2003, 01-09 Permit App: 03000154 ResidenceProject Number: 03000154 Inv: 1
a i
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
......................
Permit Use: RESIDENCE W/GARAGE - NATURAL GAS
Setbacks: Front 30 Left: 12 Right: 8 Rear: 30+
Site Information:
Plat Key:
Name:
......................................
Contact: ROWAND, PATRICK
Address: 526 5 KOREN RD
C - S - Z: SPOKANE, WA 99212-0383
Phone: (509) 534-3180
Group Name:
Project Name:
'AO
District: D
Parcel Number: 35231.0910 Block: 9 Lot: 9
Owner: Name: ROWAND, PATRICK
Address: 526 S KOREN RD
SPOKANE, WA 99212-0383
SiteAddress: 526 S KOREN RD
SPOKANE, WA USA 99212
Location:: SPO
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 16,296 Sq Ft Width: 75
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Hold: ❑
Depth: 217 Right Of Way (ft): 60
Page 1 of 3
Review
Site Plan Review
Released. By.'
Septic System Review
Permits:
Ei4 1.4 Caledialp
cNt\O ariVeVJCUt)
Operator: CKF Printed By: CKF
Print Date: 1/9/2003
U-3
Project Number: 03000154
Inv: 1
r
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/9/2003
Contractor: OWNER
Const Category: New
Nbr Of Dwellings:
Bldg W x D: x
Req Parking:
Description
BASEMENT U
GARAGE
RESIDENCE
R-3
U-1
R-3
Building Permit
Page 2 of 3
Firm: OWNER
Phone:
Building Characteristics
Group: Type:
Occupant Load: Building Height:
Building Sq Ft: Sprinklers: LJ
Handicap Parking: Critical Materials: ❑
This Application:
'Lug Notes Sq Ft Valuation
VN 1,530 $18,819.00
VN 430 $5,160.00
VN 1,530 $100,980.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: OWNER
Totals: 3,490 $124,959.00
Units
1
1
1
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Mechanical Permit
Stories:
Total Project:
Su Ft Valuation
1,530 $18,819.00
430 $5,160.00
1,530 $100,980.00
3,490 $124,959.00
Fee Amount
$1,020.00
$4.50
$224.40
$1,248.90
Firm: OWNER
Phone:
Item Description Units Unit Desc
GAS WATER HEATER 1 NUMBER OF
GAS APPLIANCE<=100,000BTU 1 NUMBER OF
GAS PIPING 4 # OF UNITS
VENTILATING FANS 4 NUMBER OF
CLOTHES DRYER 1 NUMBER OF
RANGE 1 NUMBER OF
HOOD -TYPE II 1 NUMBER OF
Operator: CKF Printed By: CKF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$4.00
$40.00
$10.00
$10.00
$10.00
$96.00
1/9/2003
Project Number: 03000154
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/9/2003
Contractor: OWNER
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
WATER SOFTENER
Page 3 of 3
Plumbing Permit
Firm: OWNER
Phone:
Units Unit Desc Fee Amount
2 NUMBER OF $12.00
5 NUMBER OF $30.00
1 NUMBER OF $6.00
2 NUMBER OF $12.00
1 NUMBER OF $6.00
1 NUMBER OF $6.00
1 NUMBER OF $6.00
1 NUMBER OF $6.00
Permit Total Fees: $84.00
UPON COMPLETION OF PROPOSED NEW RESIDENCE EXISTING RESIDENCE WIL
L
REQUIRE A DEMOLITION PERMIT FOR THE PORTION TO BE DEMOLISHED AND A
CHANGE OF USE PERMIT FOR THE PORTION THAT WILL REMAIN.
CONTROL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Payment Summary:::»<::>::
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$1,248.90
$96.00
$84.00
Invoice Amount
$1,248.90
$96.00
$84.00
$1,428.90 $1,428.90
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$1,248.90
$96.00
$84.00
$0.00 $1,428.90
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 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: CKF Printed By: CKF Print Date: 1/9/2003
Project Number: 0300015-I Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE W/GARAGE - NATURAL GAS Contact: ROWAN ), PATRICK
Address: 526 S KOREN RD
C - S - Z: SPOKANE, WA 99212-0383
Setbacks: Front 30 Left: 12 Right: 8 Rear: 30+ Phone: (509) 534-3180
Group Name:
Site Information:
Project Name:
Plat Key: Name: }'_ ,� „j //�Q�(/ District: D
Date: 1/9/2003 Page 1 of 3
Parcel Number: 35231.0911)
Block: 9
SiteAddress: 526 S KOREN RD
SPOKANE, WA USA 99212
Location:: SPO
Zoning: UR -3.5
Water District.
Urban Residential 3.5
Area: 16,296 Sy Ft Width: 75
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Lot: 9
Owner: Name: ROWAND, PATRICK
Address: 526 S KOREN RD
SPOKANE, WA 99212-0383
Hold: ❑
Depth: 217 Right Of Way (ft): 60
Review
Site Plan Review
Plan Review
Released By:
Septic System Review
Permits:
luairaarn unoy.
Released By:
Released By:
ca FAA io
Operator: CKF Printed By: CKF
Print Date:
I
SI 1-41-03
1/9/20113
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: 5-2 S Ko e r) 2 k
Assessor's Tax Parcel Number(s): 35 z 3 1 d( O
Legal Description: F4 ST J o O p ^ D 0 c, �CJ
Project Description:
3niAA.1 r•Sc4s taooSc-
gl Building Permit
❑ Relocation
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
Water District/Purveyor.
Road width
Zoning
School District
Fire District:
Setbacks
Front
Left
Rear..
Right'.
19 (honer:
PA -+r %c_— o t p N
Phone
Fax:
OWNER/APPLICANT INFORMATION
El Indicate who should be tontaded retarding this project
�� !' j Y i8D ❑ Applicant
J qowgtJ4L
Phone: 5 j y- 3 � Z'
Fax:
Mailing Address:
5• 2 �
S, Kec /L6 r4
City, State, Zip
Spa Iia N
❑ Contractor
Mailing Address
5 26 - S ._ Ka 2�N
G)AS'• 99211___
City, State, Zip
SiQol61Nc (A)AS t Z+
Phone
Fax
❑ Architect/Engineer
Phone
Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
WA State Contractor license #
Contact name:
PROJECT INFORMATION
Building Information
Building height to(peak
# of stones
Main Floor sq. ft. 30
Unfinished basement sq. ft.
Dimensions
c
Occupancy group
Total habitable s' ace
ALO 0
Construction type
2' floor sq. ft.
1530
Finished basement sq. ft.
Garage sq. ft.
LI 3o. s
Duck sq. ft.
Cost of Project
1 teat source (electric, gas, etc.)
GAs
Manufactured Home
Sign
Width:
length:
What is the square footage of the sign
face?
1 low high is the sign?
Year:
Make:
# of signs
Arca of existing signs
.Arc there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( %) ❑ Ycs 71, No
Proposed use
Value
Relocation
Fire Safety.
firm Name
Previous address
Phone
Fire Sprinkler
Tent
l'aint booth _ Fire Alarm
Fireworks display
Is there evidence of fill or excavation on the property?
❑ Ycs ❑ No
.Arc there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( %) ❑ Ycs 71, No
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
firm Name
What is thc current use of this property?t. 5 (b c_ pC.�___
Phone
Will thc site be served by a septic system?A Yes ❑ No
Plans I xaminer
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
❑ Ycs ❑ No
.Arc there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( %) ❑ Ycs 71, No
Are critical or hazardous materials used or stored on site?
❑ Ycs No
Address
Inspector
Phone
❑ Concrete
❑ Welding
❑ Bolting
❑ Reinforcement
Address
ADDITIONAL SITE INFORMATION
;Are there structures on the property? pir Yes ❑ No
Ifyes, ident ' on site plan
What is the current property size?
(square feet or acres) i 4.) 2:25 St
Is any part of the property within 250 feet of a shoreline?
Ifyes, identz, on site plan ❑ Yes No
What is thc current use of this property?t. 5 (b c_ pC.�___
Is your property in a designated wildlife habitat area?
❑ Don't know ❑ Ycs g No
Will thc site be served by a septic system?A Yes ❑ No
Is any part of the property within a 100 yr flood plain?
Ifyes, ide/ltz5 o/1 site plan
❑ Maybe ❑ Don't know ❑ Ycs 131 No
,Arc or will there be wells located on the property?
Ifyes, identifil on the site plan ❑ Yes 18L No
Arc there any wetlands, streams or ponds within 200 feet of thc property?
If yes, identift on site plan ❑ Ycs rfir No
Is there evidence of fill or excavation on the property?
❑ Ycs ❑ No
.Arc there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( %) ❑ Ycs 71, No
Are critical or hazardous materials used or stored on site?
❑ Ycs No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Arca?
❑ Yes ❑ No
Is public sewer available to the site? ❑ Yes ❑ No
Is the property inside the ASA? ❑ Yes ❑ No
❑Yes 0 N
Is public water available to the site? ❑ Yes ❑ No
Is the property inside the PSSA? ❑ Yes ❑ No
Is the property located within 1000 feet of a Natural Resource Arca?
❑ Yes ❑ No
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
❑ (:ASII ❑ clll?CK ❑ M ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1) \
I?SPIRFS:
B:ANKC:ARI) NUN1BI?R:
\V 111081"/.] .11 SIGNATuRI?:
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT FEE IS $35.010 PLEASE
MAKE CHECKS PAYABLE 10 SPOKANE
COUNTY PERMIT CENTER
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