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2001, 11-15 Permit App: 01010117 DemoProject Number: 01010117 Inv: 1 J T Application Date: 11/15/01 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: DEMOLISH EXISTING FOUNDATION (HOME WAS RELOCATED TO ANOTHER SITE) Setbacks: Front Site Information: Left: Right: Rear: Contact: LARRY JENKINS/INLAND CONSTR Address: 1620 N MAMER RD C - S - Z: SPOKANE WA 99216 Phone: (509) 891-5162 Group Name: Project Name: Plat Key: 002754 Name: VERA District: F Parcel Number: 45104.9069 Block: SiteAddress: 13200 E NORA AVE SPOKANE, WA 99206 Location:: SPO Zoning: UNKN Unknown Water District: Area: 0 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Lot: Owner: Name: NORA PROPERTIES Address: 1620 N MAMER SPOKANE WA 992216 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review SCAPA Review /' G � -44,0u it ri frermasns Permits: Demolition Permit Contractor: INLAND CONSTRUCTION CO Address: 1620 N MAMER RD #B SPOKANE, WA 99216 Item Description STATE SURCHARGE DEMOLITION COUNTY SURCHARGE Firm: INLAND CONSTRUCTION CO Phone: (509) 891-5162 Units Unit Desc 1 Y OR BLANK 800 SQ FEET 1 Y OR BLANK Operator: JAS Printed By: JAS Permit Total Fees: Print Date: Fee Amount $4.50 $35.00 $7.70 $47.20 11/15/01 Project Number: 01010117 Inv: 1 Application Date: 11/15/01 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: STOP WORK ORDER BY D BEDOW FOR MOVING A HOUSE W/O A PERMIT BY ARROW CONSTRUCTION. DOUBLE FEE REQUIRED. TM Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Demolition Permit $47.20 $47.20 $0.00 $47.20 $47.20 $47.20 $0.00 $47.20 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 the code or of any other state or local laws or ordinances. Signature: Operator: JAS Printed By: JAS Print Date: 11/15/01 . . PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPOKE COUNTY SPECIFIC SITE INFORMATION Street Address: / 7 , -2t, 0 _, #4/0 i(7/9 Assessor's Tax Parcel Number(s): s 0/ j 1 0 Legal Description: Project Description: Com/ 4117/'f C- �� G� (T ---east 1`ix6-1 //©/-/SL % (� C. ❑ Building Permit ❑ Change in Use 0 -Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other Department Use Only Water District/Purveyor. Sewer District/Purveyor Road width Setbacks Front Rear: Left Right: School District: Fire District: Zoning OWNER/APPLICANT INFORMATION El Indicate ubo should be ,onluderl meurdinr Mix broie<! rjrti (Tyner: /!/)/( A /< ?-t Phone I.a. (� S''':2/ `- 57 6,--‘,„ 9�2" 2-i ❑ Applicant: j i7��i /% Phone: dV/���� Pas: Mailing Address: /f LC' // /1/41/141".:A Total habitable space Orn' fluor sq. It. Mailing :Address: %f.?zr, Construction type City, State, Zip w1),, tL,/ , U/4 q7/G Cost of project City, Stale, Zip Contractor �/%� /chitccti ik/LI4/ /P ( 2/V5T coc Phone Fax ❑ i lin�nccr Phone Fax Mailing address ` j v Mailing address City, State Zip City, State /ip WA State Contractor license # Contact name: PROTECT INFORMATION Building Information Building height to peak # of stories Main floor sq. ft. Unfinished basement sq. ft. Dimensions Total habitable space Orn' fluor sq. It. Finished basement sq. fr. Occupancy group Construction type Garage sq. ft. Deck sg. tt. Cost of project I kat source (electric, gas, etc.) 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 there slopes greater than 30% o on the property? (30 ft rise in 100 ft) ( / ° °) 0 Yes 0 No Are critical or hazardous materials used or stored on site? 0 Yes 0 No Proposed use Value Relocation Fire Safety Finn Name What is the current use of this property? Previous address Will the site be served by a septic system? 0 Yes 0 No Paint booth Fire Sprinkler Tent Fireworks display Fire Alarm Are there slopes greater than 30% o on the property? (30 ft rise in 100 ft) ( / ° °) 0 Yes 0 No Are critical or hazardous materials used or stored on site? 0 Yes 0 No Proposed use Value Is the property located within 1000 feet of a Natural Resource Area? DYes 0 N Special Inspections Required? Non -Residential Energy Code Compliance? Finn Name What is the current use of this property? ('hone Will the site be served by a septic system? 0 Yes 0 No Plans I?saminer Phone Inspectors: Is there evidence of fill or excavation on the property? 0 Yes 0 No Are there slopes greater than 30% o on the property? (30 ft rise in 100 ft) ( / ° °) 0 Yes 0 No Are critical or hazardous materials used or stored on site? 0 Yes 0 No Address 0 No Is the property located within 1000 feet of a Natural Resource Area? DYes 0 N Inspector Phone 0 Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? 0 Yes 0 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 yet, identify on site plan 0 Yes 0 No What is the current use of this property? Is your property in a designated wildlife habitat area? 0 Don't know 0 Yes 0 No Will the site be served by a septic system? 0 Yes 0 No Is any part of the property within a 100 yr flood plain? I f per. identi J, on site plan 0 Maybe 0 Don't know 0 Yes 0 No Are or will there be wells located on the property? If yes, identi(p on the site plan 0 Yes 0 No Are there any wetlands, streams or ponds within 200 feet of the property? If pet, Iden//y on site plan 0 Yes 0 No Is there evidence of fill or excavation on the property? 0 Yes 0 No Are there slopes greater than 30% o on the property? (30 ft rise in 100 ft) ( / ° °) 0 Yes 0 No Are critical or hazardous materials used or stored on site? 0 Yes 0 No DEPARTMENT USE ONLY Is the property m a designated Stormwater Control Area? DYes 0 N Is public sewer available to the site? 0 Yes 0 No Is the property inside the ASA? 0 Yes 0 Yes 0 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 Area? DYes 0 N Date Received: Staff Representative: METHOD OF PAYMENT VISA ❑ C.\SII ❑ CI II?Ch e o CAV, FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD D.A•I IF: I:NP1R1?S: B.\NkC.\R1 NU\1B1:R: \Ull 101U/1.D SIGN.A•I URI?: SUBTO1•:A]. TOTAL FEE MINIMUM PERMIT FEE IS $35.00 PLEASE NI A KI CI Ilz:Fs PAYABLE TO SPOKANE COUNT' PERMIT CENTER