2002, 03-20 Permit App: 02001754 Pole BldgProject Number. 02001754 Inv: /•
t-
Application
TI -IIS IS NOT A PERMIT
Dale: 3/211/211112 Page 1 of 2
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 30 X 411 POLE BUILDING Contact: EXCALIBUR STEEL STRUCTURES INC
Address PO BOX 14991
C - S - Z: SPOKANE, WA 99214-0991
Setbacks: Front 511+ Left: 9 Right' 51 Rear: 9 Phone (509) 994-8985
Group Name:
.Site Information: Project Name:
Plat Key. 001984 Name. PEPLINSKIS IST ADDITION
District: H
Parcel Number. 451111.114114
Block: Lot:
SiteAddress: 4621 N LARCH RD Owner: Name: BLYTIIE, DAVE
SPOKANE, WA 99206 Address: 4621 N LARCH RD
Location: SPO
Zoning: UR -3.5
Water Dhstnct
Urban Residential 3.5
SPOKANE, WA 99216
Hold ❑
Arca: II Sq Ft Width 11 Depth: 11 Right Of Way (CD. 11
Nbr of Bldgs' 1 Nbr of DIwllmgs 1
Review Information:
Review
Site Plan Review
Released By
Plan Review 1 Released B1`:: .. S E'K%(Oi1t. ` ,�
worm&ete
Permits:
Operator: RMB Printed By RMB
Print Date: 3/20/2002
Project Number. 02001754 Inv 1
Application-•
Date: 3/20/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: EXCALIBUR STEEL Firm: EXCALIBUR STEEL STRUCTURE
Address: PO BOX 14991 Phone (509)'921-1300
SPOKANE, WA 99214-0991
Building Characteristics
Const Category: New Group. U-1 Type VN
Nbr Of Dwellings 1 Occupant Load 0 Building Height' 19 Stories 1
Bldg W x D 30 s 40 Building Sq Ft:121111 Sprinklers:
Req Parking 0 Handicap Parking: 0 Critical Matenals- ❑
This Application: Total Project:
Description Grp Tvpe Notes Sy Ft Valuation Sy Ft Valuation
GARAGE U-1 VN 1,2110 $14,401100 1,200 $14,400 00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Summary:
Permit Type
Building Permit
Totals: 1,200 $14,400 00 1,200 $14,4011.00
Units Unit Desc Fee Amount
1 Y OR BLANK $225.50
1 Y OR BLANK $4 50
1 YORBLANK $49.61
Permit Total Fees: $279 61
Fee Amount Invoice Amount
$279.61 $279.61
Amount Paid
$U 00
Amount Owing
$279.61
$279.61 $279.61
$0.011 $279.61
Disclaimer: -
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained ssithin to he 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: 3/20/2002
10011
PROJE .,j PPLICATION WORK SHEET
SPOKANE COUNli B VI' 0 OF BUILDING & CODE ENFORCEMENT
itt 'OAD\VAYAVENUE
P • IC A N E
POK{MRE •'SUNPY
BUILDING AND ODE ENFORCEMENT
77-Q5 O 1_J N T Y
A DIVISION OF THE PUBLIC WORKS DEPARTMENT
James L. Manson, C.B.O., Director SPECIFIC SITE INFORMATION
Gary Oberg, Director
14(:/al ' ` ` LTV OCff
Assessor's Tax Parcel Number(s):
Street Address:
Legal Description:
Project Description:
:«;
Building Permit
❑ Change m Use
❑ Grading
❑ Manufactured 1-lome Permit
❑ Relocation
❑ Sign
O Tenant(New/Change)
O Other
Department Use Only - ..
\Carer Dotnct/Puneyoe
Scutt Distncr/Punc%or
Road•,Jth _
Setbacks.
Front Rear.
_
Left Right:
School District.
F rc Ihstriet '
'Lonmg
OWNER/APPLICANT INFORMATION
1rrAvlr who Jrudrl be mrrlederl meurrtme Ihirhmrew
0 CCneneePh'me Clic - 2489
Gl[(��v I c& 1..)` �tTr_ o . I as
Budding heght to peak
I /
0 Applicant.
et
Phone
Fas
Nailing Addis.,1
%a1 fi. Led_ rcL
'Total habitable space
hlultng Address
hushed basement sq f t
Occupancy group
-14--op
COQ, Stine, Zip
SCPok WA ggz1lA
Garage sy ft
City, State, Zip
C.
I leaf source (electric, gas, ate)
p�r t
Contractor(�� cI Phone VIZI - t 300
Excalibur JiC,Ets5 'wc}ute5 Fax Fax C) Z 1 - 4718
❑ Architect/Engineer
-
Phone
Fax
Alining address
P.o. B.t 1(49ci1
M.admg address
Croy, State Zip
SPalc.,2 ,—Q. l,JA RZ1t-1
City, State Zip
\\'A Stair (Contractor licenser#
EXCALS5 DOOCS I
/
Contact name
PROTECT INFORMATION
Building Information
Budding heght to peak
I /
# of stones
Main floin sq ft
Unfinished basement s4 ft.
Dimensions
3oxLIo x IL4
'Total habitable space
2a`I floor sq. ft.
hushed basement sq f t
Occupancy group
-14--op
Construction type
Pale QvI•;tom
Garage sy ft
Deck sq ft
Cost of project
I leaf source (electric, gas, ate)
1026 W. BROADWAY • SPOKANE, WASHINGTON 99260-0050
('HONE: (509) 477-3675 • FAX: (509) 477-4703 • TDD: (509) 477-7133
Manufactured Home
Sign
Width
1.englh.
What is tha;square footage of the sign
face?
I low high is the sign?
Vane
Make:
# of signs
Area of existing signs
Are or will there be wells located on the property?
Ifyes, identify on the site plan - 0 Yes No
•
Proposed use
Value
Address
Relocation -
-
Fire Safety
Previous address
What is the current use of this property?
C e 5 i a_ tiv`c e_
Fire Spnnklcr
Tent
Paint booth Fire Alarm
Fireworks display
_
Are or will there be wells located on the property?
Ifyes, identify on the site plan - 0 Yes No
•
Proposed use
Value
Address
No
Special Inspections Required? '
Non -Residential Energy Code Compliance?
A
Firm Name
What is the current use of this property?
C e 5 i a_ tiv`c e_
Phone
Plans Examiner
Phone
• 0 Yes ,- 0 No
Inspectors.
Are or will there be wells located on the property?
Ifyes, identify on the site plan - 0 Yes No
•
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, rdentrfy on site plan 0 Yes No
Address
No
'
Are critical or hazardous materials used or stored on site?
O Yes --;:o
Inspector
Phone
❑ Concrete
O Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? Pi.,Yes 0 No
If yes, identify 0n site plan
\X That is the current property size?
(square feet or acres)
f?^. 1 `i •` 0: Yess:;0'No
. . •- .
Is any part of the property within 250 feet of a shoreline?p./
If yes. identify an sae plan 0 Yes F'l No
What is the current use of this property?
C e 5 i a_ tiv`c e_
Is public water available to the site? '
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes %No
Will the site be served by a septic system? 0 Yes p5C.No
1 - '
• 0 Yes ,- 0 No
Is any part of the property within a 100 yr flood plain?
Eyes, zdenttfy an site plan
0 Maybe 0 Don't know 0 Yes liie....No
Are or will there be wells located on the property?
Ifyes, identify on the site plan - 0 Yes No
•
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, rdentrfy on site plan 0 Yes No
Is there evidence of fill or excavation on the property?
- 0 Yes
No
Are there slopes greater than 30% on the property? (3f nse in 100 ft)
( /^o) 0 Yes WNo
Are critical or hazardous materials used or stored on site?
O Yes --;:o
•a
DEPARTMENT USE ONLY
Is'the pioperty'iri a designated Stormwater Control Area?: - ""
,-ii -.` '-;'. . ':°. 0 -Yes O•No
-Is public sewe.r'available io the;site?
'• •. A
f?^. 1 `i •` 0: Yess:;0'No
. . •- .
':Is'the pioperiy inside: the ASA?,, •.
:' 0 :Yes , 'O -No
Is public water available to the site? '
: +', ,' ;j• O Yes," O,t No
3s the property inside the PSSA? : - '. -
• 0 Yes ,- 0 No
•Is the property Joeated within 1000 feet of a NaturaliResource A ea?i)
Date Received
Staff Representative:
METHOD OF PAYMENT
VISA
❑ CASA ❑ Cl IECK 0
DUCOVER
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATIS:
EXPIRES:
BANI:CARD NUMBER:
AUTI IORIZED SIGNA I'URE.
SUBTOTAL
.TOTAL FEE
MINIMUM PERMIT FEE ISSt5OXPI EASE
- MAKE CIIECKS PAYABLE TO SPOKANE
COUNTY PER I1 CENTER
,
•
4
,b
PRoPoSED SN 0?
►�
x
0
%Y
NS Tr, A
ADDRESS� `1b1 LA
ZONE Lt a•S
ROAD WIDTH CO
FRONT 50 FLANKING
GOMMEP'
EVIEWED
This site plan is being submit cd for the purpose of
obtaining a builaing permit ar d is a true and correct
representation of the propos. All known property
Tines/dimensions, curb lines, structures and easements
have been 'dental Also ince icated are wetlands,
bodies of water, st slo?ekor 'Teal areas.
Signed:
Date 3 • Z O • 6
-
Oh
hD Vi