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2001, 07-31 Permit App: 01006322 AddiitonProject Number: 01006322 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/31/01 Page 1 of 2 Project Information: Permit Use: FAMILY ROOM ADDITION OVER EXISTING GARAGE Setbacks: Front EXI Left: NA Right: EX Rear: EX Site Information: Contact: ARLEY ROEMER CONSTRUCTION Address: 16116 E KAHLUA LN C - S - Z: MICA, WA 99023 Phone: (509) 999-9878 Group Name: Project Name: Plat Key: 002579 Name: SUNNYVALE ADDITION District: H Parcel Number: 45011.1102 Block: Lot: SiteAddress: 16508 E LONGFELLOW AVE Owner: Name: ROEMER, CAREY SPOKANE, WA 99216 Address: 16508 E LONGFELLOW AVE Location:: SPO SPOKANE, WA 99216 Zoning: UR -3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 0 Sq Ft Width: 92 Depth: 154 Right Of Way (ft): 0 Nbr of Bldgs: 2 Nbr of Dwellings: 1 Review Information: Department Review BUILDING Site Plan Review Hold Reasons: Permit Conditions: BUILDING Hold Reasons: Permit Conditions: Plan Review HEALTHDISTRICT Septic System Review Hold Reasons: Permit Conditions: Permits: Project Number: 01006322 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/31/01 Page 2 of 2 Building Permit Contractor: ROEMER CONSTRUCTION Firm: ARLEY ROEMER CONSTRUCTIO Address: 5516 E CATALDO AVE Phone: (509) 999-9878 SPOKANE, WA 99212 Building Characteristics Const Category: Addition Group: R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: 20 Stories: 1 Bldg W x D: 22 x 24 Building Sq Ft: 528 Sprinlders: L1 Req Parking: Handicap Parking: Critical Materials: This Application: Total Project: Description Grp Type Notes So Ft Valuation Su Ft Valuation RES ADD R-3 VN 528 $32,736.00 528 $32,736.00 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Payment Summary: Operator: CKF Permit Type Building Permit Notes: Totals: 528 $32,736.00 528 $32,736.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Fee Amount $424.00 $4.50 $93.28 Permit Total Fees: $521.78 Printed By: CKF Print Date: 7/31/01 Fee Amount Invoice Amount Amount Paid Amount Owing $521.78 $521.78 $0.00 $521.78 $521.78 $521.78 $0.00 $521.78 SpokANEComY PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: Assessor's Tax Parcel Number(s): Legal Description: Project Description: Cr./ v ding Permit In Change in Use ❑ Grading El Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other Department Use Only Water District/Purveyor. Sewer District/Purveyor Road width - Setbacks Front Rear: Left Right: School District Fire District: Zoning OWNER/APPLICANT INFORMATION 0 Indicate who should be oonladed ntardinj ibis pro/ed ❑ Owner: Phone: q g - 3( ) 2 6-4(/ e ;{t ,�f o-<"-Lfrs� I'ax: l' t ❑ Applicant: Phone l'ax: Mailing Addrefs: /(1-5.4 6 E Z--0,-)-f-e149 vv- Mailing Address: City,State,7.ip LA -14A , / Q. 9.2/‘, 61 City, State, Zip \lain floor sq. Fi. ❑ Con ctor Phone /) G% 4 7 !. _ Q 8 7 3 r 1 ( i/ V )y -44-- Fax (2 . .J - 777& 'f ❑ Architect/ Iiitgineer Phone ix Mailing address / 5...5? (a ' « a UP \tailing address City, State Zip City, State Zip Finished basement sq. ft. VVA Stn ontractor license # Contact name: Construction type PROTECT INFORMATION Building Information Building height to p);ak c O # of stories as- ,Dimensions \lain floor sq. Fi. Unfinished basement sq. ft. Dimensions "Total habitable space 2nd floor sq. ft. Finished basement sq. ft. Occupancy group Construction type 9� /� K.YI Garage sq. ft. Deck sq. ft. Cost of project /1/0° 0 I Icat source (electric, gas, etc.) F/e4. t`c- Manufactured Home Sign Width: Length: What is the square footage of the sign face? How high is the sign? Year: Make: # of signs Arca of existing signs Fireworks display Are critical or hazardous materials used or stored on site? ❑ Yes ❑ No Address Proposed use Relocation Fire Safety Firm Name What is the current use of this property? Previous address Will the site be served by a septic system? ❑ Yes ❑ No Paint booth Fire Sprinkler Tent Fire Alarm Fireworks display Are critical or hazardous materials used or stored on site? ❑ Yes ❑ No Address 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? ❑ Yes ❑ No Plans Iixaminer Phone Inspectors: Is there evidence of 011 or excavation on the property? ❑ Yes ❑ No Are there slopes greater than 30°o on the property? (30 ft rise in 100 ft) ( °/°) ❑ Yes ❑ No Are critical or hazardous materials used or stored on site? ❑ Yes ❑ No Address Inspector Phone ❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address ADDITIONAL SITE INFORMA Are there structures on the property? ❑ Yes ❑ No If yes, identift 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 per, identifi on site plan ❑ Yes ❑ No What is the current use of this property? Is your property in a designated wildlife habitat area? ❑ Don't know ❑ Yes ❑ No Will the site be served by a septic system? ❑ Yes ❑ No Is any part of the property within a 100 yr flood plain? I f pet, identi# on site plan ❑ Dlavbe ❑ Don't know ❑ Yes ❑ No Are or will there be vve11s located on the property? Ifyes, ideid_i f t on the site plan ❑ Yes ❑ No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, iderrtib on site plan ❑ Yes ❑ No Is there evidence of 011 or excavation on the property? ❑ Yes ❑ No Are there slopes greater than 30°o on the property? (30 ft rise in 100 ft) ( °/°) ❑ Yes ❑ No Are critical or hazardous materials used or stored on site? ❑ Yes ❑ No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? ❑ Yes ❑ No Is public sewer available to the site? ❑ Yes ❑ No Is the property inside the ASA? ❑ Yes 11 Yes ❑ No 0 N Is public water available to the site? ❑ Yes ❑ No Is the property inside the PSSA? ❑ Yes ❑ No Is the property located within 1000 feet of a Natural Resource Area? ❑Yes El No Date xeceived: Staff Representative: METHOD OF PAYMENT VISA ❑ C:ASI1 0 CIII?CK. ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD 1)\T(: H.ANIC.ARD NUNIBI(R: I :\Pl1 l;S: .Atl'll I0R1%11D S1( ;N.IZI':: SUBT(YI':\I. TOTAL FEE MINIMUMPERMIT FEE IS $3505PLE;\SE \I. \KE CI IEC KS PAYABLE TO SPOKANE COUNTY PERMIT CENTER Delivered To Cuestomerrr Approval Sold By Delivery Date PLAN NO. Special Instruction: Thule ;' n --i-. 01.1 ipr 4._�ur { 4140.f4E45+4.11; .drug permit at d is a. trU - cOtl -repiegierrtato' of-tke prppesit ;AII-kro o proper fire¢tr17r e-tsitrg ttir5-tines structure1abctie __. h iV' rd*TtreT'A1so in ficated'sre we4tfati-d , bodies o w:at+r, s4,,e open of other ryritical are © 1998 White Consolidated Industries, Inc., Printed in U.S.A. We have exc