2002, 08-26 Permit App: 02007324 AdditionProject Number: 02007324 Inv: 7
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/26/02 Page 1 of 3
Project Information:
Perrnit Use: FAMILY ROOM & BATHROOM RESIDENCE
ADDITION
Setbacks: Fiont NA Left. 20 Right: 20 Rear: 30+
Site Information:
Contact: CHURCHILL, ROBERT
Address: 714 S HOUK RD
C - S - Z: SPOKANE, WA 99216
Phone: (509) 921-1447
Group Name:
Project Name:
Plat Key: 000975 Name: G E BREDES SUBURBAN HOME ADD
District' F
Parcel Number: 45222.1966
Block: Lot:
SiteAdthess: 714 S HOUK RD
SPOKANE. WA 99216
Location:: SPO
Zoning: UR 3.5
Water District:
Owner: Name: CHURCHILL, ROBERT
Address. 714 S HOUK RD
SPOKANE, WA 99216
Hold: ❑
Area: 0 Sq Ft Width. 75 Depth: 140 Right Of Way (ft): 50
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information: L
Review
Site Plan Review
/j �'7
Released By: «, -7 `�-C(, ZA.4.i:,J Q 'Z(q'0 Z.
Plan Review
Released By:
Lenctaz_1/00-23--
Permits: c
Operator. CKF Printed By: CKF
Print Date: 8/26/02
Project Number: 02007324
Inv: 1
Application
Date: 8/26/02 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Const Category: Addition
Nbr Of Dwellings:
Bldg W x D:
Req Parking:
Description
Building Permit
Firm: OWNER
Phone:
Building Characteristics
Group:
Occupant Load:
x Building Sq Ft:
Handicap Parking:
Grp Type Notes
RES ADD R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor OWNER
Item Description
DUCT SYSTEMS
VENTILATING FANS
MINIMUM FEE ADJUSTMENT
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
WATER PIPING - DWV
MINIMUM FEE ADJUSTMENT
Operator: CKF
Type:
Building Height:
Sprinklers: O
Critical Matenals.
This Application:
Sq Ft Valuation
285 $18,810.00
Totals: 285 $18,810.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Stories:
Total Project:
Sq Ft Valuation
285 $18,810.00
285 $18,810.00
Fee Amount
$275.50
$4.50
$60.61
$340.61
Firm: OWNER
Phone:
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 Select
Permit Total Fees:
Plumbing Permit
Firm: OWNER
Phone:
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 Select
Permit Total Fees:
Printed By: CKF Print Date.
Fee Amount
$1000
$10.00
$15.00
$35.00
Fee Amount
$6.00
$6.00
$6.00
$6.00
$11.00
$35.00
8/26/02
Project Number: 02007324
Inv: I
Application a
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/26/02
Notes: ,
Payment Summar,: ,--
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Page 3 of 3
Fee Amount
$340.61
535 00
535.00
Invoice Amount
5340.61
535.00
$35.00
Amount Paid
$0.00
50.00
$0.00
Amount Owing
$340.61
535.00
535.00
5410.61 5410.61 $0.00
$410.61
Disclaimer:
Submittal of this application certifies the owner (or person(%) 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 w ill be
complied nith. Subsequent issuance of a permit shall not he 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: CKE Printed By: CKr Print Date. 8/26/02
ADDRESS
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FRONT
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REVIEWED
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*This sate plan is being submitted for the ux
obtaining a buildinsa p dcof
rect
representation of the roposall.. All known ptrue • Ic.
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Iines/dimensions, curb lines, structures and asements
have been identified. Also indicated are we nds,
bodies of, ater, steep opes or other critica areas.
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