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HomeMy WebLinkAbout2000, 06-05 Permit App: 00004553 ReroofI l A II 111 I - SPOKANE COUNTY PROJECT APPLICATION SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 Project Description: e c l6 A / A/O TYPE OF APPLICATION cgi Building Permit O Change in Use O Grading O Manufactured Home Permit O Relocation O Sign O Tenant (New/Change) O Other SPECIFIC SITE INFORMATION Street Address: d1 9A/ ll//c(' J l� K9,0 , Assessor's Tax Parcel Number(s): Legal Description: Department Use Only Water District/Purveyor: School District: Sewer District/Purveyor Fire District: OWNER/APPLICANT INFORMATION li Indicate who should be contacted regarding this project ll' caner: Building height to peak Phone: 0b _Jl—, iApplicant: Fax: 11 © tl) it//Lr CQ Phone: Fax: Mailing Address: 0 ci A/. /`l cc l�,o 2"d floor sq. ft. Mailing Address: Occupancy group �j Cilx, State, Zip Se 0 itJiSt,.1/ Garage sq. ft. Deck sq. ft. /D0 City, State, Zip Heat source electric, gas, etc.) ❑ Contractor Phone Fax O Architect/Engineer Phone Fax Mailing address Mailing address City, State Zip City, State Zip WA State Contractor license # Contact name: PROJECT INFORMATION Building Information Building height to peak # of stories Main floor sq. ft. /2 6-0 Unfinished basement sq. ft. 126 O Dimensions Total habitable space / Sr) 2"d floor sq. ft. Finished basement sq. ft. Occupancy group �j Cons ction type A4)6`/N4 Garage sq. ft. Deck sq. ft. /D0 Cost of project 9' i, r, Heat source electric, gas, etc.) Manufactured Home .ii. 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? 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? 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) (/ %) 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? O 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 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 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, identify on site plan 0 Maybe 0 Don't know O 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 site 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) (/ %) 0 Yes 0 No Are critical or hazardous materials used or stored on site? 0 Yes 0 No DEPARTMENT USE ONLY 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 0 Yes O No 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 Area? 0 Yes 0 No Date Received: Staff Representative: