2001, 10-15 Permit App: 01009077 ShopProject Number: 01009077 Inv: 1
•
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/15/01 Page 1 of 2
Project Information:
Permit Use: 24 X 36 DETACHED SHOP
Setbacks: Front 50+ Left: 34 Right: 30+ Rear: 20
Site Information:
Contact: MORRIS, DEAN L
Address: 18002 E MISSION AVE
C - S - Z: GREENACRES, WA 99016
Phone: (509) 924-9087
Group Name:
Project Name:
AndlINASTADSZENSIEVINVININSOMIN
Plat Key: 002043 Name: PLAT"A" GREENACRES IRR.DISTRICT District: G
Parcel Number: 55181.2117 Block:
Lot:
SiteAddress: 18002 E MISSION AVE Owner: Name: MORRIS, DEAN L
GREENACRES, WA 99016 Address: 18002 E MISSION AVE
Location:: GRE GREENACRES, WA 99016
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 0 Sq Ft Width: 105 Depth: 150 Right Of Way (ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Hold: 111
Review
Site Plan Review
Plan Review
Septic System Review
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Permits:
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Operator: CKF Printed By: CKF Print Date: 10/15/01
Project Number: 01009077 Inv: 1
Application
Date: 10/15/01
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Page 2 of 2
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000, 00 000000
Const Category: New
Nbr Of Dwellings:
Bldg W x D: 24 x
Req Parking:
Building Characteristics
Group: U-1 Type: VN
Occupant Load:
36 Building Sq Ft:
Handicap Parking:
Description Grp Type Notes
STORAGE U-1 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Building Height: 16 Stories: 1
864 Sprinklers: ❑
Critical Materials:
This Application: Total Project:
So Ft Valuation Su Ft Valuation
864 $10,368.00 864 $10,368.00
Totals: 864 $10,368.00 864 $10,368.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$175.50
$4.50
$38.61
$218.61
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit
$218.61 $218.61 $0.00 $218.61
$218.61 $218.61
$0.00 $218.61
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. Sub uent 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 d or of any other state 1 ' al aws or ordinances.
/./�� / J
Signature:
Operator: CKF Printed By: CKF Print Date: 10/15/01
2slik
1n
SPOKANE COUNT
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE., \Y';\ 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: (/�
Assessor's Tax Parcel Number(s):
Legal Description:
2))7
Project Description:
F Building Permit
❑ Change m Use
®r6rading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (Neu/Change)
❑ Other
Department Use Only
Water Distract/Purveyor:
Sewer District/Purveyor
Road width
Setbacks
Front Rear
Left he
School Distnct:
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
0 Indica le nbo should be ronlucled vreurdinr this fr(m'd
❑ (honer:
7/(4 %= L. Gl t:! K i
Phone: [r/
‘527
I.ax:
# ut stories
/
❑ Applicant
Phone:
lax:
Mailing Address:
ice'/We'C 2— ii -Y1 l 55 3T 10
'Intal habitable space
I -if
— IVB
"" d [lour sy. ft.
Mailing :Address:
Oceupa gn
rup
C State, Zip
Garage sy. ft. _
Deck sy. It.
n
(:itc, State, Zip
I feat source (electric, gas, etc.)
/I: Ili--
❑ Cont,acu
��J.')
Plume:A
fax
I $ 7
-
❑ rchitcct.'F;nlnncer
.-5(-11--
Phone
lax
Mailing address
hailing address
City, State Zip
City, State Zip
VA A State Contractor license
Contact name
PROTECT INFORMATION
Building Information
Building height to peak
/'/
# ut stories
/
Ma floor s
E__> S.-.
Unfinished basemet t sy. ft.
.-
Dimensions
'Intal habitable space
I -if
— IVB
"" d [lour sy. ft.
Finished baseman[ sy. ft.
Oceupa gn
rup
Construction type
Garage sy. ft. _
Deck sy. It.
n
Cost of project
I feat source (electric, gas, etc.)
/I: Ili--
Manufactured Home
Sign '
Width:
�j'
/f
Length:
What is the square otagc of the sign
face? A.
1 low high is the sign?
Year:
Make:
# of signs
Arca of existing signs
Tent
/'"---
Pircworks display
Phone
Relocation
Fire Safety
Firm Name Phone
Plans Examiner
L `
ji
Previous address
i
Paint booth
lire Sprinkler
Fire Alarm
Is there evidence of fill or excavation on the property? ----
❑ Ycs 121 -1<
Tent
/'"---
Pircworks display
Phone
n Concrete ❑ Welding ❑ Bolting ❑ Reinforcement
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name Phone
Plans Examiner
L `
ji
Phone
Inspectors:
Address ✓
`
Is there evidence of fill or excavation on the property? ----
❑ Ycs 121 -1<
Arc there slopes greater than 30°'o on the property? (30 ft rise in 100 ft)
( / %) ❑ Ycs No
Inspector
Phone
n Concrete ❑ Welding ❑ Bolting ❑ Reinforcement
Address
ADDITIONAL SITE INFORMATION
,Arc there structures 011 the property? es ❑ No
If yes, itientO, on site plan
What is the current property size?
(square feet or acres) /e5--,* ,* /5 a)
Is any part of the property within 250 feet of a shoreline?
If yer, idem, on site plan ❑ Yes o
What is the current use.of this property?
ni -JO rrt _ `---
Is your property in a designated wildlife habitat arca?Will
❑ Don't know ❑ Ycs o
the sit be served by a septic system? ❑ Yes f
Is any part of the property within a 100 yr Hood plain?
I f yes, /de//ti/' 0/1 Site plan
❑ Maybe ❑ Don't know ❑ Ycs CFJ No
Are or will there be wells located on the property? �
�
I f yes. /dent/f' 0/1 the site plan ❑ \ es 2r N O
Are there any wetlands, streams or ponds within 200 15,t -of the property?
If yes, identifi, on site plan ❑ Ycs S. -No
Is there evidence of fill or excavation on the property? ----
❑ Ycs 121 -1<
Arc there slopes greater than 30°'o on the property? (30 ft rise in 100 ft)
( / %) ❑ Ycs No
Are critical or hazardous materials used or stored on site?? -� --
❑ Ycs'(L�ll� n
DEPARTMENT USE ONLY
Is the property in a designated Stormwatcr Control Arca?
❑ Yes ❑ No
Is public sewer available to the site? ❑ Yes ❑ No
Is the property inside the _ASA? ❑ Ycs ❑ No
Cl Yes ❑ No
Is public water available to the site? ❑ Yes ❑ No
Is the property inside the PSS;\? ❑ Ycs ❑ No
Is the property located within 1000 feet of a Natural Resource Arca?
❑ Ycs ❑ No
Date Received:
Staff Representative.:
METHOD OF PAYMENT
❑ C.ASII
VISA
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1): \"11::
PIIIZI?S:
R.\NkC.\Rl) NU,NIRIQZ:
\I'll IORI/I(I) SIGN .\'I'l'IZ1 ::
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT FEE IS 535.00
PLEASE MAKI/ Ci IECKS pAy \ BLE 10
SPOKANE COUNTS PERMIT CENTER
lite plan is being submitted for the purpose of
ling a buj:ding permit and is a true and correct
senlation of the proposal. All known property
din-ensions, curb lines, structures and easefrients
been identified. Also indicated are wetlands,
6 of wat4, teep slopes or r critical ares.
Eft
ADDRESS
ZONE A A
T:
ROAD WIDTH(PO
FRONTFT 1-__P)Q- ANK1N`G_a_0_hVA-
J�
COMMENTS
REVIEWED I