2000, 10-19 Permit Appp: 00009563 CarportProject Number: 00009563 Inv. I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date. 10/19/2000 Page 1 of 2
Project Information:
Permit Use: DETACHED CARPORT Contact: ROCKSTROM, RENEE & WARREN
Address: 8105 E MISSION AVE
C - S - Z: SPOKANE, WA 99212
Setbacks: Front 84 Left. 6 Right: 64 Rear: 22 Phone: (509) 924-8251
Group Name:
Site Information: Project Name:
Plat Key: 001381 Name: KIM ADD.AMEND PLAT
District:
H
Parcel Number: 45073.2208
Block: Lot:
SiteAddress: 8105 E MISSION AVE
SPOKANE, WA 99212
Location:: SPO
Zoning: UR -7
Water District:
Urban Residential -7
Owner: Name: ROCKSTROM, RENEE & WAR
Address: 8105 E MISSION AVE
SPOKANE, WA 99212
Hold: ❑
Area: 0 Sq Ft Width: 90 Depth: 132 Right Of Way (ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings 1
Review Information:
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
Permits:
Review
Site Plan Review
Plan Review
Releal
ed By:
Project Number: 00009563
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/19/2000 Page 2 of 2
Contractor OWNER
Address. 0
000000, 00 000000
Const Category: New
Nbr Of Dwellings:
Bldg W x D: 20 x
Req Parking:
Building Permit
Firm: OWNER
Phone
(000) 000-0000
Building Characteristics
Group: U-1 Type: VN
Occupant Load: Building Height: 12 Stories: 1720
36 Building Sq Ft: Sprinklers: ❑
Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Su Ft Valuation Sq Ft Valuation
720 $3,240.00 720 $3,240.00
Description Grp Type Notes
CARPORT U-1 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 720 $3,240.00 720 $3,240.00
Units Unit Desc Fee Amount
1 Y OR BLANK $88.00
1 Y OR BLANK $4.50
1 Y OR BLANK $19.36
Payment Summary:
Operator: DMD Printed By: DMD
Permit Total Fees:
$111.86
Print Date: 10/19/2000
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit
$111.86 $111.86 $0.00 $111.86
$111.86 $111.86
$0.00
$111.86
Notes: ,
Sro
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
co- X513
Project Description:
TYPE OF APPLICATION
lding Permit
O Change in Use
0 Grading
0 Manufactured Home Permit
O Relocation
0 Sign
0 Tenant (New/Change)
0 Other
SPECIFIC SITE INFORMATION
Street Address: a 1 0 S F 01 t$ S O
I /
f 0 dine, r ti`/ q S vl
9 q Z 12—
Assessor's Tax Parcel Number(s): i i - /--..3,
-05
Dimensions
37 t L0/1a 2,4 Ade.
Legal Description: //��
LO 6f 810ck
1 fiM 400,
Finished basement sq. ft.
Department Use Only.
/
Phone
Fax
WaterDistrict/Purveion.
Sewer District/Purveyor
Heat source (electric, gas, etc.)
Road width
Setbacks
Front:
Left:
Rear.
Right:
School District:
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
0 Indicate who should be contacted regarding this project
0 Owner Phone: — q Z 4 -f{ Z Sl
''/W 1Nit A (Zot;k0-f n✓v► Fax:
0 Applicant:
Phone:
Fax:
Mailing Address:
`6JO5 lii 01I5?0n.
Mailing Address:
Dimensions
37 t L0/1a 2,4 Ade.
City, State, Zip
5PoYahe., vJg5kgR21Z
/
City, State, Zip
Finished basement sq. ft.
❑ Contractor Phone
JYLIA Fax
0 Architect/Engineer
Phone
Fax
Mailing address
Mailing address
Heat source (electric, gas, etc.)
City, State Zip
City, State Zip
WA State Contractor license 1
Contact name;
PROJECT INFORMATION
Building Information
Buil ding height to peak
• u
N of stories
Main floor sq. ft. . +aD
/J
Unfinished basement sq. ft.
Dimensions
37 t L0/1a 2,4 Ade.
Total habitable space
2°d floor sq. h.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc.)
Manufactured Home
Sign i.
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
M 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 li( No
Proposed use
Value
Address
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
What is the current U use_Iof this property?
t� e S t• t tn-
Phone
Will the site be served by a septic system? 0 Yes cil No
flans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
0 Yes li( No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( ..----"%) 0 Yes Ccz- No
Are critical or hazardous materials used or stored on site?
0 Yes 7t- No
Address
Inspector
Phone
O Concrete
O Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? (4l Yesp 0 No 1
If yes, identiFy on site plan 1 -to JS q ti �\ S [1
What is the current property sizes_
(square feet or acres) (� L % Y ` -3 2,
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan 0 Yes Di No
What is the current U use_Iof this property?
t� e S t• t tn-
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes 5 No
Will the site be served by a septic system? 0 Yes cil 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 0 Yes IR No
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes i No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan 0 Yes l$ No
Is there evidence of fill or excavation on the property?
0 Yes li( No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( ..----"%) 0 Yes Ccz- No
Are critical or hazardous materials used or stored on site?
0 Yes 7t- No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Are
D es No
Is public sewer available to the site? cyfes
0 No
Is the property inside the ASA?
Or Yes
O Yes
0 No
O No
Is public water available to the site? es
O No
Is the property inside the PSSA?
"s
0 No
Is the property located within 1000 feet of a Natural R�,eso ce
Area? 0 Yes q/No
Date Received:
Staff Re resentative:
20
1
0
u.
A
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
CI representation of the proposal. All known property
iiiiiiis7dinlansI6rb, curb lines, structures and easr1' ritiU /.0
have been identiied. Also indicated are wetlarlds,
bodies of water, steep elopes or other critical areas.
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