2003, 01-21 Permit App: 03000362 ShopProject Number: 113000362 Inv: 1
Application ,
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 24 X 31) DETACHED, UNHEATED SIIOP Contact: S & S CONSTRUCTION
Address: 9606 E ARCHERY
C - S - Z SPOKANE, WA 99206
Setbacks: Front 82 Left: 41 Right. 5 Rear: 5 Phone. (509) 922-6390
Group Name
Site Information: Project Name
Plat Key: 000146 Name: BARKER ROAD MOBILE HOMES ADD
Dale. 1/2112003 Page 1 of 2
District.
Parcel Number: 55082.1314
Block. Lot:
SiteAddress: 19203 E MARIETTA AVE
OTIS ORCHARD, WA 99027
Location': OTI
Zoning: UR -7
Water District'
Urban Residential -7
Owner: Name: MAAK, RUSS
Address: 19203 E MARIETTA AVE
OTIS ORCHARD, WA 99027
Hold. ❑
Arca .00 Acres Width: 70 Depth. 117 Right Of Way (I)): 60
Nbr of Bldgs. 2 Nbr of Dwellings' 1
Review Information:
Review
Site Plan Review
Released By. .
Plan Review
Released BS: C 4163 7t ....., r . 21,t3 ,t3
Septic System Review
Permits:
Released By: : : �,.
Operator CKF Printed By CKF
Print Date. 1/21/2003
Project Number 03000362 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date. 1/21/2003 Page 2 of 2
Building Permit
Contractor: S & S CONSTRUCTION Firm: RAY SCHROEDER / S & S CONST
Address: 9606 E ARCHERY Phone: (509) 922-6390
SPOKANE, WA 99206
Building Characteristics
Const Category: New Group Tape:
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 Grp Tvpe Notes Sq Ft Valuation Sq Ft Valuation
STORAGE U-1 VN720 $8,640.00 720 $8.640.0(1
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Summary:
Permit Tvpe
Building Permit
Totals: 720 $8,640.00 720 $8,640.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Fee Amount
$150.50
$4 50
$33.11
Permit Total Fees: $188.11
Fee Amount Invoice Amount Amount Paid Amount Owing
$188.11 $188.11
$188.11 $188.11
$0.00 $188.11
$0.00 $188.11
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 he true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will he
complied with. Subsequent issuance of a permit shall not he 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' 1/21/2003
SRHD ENS
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PAGE 01
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;,Permit Jc 24 X 30 DETACHED,13.1
Setbacks. Front 82
Site Information:
-r
Left. 41
Right: 5 . Rear: 5
" . • Contact: S & S coNSTItif
Address. 9606 E ARCHERV
C - S - Z: SPOKANE, WA 9nlitSYM
Pline: (509) 922-6390 „
Group Natne;
Project Name: . • e •
Plat Key: 000146 Nom. 13ARKER ROAD:MOBILE HOMEs Anp Disuict: ,
Parcel Number. 55082.1314 Biock: Lot:
SileAddress: 19203 E MAFLIETTA AVE
OTIS ORCHARD, WA 99027
I-QC:MICH:: Oil
Owner Name: /VAAK, RUSS
Acldress. 1p203 E MARIETTA AVE
OTIS ORCHARD, WA 99027
Zoning: UR -7 Urban Residential -7 1
WyleiliiStrici Fri.
Arto. ,18) Acres Width, 70 Dep(11. 117 ! Righi Of Wa) (0) 60
Nbr ofeldgs 2 Nbr of Dwellings- I
Petttieli, Information:.
Review
Site Plan Review
Plan Review
Released:11y. C./-)1,_61:
Released 13y:1.
Permits:
2 Fa
1411,j).:
Operator:
:Print tiite
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Srowlg COUKTY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST (BROADWAY AVENUE
SPOKANE, \Ch\ 99260
509-477-3675
SPECIFIC SITE INFORMATION
l
Street Address: E 19 --t s tv', e/l 1
Assessor's Tax Parcel Number(s): ` Yn/1
Legal Description:
Project Description: T ` V Y� SL.cc �(
(Building Permit
O Change m Use
O Grading
O i\ lanu factured I-lonic Pent
0 Relocation
O Sign
O Tenant (New/Change)
O Other
DDepar"tment Use Only 'Winer
Dhtriet/Puntpx -
Sesser Distract/Puneyor _
Road ss idth
.Setbacks
Front - Rear_
Iefr'i Right
School District.
Fire District:" - .
zoning
OWNER/APPLICANT INFORMATION
fminwr n/io Jwu/l be imildied trunk's, /hi, prole/
0 t)it
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v / / YS C -CC I'.,•
' Building information
0 Applicant
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Sibling AJJi ssS n U'. ^
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City, %q.
Occupancy gong,
Phone❑ Amhmn/lbpis ei
0 ti nnran�s ' r
S ��s�f� q2./,4956,0
Thune
In
nlmling�Jihe.,
Mailing address
I
pin,
\\ A/_State C license e Conus nam.
S` Sec&iJ IG�o
PROTECT INFORMATION
' Building information
Building height �f Iii Punk
c
tt or,hnms
\faun n",,,,,Ih
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,hm,hedbasensnt St] it
Ummtsunm ^
r2 - „Li (i`J O
rural h.ah bl. sP
' {I7-0
C? a.
'_"I [1n ir ,.y (I
,...•
1- nl,btd basement Sy. 6.
Occupancy gong,
G ,is.. cutcd tvpe
'{,'JO e
��
l'nngc , (t �_
Deck >y n
I
Cost orpn1jy� r7 I ��
* I/
I lent sourcc (electric, Fm. etc)
C__
Manufactured Horne .
Sign
width.
Length:
What is the square footage of the sign
face%
!low high is the sign?
Year
Make:
# of signs
Area of c fisting .signs
.\re or will there he wells located on the property?
Il yer. idenh(y on the Ate plan 0 Yes 0 No
Proposed use
Value
Is there evidence of till or excavation 011 the property?
0 Yes 0 No
Relocation
Fire Safety • " .
Arm Name
fret ions address
What is the current use of this property?
Fire Spnnkler
Tent
Paint booth lire Alarm
Fireworks display
_
.\re or will there he wells located on the property?
Il yer. idenh(y on the Ate plan 0 Yes 0 No
Proposed use
Value
Is there evidence of till or excavation 011 the property?
0 Yes 0 No
Address
Special Inspections Required?
Nori-Residential Energy Code Compliance? ..
Arm Name
Is any part of the property within 250 feet of a shoreline?
If yes. identify on site plan 0 Yes 0 No -
What is the current use of this property?
Phone
Is your property in a designated wildlife habitat area?'
0 Do't know 0 lyes 0 No
Plan. Dammer
Ply me
Inspector.
.\re or will there he wells located on the property?
Il yer. idenh(y on the Ate plan 0 Yes 0 No
Are there any wetlands, streams or ponds within 200 feet of the property?'
Ifyes, identsft on sae plan 0 \'es 0 No
Is there evidence of till or excavation 011 the property?
0 Yes 0 No
Address
Are there slopes greater than 30% on the property? (30 ft nse in 100 ft)
( /"/o) 0 lyes 0 No
Are critical or haiardous materials used or stoned on site?
0 \'es 0 No
0 Yes
0
No '
Impraor
Mit u
❑ Concrete
❑
Welding
❑ Bolting
❑ Reinforcement
.Wdr..s
ADDITIONAL SITE INFORMATION
Are there stmenncs un the property? 0 lyes 0 No
If yes, idenl on rile plan •
What is the current property si'c?
(square fret ur acres)
-
No -
Is any part of the property within 250 feet of a shoreline?
If yes. 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 Do't know 0 lyes 0 No
\VIII the site be scn-cd by a septic system? 0 Yes 0 No
No
Is any part of the propery within a 100 yr flood plain?'
Ifjes. rdenefr on Ale plt(n
0 Maybe 0 Dont kiatnv 0 Yes 0 No
.\re or will there he wells located on the property?
Il yer. idenh(y on the Ate plan 0 Yes 0 No
Are there any wetlands, streams or ponds within 200 feet of the property?'
Ifyes, identsft on sae plan 0 \'es 0 No
Is there evidence of till or excavation 011 the property?
0 Yes 0 No
'
Are there slopes greater than 30% on the property? (30 ft nse in 100 ft)
( /"/o) 0 lyes 0 No
Are critical or haiardous materials used or stoned on site?
0 \'es 0 No
DEPARTMENT USE ONLY
Ts the property in a designated Stonnwater Control Area?
.• ❑ Yes
❑
-
No -
Is public sewer available to the site? 0 Yes 0 No
--
Is thelproperty inside the ASA?
•'
❑ lyes
0
No
Is public water available to the site? . ❑ Yes ' 0 No''
0 Yes
0
No
-
'Is the property inside the PSSA?
0 Yes
0
No '
Is the property located within 1000 fret of a Natural Resource'Area?- "
_. .,
..
❑' Yes 0 No ... •
Dale Reamed
Slat( Ittprt..nrn
METHOD OF PAYMENT
❑ GASII
4
FAXED PERMITS WILL ONLY BE ACEPTED WITH PATIENT OF A MAJOR CREDIT CARD
-❑ CI II?CK ❑
VISA
❑ I9I " 0
DUCUVER
BATF
IESI'IRES.
a
BANKCARD NU\IRItR:
:\UI'I TORIVI,I) SIGNATURI•.
SUB'I'O'I'AI.
TOTAL FEE
MINIMUM PERMIT FEES i500 PI IiASE
al.\K li c:I ILCK.S vavAiILIt n o SPOKANE
COEN ti mitatIT CEN -ITR
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Jdtmevsions'curb lines, structures and easements
:bee,nG� d. Also indicated aie wetlands.
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