2002, 02-27 Permit App: 02001188 AdditionProject Number: 02001188 Inv: 1 Application Date: 2/27/02 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:..
Permit Use: 10 X 10 SUNROOM ADDITION Contact: DREAM ROOM DESIGN
Address: PO BOX 141708
C - S - Z: SPOKANE, WA 99214
Setbacks: Front NA Left: 20+ Right: 5 Rear: 126 Phone: (509) 922-7388
Group Name:
Site Information. Project Name.
Plat Key: 002770 Name: VERADALE HEIGHTS 08TH ADD District: F
Parcel Number: 45141.0912 Block: 1 Lot: 12
SiteAddress: 14713 EMISSION AVE Owner: Name: HOITINK, JOHN & MARION
SPOKANE, WA USA 99216 Address: 14713 E MISSION AVE
Location:: SPO SPOKANE, WA 99216-1959
Zoning: UR -22 Urban Residential -22
Water District: Hold: ❑
Area: 18,505 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 2
Review Information:
Review
Site Plan Review Released
-- -i- - ---
Plan Review ReleasedBy
Septic System Review Released By
Permits: -:
I
Operator: CKF Printed By: CKF Print Date: 2/27/02
Project Number: 02001188 Inv: l Application Date: 2/27/02 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
— - - -
Building Permit
Contractor: DREAM ROOM DESIGN LLC
Firm: BILL CONANT/DREAM ROOM DE
Address: PO BOX 141708
Phone: (509) 922-7388
SPOKANE, WA 99214
Building Characteristics
Const Category: Addition Group:
R-3 Type: VN
Nbr Of Dwellings: Occupant Load:
Building Height:
8 Stories: 1
Bldg W x D: 10 x 10 Building Sq Ft:
100 Sprinklers: El
Req Parking: Handicap Parking:
Critical Materials: ❑
This Application:
Total Project:
Description Grp Tvue Notes
So Ft Valuation
Sa Ft Valuation
RES ADD R-3 VN
100 $6,200.00
100 $6,200.00
Totals:
100 $6,200.00
100 $6,200.00
Item Description Units
Unit Desc
Fee Amount
RESIDENTIAL VALUATION 1
Y OR BLANK
$125.50
STATE SURCHARGE 1
Y OR BLANK
$4.50
RESIDENTIAL SURCHARGE 1
Y OR BLANK
$27.61
Permit Total Fees:
$157.61
Notes.
Payment Summate: - _.� ri �.:: .:...0,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owine
Building Permit $157.61 $157.61 $0.00 $157.61
$157.61 $157.61 $0.00 $157.61
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: CKF Printed By: CKF Print Date: 2/27/02
1Al PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
�E COUI M 509-477-3675
SPECIFIC SITE INFORMATION
Street Address: FC I It -Ti C A4 jst pvi�r
Assessor's Tax Parcel Number(s): "fS p* , , 6q
Legal Description: e n- v `S t o -A 4 4Ljkl--j &-f 4
Project Description: sx-4 ' 1QCy/&1(
Building Permit O Change in Use O Grading O Manufactured Home Permit
O Relocation O Sign O Tenant (New/Change) O Other
OWNER/APPLICANT INFORMATION
0 Indicate wbo should be contacted repardinp this Proiect
❑Owwner:
Phone: Y YE -Z /
O Applicant: Phone:
zoo(^n
J�
Building height to peak
N of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Fax:
Fax:
Mailing Address:
Finished basement sq. ft.
101
Mailing Address:
E, 1471
i0%A,
Occupancy group
Construction type
City, State, }Zip
� ��
ai4XK
l tJu'
(�
?9410
City, State, Zip
Contractor
Phone 91)473f
O Architect/Engineer Phone
1
1 G u.m
Fax Q--, 7 & &
Fax
Mailing address
P -V • &4
144170
Mailing address
City, State Zip 1ca4-
UJIA
9�� i q- �7��
City, State Zip
WA State Contractor license #
Contact name:
PROIECT INFORMATION
4 Er.._ ,A.$
w
_S�C�Z.a"�•..
3-'+f.;.
Building height to peak
N of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
`�
Total habitable space
2"d floor sq. ft.
Finished basement sq. ft.
101
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
fff
Heat source (electric, gas, etc.)
l
l
7 1
�ii �Ld�.�Z � ��',`g � `9Y'c
Width:
sT '+ :• � .fir �'� 'Y� F ':rWhat
Length:
r tl't k'+•- �iti t� a'
the square footage of the sign
t �a'SSSrj rvw"M" �3w
How high is the sign?
Year:
Make:
s
Area of existing signs
-
I es, identifyon site plan O Yes �No
A.Q 144
address Fire Sprinkler _ Tent
Paint booth _ Fire Alarm Fireworks display
Proposed use
ADDITIONAL SITE INFORMATION
Are there structures on the property? Yes D No
What is the current property size?
•Ky
I es, identify on site plan
(square feet or acres
t Al
Is any pan of the property within 250 feet of a shoreline?
What is the current use of this prop rty?
-
I es, identifyon site plan O Yes �No
A.Q 144
Is your property in a designated wildlife habitat area?
Will the site be served by a septic system? O Yes
O No
O Don't know O Yes IT—N- o
i"`s
;< ,W
Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the property?
Is The pzaitusrdeeK�'SA� fIN
X
If yes, identijy on site plan
If yes, identify on the site plan O Yes
O No
O Maybe O Don't know O Yes M�—No
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'Ec*-
Are there any wetlands, streams or ponds within 200 feet of the
Is there evidence of fill or excavation on the property?
property? _
/
O Yes
d( No '
1 es, identify on site plan O Yes D No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
Are critical or hazardous materials used or stored on site?
�%) O Yes O" No
D: Yes
( 040
DEPARTMFNT USF ONLY
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Date Received: I
Staff Representative:
METHOD OF PAYMENT
❑ CASH ❑ CHECK ❑ . ❑ s ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
AUTIIORIZED SIGNATURE
SUBTOTAL
This site plan In betMq submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlan s,
bodies of water, steep slopes{ other criticeas.
Signed:
Date:
36
ADDRESS
ZONE -..----
ROAD IN' TN
FRONT FLANKING
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