2002, 04-25 Permit App: 02002976 ShopProject Number: 02002976 Inv: 1 Application Date: 4/25/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Parcel Number: 45183.0664 Block:
SiteAddress: 503 N DICK RD
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 12,413 Sq Ft Width: 80
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review R iInformation: ..
Lot: B
Owner: Name: SMITH, LOWELL
Address: 503 N DICK RD
SPOKANE, WA 99212-2860
Hold: ❑
Depth: 155 Right Of Way (ft): 40
Plan
Permits:
Operator: RMB Printed By: RMB Print Date: 4/25/2002
Project Number: 02002976 Inv: 1 Application, Date: 4/25/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: TOWN & COUNTRY BUILDERS
Address: 5918 E TRENT AVE
SPOKANE, WA 99212
Building Permit
Firm: TOWN & COUNTRY BUILDERS I
Phone: (509) 535-9016
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes
Totals: 864 $10,368.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
864 $10,368.00
Fee Amount
$175.50
$4.50
$38.61
$218.61
Payment Summary
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $218.61 $218.61 $0.00 $218.61
$218.61 $218.61 $0.00 $218.61
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: RMB Printed By: RMB Print Date: 4/25/2002
Building Characteristics
Const Category:
New Group:
U-1 Type: VN
Nbr Of Dwellings:
1 Occupant Load:
0 Building Height: 14
Stories: 1
Bldg W x D: 24
x 36 Building Sq Ft:
864 Sprinklers: El
Req Parking:
0 Handicap Parking:
0 Critical Materials: El
This Application:
Total Project:
Description
GM Type Notes
Sq Ft Valuation
Sg Ft Valuation
GARAGE
U-1 VN
864 $10,368.00
864 $10,368.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes
Totals: 864 $10,368.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
864 $10,368.00
Fee Amount
$175.50
$4.50
$38.61
$218.61
Payment Summary
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $218.61 $218.61 $0.00 $218.61
$218.61 $218.61 $0.00 $218.61
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: RMB Printed By: RMB Print Date: 4/25/2002
Project Description:
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
TYPE OF APPLICATION
A Building Permit
O Change in Use
O Grading
1 O Manufactured Home Permit
O Relocation
O Sign
O Tenant (New/Change)
O Other
SPECIFIC SITE INFORMATION
Street Address: 5o3 N 0/,r& ,e o/
Assessor's Tax Parcel Number(s): y.S7 J 8 3 0 6 6 el
Legal Description: /8eSyy AIRrr27'6ouS ,co //t,rcA 7C 6 BF/ZoS
Department Use 0 l
Water District/Purveyor:
Sewer District/Purveyor
Road width
Setbacks
Front: Rear:
Left: Right:
School District-.
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
21 Indicate who should be contacted regarding this project
O
Phone: Z Z 8 96 / Z
❑ Applicant: Phone:
//Owner.
L ow, ii S 1�, i-1,
Fax:
Fax:
Mailing Address:
2"d floor sq. ft.
Mailing Address:
P. o. Box 13s, 9S
Construction type
Garage sq. ft.
City, State, Zip
Cost of project
City, State, Zip
Seo jeA-,L),-, 60A 99 Z/3
❑ Contractor
Phone 6&S 9,014
O Architect/Engineer Phone
%(,t/R% 4 `60 A/T&L y S14 2 S
Fax 53V Z83O
Fax
Mailing address
Mailing address
59/8 6 -
City, State Zip
City,
S,40A-
City, State Zip
WA State Contractor license N
Contact name:
7-6 6j,) e eX
PROJECT INFORMATION
Building Information
Building height to peak
N of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
zyX3G,e/D
Total habitable space
2"d floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc.)
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
Relocation
Fire Safety
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
What is the current use of this property?
Phone
Will the site be served by a septic system? 0 Yes 0 No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
0 Yes 0 No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(/ %) 0 Yes 0 No
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
Address
Inspector
Phone
0 Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes 0 No
If yes, identify on site plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan 0 Yes 0 No
What is the current use of this property?
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes 0 No
Will the site be served by a septic system? 0 Yes 0 No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
0 Maybe 0 Don't know 0 Yes 0 No
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes 0 No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan 0 Yes 0 No
Is there evidence of fill or excavation on the property?
0 Yes 0 No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(/ %) 0 Yes 0 No
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
O Yes O No
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA?
0 Yes
O Yes
0 No
O 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? 0 Yes 0 No
Date Received:
Staff Representative:
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