Owner: Name: KIRKPATRICK, CHARLES R
Address: 1301 N GREENACRES RD
GREENACRES, WA 99016
Hold:
Area: 0 Sq Ft Width: 80 Depth: 290 Right Of Way (ft): 40
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
'C4 -4t194
eleased 13y. & er
Plan Review
Operator: RMB Printed By: RMB
Print Date: 6/4/2002
Project Number: 02004360 Inv: 1
Application Date: 6/4/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Building Permit
Firm: OWNER
Phone:
Building Characteristics
Const Category: Addition Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 12 Stories: 1
Bldg W x D: 8 x 12 Building Sq Ft: 96 Sprinklers: El
Req Parking: 0 Handicap Parking: 0 Critical Materials: El
This Application: Total Project:
Description Em. Type Notes Su Ft Valuation Sq Ft Valuation
COV DECK R-3 VN 96 $966.72 96 $966.72
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Summary:
Permit Type
Building Permit
Totals: 96 $966.72 96 $966.72
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$35.75
$4.50
$7.87
$48.12
Fee Amount Invoice Amount Amount Paid Amount Owing
$48.12 $48.12
$0.00 $48.12
$48.12 $48.12 $0.00 $48.12
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: RMB Printed By: RMB
Print Date: 6/4/2002
I 1
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SPOKANE Cagy
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING Sc CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address:
/L' 6/Pe 6/bit(Cr; (J ?&//1///./cii'S GG;
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: CO r C ti' r6� 1,
O Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
O Relocation
O Sign
O Tenant (New/Change)
O Other
Department Use Only
Water Distract/Puree oc
School District
Sewer District/Pun-eyor
Fire District:
Zoning
Left .
Right
OWNER/APPLICANT INFORMATION
El Indrw/r x$o .c
❑ (grace Phone:
C /I%/ s ek.2/6C
-. a
0 Applicant
C J4I(6�
..</
/ ii'•
Phone:
/�/Ck-Fac:
Mailing Address:
E
-��
/_� ii/ / C�/i ee-,c.�JC !i5
Mailing Address:
Total habitable space
p•
floor .y. ft.
city, Gate, Zip
G;,e t,t_,/IC e•3 au v tie
City, State, Zip
Construction r -pc-
Garage sq. ft.
0 Contractor Phone
e A1�0
AA 1t5 1 ,f�-W'4c'1'C,Ci0l:ax
Architect/Engineer
1 leaf source (cicetne, has, etc)
Phone
Fax
Mailing address
Mailing address
City, State Zip
Cin', State Zip
\VA Staw.Contrxutr license 4Contact
name:
PR
Building Information
Building height to peak
/'9- /7
# of stories 1
Alain floor s1. ft-
Unfinished basement sq. ft.
1)imcnsion
�7/
Total habitable space
p•
floor .y. ft.
Finished basement sq. ft.
Occupancy group
Construction r -pc-
Garage sq. ft.
Deck sq. ft.
Cost of project _� L /y,', /
L L'
1 leaf source (cicetne, has, etc)
Manufactured Home
•
Special Inspections Required?
,Sign
Width:
Length:
ans Examiner
i
Phone
What is the square footage of the sign
face?
Flow high is the sign?
Year
Make:
0 ,Yes
0 No
4 of signs
Area of existing signs
0 Concrete
0 Welding 0 Bolting 0 Reinforcement
Address
Relocation
Fire Safety
Previous address
Fire Sprinkler Tent
Paint booth Fire Alarm Fireworks display
Proposed use
Value
Are there structures on the property? 0 Ycs 0 No
f yes, identib on site plan
\'('hat is the current property size?
(square feet or acres)
Special Inspections Required?
Non -Residential Energy Code Compliance?
Finn Name
PhonePl
ans Examiner
i
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
0 Yes 0 No
Address
Are critical or hazardous materials used or stored on site?
0 Ycs 0 No
0 ,Yes
0 No
Inspector
Phone
0 Concrete
0 Welding 0 Bolting 0 Reinforcement
Address
Are there structures on the property? 0 Ycs 0 No
f yes, identib on site plan
\'('hat is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
fyes, ident' on site plan 0 Ycs 0 No
\X''hat is the current use of this property?
Is your property in a designated wildlife habitat arca?
0 Don't know 0 Ycs 0 No
XXIII the site be served by a septic system? 0 Ycs 0 No
Is any part of the property within a 100 yr flood plain?
Ifet, identift on site plan
0 Maybe 0 Don't know 0 Yes 0 No
Arc or will there be wells located on the property?
IJyes, ideuth on the site plan 0 Ycs 0 No
Arc there any wetlands, streams or ponds within 200 feet of the property?
Ilya, iden0 on sift plan 0 Ycs 0 No
Is there evidence of fill or excavation on the property?
0 Yes 0 No
Arc there slopes greater than 30°% on the property? (30 ft rise in 100 ft)
( q0) 0 Ycs 0 No
Are critical or hazardous materials used or stored on site?
0 Ycs 0 No
0 ,Yes
Is the property in a designated Stormwater Control Area?
❑ Yes
v
❑ No
Is public sewer available to the site?
0 Yes
0 No
Is the property inside the ASA?
0 Yes
❑Ycs
0 No
0 N
Is public water available 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?
0 Ycs 0 No
Date Received:
Staff Ra-presenrative:
METHOD OF PAYMENT
0 CASII
VISA
❑ (:II CK ❑.11111111111111 ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
B:\NKC.\RD NUMBER:
ENPI
AUTHORIZE!) SIG N.vI RI::
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT FEE IS $35 QOP1�EASE
siU. L- (:I IIXI:S PAYABLE TO SPOK. \C:
COGNIY PERMIT CENTER
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0
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This site plan is being submitted ter the purpose of
otttairtrng a bu t`ciin permit and is a tt-ue'and correct
representation of the proposal. AU known property
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated am wetlands. `4""'"""
bodies of water, steep slopes or other critic areas.
Signed: . 4
c�—y-a,ic
Date:
ADDRESS "1301
ZONE ..
ROAD WIDTH So
FRONT FLANKING
COMME -.��—
REVIEWr
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