2000, 11-27 Permit App: 00010737 BarnProtect Number 00010737 Inv: 7
1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 24 X 30 BARN Contact SMITH, TIM
Address: 5211 N MCDONALD RD
C - S - Z: SPOKANE, WA 99216
Setbacks: Front 50+ Left: 10 Right: 40 Rear: 10 Phone: (509) 928-1101
Group Name:
Site Information: Project Name:
Date: 11/27/2000 Page 1 of 2
Plat Key: 999999 Name: RANGE
District: 11
Parcel Number: 46343.9108 Block:
SiteAddress: 5211 N MCDONALD RD
SPOKANE, WA 99216
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 1.00 Acres Width: 0
Nbr of Bldgs: 3 Nbr of Dwellings: 1
Lot:
Owner: Name: SMITH, TIM
Address: 5211 N MCDONALD RD
SPOKANE, WA 99216
Hold: D
Depth: 0 Right Of Way (ft): 40
Review Information: r
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
Review
Site Plan Review
Released By: _CacLJ4IuJU i #A1-`�O
Plan Review
Released By: `U p615
HEALTHDISTRICT Septic System Review
Hold Reasons:
Permit Conditions:
Releas
7
Permits:
Project Number: 00010737 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/27/2000
Building Permit
Page 2 of 2
Contractor: OWNER Firm: OWNER
Address: 0
000000, 00 000000
Phone: (000) 000-0000
Building Characteristics
Const Category: New Group: U-1 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: 20 Stories: 1
Bldg W x D: 24 x 30 Building Sq Ft: 720 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: 111
This Application: Total Project:
Description Grp Type Notes So Ft Valuation Sq Ft Valuation
BARN U-1 VN 720 $8,640.00 720 $8,640.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Pavtnent Summary:
Operator: CKF
Permit Type
Building Permit
Notes: L
Totals: 720 $8,640.00 720 $8,640.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$150.50
$4.50
$33.11
$188.11
Printed By: CKF
Print Date:
Fee Amount Invoice Amount
$188.11 $188.11
$188.11 $188.11
11/27/2000
Amount Paid
$0.00
Amount Owing
$188.11
$0.00 $188.11
•
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: S2_( o O
Assessor's Tax Parcel Number(s): 4/0 3 1 2) C1' O g
q10 7►
Legal Description: 1 1 1
" 1O 01h� j w v *c eta -
Project Description: PO (f . I/ Q-YV 1
,9 Building Permit
O Change in Use
O Grading
O Manufactured Horne Permit
0 Relocation
O Sign
O Tenant (New/Change)
O Other
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OWNER/APPLICANT INFORMATION
0 Indicate who should be contacted repardinp this project
�Ow`rrn�•r,:T—\�I(� 1 i� Phone �Z r{—I/ISD If,{'-t�..
i i\A Vt/ tr'� 1 `� l '4 Fax: I a+- - I (cc 1
Applicam.
` Phone:
Fat
NIthl II a - Addicts ' Gi� /,
I,r ,�xl`j,�t'
Unfinished basement sq. ft.
MaJmg Address-
-
City, tuq Zip O
�0ka.vve ;W j
,�
�
cry, Stye, Zip
Garage sy. ft.
13 Contractor Phone
Fax
- —
0 Architect/Engineer
Phone
Fax
Mailing address
Mailing address
City, State Zip
Ciry, State Zip
WA State Contactor license ii
Contact name.
PROTECT INFORMATION
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..:,; :R:.' .: r. '::Builth...,. Information:.t
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yd
Building height to peak
1
of stories
Dvle,
Main floor sq (t.
Unfinished basement sq. ft.
DiineEsionI 3/
O!'t14 1
Total habitable space
f.�
2"^ floor sq. ft. —,
Finished basementsq k.
Occupancy group
- keN0 _ane -
Construction type
oW, b avo
Garage sy. ft.
Deck sq. ft.
- —
Cost of project i-
i1' S1 o 00
Heat source (elettric, gas, etc )
- - :,----.-
V x:rr'4 atis,i2 2.,, 4. ,�
1VIanufactureilI Iome
moi'?~ v�3v vK:}
>3 1~
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ij.. a d:« '':.rtt� e i "v _,5..:. .va4 e:« ,w1 --u ••,•
Width:
Length:
What is the square footage of the sign
face?
How high isahe sign?
Year:
Make:
# of signs
Area of existing signs
0 Concrete 0 Welding- 0 Bolting 0 Reinforcement
_
Proposed use
Value
eZax+".. ".a •v -a r' r ryz, 4':. ar �.':--vt,y
Relocation }' "e t
yu r.'ECFvi .x�i#'v¢
i-tt ry' 'E>R#',t. G _
PiresSafety -
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Et3-
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s"�
2't c r' rmv~ d-'jc-Yi
Previous address
Inspectors:
Fire Sprinkler
Paint booth _ Fire Alarm
Are or will there be wells located on the property? '
If yes, identify on the site plan - 0 Yes No
Tent
Inspector
Fireworks display
0 Concrete 0 Welding- 0 Bolting 0 Reinforcement
_
Proposed use
Value
•
35 4e Ial Ins` e tions R re'd�',
^r e :
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Firm Name Phone
Plans Examiner
Phone
Inspectors:
Address
Are or will there be wells located on the property? '
If yes, identify on the site plan - 0 Yes No
Are there any wetlands, streams or ponds within 200 feet of the
property?
Ifyes, identify on site plan 0 Yes No
Inspector
Phone
0 Concrete 0 Welding- 0 Bolting 0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? ' p( Yes ' 0 No
If yes, identify on site plan
What is the current property size?
S am ` aCXe,
(square feet or acres) .te4't
Is any part of the property within 250 feet of a shot me?
Ifyes, identify on site plan 0 Yes No
W t is the currept use [of th{"{ property?
GYi't e .fe Sl�V1,1 l-Gtu
.Will
Is your property in a designated wildlife habitat ar a?
O Don't know 0 YesNo
i the site be served by a septic system? 0 Yes No
Is any part of the property within a 100 yr flood p ain?
If yes, identify on site plan
0 Maybe 0 Don't know 0 Yes ) No
Are or will there be wells located on the property? '
If yes, identify on the site plan - 0 Yes No
Are there any wetlands, streams or ponds within 200 feet of the
property?
Ifyes, identify on site plan 0 Yes No
Is there evidence of fill or excavation on the propert
0 Yes L No
Are there slopes greater than 30% on the property? (0 ft rise in 100 ft)
(/ %) 0 Yes No
Are critical or hazardous materials used or stored on, s
0 Yes llci
te?
No
DEPARTMENT USE ONLY
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sLsthe.propertyimsrde`�i}�te`.RSSA?;�-r�.:r:;:. O Yes-�-ONo"�`3r.-�d�rs"�--`s'°1;Is'�iliei
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Date Received -
Staff Representative:
METHOD OF PAYMENT
❑ CASH ❑ CHECK
D VISA
DUCOVER
FAXED PERMITS WILL ONLY BE ACEPTED WITH PA ENT OF A MAJOR CREDIT CARD
II—ZI—
60
DATE:
BANKCARD NUMBER:4 12
AUTHORIZED SIGNATURE:
EXI IRES.
4 -i'1 - 4iIY3
SUBTOTAL
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This s'te p'an is being submitted for the purpose of
abtain;ng a building permit and is a true and correct
representation of the proposal All known prop
Iines'd me' sions. curb Ines. structures and ::sem
have been identified. Also indic are wetlands,
bodies of -ter. ,t•
. -p 1 or erc kare
S Vied
Oate ' .2!' n