2000, 03-20 Permit App: 00001766 Demo BldgsSroMRE GOUTY
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Oa- fr-ky
SPECIFIC SITE INFORMATION
Street Address:
705- sr /Vlc(T uuo ,j ,Ed,
Assessor's Tax Parcel Number(s):
Legal Description: The AJot r% /IAGFu) of La M'Me ['0 r -z lSte.ctc rive- (fl ot= Cggo['. F
Project Description: Dr/Y10 L4 5 Id -6 ,%atee o L t' 6LD,
ePDX
TYPE OF APPLICATION
❑ Building Permit
0 Grading
0 Manufactured Home Permit
0 Timber Harvest
0 Relocation
0 Change in Use
0 Other
City, State, ZipCity,
5Pa(Gtt:
OWNER/APPLICANT INFORMATION
❑ Owner:
Ail LA J
/
ata -i 7 L.
Phone: 53 SFS 3 7,S
Far
0 Applicant: Phone:
5 AM.0 Fax:
Mailing Address.
abs S. nicKminioki ,fid.
Will the site be served by a septic system? 0 Yes 0 No
bit -I S4 -74-$E
Mailing Address:
City, State, ZipCity,
5Pa(Gtt:
, IN`k,
llY
State, Zip
0 Contact:
5t nuc
Phone:
Fax:
El Indicate who should be contacted regarding this project
` Mt'
J
Mailing Address
City, State, Zip
ADDITIONAL INFORMATION
'Aie theie'stnictUres on'the:property? .0 Yeo �+O �No T.; • . --�t�, .
"Ifyes;ade:ri y ntaitiplan+`.-: .. "'
d!�;;a:-'.,.'A. ''p::d
What is the current property size?
(square feet or acres) %U - x •)-?C
kIs auy:part oft[lie:property within 250 feet of a shoreline? °:,'< - °: !;
slft. 'T., µ,,.ti.... t.»
yes, rdentifyjoristte gni! --. �- • � _ 0 Yes;: �ft�.No; ',: . �xn:;-:.
What is the current use of this property?
/e3,
Is:,your prope'hy in a; designated: wildlife habitat aiea?, -. ;; , s . -.
... -- .._ -::tr'r.. ❑:Don'iknow 0 Yes.,i,'.1No
Will the site be served by a septic system? 0 Yes 0 No
bit -I S4 -74-$E
;:Is ahy_parPof the property within a 100 yr flood Tslain? ` : - ., . ;
.-Ifyes;;identify�on'site plan •'' ,'.: .k
,., .-,,❑3vtaybe, Cif Don'tknow 0 Yes ,-;❑` Nov_ ..
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes �No
C 64 MI"C rte -e-,
.`r Are there,atiCWetlands, streams or ponds within'200 feet of the'' :: tt;:`
-property?,. '
Ifyes,-identify on,,site plan 0 Yes .X.No.
Is there evidence of fill or excavation on the property?
0 Yes $, No
Are there sl6pes 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 ,34 No
Project Number:
FOR STAFF USE ONLY
Is the property in a designated Stormwater Control Area?
❑ Yes ❑ No
Is the property inside a Joint Planning Area?
What jurisdiction? 0 Yes 0 No
Is the property inside the ASA?
0 Yes
❑ Yes
0 No
❑ 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
Is public sewer available to the site?
0 Yes
0 No
What is the zoning for the property?
School District:
Water District/Purveyor
Fire District:
Sewer District/Purveyor:
Dare Received:
Staff Representative:
Comments:
ON
HER
SPOKANE COUNTY
PROJECT.APPLICATION - Detail Information
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project Number: .' _ .:a
Contractor
Ac - :
Arcliitdct /:Engineer - ,.,, '.-,-
Contractor
Architect/Engineer
Phone
Fax
Phone
Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
WA State Contractor license ro
Contact name
Building Information•
Building height to peak
# of stories
Main floor sq. ft.
Unfinished basement sq ft.
Dimensions
Total habitable space
2"d floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc.)
..h,
Manufactured I Tome.
,-^! '> s'(.i:!: ir'r .;,a;;;=. tea
Sign .; .;: _ _„>r _ .ter.; �s;,; -.,
,N.. -mea ”
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year
Make:
# of signs
Area of existing signs
Relocafion
Fire S`afety`..
Firm Name
Previous address
Phone
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
Proposed use
Value
Special _Inspections Required?
Non-ResideritlalcEnergy Code'`Compliance?
Firm Name
Phone
Plana Examiner
Phone
Inspectors:
Address
Inspector
Phone
0 Concrete
0 Welding
0 Bolting
0 Reinforcement
Address