2002, 09-25 Permit App: 02008334 Pole Building Project Number: 02008334 Inv: 1 Application Date: 9/25/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 30 X 60 POLE BUILDING Contact: KENNEDY,JIM
Address: 619 N DICK RD
C-S-Z: SPOKANE,WA 99212
Setbacks:Front 50+ Left: 20+ Right: 10 Rear: 20 Phone: (509)999-3432
Group Name:
Site Information: Project Name:
Plat Key: 001288 Name: HUTCHINSON'S ADD District: F
Parcel Number: 45183.0259 Block: Lot:
SiteAddress: 619 N DICK RD Owner:Name: KENNEDY,JIM
SPOKANE,WA 99212 Address: 619 N DICK RD
Location:: SPO SPOKANE,WA 99212
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: El
Area: 0 Sq Ft Width: 97 Depth: 110 Right Of Way(ft): 40
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review
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Site.IAReview
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Plan Review Released By:
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gr-Operator:Perm its:
RMB RMB Printed By: RMB Print Date: 9/25/2002
Project Number: 02008334 Inv: 1 Application " Date: 9/25/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER Finn: OWNER
Phone:
Building Characteristics
Const Category: New Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: L
Req Parking: Handicap Parking: Critical Materials: El
This Application: Total Project:
Description Grp, Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 1,800 $21,600.00 1,800 $21,600.00
Totals: 1,800 $21,600.00 1,800 $21,600.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $313.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $68.86
Permit Total Fees: $386.36
•
N
awent S ....................................
Y
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $386.36 $386.36 $0.00 $386.36
$386.36 $386.36 $0.00 $386.36
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: RMB Printed By: RMB Print Date: 9/25/2002
L► PROJECT APPLICATION WORK SHEET
i° SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
1111111 509-477-3675
SPOK NF Cour
SPECIFIC SITE INFORMATION
Street Address: Wei 47 0,--6 1c_ v
Assessor's Tax Parcel Number(s):
.\/
Legal Description:
Project Description: / X (.PO' lj1.4 oe ( pa 's GO^5+
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor. Sewer District/Purveyor Road width Setbacks
Front Rear:
School District Fire District: Zoning
Left: Rath!.
OWNER/APPLICANT INFORMATION
0 Indicate who should he contacted reardinA this j r jed
piOwner: / Phone: f� .W9'?e,32 CI Applicant: Phone:
LJ
/ ,4-% k "i. eel Fax: Fay:
Mailing Address: Mailing Address:
CP(g iv D,-2.1,.. (-..(
City,State,Zip City,State,Zip
5e, 1.,..._ c.,44— 99212—
❑ Contractor Phone ❑Architect/Engineer Phone
Fax Fax
Mailing address / Mailing address
F Zt "S ( 9le$e+- / S7e7,11,51-,
/C, L1s-T
City,State ZS V City,State Zip
WA State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
/9' / /ke7o
.. Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft.
'3o( x (pOH
Occupancy group Construction type / Garage sq.ft. f)cc I,m-tt.
pole
Cost of project Heat source(electric,gas,etc.)
Manufactured Home Sign'
Width: Length: What is the square footage of the sign I low high is the sign?
face?
Year: Make: #of signs Area of existing signs
Relocation Fire Safety
Previous address Fire Sprinkler Lent
Paint booth_ Fire Alarm Fireworks display
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
I inn Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
El Concrete O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? Yes O No What is the current property size?
Ifyes,ident,6 on site plan (square feet or acres) /C ?/e
Is any part of the property within 250 feet of a sho e? What is the current use of this property?
Ifyes,idents on site plan O Yes f No K �/�
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes 1 V o
O Don't know O Yes ,No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,idents on site plan Ifyes,identify on the site plan O Yes �No
O Maybe O Don't know O Yes 0 No
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Ifyes,identt on siteplan O Yes O No O Yes No
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( %) CI Yes 111.No 0 Yes Ilio
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes O No
O Yes O No
Is the property inside the ASA? O Yes 0 No Is public water available to the site? CI Yes CI No
O Yes O No
Is the property inside the PSSA? CI Yes O No Is the property located within 1000 feet of a Natural Resource Area?
O Yes O No
Date Received: Staff Representative:
METHOD OF PAYMENT
VISA Mast- r'lF
SUBTOTAL
0 CASH 0 CI-HECK 0 1111111111111111 0 . 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES: TOTAL FEE
BANKCARD NUMBER: MINIMUM PERMIT FEE IS$.t5.A0P1..E:ASE
MAKE CHECKS PAYABLE IC)SPOKANE
AUTHORIZED SIGNATURE:
IX uNTS rEintrI CENTER
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ROAD WIDTH .5-..y)
FRONT -50 FLANKING
COMMENTS
REVIEWED BY
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MS _...
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This site plan is being_submitted for the purposIvot 1
obtatnin:j :- ; :Iiling porm'mnd is a t ,;,:;Ind correct v
N
representation of the prt pO-Sal.Aft known--oroperty
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lines/dimensions curb lines,structures and easements
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have been Iden :1 :. indi .ted are wetlands,
bodies of . -,p slop: or other cntical areas. _
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Signe. . ..
Date 96c7c,2_