2002, 11-21 Permit App: 02010452 RemodelProject Number 02010a52 Inc. /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/21/2002 Page 1 of 3
Project Information:
Permit Use KITCHEN REMODEL & MOVE WALL 3 FT
UNDER EXISTING ROOFLINE
Setbacks. Front EXI Leh: EX Right: EX Rear: EX
Site Information:
Plat Key 001223 Name HILLCREST ACRES 02ND ADD
Contact: CROWE, RANDY
Address: 12914 E GUTHRIE DR
C - S - Z: SPOKANE, WA 99216
Phone: (509) 891-0916
Group Name'
Project Name:
District: F
Parcel Number: 45272.3007
Block. Lot.
SiteAddress: 12914 E GUTHRIE DR
SPOKANE, WA 99216
Location:: SPO
Zoning: UR -3.5
\Vater Dish kt:
Urban Residential 3.5
Owner: Nanie: CROWE, RANDY
Address: 12914 E GUTHRIE DR
SPOKANE, WA 99216
Hold: ❑
Arca: 0 Sq Ft Width. 0 Depth. 0 Right Of Way (ft): 60
Nbr of Bldgs. 1 Nbr of Dwellings 1
Review Information:
Review
Plan Review 1 t.S\l`rAd\-\0 [Vat/01-
Permits:
ReIeascd:By:.CF
(twee.
Operator: JAS Printed By: JAS
Print Date: 11/21/2002
Project Number: 02010452 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/21/2002 Page 2 of 3
Contractor OWNER
Const Category: Remodel
Nbr Of Dwellings:
Bldg W x D:
Req Parking:
Building Permit
Firm: OWNER
Phone:
Building Characteristics
Group:
Occupant Load:
Building Sq Ft:
Handicap Parking:
Type:
Building Height:
Sprinklers: EJ
Critical Materials: ❑
This Application:
Description Grp Type Notes Su Ft Valuation
RESIDENCE R-3 VN REMODEL 0 $25,000.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: OWNER
Item Description
GAS PIPING
VENTILATING FANS
RANGE
GAS LOG OR GAS INSERT
MINIMUM FEE ADJUSTMENT
Contractor. OWNER
Item Description
SINKS
DISH WASHERS
MINIMUM FEE ADJUSTMENT
Totals: 0 $25,000.00
Units Unit Desc Fee Amount
1 Y OR BLANK $350.50
I Y OR BLANK $4.50
1 Y OR BLANK $77.11
Stories:
Total Project:
Sq Ft Valuation
0 $25,000.00
0 $25,000.00
Permit Total Fees:
Mechanical Permit
$432.11
Firm: OWNER
Phone:
Units Unit Desc
2 # OF UNITS
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 Select
Permit Total Fees:
Plumbing Permit
Firm: OWNER
Phone:
Units Unit Desc
Operator: JAS Printed By: JAS
1
1
1
NUMBER OF
NUMBER OF
Select
Permit Total Fees:
Fee Amount
$2.00
$10.00
$10.00
510.00
$3.00
$35 00
Fee Amount
$6.00
$6.00
$23.00
$35.00
Print Date: 11/21/2002
Project Number: 0201 0452 Inv. 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/21/2002 Page 3 of 3
Payment .Sununary:
Permit Tvpe
Building Perini(
Mechanical Permit
Plumbing Permit
Fee Amount Invoice Amount
$432.11 $432.11
$35.00 $35.00
$35.00 $35.011
Amount Paid
$0.00
$0.00
$0.110
Amount Owing
$432 11
$35.00
$35.00
$502.11 $502.11
$0.011 $502.11
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 he true and correct, and agrees that all provisions of laws and/or regulations governing this hype 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 J/ Printed Bs':
Print Date: 11/21/21)02
Srow&E COU' FY
ihi
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address:f, / c %� �y �A n � 6
Y In a -Twit ,e �f�d7G4�rC �7
Assessor's •I'ax ParcellN/umber(s): //�4Z
7. 30 07
/�7c t 2c—s r// 2qC 2 '31/431. n e.v tar 7 S ocx V
Legal Iescription:
Project Description: ktT-Ct'+C�li 3714tDC-Z_' 4SN 6IA-ct- roux -3 1 -:-G7-C.. Los est /o LA/
p Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
0 Relocation
O Sign
O Tenant (New/Change)
O Other
DCp,artmCllY Use Only;
1-09 r (o
/1%/,{-
' Water District/Puncyor "
Seiner Dema/Purveyor := ,. '
.
; Road width' -
Setbacks' k
Faint
.:.
-
Rnr.
• "
School District ", ; .'1 .-
,hire Distnct .-
Zoning, '
OWNER/APPLICANT INFORMATION
In/imle who ,hould be mnla ed /mintitn thrr pmjea
r^/��hv raer //�j n rt lih„ne
RAN/ `t, % l 720 b3 e- N.
1-09 r (o
/1%/,{-
❑ Apphcanr \/'�
J/91�i 0—
Phone.
1 a.
Unfinished basement sy ft
Joo —tee
Madmg Addrc.S /�
i Zar I ip C (rUTtF21C'TU
'Dotal habitable space
hlailing MJress-
1 finished basement sy ft
/07?
Occ\uu aancr group
J /N ‘i_r4 l
Cu), Sate, Zip
Some— (JA-
992i 6.
City, Sete, 7ip
Cost of prri - r
g 2S000
71
0 Contractor Phone
Far
0 Architect/engineer
Phone
Fa\
1 c... --
Mailing address
Mailing address --
City ,tart rap
City, state Zip
\\'A State Contractor license ?
Contact name
PROTECT INFORMATION
Building Information.,/n.. 7
7 •'
- - • "
Building heightto peak
/C,
# of stone
t -t- 4r t&tr —
blain floor sy fr. 'C
/SOg
Unfinished basement sy ft
Joo —tee
Dimensions
7StXao /10 L--
'Dotal habitable space
2nd 11nor ay. it.
'—®—
1 finished basement sy ft
/07?
Occ\uu aancr group
J /N ‘i_r4 l
Construction type
F/ t�
Garage sq. ft. /J//-
7Vo
Deck sq. li
/S3
Cost of prri - r
g 2S000
1 Ieat source (clectnc, g�a'etc )
SAS
Manufactured Home
Sign
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs
Area of existing signs
Fireworks display
Are critical or hazardous materials used or stored on site?
DYes 0 N
Address
Proposed use
Relocation
Fire Safety
Finn Name
What is the current use of this property?
Previous address
Will the site be served by a septic system? O Yes 0 No
Paint booth
Fire Sprinkler
"fent
Fire Alarm
Fireworks display
Are critical or hazardous materials used or stored on site?
DYes 0 N
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Finn Name
What is the current use of this property?
Phone
Will the site be served by a septic system? O Yes 0 No
Plans Examiner
Phone
Inspectors
Is there evidence of fill or excavation on the property?
0 Ycs 0 No
Arc there slopes greater than 30% o on the property? (30 ft rise in 100 ft)
(!%) OYcs 10No
Are critical or hazardous materials used or stored on site?
DYes 0 N
Address
Inspector
Phone
O Concrete
0 Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
are there structures on the property? O Yes 0 No
Ifyes, identift on site plan
XX/hat is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
"[yes, tdentj, on site plan O Yes IX No
What is the current use of this property?
Is your property in a designated wildlife habitat arca?
0 Don't know 0 Ycs 114 No
Will the site be served by a septic system? O Yes 0 No
Is any part of the property within a 100 yr flood plain?
Ifyes, identib' an site plan
0 Maybe 0 Don't know 0 Ycs $r No
Arc or will there be wells located on the property?
If yes, identifr on the site plan 0 Ycs Of No
Are there any wetlands, streams or ponds within 200 feet of the property?
'fief, identift 011 site plan O Yes 0 No
Is there evidence of fill or excavation on the property?
0 Ycs 0 No
Arc there slopes greater than 30% o on the property? (30 ft rise in 100 ft)
(!%) OYcs 10No
Are critical or hazardous materials used or stored on site?
DYes 0 N
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
DYes 0 N
Is public sewer available to the site? O Yes 0 No
Is the property inside the ASA? 0 Yes 0 No
O Yes O No
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?
D Yes O No
Date Received-
Staff Representam e:
METHOD OF PAYMENT
❑ C:\SII ❑ CHECK
VISA
❑NOME 0
C�'."
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1>.Y11::
FXPIRFS:
B.\NKC:\RI) NUMBI.R:
.\UTI 1081"/.1?I) SIGNATURE:
SUBTOT:V.
TOTAL FEE
MINIMUM PERMIT FEE IS $35.00 PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
COUNTY PERMIT CENTER