2000, 05-01 Permit App: 00003273 Tear Off, ReroofProject Number: 00003273 Inv: 1
Application
Date: 05/01/2000 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information;
Permit Use: TEAR OFF & RE -ROOF Contact: RMC CONSTRUCTION INC
Address: P.O. BOX 1330
C - S - Z: VERADALE, WA 99037
Setbacks: Front Left: Right: Rear: Phone: (509) 924-9843
Group Name:
Site Information: Project Name:
Plat Key: 002755 Name: VERA
District: F
Parcel Number: 45151.1101 Block: Lot:
SiteAddress: 1103 N MAMER RD Owner: Name: VAN HEES, SCOTT C
SPOKANE, WA 99216 Address: 1103 N MAMER RD
Location:: SPO SPOKANE, WA 99216
Zoning: AGRI
Water District. Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Department Review
BUILDING Special Reviews
Hold Reasons:
Permit Conditions:
Permits• -
Project Number: 00003273 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/01/2000 Page 2 of 2
Contractor: UNKNOWN
Address: UNKNOWN
UNKNOWN, WA UNKNOWN
Building Characteristics
Const Category: Remodel
Nbr Of Dwellings:
Bldg W x D:
Req Parking:
Building Permit
Firm: UNKNOWN
Phone: (000) 000-0000
Group:
Occupant Load:
x Building Sq Ft:
Handicap Parking:
DescriptionGrp Type Notes
RESIDENCE R-3 VN RE -ROOF
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Type:
Building Height: Stories:
Sprinklers: ❑
Critical Materials: ❑
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
0 $5,000.00 0 $5,000.00
Totals: 0
Units Unit Desc
$5,000.00
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Payment Summary:
Operator: RMB Pnnted By: RMB Print Date:
Permit Type Fee Amount Invoice Amount
Building Permit
Notes: .-
$127.11 $127.11
0 $5,000.00
Fee Amount
$100.50
$4.50
$22.11
$127.11
05/01/2000
Amount Paid
$0.00
Amount Owing
$127.11
$127.11
$127.11
$0.00
$127 11
ILI
Spolwt Cowry
•
PROJECT APPLICATION 90
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project Description: - 744'0* Q. ,ifs
TYPE OF APPLICATION
O Building Permit
0 Change in Use
0 Grading
0 Manufactured Home Permit
0 Relocation
0 Sign
0 Tenant (New/Change)
0 Other
SPECIFIC SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s):
03 64,4-14/107.—
Legal Description:
artmentiU se
1,Water;DistricdPurdeyor y$;
Sewer District/1 tirvey
-Fire DiiiriciH!M'
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
0 Owncn Phone:
Ls
0 Applicant:
Phone:
Fax:
SC6j'T V /4T% I S Fax
Mailing Address ���� ��tt ,�tt�����,,..��—sa��
11o3 /i . M4pr�rL_
Mailing Address:
Total habitable space
City, State, Zip (�,� / ��� r , ,
City, State, Zip
Occupancy group
0 Contractor Phone
�i Phone C12,\\(i r�g��•s4 3�j
l ti✓ ✓ `tom Con -4 . Fax `�( (5, N s L
0 Architect/Engineer
Phone
Fax
Mailing address
pp goy 13 73 U
Mailing address
City, State Zip,
�-041., LA) A- CI Ga 3 7
City, State Zip
WA State Contractor license it
RAI-Ceogl' 'eo4sj4
Contact name.
PROJECT INFORMATION
uI iiig.Iri orma
Building height to peak
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
Total habitable space
2"d floor sy. ft.
Finished basement sq ft
Occupancy group
Construction type
Garage sq. ft.
Deck sq ft.
Cost of project
Heat source (electric, gas, etc )
Manufactured Horne - :
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
Firm Name
Previous address
Fire Sprinkler
Tent
Paint booth Fire Alarm
Fireworks display
_
Is there evidence of fill or excavation on the property?
0 Yes 0 No
Proposed use
Value
Address
:;Special";Inspections Required., .,
1Voin=Resideritial 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)
( /To) 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 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, identifis 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 sere 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)
( /To) 0 Yes 0 No
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
DEPARTMENT USE ONLY
Is;8 a property;tri i'ilesignafeebStorrhW ter.Control<'Are'a?[
':Is-puhlic sewer available id:t-he site?";'
Isahe:propertyiriside the ASA?.'
',O'No,
O.Yer"_'O No;
Ispitblicwater:av`dilable.to`thesite?';'" •O;No
Is:tfi'e properly insidethe-PSSA? O';'Yes. O: N6
'jIsthe property'loeated.within- 1000 feet; of a Nafura1Resource -
Area?'`:..
0 Yes lNo-
Date Received
Staff Representative: