1998, 04-02 Permit App: 98002506 AdditionPROJECT NUMBER= 98002506
AP PL I CAt I ON
****** THIS IS NOT A PERMIT
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
DATE= 04/02/98
******
PAGE= 01
SITE STREET=
ADDRESS=
PERMIT USE=
PLAT#=
BLOCK=
AREA=
# OF BLDGS=
OWNER=
STREET=
ADDRESS=
1512 S MICA PARK DR PARCEL#= 45203.1803
SPOKANE WA 99206
RESIDENCE ADDITION - NEW BATHROOM
003150
00000000
1 #
PLAT NAME= MICA PARK AND AMENDED
LOT= ZONE= UR -3.5 DIST#= F
F/A= F WIDTH= 80 DEPTH= 137 R/W= 50
DWELLINGS= 1 WATER DIST =
POWERS, PATRICK & GAY
1512 S MICA PARK DR
SPOKANE WA 99206
PHONE= 509 927 3768
CONTACT NAME= GIL MOMB PHONE NUMBER= 509 927 9708
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING
APPROVAL:
BUILDING
PLAN REVIEW REQUIRED
J SHATTO
SETBACK REVIEW REQUIRED
APPROVAL: J SHATTO
HEAL DIST
COMMENTS:
DATE: 04/02/98
DATE: 04/02/98
0-1c y/2/98
******************************* BUILDING PERMIT *******************************
CONTRACTOR= G L MOMB CONSTRUCTION
STREET= 215 N VISTA RD
ADDRESS= SPOKANE WA 99212
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
1 OCCUP. LD=
12 X 10 SQ FT=
#HANDICAP=
DESCRIPTION
RES ADD
GROUP TYPE
R-3 VN
PROJECT NUMBER= 98002506
APPLICATION
PHONE= 509 255 6773
ADDITION= X CHANGE OF USE=
BLDG HGT= 10 STORIES= 1
120 SPRINKLER= N
CRITICAL MAT= N
SQ FT
120
VALUATION
7440.00
DATE= 04/02/98 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 138.00
RESIDENTIAL SURCHARGE Y 30.36
STATE SURCHARGE Y 4.50
******************************* MECHANICAL PERMIT****************
CONTRACTOR= G L MOMB CONSTRUCTION
STREET= 215 N VISTA RD
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION
VENTILATING FANS
PHONE= 509 255 6773
QUANTITY FEE AMOUNT
2 20.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= G L MOMB CONSTRUCTION
STREET= 215 N VISTA RD
ADDRESS= SPOKANE WA 99212
ITEM DESCRIPTION
PHONE= 509 255 6773
QUANTITY FEE AMOUNT
TOILETS/BIDETS 1 6.00
TUBS 1 6.00
SHOWERS 1 6.00
SINKS 2 12.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 172.86 .00 172.86
MECHANICAL PRMT 20.00 .00 20.00
PLUMBING PERMIT 30.00 .00 30.00
222.86
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
.00 222.86
******************************** THANK YOU ************************************
APPLICATION INFORMATION
'What is the JOB SITE address?
to 1r_
Legal description as it appears on the property deed
t
ASSESSOR'S tax parcel number?
OWNER or OCCUPANT
P Is
Mailing address
,t,/ e1 i;r N V
Phone
11")--= 37 "'' i7
/ City, state
S i^ i' <<f 1.- c7 .
Zip
Who should we contact regarding this project?
L
Phone
1.1
7 c
What work is being done under this permit?
Right of, way width
Contractor
WA State Contractor license #
Building height
i Ll
Dimensions
e i
/U X i2
# of stories 2—
TOTAL SQUARE FOOTAGE
MMc c' 1(N�
Mailing address
Architect/Engineer
Main floor area
Unfinished basement area
2n floor area
/1/e€
Garage area
Finished basement area
Size of decks, etc.
) i0
What is the heat source?
e
S
What is theiost ot your project?
�5r Gfie�
Manufactured Home
Sign;
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Fire Safety
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display _
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuel Storage Tanks
Swimming Pool
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
G)
N
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
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INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
O All existing & proposed buildings
❑ Underground utilities
❑ North arrow
❑ Septic tanks & wells