2002, 05-07 Permit App: 02003409 Covered PatioProject Number: 02003409
Inv: 1
Application
Date: 5/7/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
...........
Permit Use: 10 X 20 COVERED PATIO
Setbacks: Front EXI Left: EX Right: 5 Rear: 20
Site Information:
............................................................... .
Plat Key: 005602 Name: RIVERWALK 1ST ADD
Contact: KEITH HORTON
Address: 4021 N MOLTER RD
C - S - Z: OTIS ORCHARDS, WA 99027
Phone: (509) 928-6101
Group Name:
Project Name:
District: G
Parcel Number: 55083.9052
Block:
SiteAddress: 1815 N MCMILLAN LN
GREENACRES, WA 99016
Location:: GRE
Zoning: UR -7
Water District:
Area: 7,260 Sq Ft
Nbr of Bldgs: 1
Review Information:
Urban Residential -7
Lot:
Owner: Name:
Address:
LINEBURGER, HARRIETTE
1815 N MCMILLAN LN
GREENACRES, WA 99016
Hold: ❑
Width: 65 Depth: 100 Right Of Way (ft): 50
Nbr of Dwellings: 1
Review
Site Plan Re iew
Plan Review
Permits:
A Releas:,a A ,
Operator: RMB
Printed By: RMB
Print Date:
5/7/2002
Project Number: 02003409 Inv: I
Application
Date: 5/7/2002
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Building Permit
Page 2 of 2
Firm: OWNER
Phone:
Building Characteristics
Const Category: Addition Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 10
Bldg W x D: 10 x 20 Building Sq Ft: 200 Sprinklers: 0
Req Parking: Handicap Parking: Critical Materials: 0
This Application:
Description Grp Type Notes Sq Ft Valuation
COV DECK R-3 VN 200 $2,014.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 200 $2,014.00
Units Unit Desc
1
1
1
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
OK TO ISSUE SEWER PERMITS PER BILLY 8/15/95 CKF
Payment Summary:
Permit Type
Building Permit
Stories: 1
Total Project:
Sq Ft Valuation
200 $2,014.00
200 $2,014.00
Fee Amount
$75.50
$4.50
$16.61
$96.61
Fee Amount Invoice Amount Amount Paid Amount Owing
$96.61 $96.61
$96.61 $96.61
$0.00 $96.61
$0.00 $96.61
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: RMB Printed By: RMB Print Date: 5/7/2002
I t
SPOKANLE CovtrY
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: 7/7 Q
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: /0X26 4/e/e/6 74i 0
DKBuilding Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
In Tenant (New/Change)
El Other
Department Use Only
Water District/Purveyor.
Sewer District/Purveyor
Road width
Setbacks
Front Rear.
Left Right
School District:
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
0 Indicate wbo tbould be Contacted reeurdine ibis bmiea
❑ Owner:
/1/ //2/L---fri- 2/ii
Phone: q z.-67- ,,2a
tza Fas:/
L9 AP licant:
�: //,--74-7
Phone: ‘71.-.-- 6 iU
Fax:
Mailing Address:
/g/J' /% e%7i ///
Dimensions
Mailing Address:
ed2 / /z. /-'7,)#e
- ,./
Finished basement sq. ft.
cite, state, rip
e. 66/V/1- 4:5
It/A'
`1q 6 i
Cit', State, Zip
67,-,6,--/4,-,o.
7
e Z 7
ontctor
m
Phone
Fax
r
❑ Architect/IMgineer
Phone
Fax
Mailing address
Mailing address
City, State Zip
Cit', State Zip
WA State Contractor license #
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
"Total habitable space
20d floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Dyck sq. ft.
Cost ofproject
I kat source (electric, gas, etc.)
Manufactured Home
Sign
What is the square footage of the sign
face?
1 low high is the sign?
Width:
Length:
Year:
Make:
# of signs
Area of eNisting sigms
Fire Alarm
Fireworks display
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
Address
Relocation
Fire Safety
Firm Name
What is the current use of this property?
Previous address
Will the site be served by a septic system? O Yes O No
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
Address
Proposed use
Value
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? O Yes O No
flans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
0 Yes O No
Are there slopes greater than 30° o 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
11 Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? El Yes O No
Ifyes, identi, 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?
Ifyes, identifi, on site plan O Yes O No
What is the current use of this property?
Is your property in a designated wildlife habitat area?
0 Don't kno O Yes O No
Will the site be served by a septic system? O Yes O No
Is any part of the property w ]n a 100 yr flood plain?
IEyes, identz, on site plan
O Maybe on't know O Yes O No
Are or will there be wells located on the property?
Mies, identit, on the site plan O Yes O No
Are there any wetlands, streams or ponds within 200 feet of the property?
Ifyes, identj' on site plan 0 Yes O No
Is there evidence of fill or excavation on the property?
0 Yes O No
Are there slopes greater than 30° o 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?
DYes 0 N
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No
0 Yes 0 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?
DYes 0 N
Date Received:
Staff Rcpresentath e:
METHOD OF PAYMENT
VISA
❑ CASl I ❑ CI II?CK
oc
c.
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
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I:SI'IRI?S:
B:\NKC:Vt1) NUMBER:
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SUBTO1:\1.
TOTAL FEE
MINIMUM PERMIT FEE IS $35.GMPI.E:\SE
MAKE CIIECKS PAYABLE TO SPOKANE
COUNTY PERMIT CENTER
ADDRESS N tk 6-1` 1 ' t'PeK.iltN
ZONE-
ROAD WIDTHSO
FRONT 20 FLANKING
COMMENT;
REVIEW
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5'
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