2002, 04-17 Permit App: 02002653 GarageProject Number. 02002653 Inv. 1
Application
THIS 1S NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date 4/17/2002 Page 1 of 2
Project Information:
Permit Use DETACHED 34 X 48 GARAGE Contact FAULKNER, JOHN
Address 26211 S HOUK CT
C - S - Z SPOKANE, WA 99216
Setbacks Front 90 Left 12 Right 12 Rear 10 Phone (5119) 928-74111
Group Name
Site Information:Project Name
Plat Key. 0012311 Name. HILLCREST ACRES 7TH ADD , District.
Parcel Number. 45273.2905 Block
SiteAddress 2620 5 HOUK CT
SPOKANE, WA 99216
Location SPO
Zoning. UR -3.5
Water District -
Area: 0 Sq Ft
Urban Residential 3.5
Lot:
Owner. Name: FAULKNER, JOHN
Address: 2620 5 HOUK CT
SPOKANE, WA 99216
Hold ❑
Width 50 Depth: 125 Right Of Way (ft) 511
Nbr of Bldgs 2 Nbr of Dwellings 1
Rerien' Information:
Review
Site Plan Resiew
Plan Review
Permits:
Released Bs
Operator DMD Printed Bv. DMD
Pnnt Date: 4/17/2002
Project Number. 02002653 Inv. 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date 4/17/20112
Contractor. OWNER
Const Category: New
Nbr Of Dwellings: Occupant Load
Bldg W x D: 34 s 48 Building Sq Ft:
Req Parking: Handicap Parking:
Building Permit
Page 2 of 2
Firm: OWNER
Phone:
Building Characteristics
Group: 11-1 Type VN
Description Grp Type Notes
GARAGE U -I VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Summary:
Permit Type
Building Permit
Building Height
1632 Sprinklers
Critical Materials. ❑
This Application:
Sq Ft Valuation
1.632 $19.584.00
16
Stories: 1
Total Project:
Su Ft Valuation
1,632 $19,584.00
Totals: 1.632 519.584.00
Units Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Fee Amount Invoice Amount
$355.86 $355 86
1.632 $19,584.00
Fee Amount
$288 00
$4 50
$63.36
Amount Paid
$0,00
$355 86
Amount Owing
$355 86
5355,86 5355,86 50 00 5355,86
Disclaimer: w
Submittal of this application certifies the owner (or person(s) authorized
contained within to be true and correct, and agrees that all provisions of
complied svith. Subsequent issuance of a permit shall not he can trued to
provisions of the code or of any other state or local laws or ordinances.
Signature
Operator: DMD
Flu vn t
by the uN ner) has both eaatntned m s a the in ornia tion
lass and/or regulations governing this type of work will he
he a permit for, or an approval of, any violation of any of the
Printed By: DMD Print Date'
4/17/2002
l
SPOKAt gCow/
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
X02 -2Q
SPECIFIC SITE INFORMATION
Street Address: 26,240 5a /TVuK cy,
Assessor's Tax Parcel Number(s): 4Sa73 , a3os
Legal Description: �,b
/IIL&C P &Sr AGk£S �— 400. LC 8 a
Project Description: De-40cked G if A -4-&-E
Building Permit
❑ Change in Use
❑ Grading
O Manufactured Home Permit
0 Relocation
O Sign
O Tenant (New/Change)
O Other
Department Use Only
Water District/ Purveyor
Sewer Dutnct/Purveyor '
Road width
Setbacks
Front: Rear. -
Left Right:
School District:
Fire District:
Zoning .
OWNER/APPLICANT INFORMATION
El Indicate ono should be contacted regsrrknj Ibis pmied
lrOwner
J'a k Fats. { k.t e r
Phone: SO? Qat- 7 Y10
Pu
0 AFFLcant
Phone
Far.
Mailing Address:
a 62 S N-ouk Gr.
# of storiesMain
1
Mailing Address
Boor sq. ft
/6732
City, State, Zip
S po K rl-,u e. ,
11/ /4
Fc 0%!.6
city, State, Zip
0 Contactor
Finished basement sq. ft.
Phone
Fax
❑ Architect/Engineer
Phone
Fax
Mailing address
Garage sq. EL
Deck sq. ft.
Mailing address
/4)000
G7, State Zap
source (electric, gas, etc.)
(i l r5
City, Stare Zip
WA State Contractor license #
Contact name.
PROTECT INFORMATION
Building Information
Building height to peak
/6 i
# of storiesMain
1
Boor sq. ft
/6732
Unfinished basement sq. ft.
Dimensions . e
34wX 49
i
�C l.6
Total habitable space
2o ^ Boor sq. ft.
Finished basement sq. ft.
Occupancy groop
Construction type
Wooer Fi€,f/tkC
M£2 -4-L
EAT -
Garage sq. EL
Deck sq. ft.
Cost of protectHeat
V, L
/4)000
source (electric, gas, etc.)
(i l r5
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
Are there slopes greater than 30% on the property? (30 ft riyE in 100 ft)
( .- %) 0 Yes Or No
Proposed use
Value
Relocation
Fire Safety
Finn Name
Previous address
Phone
Fue Sprinkler
Tent
_
Paint booth _ Fire Alum _
Fireworks display
Is there evidence of fill or excavation on the property?
0 Yes No
Are there slopes greater than 30% on the property? (30 ft riyE in 100 ft)
( .- %) 0 Yes Or No
Proposed use
Value
Special Inspections Required? h<
Non -Residential Energy Code Compliance?
Finn Name
What is the current use of this property?
LAWN
Phone
Will the site be served by a septic system? 0 Yes l3/No
Plans Examiner
Phone
Inspectors.
Is there evidence of fill or excavation on the property?
0 Yes No
Are there slopes greater than 30% on the property? (30 ft riyE in 100 ft)
( .- %) 0 Yes Or No
Are critical or hazardous materials used or stored on site?
0 YesIia No
Address
Inspector
Phone
❑ Concrete
❑ Welding
❑ Bolting
❑ Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 13' Yes ❑ No
Ilya, identify on site plan
What is the current property size? �2 ODD
(square feet or acres) I
Is any part of the property within 250 feet of a shoreline?
Ilya, identify on site plan ❑ Yes Ct7"No
What is the current use of this property?
LAWN
Is your property in a designated wildlife habitat area? �/
0 Don't know 0 Yes IN No
Will the site be served by a septic system? 0 Yes l3/No
Is any part of the property within a 100 yr flood plain?
Eyes, identify on site plat
0 Maybe 0 Don't know 0 Yes al -No
Are or will there be wells located on the property? - ,
fyes, identify on the site plan 0 Yes CH No
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, identify on site plan 0 Yes 0"C3 No
Is there evidence of fill or excavation on the property?
0 Yes No
Are there slopes greater than 30% on the property? (30 ft riyE in 100 ft)
( .- %) 0 Yes Or No
Are critical or hazardous materials used or stored on site?
0 YesIia No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
❑Yes
0 N
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA?
0 Yes
O Yes
0 No
❑ 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?
❑ Yes ❑ No
Date Received.
Staff Representative:
METHOD OF PAYMENT
1 VISA 1
0 CASH 0 CHECK 0 14.'"''''''4;3.‘j ❑
DUK YER
=Darn
FAXED
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE
EXPIRES
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
TOTAL FEE
MIMMUMPERMITFEEIS j35.00PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
, CCt1NTY PERMIT CENTER