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2002, 10-09 Permit App: 02008903 Finish BasementProject Number 02008903 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/9/02 Page 1 of 2 Project Information: Permit Use: FINISH FAMILY ROOM IN BASEMENT Contact: ORLOWSKI, GERALD SR Address: 316 S MANIFOLD LN C - S - Z: GREENACRES WA 99016 Setbacks: Front Left: Right: Rear: Phone: (509) 926-1993 Group Name: Site Information: Project Name: Plat Key: 006266 Name: LONGVIEW' PUD District: G Parcel Number: 55192.0321 Block: 2 Lot: 2 SiteAddress: 316 S MANIFOLD LN GREENACRES, WA USA 9901 Location:: GRE Owner: Name: ORLOWSKI, GERALD SR Address: 316 S MANIFOLD LN GREENACRES WA 99016 Zoning: UR -3.5 Urban Residential 3.5 Watcr District: 008 CONSOLIDATED IRRG #1 Hold: ❑ Area: 6,489 Sq Ft Width: 54 Depth: 118 Right Of Way (ft): 32 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Permits: Building Permit Contractor OWNER Firm: OWNER Phone: Building Characteristics Const Category: Remodel Group: Type: Nbr Of Dwellings: Occupant Load: Building Height: Stories: Bldg W x D: x Building Sq Ft: Sprinklers: Req Parking: Handicap Parking: Critical Materials: ❑ This Application: Total Project: Description Gra Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT R R-3 VN 378 $1,697 22 378 $1,697.22 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Totals: 378 $1,697.22 378 $1,697.22 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Operator JAS Printed By: JAS Fee Amount $55.00 $4.50 $12.10 Permit Total Fees: $71.60 Print Date: 10/9/02 Project Number: 02008903 Inv. 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/9/02 Page 2 of 2 Notes: Payment Summary: , Permit Type Fee Amount Invoice Amount Amount Paid Amount Owine Building Permit $71.60 $71.60 $0.00 $71.60 $71.60 $71.60 $0.00 $71.60 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: JAS Printed By: JAS Print Date: 10/9/02 �;7 Ivic SPOK,ANg COURIT • PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEi\IENT 1026 WEST BROADWAY AVENUE SPOKANF, W:\ 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address. ? 1 b s Mar\\TO0 L'_ Grie✓\ o,cres W R 11 01.6 Assessor's Tax Parcel Number(s): 551 qZ. o 3 21 Legal Description: Lok 2 QIock 2 Lock v e v\ Project Description: 'f 1Ai51'\ OAt, ROOM 1A gthstnAt - f0 M1 IU 200� Ext Building Permit O Change in Use O Grading 0 \lams facmred Home Permit 0 Relocation O Sign O Tenant (New/Change) O Other Departnlent-USc Only \Cater i)i trict/Puneior Sewer 1)146(1/Puneyor (toad width Setback, . Front Rea w - . lcfc nigh, School D1mct.. -, . Fitt I)tstnct ,. . Zoning OWNER/APPLICANT INFORMATION 1nJigele she •hn1// be tonleded re an/tnn Il t prop•,/ ❑ nurser PhoncX X(5/1—(0‘. 0 rlowst41 Ira. 0 Applicant Phone_ raa Nmbng \Il e.s X 316 S Mo„ni-lo.. L+\ (�JIn /shod Matting AJdre..SC /I/1y � Dnnenstona Cim, Stare'/.tp X GrttA Acrts 1 WR 1°1014 Cit State. Ztp ba.unent ..y. 6 El cLmtI_I r Plionc Pa\ Cnnstrucuu 1 t 1 0 r\rch ItC /Fngn a Phone ha. Nailing addre.. �� Cost of project 3 ,006 Nailing addres.. �� City,Start Tp Cin, State Zip \\ A State Contractor licence = Contact name PROTECT INFORMATION Building Information Building hygh1 to peak # of qinws \lam Ili tur sg It (�JIn /shod inched baaement ti ft Dnnenstona Total habitable space 2" 1 floor rg 6 gi) ba.unent ..y. 6 Occupancy go nip Cnnstrucuu 1 t 1 Gnra,ge sy. fr Deck sg O. Cost of project 3 ,006 I Ica[ irce (elccinc, gig,etc 6-0.5 Manufactured Home • Sign Width. Length: What is the square footage tit the sign ace? I low h,gh is the sign? Year: \lake tt u1 sign. ,\ rca of exit; ling s;gnu Fireworks display _ Plan. If'am,ntr Pr posed use Relocation Fire Safety, Non -Residential Energy Code, Compliance? • Prccious address -NU Is your property m a designated wildlife habitat arta,' 0 Don't know❑ Yes No Fire Sprinkler lent Paint booth Fite Alarm Fireworks display _ Plan. If'am,ntr Pr posed use Value Special Inspections'Required? \What is the current pn perry sr/ea (square feet or acres) Non -Residential Energy Code, Compliance? • Finn Name -NU Is your property m a designated wildlife habitat arta,' 0 Don't know❑ Yes No Will the site be scn•cd by a septic system? 0 Yes 74, No Is any part of the property within a 100 yr flood plain Iflea. ulentg5 on tete phm�( 0 maybe ❑ Don't know ❑ Yes No Phone Arc there any wetlands, streams or ponds within 20 feet of the property? I/ yes, identi5j' on sat plan 0 lyes 'o Is there evidence of fill or cxcavanon on the property? ❑ \'cs C.No Plan. If'am,ntr Phi me Inspectors Addron Inpector Thum ❑ Concrete ❑ Welding ❑ Bolting ❑ Rcln h,rcrtnenr Address ADDITIONAL SITE INFORMATION Are there structures on the property% ❑ Yes 17\ No Ifyer, uleuh/i on rite phi?? \What is the current pn perry sr/ea (square feet or acres) Is any part of the property within 250 fret of a shut cline? kw. Identify 0n site plan ❑ Yes What is the current use of this property? -NU Is your property m a designated wildlife habitat arta,' 0 Don't know❑ Yes No Will the site be scn•cd by a septic system? 0 Yes 74, No Is any part of the property within a 100 yr flood plain Iflea. ulentg5 on tete phm�( 0 maybe ❑ Don't know ❑ Yes No Are or will there be wells located on the property? lifer, itlenL/' 011 the site p/til 0 Yes M No /�. Arc there any wetlands, streams or ponds within 20 feet of the property? I/ yes, identi5j' on sat plan 0 lyes 'o Is there evidence of fill or cxcavanon on the property? ❑ \'cs C.No Are there slopes greater than 30/ on the property? (30nye in 100 ft) ) ( /%) 0 Yes V No .\re critical or ha/anions materials used or stored 011site? y 0 lyes '-R No DEPARTMENT USE ONLY Is the property in a designated Stonnwater Control Arca? CI Yes Dale 0 N Is public sewer available to the site? _ 0 Yes •No ?-' ... 1s the property, inside the ASA? ' .. 0 .Yes .❑ Yes 0 No 0 No Is public water available tri the site? - ' 0 .Yes No: :•1'.i _ '.::� r , Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area? ....• ❑ 1'cs 0 No - - RICOn r d Staff Represen taus e METHOD OF PAYMENT ❑ t;.\sii ❑ (:1lr:K ❑ VISA 0 0 D1fCiVER FAXED PERMITS WILL ONLY BE ACEPTED WITH.PAVMENF OF A MAJOR CREDIT CARD D:CI'I( RANI CARD NUMBER CNN RI:S- :\ Ott IORI'/.I tD SIGNATURE: LIRE: SUBTOTAL TOTAL FEE • MINIMUM PERMIT FEE ISFd9-00I'IRASE- 11\611 CI IECKS PAYABLE lO SPOKANE . . - 10 UN'l l PERIIT CEN 1'01