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2000, 07-12 Permit App: 00005877 RemodelProject Number: 00005877 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 07/12/2000 Page 1 of 2 Project Information: Permit Use: CONVERT PORTION OF GARAGE INTO Contact: CHANDLER, BOB & KATHI BEDROOM Address: 17109 E MONTGOMERY DR C - S - Z: GREENACRES, WA 99016 Setbacks: Front Left: Right: Rear: Phone: (509) 000-0000 Group Name: Site Information: Project Name: Plat Key: 000000 Name: UNKNOWN District: G Parcel Number: 55072.0463 Block: Lot: SiteAddress: 17109 E MONTGOMERY D GREENACRES, WA 99016 Location:: GRE Zoning: SR -1 Suburban Residential 1 Water District: Owner: Name: CHANDLER, BOB & KATHI Address: 17109 E MONTGOMERY DR GREENACRES, WA 99016 Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: Department Review BUILDING Plan Review Hold Reasons: Permit Conditions: Released By IIEALTHDISTRICT Septic System Review Hold Reasons: Released By: .453 Permit Conditions: Permits• Project Number: 00005877 Inv: 1 � r Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 07/12/2000 Page 2 of 2 Contractor: OWNER Address: 0 000000, 00 000000 Building Permit Firm: OWNER Phone: (000) 000-0000 Building Characteristics Const Category: Remodel Group: Nbr Of Dwellings: Occupant Load: Bldg W x D: x Building Sq Ft: Req Parking. Handicap Parking: Description Grp Tvpe RESIDENCE R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Payment Sun:utarv: Operator: RMB Permit Type Building Permit Notes• c Type: Building Height: Stories: Sprinklers: ❑ Critical Materials: ❑ This Application: Total Project: Sq Ft Valuation 0 $5,000.00 Notes So Ft Valuation REMODEL 0 $5,000.00 Totals: 0 $5,000.00 0 $5,000.00 Units Unit Desc Fee Amount 1 Y OR BLANK $100.50 1 Y OR BLANK $4.50 1 Y OR BLANK $22.11 Permit Total Fees: $127.11 Printed By: RMB Print Date: 07/12/2000 Fee Amount Invoice Amount $127.11 $127.11 $127.11 $127.11 Amount Paid $0.00 Amount Owing $127.11 $0.00 $127.11 7. ILl AMI SPOmitCowry CC - 5c61111 PROJECT APPLICATION SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 Project Description: /12471/7- O/ (». C ( 7-0 ue9d 490 'Z TYPE OF APPLICATION i Building Permit ,11- El Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign 11 Tenant (New/Change) ❑ Other SPECIFIC SITE INFORMATION Street Address: / 7/c 7 F re, ON7art X71 Y ❑ Applicane Phone: Fax. Mailing Address. / 7/0 9 i /'1 anY%('O/a7 ad V Mailing Address: Assessor's Tax Parcel Number(s): SJSo73 , a . /J--? J City, State, Zip 5'/?ee y 4c4e✓ vW4 9 90/C City, State, Zip Finished basement sq ft ❑ Contractor Phone SW/ Fax Legal Description: 5S(bn 3 . 5'-€ 3 Mailing address Mailing address Heat source (electric, gas, etc ..,�.....y .... .tL...�II[i•.f'f '?,>..�➢!:':tmi e partment:LJse:Onl .....:..:....... :.t::..:', .,.:.: •... . WA State Contractor license a Contact name: Water District/lun'c nr.,'; ['i=:'; :: :w➢'..A,1'r't •':".ir: :it .� .. � .._ '. ".�u'FI,Yt,r�'ia,u „> <E„.:.�,».,',,.;:; Sewer District/Purve or ii . ,: . . y hilj vi-"' "ieV �: ". "'.1 :. '`;i iY.l-:.i.tr.[r• FRoad width'; tl".j ',: ..� ”Setbacks 'iSetbv Front:.., '• .-`_ .Heir' 'School Disviiii^iitiy�ri'�;a''r••. Fire District: ]Zoning-.' . °:.. OWNER/APPLICANT INFORMATION Il Indicate who should he contacted regarding this project ,CJOwner: �/� - Phone Dne O CfJ (JJ4%4Z, c/4.®/l/1 Fax: ❑ Applicane Phone: Fax. Mailing Address. / 7/0 9 i /'1 anY%('O/a7 ad V Mailing Address: Dimensions j.2,xaR City, State, Zip 5'/?ee y 4c4e✓ vW4 9 90/C City, State, Zip Finished basement sq ft ❑ Contractor Phone SW/ Fax ❑ Architect/Engineer Phone Fax Mailing address Mailing address Heat source (electric, gas, etc City, State Zip City, State Zip WA State Contractor license a Contact name: PROJECT INFORMATION :... ..., . ill Ing Informatlori - Budding height to peak # of stories Ma'n (loot sq. ft. Unfinished basement sq ft Dimensions j.2,xaR Total habitable space 2' floor sq ft. Finished basement sq ft Occupancy group Construction type Garage sq. ft Deck sq. ft. Cost of project S'poGQ 0 Heat source (electric, gas, etc Manufactured Home -- Sign Width: Length: What is the square footage of the sign face? How high is the sign? Year: Make: # of signs Area of existing signs Relocation Fire Safety Firm Name What is the current use of this property? Previous address Will the site be served by a septic system? O Yes O No Paint booth Fire Sprinkler Tent _ Fire Alarm Fireworks display Are critical or hazardous materials used or stored on site? O Yes O No Address Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Firm Name What is the current use of this property? Phone Will the site be served by a septic system? O Yes O No Plans Examiner Phone Inspectors: Is there evidence of fill or excavation on the property? O Yes Cl No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) (/ oh) O Yes O No Are critical or hazardous materials used or stored on site? O Yes O No Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes O No If yes, identify on site plan What is the current property size? (square feet or acres) Is any part of the property within 250 feet of a shoreline? If yes, identify on site plan O Yes O No What is the current use of this property? Is your property in a designated wildlife habitat area? O Don't know O Yes O No Will the site be served by a septic system? O Yes O No Is any part of the property within a 100 yr flood plain? If yes, identify on site plan O Maybe O Don't know O Yes O No Are or will there be wells located on the property? If yes, identify on the site plan O Yes O No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, identf on site plan O Yes O No Is there evidence of fill or excavation on the property? O Yes Cl No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) (/ oh) O Yes O No Are critical or hazardous materials used or stored on site? O Yes O No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? O Yes O No Is public sewer available to the site? O Yes O No Is the property inside the ASA? O Yes O Yes O No O No Is public water available to the site? 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 Date Received: Staff Representative: