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2001, 08-31 Permit App: 01007446 GarageProject Number: 01007446 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/31/2001 Page 1 of 2 Project Information: ..................................... Permit Use: DETACHED 24 X 24 GARAGE Setbacks: Front NA Left: 30 Right: 5 Rear: 5 Site Information: Plat Key: 000146 Name: BARKER ROAD MOBILE HOMES 1ST ADD. Contact: EBCO Address: 1517 N LACEY C - S - Z: SPOKANE, WA 99207 Phone: (509) 535-0316 Group Name: Project Name: .................... District: G Parcel Number: 55082.1217 Block: SiteAddress: 19115 E MONTGOMERY DR OTIS ORCHARDS, WA USA Location:: OTI Zoning: UR -7 Water District Urban Residential -7 Area: .00 Acres Lot: Owner: Name: HURD, SAMUEL B & CAROL A Address: 19115 E MONTGOMERY DR OTIS ORCHARDS, WA 99027-9564 Hold: ❑ Width: 50 Depth: 59 Right Of Way (ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Department Review BUILDING Site Plan Review Hold Reasons: Permit Conditions: BUILDING Hold Reasons: Permit Conditions: HEALTHDISTRICT Hold Reasons: Permit Conditions: Permits: Plan Review Septic System Review dti 1 Project Number: 01007446 Inv: 1 t Application Date: 8/31/2001 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: EBCO CONSTRUCTION Firm: RICHARD EBCO CONSTRUCTIO Address: 1517 N LACEY Phone: (509) 535-0774 SPOKANE, WA 99207 Building Characteristics Const Category: New Group: U-1 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: 12 Stories: 1 Bldg W x D: 24 x 24 Building Sq Ft: 576 Sprinklers: 111 Req Parking: Handicap Parking: Critical Materials: This Application: Total Project: Description Gtr Type Notes Sq Ft Valuation Sq Ft Valuation GARAGE U-1 VN 576 $6,912.00 576 $6,912.00 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Payment Summary: Operator: DMD Permit Type Building Permit Totals: 576 $6,912.00 576 $6,912.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Fee Amount $125.50 $4.50 $27.61 $157.61 Printed By: DMD Print Date: 8/31/2001 Fee Amount Invoice Amount Amount Paid Amount Owing $157.61 $157.61 $0.00 $157.61 $157.61 $157.61 $0.00 $157.61 Notes:.;;::.;;;:.;:.;:.;:.;:.:.:.::::.;:.:.;::.;:.;;:.:;.::.;;:.;::.::.;:.:.;:.;:.;:.:;:.;:.;:.;:.;:.;:.;:.;:.;:.::<.:.:.;;;;:.;:;:;::::.:.:.;:::.;>:.:;.;;:;.;:.;;:;.;:.;:.>:.;:.::.;:.;:.;:.;:.;:.;:.;;:.;:.;:.;:.;::.::.;:.;:.;;:::.;:.;;;;;;:;:.::.:.;:.;:.;:.::.;:.;:.;:.::.::.;::.;:.;;;::.;:::.;:::.;;:.;:.;::<.;;:.>:.;;;:.;:.;:.;:.;:.;:.;:.;:.;;:.:;.;;:.;:.;;:.;;:.:; I SPo1W COUNTY PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 (%l 7(-7(l(r SPECIFIC SITE INFORMATION Street Address: 9//f-�-� 10 �t45 0 �y �i Assessor's Tax Parcel Number(s): 5-5-0 �a , / 2 / % Legal Description: Project Description: �Gf / /!7 i r7 Q 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 Front. Rear. heft Right: School District: Fire District Zoning OWNER/APPLICANT INFORMATION 0 Indicate :rho should he tontaeted retarding Ibis broject ❑ Owner: / ��A/C-CC S.11,7 -7S.11,7-7/ / C -CC [) Phone las Building Information ❑ Applicant: / 0: C. I.711 ceC Phone: l•❑x: Mailing Address: / q //r— E h.2.0 ,ter ilL, a A.,--,er/ Main floor sq. ft. Flailing Address: Dimensions Cin, State, Zip 0 74:f vrc i , cff cam.,. , -94?; City, State, Zip (4 Finished basement sq. ft. ❑ Contractor '' C e Phone Fax ,c3 Fo J/ O ElArchitect/Engineer iOct rt Cr.,,, 5 e Ire Phone Fax Mailing address /// / �/ 2 L r.0 Mailing address �' C H 1 teat source (electric, gas, etc.) Cin, State Zip 5-4.17C7 AC -2--f e: 92 o -) City, State Zip Siv0 /C ot—e... WAState Contractor license # .JP f Contact name: F�Co PROJECT INFORMATION Building Information Building height to peak # of stories Main floor sq. ft. Unfinished basement sq. ft. Dimensions ;— Total habitable space 2"d floor sq. ft. Finished basement sq. ft. Occupancy group Construction type Garage sq. ft. .t J-7 a Deck. sq. ft. Cost of project SOd0 1 teat source (electric, gas, etc.) Relocation Manufactured Home Sign Width: Length: What is the square footage of the sign face? I low high is the sign? Year: Make: # of signs Area of existing signs Are critical or hazardous materials used or stored on site? 0 Ycs eff) No Address Proposed use Value Relocation Fire Safety Firm Name What is the current use of this property? , e.3 i We—, /— cv Previous address Will the site be served by a septic system?,d'i'es O No Paint booth Fire Sprinkler fent Fire Alarm Fireworks display Are critical or hazardous materials used or stored on site? 0 Ycs eff) No Address Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Firm Name What is the current use of this property? , e.3 i We—, /— cv Phone Will the site be served by a septic system?,d'i'es O No Plans Examiner Phone Inspectors: Is there evidence of fill or excavation on the property? 0 Ycs .e1—No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( %) 0 Ycs _ No Are critical or hazardous materials used or stored on site? 0 Ycs eff) No Address 0 No Is the property located within 1000 feet of a Natural Resource Arca? OYes 0 N Inspector Phonc 0 Concrete 0 Welding 0 Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? KYes O No Ifyes, identify orr site plan What is the current property size? (square feet or acres) 0642 /6 Is any part of the property within 250 feet of a shorclie? Ifyes, identifjt on site plan O Yes , l No What is the current use of this property? , e.3 i We—, /— cv Is your property in a designated wildlife habitat arca? O Don't know O Ycs ialC/o Will the site be served by a septic system?,d'i'es O No Is any part of the property within a 100 yr flood plain? Ifyes, identify on site plan O Maybe O Don't know O Ycs /Er -No Are or will there be wells located 011 the property? Ifyes, ident( on the site plan O Yes fa'&o Are there any wetlands, streams or ponds within 200 feet of the property? I fyes, identify on site plan 0 Ycs c:KNo Is there evidence of fill or excavation on the property? 0 Ycs .e1—No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( %) 0 Ycs _ No Are critical or hazardous materials used or stored on site? 0 Ycs eff) No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? 0 Yes 0 No Is public sewer available to the site? 0 Ycs 0 No Is the property inside the ASA? 0 Yes 0 Yes O No 0 No Is public water available to the site? 0 Yes 0 No Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Arca? OYes 0 N Date Received: Staff Representative: METHOD OF PAYMENT VISA ❑ C ASI I ❑ CI II?CK FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD D V11?: 1,1XPIRI{S: B:ANKC;ARD NUMBI?R: ALI I IORIZI a SIGN.1'1'URI{: SUB"l(Y1':\1. TOTAL FEE MINIMUM PERMIT FEE IS $35.00PLE: \SE 11AKI? CHECKS P.1\ ABLE 10 SPOK'1Nl COUNTY p1 Ie lrr CENTER 1 r T his site plan is being submitted for thepurpose of pbtaining a building permit and is a true and correct representation of the proposal. All known property Tines/dimensions, curb lines. structures and easements have been identified. Also indicated are wetlands, bodies of water, steepQ� or e ritical areas. - o / G ZONE ROAD WIDTH FRONTFi N ' G COMMEN REVIEWED BY 460.4, erg R J