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2002, 02-15 Permit App: 02000922 Addition Project Number: 02000922 Inv: 1 Application Date: 2/15/02 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: 12 X 10 SUNROOM ADDITION Contact: DREAM ROOM DESIGN Address: PO BOX 141708 C-S-Z: SPOKANE,WA 99214 Setbacks: Front NA Left: NA Right: 10+ Rear: 65 Phone: (509)922-7388 Group Name: Site Information: Project Name: Plat Key: 001705 Name: MOUNTAIN VIEW 4TH ADD District: F Parcel Number: 45274.0501 Block: Lot: SiteAddress: 2705 S DAVIS RD Owner: Name: GOLD,DARLENE E SPOKANE,WA 99216 Address: 2705 S DAVIS RD Location::SPO SPOKANE,WA 99216 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 8,000 Sq Ft Width: 85 Depth: 125 Right Of Way(ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review el. Released By: � UX U 2-— L Plan Review Released By: O 2--15 Permits: Operator: CKF Printed By: CKF Print Date: 2/15/02 Project Number: 02000922 Inv: 1 Application Date: 2/15/02 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: DREAM ROOM DESIGN LLC Firm: BILL CONANT/DREAM ROOM DE Address: PO BOX 141708 Phone: (509)922-7388 SPOKANE,WA 99214 Building Characteristics Const Category: Addition Group:R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: 8 Stories: 1 Bldg W x D: 12 x 10 Building Sq Ft: 120 Sprinklers: Req Parking: Handicap Parking: Critical Materials: This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sci Ft Valuation RES ADD R-3 VN 120 $7,440.00 120 $7,440.00 Totals: 120 $7,440.00 120 $7,440.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $138.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $30.36 Permit Total Fees: $172.86 Notes: _: :.._ � . - .. ,,,-a.. SEWER HOOKUPS AVAILABLE FOR ALL LOTS PER ROGER 11/30/94 Payment Summary: ., ,4,44,fi Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $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: CKF Printed By: CKF Print Date: 2/15/02 , ► PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE IGEN SPOKANE, WA 99260 SPOI COUI'fY 509-477-3675 SPECIFIC SITE INFORMATION Street Address: 2 7 OS S. 4 ,�tit S n / Assessor's Tax Parcel Number(s): 11 S z-7 l/ ip,!V c--6r / Legal Description: /lte uv1 .t^ U( 4 Marko* 1- / W. S' Project Description: eKJL-Z-"\ ectik Ii 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 District/Putvcyor SewerDistriit/Purveyor Rodd width Sethacks Front: Rear. School District: Dire District: Zoning I dt: - Right OWNER/APPLICANI'INFORMATION --// El Indicate who should be contacted regarding this project l ' caner: f, ) Phone: 9.1.3 .-. 632_7 ❑Applicant: Phone: /.�0 oar ler•e v (••d Fax: Fax: Mailing Address: Mailing Address: 7-7 OS s. ,Q 1S tR4 , City,State,Zip City,State,Zip LVConttrMracttor``' ���� 1 n�'[ `'_ Phone 9aa 73tf �y ❑ Architect/Engineer Phone ,t Nct A 4Jr Fax 9aa- '73(FO Fax Mailing address Mailing address D.o. Bbx i1/4• I76E City,State Zip City,State Zip S 46 t=a LOA- - 9 la ! LF' /7o WA State Contractor license# Contact name: DEA-M Rh ac;7 C .2 PROJECT INFORMATION .F Building Information Building height to peak k of stones Main floor sq.ft. Unfinished basement sq.ft. Dimensions Total habitable space 2nd floor sq.ft. Finished basement sq.ft. t � x / 0 Occupancy group Construction type Garage sq.ft. Deck sq.ft. Cost of projectHeat source(electric,gas,etc.) 19b �7: u� , Manufactured Home Sign 'milt: Length: What is the square footage of the sign flow high is the sign? face? Year Make #of signs Area of existing signs Relocation Fire Safety Previous address Fire Sptink lcr lent Paint booth Fire Alarm Fireworks display Proposed use Value Special Inspections Required? Non-Residential Energy Code Compliance? Firm Name hi: :i' Plans Examiner Ehnne Inspectors: Address Inspector Phone O Concrete 0 Welding 0 Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? Pi Yes 0 No What is the current property size? If yes,identify on site plan (square feet or acres) Is any part of the property within 250 feet of a shoreline? What is the current use of this property? //®M p If yes,identify on site plan 0 Yes Sr No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes O No 0 Don't know 0 Yes CRL No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? If yes,identify on site plan If yes,identify on the site plan O Yes 0 No O Maybe 0 Don't know 0 Yes a No Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property? property? O Yes 94 No If yes,identify on site plan 0 Yes j No Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site? O Yes 2) No O Yes A No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes O Ido`= O Ycs O No Is the property inside the ASA? O Yes O No Is public water available to the site? 0 Yes 0 No 0 Yes'_ O No Is the property inside the PSSA? O Yes 0 No Is the property located within 1000 feet of a Natural Resource Area? 0 Yes O No. Date Received: Staff Representative METHOD OF PAYMENT VISA aevEr„ SUBTOTAL ❑ CASH ❑ CHECK ❑ ❑ ❑ " FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: TOTAL FL'E BANKCARD NUMBER: MINIMUM PERMIT FEE Is$35.00 PLEASE MAKE CI IECKS PAYABLE TO SPOKANE AUTHORIZED SIGNATURE: couN Y PERMIT CE_i TER I — ..,...1„,c, . a.....c. , ____. /41 (,,tc,6: 1 .--- i1' — ,t 1 • I Li 4-\•-S)St c1- j2)))1rj•_ 1 6 1 Q \/ t 4)"� " © 1 , p •etiaxt, 0-1S IU- k..Srt i‘P A act,hdik s, yL • _ to I (2::::,_ s 1 \/ „ V This site pia i being submitted for the purpose b din ermit and is a true and corn ADDRESS '' 2representation of the proposal. rPe'(( �Q, Si") lines/dimensions.curb lines,structures and easerr.ent�: ZONE_ d have been identified.Also indicated arc ti Ua `s ROADN LANKING bodies of water,steep sl••-s or other al a r as. FRONT N___ �. . . , . Signed: . �. . COMM.EN�Sa.-q -A.''.--.----. 11-11-.1) R date: Z.I l r/ 0 A