2001, 11-28 Permit App: 01010443 ShopProject Number: 01010443 Inv: 1 Application Date: 11/28/01 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 30 X 40 (1) STORY HEATED SHOP W/PROPANE Contact: SNYDER, RICHARD D & DARLENE M
TANK, UNIT HTR, & PIPING Address: 17221 E MISSION AVE
C - S - Z: GREENACRES, WA 99016
Setbacks: Front 120 Left: 12 Right: 50+ Rear: 50+ Phone: (509) 924-7236
Group Name:
Site Information: Project Name:
Plat Key: 003426 Name: GREENACRES ESTATES District: G
Parcel Number: 55073.1444 Block: 34 Lot:
SiteAddress: 17221 E MISSION AVE Owner: Name: SNYDER, RICHARD D & DARLEN
GREENACRES, WA USA 9901 Address: 17221 E MISSION AVE
Location:: GRE GREENACRES, WA 99016
Zoning: SR -1 Suburban Residential 1
Water District:
Area: 41,712 Sq Ft Width: 132
Nbr of Bldgs: 3 Nbr of Dwellings: 1
Review Information:
Hold: ❑
Depth: 313 Right Of Way (ft): 60
Review
Site Plan Review
Plan Review
Septi
Permits:
Operator: CKF Printed By: Print Date:
Project Number: 01010443 Inv: 1 Application Date: 11/28/01 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Address: 0
000000, 00 000000
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
GAS APPLIANCE<=100,000BTU
GAS PIPING
LPG TANKS
MINIMUM FEE ADJUSTMENT
Permit Total Fees: $279.61
Mechanical Permit
Firm: OWNER
Phone: (000) 000-0000
Units
Building Characteristics
Fee Amount
1
Const Category: New
Group: U-1 Type: VN
1
# OF UNITS
Nbr Of Dwellings:
Occupant Load: Building Height: 22
Stories:
1
Bldg W x D: 30 x 40
Building Sq Ft: 1200 Sprinklers: ❑
$12.00
Req Parking:
Handicap Parking: Critical Materials: El
This Application:
Total
Project:
Description Grp
Tvpe Notes Sp Ft Valuation
So Ft
Valuation
STORAGE U-1
VN 1,200 $14,400.00
1,200
$14,400.00
Totals: 1,200 $14,400.00
1,200
$14,400.00
Item Description
Units Unit Desc
Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK
$225.50
STATE SURCHARGE
1 Y OR BLANK
$4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK
$49.61
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
GAS APPLIANCE<=100,000BTU
GAS PIPING
LPG TANKS
MINIMUM FEE ADJUSTMENT
Permit Total Fees: $279.61
Mechanical Permit
Firm: OWNER
Phone: (000) 000-0000
Units
Unit Desc
Fee Amount
1
NUMBER OF
$12.00
1
# OF UNITS
$1.00
1
NUMBER OF
$10.00
1
Select
$12.00
Permit Total Fees:
$35.00
Operator: CKF Printed By: Print Date:
Project Number: 01010443 Inv: I App]1Caffon Date: 11/28/01 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: .
BUILDING IS ONLY 1 STORY IN HEIGHT
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owint,
Building Permit $279.61 $279.61 $0.00 $279.61
Mechanical Permit $35.00 $35.00 $0.00 $35.00
$314.61 $314.61 $0.00 $314.61
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 t e ode o of any others a or local laws or ordinances.
Signature:
Operator: CKF Printed By: Print Date:
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCE -LENT
1026 WEST BROADWAY AVENUE
1 Afil i SPO AN, WA 509-4E77-3675 9260
SPFrIFT(. STTF. INFORMATION
Street Address: I —T
�` p
I, , � k j t
.Assessor's Tax Parcel Number(s): 55 a-7 4 f
Legal Description: t "1'—t
Project Description:
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other
Department Use Only
Water District/Purveyor.
Sewer District/Purveyor
Road width
Setbacks
Dimensions
3 v
Total habitable space
211d floor sq. R.
Front Rear.
School District
hire District:
Zoning
Mailing AddressAA
Cost of project
I lcat suurec (electric, gas, etc)
Lek: Right.
OWNER/APPLICANT INFORMATION
.rn I«,/;... • r„ ,,,F,,, , ham,./.! /,,, . �., ,,. .../ ., r./;. rhi � n,� ,,
0,•ncr
Vhonc
# of ,torics
!Applicant: Phone:
Unhnishcd basement sy. ft.
Dimensions
3 v
Total habitable space
211d floor sq. R.
Finished basement ,y. ft.
Occupanec group
Construction t,•pe
Garage sq. ft.
Mailing AddressAA
Cost of project
I lcat suurec (electric, gas, etc)
Mailing Address:
�
v� �A
L
Cal, State, Zip
Cite, State, Zip
❑ Contractor
Phone
- Phone
❑ Archin'c4ISjnnnccr
I as
I az
Mailing address
Mailing address
CitY, State Zip
Gn, State Zip
\\A State Contractor
license f
Contact name:
PROIFCT INFORMATION
Building Information
Building height to peak
# of ,torics
Nlairl floor sq. ft.
X d®O J ;
Unhnishcd basement sy. ft.
Dimensions
3 v
Total habitable space
211d floor sq. R.
Finished basement ,y. ft.
Occupanec group
Construction t,•pe
Garage sq. ft.
Deck y. ft.
Cost of project
I lcat suurec (electric, gas, etc)
Manufactured Home Sign
Width:
Length: What is the square footage of the sign
face?
I low high is the sign?
Ycar:
1%lake: # of signs
Area of existing signs
Inspector Phone
13 Concrete O Welding O Bolting O Reinforcement
Address
O Don't know O Yes O No
Relocation Fire Safety
precious address Fire Sprinkler Tent
Paint booth Fire Alarm Fireworks display
proposed use Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name Phone
Plans Examiner Phone
Inspectors:
Address -
If yes, identify on ,rite lan O Yes O No
Inspector Phone
13 Concrete O Welding O Bolting O Reinforcement
Address
/ ADDITIONAL SITE INFORMATION
,Arc there structures on the property? 1W Yes O No
\X,hat is the current property size?
1 per, identi , on site lan
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
What is the cur se of this property?
If yes, identify on ,rite lan O Yes O No
{2 A
Is your property in a designated wildlife habitat arca?
Will the site be served by a septic system? O Yes O No
O Don't know O Yes O No
Is any part of the property within a 100 yr flood plain?
Arc or will there be wells located on the property?
I f yes, identify on .rite plan
Ifyes, identi on the site plan 0 Yes O�No
O'NfaN,be O Don't know O Yes O No
O Yes O No
Are there any wetlands, streams or ponds within 200 feet of the property?
Is there evidence of fill or excavation on the property?
I yes, identi y on site Ian O Yes O No
O Yes W<
.Are there slopes greater than 30"o on the property? (30 ft rise in 100 ft)
Arc critical or hazardous materials used or stored on site? �
% O Yes O No
O Yes A_
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
Is public sewer available to the site? O Yes O No
0 Yes
O No
Is the property inside the ASA? O Yes
O No
Is public water available to the site? 0 Yes O No
O Yes
O No
Is the property inside the PSSA? O Yes
O No
Is the property located within 1000 feet of a Natural Resource Area?
O Yes O No
Uatc Rccen-cd: Staff Rcptcscnmticc:
METHOD OF PAYMENT
VISA
❑ C.ASII ❑ C111:CK ❑ � ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
l).AT1;.
BANKC.ARD NUj11BFR:
1U1110R1'/.I(l) SIGN.A11TI,::
1?\plRl:s:
SUBTOTAL
V.
TOTAL FEE
M/N,rMUM PERMIT FEE 1S $35.A9 PLEASE.
MAKE CHECKS PAYABLE I'0 SPOKANE
COUNTY PERDnT CF:N'1FR
I
ADDRESS E 1122-1 M I
ZONE -Irllyx 011
ROAD WIDTH #0
FRONTJIPL� FLANKING
COMMENTS %
REVIEWED
ive
C"(f (C(2o'
This s.'e 'n!ar; is being sukitted for the purpose of
obtaining a building permit and is a true and coned
representation of the proposal. All known property
lines/dime nsions, curb !ines, structures and easements
have been'4entified. Also indicated are wetlands,
bodies of a r. s eep slo es er critical areas.
Signed
Date: 4 -aico,
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