2002, 04-11 Permit App: 02002492 AdditionProject Number: 02002492 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/11/02 Page 1 of 2
Project Information:
Permit Use: 15 X 16 DINING ROOM ADDITION
Setbacks: Front NIA Left: Right: Rear:
Site Information:
AgeRneRM
Contact: SCHAEFER, SAM/M STEFFENHAGEN
Address: 7223 E MARIETTA AVE
C - S - Z: SPOKANE, WA 99212
Phone: (509) 922-8222
Group Name:
Project Name:
Plat Key: 001866 Name: ORCHARD AVENUE ADD (TR.1-228)
Parcel Number: 35121.3802
District: H
Block: Lot:
SiteAddress: 7223 E MARIETTA AVE
SPOKANE, WA 99212
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Owner: Name: SCHAEFER, SAM/M STEFFENHA
Address: 7223 E MARIETTA AVE
SPOKANE, WA 99212
Hold: ❑
Area: 0 Sq Ft Width: 66 Depth: 173 Right Of Way (ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Septic System Review
r Released By: ` .s .%( jt,L 4- 1/ -6
Released By:
411-12-1, 47;11 11 •_02 -
Operator: CKF Printed By: CKF Print Date: 4/11/02
Project Number: 02002492 Inv: 1
Application
Date: 4/11/02 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Const Category: Addition
Nbr Of Dwellings: Occupant Load:
Bldg W x D: 15 x 16 Building Sq Ft:
Req Parking: Handicap Parking:
Building Permit
Firm: OWNER
Phone:
Building Characteristics
Group: R-3 Type: VN
Building Height: 16 Stories: 1
240 Sprinklers: ❑
Critical Materials: 111
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
240 $14,880.00 240 $14,880.00
Description Grp Type Notes
RES ADD R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: OWNER
Item Description
GAS PIPING
GAS LOG OR GAS INSERT
MINIMUM FEE ADJUSTMENT
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Totals: 240 $14,880.00 240 $14,880.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Fee Amount
$225.50
$4.50
$49.61
$279.61
Firm: OWNER
Phone:
Units Unit Desc
1 # OF UNITS
1 NUMBER OF
1 Select
Permit Total Fees:
Fee Amount
$1.00
$10.00
$24.00
$35.00
Fee Amount Invoice Amount Amount Paid Amount Owing
$0.00 $279.61
$0.00 $35.00
$279.61 $279.61
$35.00 $35.00
$314.61
$314.61
$0.00 $314.61
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 contrued 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:
4/11/02
i i
ilk
SPOK INE CUN Y
•
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: 1
c) 12-1, 3c;4Z
Project Description:
Building Permit
0 Relocation
i2ooyv S '((
• Change in Use
O Grading
O Manufactured Home Permit
O Sign
O Tenant (New/Change)
O Other
Depaitment Use Only
Water District/Purveyor
Sewer Distnct/Purveyor
Road width
: Setbacks - Front Rear.
Left Right
School District
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
Indimte who should he contacted rrAurding thr:r proje,r
y- .At ncc - -,T 1 Phone: 9 L — -6,...?..e)--
/ 'c t {` „lit `t c eL� r`+"_ "%,e,.. v. I : ax:
J
0 Applicant:
��%t,�t/�/�
Phone:
Pax:
Haling Address:
;- 3 e , / 2.a iL
� A — —P
irlaihng Address:
(:in, State, Zip
1C_C"t,..e w A
1 al 2 k 2
Cin, state, Zip
0 Comnaur0
1 _/A
f"i
Phone
fax
0 Architect/Engineer
N.JLh / ^
Phone
Mailing address
Mailing address
Cin, State Zip
cin, state /. p
WA State Contractor license
Contact name
PROJECT INFORMATION
Building height to peak
, t
Dimensions
Building Information
# of stories
Main floor sy. li.
Unfinished basement sq. ft.
Occupancy group
Cost ofpntjcct
Total habitable space
2"d floor sq. ft.
(.unst ruction rvpc
(.;arage sy. ft. 1 2 -)(2 0
Finished basegicnt ..y. It.
Deck sq. ft. ,
Io
Sp00
I leaf souree eetn has, te.)
Manufactured Home' f
ti [1 /�
�`
Sign
width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs 'fi
Area of existing signs
Fireworks display
Are there any wetlands, streams or ponds within 20 feet of the property?
fyes, identO, on silo plan 0 Ycs No
Is there evidence of fill or excavation on the property?
0 Ycs
Proposed use
Relocation
ti [1 /�
�`
Fire Safety
!'hone
Plans Examiner
Previous address
Phone
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
Are there any wetlands, streams or ponds within 20 feet of the property?
fyes, identO, on silo plan 0 Ycs No
Is there evidence of fill or excavation on the property?
0 Ycs
Proposed use
Are there slopes greater than 30% on the property? (30 ft Ise in 100 ft)
( / 04) 0 Ycs( No
Value
0 Concrete
0 Welding 0 Bolting 0 Reinforcement
Special Inspections Required? 'Ni
Non -Residential EnergynCode Compliance?
Firm Name
!'hone
Plans Examiner
N 1 /117 ��` {-1
Phone
Inspectors:
Address
,\ re or will there be wills located on the property?�
f yes, tt/e/Il�' 0/! the site plan ❑ Yes No
Are there any wetlands, streams or ponds within 20 feet of the property?
fyes, identO, on silo plan 0 Ycs No
Is there evidence of fill or excavation on the property?
0 Ycs
Inspector
Are there slopes greater than 30% on the property? (30 ft Ise in 100 ft)
( / 04) 0 Ycs( No
Phone
0 Concrete
0 Welding 0 Bolting 0 Reinforcement
Address
ADDITIONAL
Arc there structures on the property? 0 Ycs No
If yes, identz5' on site plan
\X'hat is the current property size?
(square feet or acres) & Co X 110._
Is the property inside the ASA? 0 Yes 0 No
OYcs ONo
Is any part of the property within 250 feet of a shoreline?
If yes, ideuti_b on site plots 0 Yes o
What is the current use of this property?
k Gc\-><
Is the property located within 1000 feet of a Natural Resource Arca?
0 Ycs 0 No
Is your property in a designated wildlife habitat area?
0 Don't know 0 Ycs $No
\X'ill the site be served by a septic system? XYcs 0 No
Is any part of the property within a 100 yr flood plain?
ff'es, tde/tt� 011 Ilk pIa i
O Maybe 0 Don't know 0 YesXNo
,\ re or will there be wills located on the property?�
f yes, tt/e/Il�' 0/! the site plan ❑ Yes No
Are there any wetlands, streams or ponds within 20 feet of the property?
fyes, identO, on silo plan 0 Ycs No
Is there evidence of fill or excavation on the property?
0 Ycs
o
Are there slopes greater than 30% on the property? (30 ft Ise in 100 ft)
( / 04) 0 Ycs( No
Are critical or hazardous materials used or stored on site?
0 Ycs
lo
DEPARTMENT USE
Is the property in a designated Stormwater Control Area?
O Yes O No
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No
OYcs ONo
Is public water available to the site? 0 Yes 0 No
Is the property inside the PSSA? 0 ,Yes 0 No
Is the property located within 1000 feet of a Natural Resource Arca?
0 Ycs 0 No
!Inc Recon ed:
Gaff Rcpre, ntathc
METHOD OF PAYMENT
VISA
❑ (:.\`I(;IIF(:k
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D:1"1.1 •::
R.\NKC.\R! NU\113I•:R:
ALIT' TORI/Id) SIGNATURE:
SUBT( ) I.\1.
TOTAL FEE
MIN/MUM PERMIT FEE IS $35.0011..F:1JE
\I.1KT CI HICKS P:\l.\tt1E TU SPOKANE
COUNTY PERMIT CENTER
ADDRESS
ZONE
ROAD WI Tl
FRONT T A --FLANKING
COMME_ _ _ -�
REVIEWED RRV�
(7,..ro-RQ
QI
GeQ
This site plan is being submitted for the purpose of
obtaining a build;ng permit and is a true and correct
representation of the proposal. All known property
lines/dimensions. curb lines. structures and easemen
have been identified. Alsindi ated are wetlands,
bodies of ; ater, steep sl esother j tical areas.
Signed:
te:
—
15;
CA Ct 41421 0 V)
(7 V\ C -f
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