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2002, 05-07 Permit App: 02003445 Pole BldgProject Number: 02003445 Inv: 1 • Application Date: 5/7/2002 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: 20 X 30 POLE BUILDING Contact: NIHART, AUDRE Address: 107 N HERALD RD C - S - Z: SPOKANE, WA 99206 Setbacks: Front 42 Left: 15 Right: 20+ Rear: 91 Phone: (509) 891-7534 Group Name: Project Name: Site Information: Plat Key: 004349 Name: SP -555 District: • .• • " • • .• • • • .. • • • .• • • • • • • • • • Parcel Number: 45174.2622 Block: SiteAddress: 107 N HERALD RD SPOKANE, WA 99206 Location:: SPO Zoning: UR -7 Water District: Urban Residential -7 Lot: Owner: Name: NIHART, AUDRE Address: 107 N HERALD RD SPOKANE, WA 99206 Hold: 111 Area: 0 Sq Ft Width: 123 Depth: 136 Right Of Way (ft): 40 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: Review Site Plan Review '14"i" • eeas d Plan Review Permits: [ Released By: Operator: RMB Printed By: RMB Print Dat: 5/7/2002 Project Number: 02003445 Inv: 1 Application Date: 5/7/2002 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: OWNER Const Category: New Nbr Of Dwellings: 1 Occupant Load: Bldg W x D: 20 x 30 Building Sq Ft: Req Parking: 0 Handicap Parking: Building Permit Page 2 of 2 Firm: OWNER Phone: Building Characteristics Group: U-1 Type: VN 0 Building Height: 11 600 Sprinklers: E 0 Critical Materials: 0 This Application: Sq Ft Valuation 600 $7,200.00 Description Grp Type Notes GARAGE U-1 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Payment Summary: >;:........ Permit Type Building Permit Totals: 600 $7,200.00 Units Unit Desc 1 1 1 Y OR BLANK Y OR BLANK Y OR BLANK Permit Total Fees: Stories: 1 Total Project: Sq Ft Valuation 600 $7,200.00 600 $7,200.00 Fee Amount $138.00 $4.50 $30.36 $172.86 Fee Amount Invoice Amount Amount Paid Amount Owing $172.86 $172.86 $0.00 $172.86 $172.86 $172.86 $0.00 $172.86 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: 5/7/2002 Aliviiik SPOKANE COUNTY 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: 77 Assessor's Tax Parcel Number(s): 3_77 (7/ Legal Description: �rii�� p,e /or) 467e 4.11Y ra9-?92 / Z4 F y - •71/9c7_ ° S: R % Sia ey <50az o f / oT ii, LocG / 19f//ie,,kt7/7- y /'L.lT Project Description: ,20 'Building Permit 0 Relocation O Change in Use O Grading O Manufactured Home Permit D Sign O Tenant (New/Change) O Other Depaiunent Use Only Water Distncr/Purveyor Sewer Distnct/Purveyor Road width - Setbacks Front. - Rear. Left Right School District: Fire District Zoning OWNER/APPLICANT INFORMATION t� 1ndi>ate who should be rontar-ed mRurdieg this p epi rn s Al Ilt, Phone/'a 4-1--Z.2/7/ //// / �/�7 .� %r /"% 4 / r/(///TiGt Fa.: Applicant: Phone: fax: Mailing Address:Mailing /,7 1(Z % x(% Address: Al--/") - i9 — 9 City, State, Zip -Li Contractor Phone Fax 0 Architect/Engineer Phone Fax Mailing address Marling address Cite, Start Zip Cite, State Zip w.,\ spate (.onrrannr license = - Contact name. Building Information Building height to peak �cr>.ir> # of stones / Alain floor sq. ft 1 ,e t/ O Unfinished basement sq. ft. Finished basement sq. ft. IJ s .26)r' 30 A Total habitable space 2n1 floor sq. ft. Occupancy gra Hap (Construction type PO 4 r / Ci; Garage sq. ft. beck sq. ft. (Cost it pn>jscr j' L./.2 d l Teat source (electric, gas, etc.) Manufactured Horne . Sign Width: Length: What is the square footage of the sign face? flow high is the sign? Year: Make: # of signs :Area of existing signs Fireworks display Are critical or hazardous materials used or stored on site? O Ycs 17(No Address Proposed use Relocation Fire Safety Firm Name What is th •current use of this property? 2P ,f Previous address Will the site be served by a septic system? O Yes 2KNo Paint booth Fire Sprinkler Tent Fire Alarm Fireworks display Are critical or hazardous materials used or stored on site? O Ycs 17(No Address Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Firm Name What is th •current use of this property? 2P ,f Phone Will the site be served by a septic system? O Yes 2KNo Plans Grammer Phone Inspectors, Is there evidence of fill or excavation on the property? O Ycs RrNo Are there slopes greater than 30% on the property? (30 ft ise in 100 ft) ( /%) ❑ Ycs OK No Are critical or hazardous materials used or stored on site? O Ycs 17(No Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Arc there structures on the property? (?r Yes O No If yes, ident j' on site plan \\'hat is the current property size? / (square flet or acres) /33 1y' ' 2 3 Is any part of the property within 250 feet of a shoreline? If yes, it/en/0, on site plan O Yes No What is th •current use of this property? 2P ,f Is your property in a designated wildlife habitat arca? ,r O Don't know O Ycs C9 No Will the site be served by a septic system? O Yes 2KNo Is any part of the property within a 100 yr flood plain? Ijyer, ident/' Oil site plan O Maybe O Don't know ❑ V'cs 1 No Arc or will there be wells located on thc property? If yes, ldenti, on the site plan ❑ Yes 'No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, tile/ally on site plan ❑ Ycs Ir No Is there evidence of fill or excavation on the property? O Ycs RrNo Are there slopes greater than 30% on the property? (30 ft ise in 100 ft) ( /%) ❑ Ycs OK No Are critical or hazardous materials used or stored on site? O Ycs 17(No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Arca? OYes 0 N METHOD Is public sewer available to the site? O Yes O No Is the property inside the ASA? O Yes O No O Ycs O No Is public water available to thc site? O Yes 0 No Is the property inside the PSSA? O Yes 0 No Is the property located within 1000 feet of a Natural Resource Arca? 0 Ycs 0 N Date Perera ed tan,e- Staff Reps ss manse- METHOD OF PAYMENT ❑ (:.ASII ❑ (:I11[CK VISA ❑ ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD R:\NKC.\RI) NUM1-31:R: I•\PIRI•:s A11111ORI"/"I':1) sIGN-\l URI'.: SUBTOTAL TOTAL FEE MINIMUM PERMIT FEE JS S35.0OI1 .P.: \SF \L\KU. CI II CKS P.\\ \BTE To 'I'ok. \\L COUNTY PERMIT CIN tF.R r e / r ,41r, ./Z_ / , /2 4) ,2 r rz 2 ADDRESSc, k) • Rq Pk—e--44-C9 ZONE CA—r2— ROAD WIDTH CC) FRONT Lai- FLANKING COMMEN REVIEWE 3-0 sobtnitted for tHo r.1„!rpose permit ed is a 'Liao and corr ct representaLan of the propesal. All known prope y lines/dimensions, curh lines, structures and eas ments have been identified. Also indicated are wetland bodies of :,,Nater, steep slopes or other critical ar s. Signed: Dote: 7 - r 28 Y M:581—ff . o S a 01997 Perma-Bilt Industries FR -66 12/2000