2002, 05-17 Permit App: 02003818 Covered PorchProject Number 02003818 Inv' /
Application
Date. 5/17/2002 Page 1 of 2
TI -IIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: COVERED PORCH
Setbacks: Front 28 Left 15 Right 20 Rear: EX
Site Information:
Plat Kev: 000146 Name: BARKER ROAD MOBILE HOMES 1ST ADD. District: G
Contact THASHER, DIANNA
Address 18903 E JACKSON DR
C - 5 - Z: OTIS ORCHARDS, WA 99027-9525
Phone- (509) 926-1562
Group Name.
Project Name'
Parcel Number: 55082.0809
Block: Lot:
SiteAddress: 18903 E JACKSON DR
OTIS ORCHARDS, WA USA
Location:: OTI
Zoning: UR -7
Water District:
Urban Residential -7
Owner: Name: THASHER, DIANNA
Address: 18903 E JACKSON DR
OTIS ORCHARDS, WA 99027-9525
Hold: ❑
Area: .00 Acres \Vidth: 60 Depth: 150 Right Of Wav (ft). 60
Nbr of Bldgs' 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
179
Released Bv;
rrfi
Septic System Review
Permits:
Released By:
Operator RNIB Printed By: RI11B
Print Dale: 5/17/211112
Project Number: 02003818 Inv 1
., Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/17/2002 Page 2 of 2
Building Permit
Contractor: OWNER Firm: OWNER
Phone.
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings 1 Occupant Load: 0 Building Height 8 Stories. 1
Bldg W x D: 12 x 20 Building Sq Ft. 240 Spnnklers: ❑
Req Parking. 0 Handicap Parking: 0 Critical Materials' ❑
This Application: Total Project:
Description Grp Type Notes S4 Ft Valuation So Ft Valuation
COV DECK R-3 VN 240 $2.416.80 240 $2,416.80
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Summary:
Permit Type
Building Permit
Totals: 240 $2,416.80 240 $2,416.80
Units Unit Dcsc Fee Amount
1 YORBLANK $75.50
1 Y OR BLANK $4.50
1 YORBLANK $1661
Permit Total Fees: $96.61
Fee Amount Invoice Amount
$96.61 $96.61
$96.61 $96.61
Amount Paid
5000
Amount Owing
59661
50.00 $96 61
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the intnrmation
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 he contrued to he a permit for, or an approval of, anv 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: 5/17/2002
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PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 \VEST BROADWAY AVENUE
SPOKANE, \VA 99260
509-477-3675
SPECIFIC SITE INFORMATION
/ fs ?(-)y f f soh f% 0/15 4-cia>L
'Assessor's Tax Parcel Number(s):
Street Address:
Legal Description:
Project Description:
af i� Y.?O fOrJ, (0adcreel ) do T%J.1% e,/ /G4/&r goo, e—
J Building Permit
O Change m Use
O Grading
O Manufactured Home Permit
0 Relocation
O Sign
O Tenant (Nem/Change)
O Other
Deparfinerit Use Only .. ' . ': =' .....
\\'arer Dotricr/Purveyor . ..Sewer
' • .
District/Punkt-or"..: _
- a
Road width '
-
'Setbacks ,
, Mont. Rear'- .. .
Left Right
School District;
s .. ..
Fire Dismcc. '"'
.'1-q
Zoning - -
OWNER/APPLICANT INFORMATION
I Imhmle whet o/ nuld be mnht,lerl wadi): Ihn pmletl
qi Or ncr
P/aiIan(ClAter
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Phone 5.07 9a & AS E 2
Fak
0 Applicant
fan
phone
ra.
Mailing Add rt-
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/ tcf 9 UJ L�' / er0h0P,
Pr
Mitiling Arkin.,.
2 nonr ' 1 f?
a
City, Malepip //
O t Is 0rJ0(714
cupanc
City, State, Gp
(image sq 0
0 Contractor
Phone
Fa\
O Atellitert/hillliiher
phone
I a\
NImiing addet ss
Nailing addn..
Cm, Stam Zap
t:,n. St.ne tip
\\ A Stam Contractor license =
Clmlact nano
PRO IECT INFORMATION
Biulding Information
s -
Budding height to peak
kt of stt nes
l\Iain Hour sq 0
Unlinuhed basement sq. 0.
tTotal
n-t r�
D1trtnnenXm
govp
habitable space
2 nonr ' 1 f?
Finished basemuar :,,i:,,i0.
cupanc
Conan -Lich( n pe
(image sq 0
Dc ck ss{ it
Cost of protect
I Ii t a titct (electric, gas, etc) .
4f4S4,
/8903 £
Tk a N
Air
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ADDRESS
ZONE
ROAD WIDTH
FRONT.
COMMENTS:
REgIE`;!EI.
03
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being submitted for he purpose of
ling permit and is a true and correct
• the proposal. All known property
.ub lines, structures and easement:
1. Also indicated are wetlands,
fopes o other critical areas.
E anneof
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