2002, 09-09 Permit App: 02007755 Detached GarageProject Number: 02007755 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/9/02 Page 1 of 2
Project Information:
Permit Use: 20 X 22 DETACHED GARAGE (ALREADY
RELOCATED)
Setbacks: Front
Site Information:
Left:201'Right:, O Rear: 10
Plat Key: 000767 Name: FAIRACRES
Block:
Parcel Number: 45092.0719tube
SiteAddress: NJO H NSON RD
SPOKANE, WA 99206
Location:: SPO
Zoning: UR 3.5
Water District:
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
RUBERT, MIKE
PO BOX 29
SPANGLE, WA 99031
(509) 448-2720
Area: 11,732 Sq Ft Width: 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Special Inspections
1,0 — 6: A kAAIG-L lay'
-e, ZA5
Special Reviews
Lot:
Owner: Name: RUBERT, MIKE
Address: PO BOX 29
SPANGLE, WA 99031
District: H
Hold: ❑
Depth: 74 Right Of Way (ft): 36
Released By: £ $ _CL Z —00 ` —I z -
Released By:
Approach / Drainage
Permits:
Released By:
'P
jReleased By:
cl (3. 0Z.
Operator: CKF Printed By: CKF
Print Date:
9/9/02
Project Number: 02007755
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/9/02 Page 2 of 2
Contractor: OWNER
Const Category: New
Nbr Of Dwellings:
Bldg W x D: x
Req Parking:
Description
FOUNDATION
Grp
R-3
Building Permit
Firm: OWNER
Phone:
Building Characteristics
Group:
Occupant Load:
Building Sq Ft:
Handicap Parking:
Type:
Building Height:
Sprinklers:
Critical Materials:
Stories:
This Application: Total Project:
Type Notes Sq Ft Valuation So Ft Valuation
VN 440 $880.00 440 $880.00
Item Description
RESIDENTIAL VALUATION
Contractor: OWNER
Item Description
STATE SURCHARGE
RELOCATION INSPECTION
COUNTY SURCHARGE
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $35.01 $35.01 $0.00 $35.01
Relocation Permit $66.49 $66.49 $0.00 $66.49
Totals: 440 $880.00
Units Unit Desc
1 Y OR BLANK
Permit Total Fees:
Relocation Permit
Firm: OWNER
Phone:
Units Unit Desc
1 Y OR BLANK
1 NUMBER OF
1 Y OR BLANK
Permit Total Fees:
440 $880.00
Fee Amount
$35.00
$35.00
Fee Amount
$4.50
$50.00
$11.99
$66.49
$101.50 $101.50 $0.00 $101.50
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: 9/9/02
I
191
ADDRESS
ZONE 3 =-`�-
ROAD NN' 6 DTH 54
FRONT 5 ' FLANKING
-
COMMENTS
REVIEWED i; L
Fly Jb`
.a
i
76 .' q /
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
linesldimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of water, Jeep sl�o jes or other c tical areas.
S;red I(9C a �9iti
Cze� Z