2002, 11-13 Permit App: 02010163 GarageProject Number: 02010163 Inv: 1
-Appb ation
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/13/2002 Page 1 of 2
Project Information:
Permit Use: 2 STORY DETACHED GARAGE - 30 X 30 Contact: SHERRODD, ALDEN
It Address: 17315 E MONTGOMERY DR
C - S - Z: GREENACRES, WA 99016
Setbacks. Front 12 Left' 20+ Right: 100 Rear: 20+ Phone: (5119) 922-0608
Group Name:
Site Information: Project Name.
Plat Key: 111121)44 Name: PLAT"A" CREENACRES IRR.DISTRICT District.
Parcel Number: 55073.0462 Block:
SiteAddress. 17315 E MONTGOMERY DR
GREENACRES, WA 99016
Location:: GRE
Zoning: UR -7 I,j Urban Residential -7
Water District
Area 1 Sy Ft Width' II
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review hJ2irnmtian:
Lot:
Owner Name SH ERRODD, ALDEN
Address 17315 E MONTGOMERY DR
CREENACRES, WA 99016
Hold: ❑
Depth. 0 Right Of Wav (ft): 50
amd4ion:
prior o any
Welt) A r mach / Drainage
aAsy<fie.:4d3 oaFAA A Gs; -
Septic System Review
Released BY:--_:;::,, itae__n ,
y
Landuse/Zoning
Released BY
CAv/SJun ,2. 6n ea Vic. 4 Sr/ q cif
Operator RMB :Printed By. RMB
Print Date. 11/13/2002
Project Number: 02010163 Inv' 1
Permits:
A.pplicatson
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/13/2002 Page 2 of 2
Contractor: OWNER
Building Permit
Firm. OWNER
Phone:
Building Characteristics
Const Category: New Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D. x Building Sq Ft: Sprinklers: 1
Req Parking: Handicap Parking: Critical Materials: E
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sn Ft Valuation
GARAGE U-1 VN INCLUDES 1,800 $21600.00 1,800 $21,600.00
2ND FLOOR
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Summary
Permit Type
Building Permit
Totals: 1,800 $21,600.00 1,800 $21,600.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Fee Amount
$313 00
$4.50
$68.86
Permit Total Fees: $386.36
Fee Amount Invoice Amount Amount Paid Amount Owing
$386.36, $386.36
$386.36 $38636
$0,00 $386.36
$0.00 $386.36
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 construed 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: RMB Printed By- RMB
Print Date: 11/13/2002
Project Number 0201 0163 Inv: 1
PI
,-4:pN11G3ilOn
Date. 11/13/211112 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use 2 STORY DETACHED GARAGE - 30 X 311
Contact. 'SHERR6DD, ALDEN
Address: 17315 E MONTGOMERY DR
C - S - Z GREENACRES, WA 99016
509
Setbacks' Front 12 Left: 20+ Right: 100 Rear: 20+ Phone: (509) 922-0608
Group Name:
Project Name:
Site Information: — - District:
Plat Key: 11021144 Name: PLAT"A" GREENACRES IRR.DISTRICT :
Lot
Parcel Number: 551173.0462 Block:
SiteAddress- 17315 E MONTGOMERY DR Owner: Nams: HER7315 EDD, MONTGOMERYDENDR
GREENACRES, WA 99016 GREENACRES, WA 99016
Location.GRE
Zoning. UR -7
Water Distract.
Arca. 1 Sq Ft
Nbr of Bldgs 1 Nbr.of Dwellings. 1
Review Information:
Urban Residential -7
Width II
Hold. ❑
Depth: 0 Right Of Way (ft) 511
Review
Site Plan Review
i
•
(,Released By:
t 41Si t'NI G,' A'i"^fM?S]'•.'Pn{
Plan Review (�
i-3) AS_2 "'vt',i C7^ G •-V oh n t
ri ,'fu a 'r .if' iteo `,-I :r;r.. '. C
cbel /J ScF•
Approach / Drainage
I.Released By
et tic
•J
SS _-I'M\sik(goi4, o a CAI A GS? -
Septic System Review `
Landuse/Zoning
Released By:
ctc,
CAC /sem t� ,• 6h 5'/c ('iet- 16.(4:(11401 ---
itYom---
I//3�0�
Operator RMB Printed By: RMB
Print Date: 11/13/2002
ttIIHR
Spoww COUMTY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 \VEST BROADWAY AVENUE
SPOKANE, \VA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: /73
/ / /
"Paz ParcelCNumber(s): M�0%� 9i1�%(�!"i/ dipGh /
Assessor's/��
55073!• /7tf
Legal Description:
Project Description
PsAt&( Grip
i2 Building Permit
❑ Change in Use
❑ Grading
❑ \lanufactured Florae Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only.
Phone H9 pi9 -ij
l !/ O
11 Applicant
Phone.
1,..
Ma ling Address
E,/13/s Mo��
Water 1)nuict/Purrip,r -
.Sever I) /Purvey. or, -
- ..
. Road width '
..
"
G�Od igign l� A
Setbacks d'
From_
wi.
Left ..
:.,
.. ,Rear
Itighri
i
_ ,t
u
Scho„LDntnct • '
..
. Fire District ..
„.
ZonZonal);.'-
.�
OWNER/APPLICANT INFORMATION
Imlrmte wig; Jmu(l be toniaded rv;atelier ibn not
allMmT
Alam 4t11Nifa
Phone H9 pi9 -ij
l !/ O
11 Applicant
Phone.
1,..
Ma ling Address
E,/13/s Mo��
,
1166
Moiling Address
2"n floor xy It
"
G�Od igign l� A
❑ Conmumr /
Phone
lies
❑ Architect/Fntnear
Phone
Pas
Mailing address
1 lry nom Cu (c]ucmc, ,t os, etc )
Mailing address
Cm, State Zip
Cin, State Zip
\\ A State Contraannhow, 7
Contact name
PROTECT INFORMATION
Building -Information
Budding height In peak
# of stones
7i
Main Moor ay. ft
Unfinished basement sy fI.
Dnnenvnns
30X30
'I' HI habitable space
2"n floor xy It
Ptmshed basemmllt .y. ft.
( Iccupanc in nip
Construct!, �//n type
( r11e-r It
Reek MI ft
Coat of protect
1 lry nom Cu (c]ucmc, ,t os, etc )
Manufactured Home ' ;Sign
width:
Ltngth •
What is the square footage of the sign
face?
1 low high is the sign?
Ycan
\lake
# of sums
Arca of esisting signs
Are or will there he wells located on the property? -
Ijyes. idenb7P an the see plan O Yes 0 No'
•s
Address
Is there evidence of fill or excavation 011 the Property? -
res 0 No
Relocation
Fire Safet`
Precious address
Fire Sprinkler
Punt bm ith Eire Alarm
I ircwnrks display
Proposed use
Value
Special Inspections Required? = .
:—
•Non=Residential Energy;Code Coinpliatice?.'
Finn Name
Is any part of the property within 250 feet o a shoreline?
If yes, idenliff on site plan feet
O No
Phone
- Is public water" available to the site? 0 Yes 0 No
.. .. ,"
Plans Esammcr -
Phone
Inspectors-
is any part of the property within a 100 yr flood plain'
1J� er, idem f, an the plan
(P'Tavbe 0 Don't know 0 Yes 0 No
Are or will there he wells located on the property? -
Ijyes. idenb7P an the see plan O Yes 0 No'
•s
Address
Is there evidence of fill or excavation 011 the Property? -
res 0 No
Sia ff Repiewnrmnc
Are there Slopes greater than 30% on the property? (30 ft nsc m 100 ft)
( / Vs) Irces 0 No
Are cnucal or hazardous materials used oil stored on site ` '
0 Yes 21 r
s
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property' V3" -Yes O No
ideal on .�itep/an
What is the current property size?I%fes,
(square feet or acres) /e 03 ,f /t
TOTAL FEE
AIINMIUM PERMITFEE IS USMPU:ASIi
MAKE CI I1:CKS PAYABLE TO SPOKANE
000N tv PER\iir cE -iER
Is any part of the property within 250 feet o a shoreline?
If yes, idenliff on site plan feet
O No
eat is the c irent}}}se o this pt operty?
What
pn`/
- Is public water" available to the site? 0 Yes 0 No
.. .. ,"
1s your property 10 a designated wildlife habitat arca'
❑ Don't know O Yes 0No
\C411 the site be s n'e y a septic system O Yet, O No
_
is any part of the property within a 100 yr flood plain'
1J� er, idem f, an the plan
(P'Tavbe 0 Don't know 0 Yes 0 No
Are or will there he wells located on the property? -
Ijyes. idenb7P an the see plan O Yes 0 No'
•s
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, itinatfit 0), sae ph -m 0 Yes 0 No
Is there evidence of fill or excavation 011 the Property? -
res 0 No
Sia ff Repiewnrmnc
Are there Slopes greater than 30% on the property? (30 ft nsc m 100 ft)
( / Vs) Irces 0 No
Are cnucal or hazardous materials used oil stored on site ` '
0 Yes 21 r
s
DEPARTMENT USE ONLY
Is the property in a designated Stoimwatei Control Arca?
- Is public sewer available to the site? 0 Yen 0 No
TOTAL FEE
AIINMIUM PERMITFEE IS USMPU:ASIi
MAKE CI I1:CKS PAYABLE TO SPOKANE
000N tv PER\iir cE -iER
Is the property inside thrASA? "' "
.. .. ..
= ;.; O Yes 0 No
- _ HO yd' 0 -No •.
- Is public water" available to the site? 0 Yes 0 No
.. .. ,"
r
Is the property inside the PSS,\? r
... ..
_
..O• Yes - O. No':(
i . _. .. •�
.,Is the propery located within 1000 feet of a NaturalResource Area?
(O Yes ."O No
..
Dam itovard
Sia ff Repiewnrmnc
METHOD OF PAYMENT
VISA
❑ CASA ❑ enacK 9 9 :v 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DIJC•VER
mar=
I:NI'IRES:
BANKCARD NUMBER
.\011 1011E/ 1 I) SIGNATURE:
SLIM 011 Al.
TOTAL FEE
AIINMIUM PERMITFEE IS USMPU:ASIi
MAKE CI I1:CKS PAYABLE TO SPOKANE
000N tv PER\iir cE -iER
w'
0 fte5
0
E
Of I;1112
N
uUJ
b0
Lt pf ty,l0y
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
fines/dimensions, curb lines. structures and easements
have been identified. Also indicated are wetlands,
bodies ofw eep slop or of ritical areas.
7.
Signed:
Date: /k /5 -0V
-07/
ADDRESS
ZONE
ROAD WIDTH (.0
FRONT
COMMENTS
REVIEWED BY
U.
'l 6 1Y1
NKING
•
meY
PropeAY 6 •
55073•
SCAL F
,,,_ y,