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2002, 03-26 Permit App: 02001920 Fire Damage Repair4 Project Number: 02001920 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing w Project Information: Permit Use: FIRE DAMAGE -REBUILD GARAGE/COVPTIOBREEZEWAY & REPLACE ROOF RAFTER Setbacks: Front Left: Right: Site Information: Plat Key: 001101 Name: GUTHRIE'S VALLEY VIEW ADD Rear: ( Date: 3/26/02 Page 1 of 3 without a perm' ontact: MARK/ ONSTRUCTION INS SR ddress: 8907 E MAIN - S - Z: SPOKANE WA 99212 Phone: (509) 370-5842 Group Project N Parcel Number: 55173.1704 Block: Lot: SiteAddress: 19016 E NIXON AVE GREENACRES, WA USA 9901 Location:: GRE Zoning: UR -3.5 Water District: Urban Residential 3.5 Area: .00 Acres Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review ame: .9 e: • Owner: Name: SIMS, J D & T R Address: 19016 E NIXON AVE GREENACRES WA 99016 Hold: ElDepth: 0 Right Of Way (ft): 0 _ Special Inspections l l 4----),-T-4F) * Permits: ct: G Operator: JAS Printed By: JAS Print Date: 3/26/02 Project Number: 02001920 Inv: 1 Application i THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/26/02 Building Permit Contractor: CONSTRUCTION INS SRVCS LLC Firm: CONSTRUCTION INS SRVCS LLC Address: 8907 E MAIN Phone: (509) 891-2880 SPOKANE WA 99212 Building Characteristics Const Category: Remodel Group: U-1 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: Stories: Bldg W x D: x Building Sq Ft: Sprinklers: 0 Req Parking: Handicap Parking: Critical Materials: ❑ This Application: Total Project: Description Gra Tim Notes Su Ft Valuation Sq Ft Valuation CARPORT U-1 VN COVPATIO/ 528 $2,376.00 528 $2,376.00 BREEZEWA Y GARAGE U-1 VN 528 $6,336.00 528 $6,336.00 RESIDENCE R-3 VN REPAIR 0 $26,288.00 0 $26,288.00 Totals: 1,056 $35,000.00 1,056 $35,000.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $442.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $97.24 Permit Total Fees: $543.74 Plumbing Permit Contractor: CONSTRUCTION INS SRVCS LLC Firm: CONSTRUCTION INS SRVCS LLC Address: 8907 E MAIN Phone: (509) 891-2880 ,! SPOKANE WA 99212 Item Description Units Unit Desc WATER PIPING - DWV 1 NUMBER OF MINIMUM FEE ADJUSTMENT 1 Select Permit Total Fees: Fee Amount $6.00 $29.00 $35.00 Operator: JAS Printed By: JAS Print Date: 3/26/02 Page 2 of 3 Project Number: 02001920 ' Inv: 1 Application Date: 3/26/02 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary .:. Permit Type Building Permit Plumbing Permit Fee Amount $543.74 $35.00 $578.74 Invoice Amount $543.74 $35.00 $578.74 Amount Paid $0.00 $0.00 $0.00 Amount Owing $543.74 $35.00 $578.74 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: 3/26/02 „l Alt:11- 4 SPo GOUTY PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: /?v/6' /t//xvc) 6- 'e° , .5 Assessor's Tax Parcel Number(s): Legal Description: Project Description: �7 ❑ Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign In 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 0 Indicate who should be ontaeled n2utdin_ Ibis trojee( ❑ (lienee Phone: Jae ,5( FaN: ❑ Applicant k5`0157—jnG. LONW Phone: e7r) Mailing Address: iq401.6 AJ Mailing Address: Dimensions Zip N f f- / i,�tJ 4- Cine, State, Zip Finished basement sq. ft. ydel Contractor Phone ca at /.2 ereP❑Architect/ISng�neer 6=1.1)57>z / 77c441 /A.)5'4 5,* -4i z.4,_ 81 f—06a..a Phone 1.a. Mailing address LQ /l 3.747 - 5—er,2 Mailing address 57 7 /17 Ri.r/ Deck seJ. ft. C ty, State Zip Cine, State Zip `-"C k 71-1 / A/4" 9T/2_ / Sect - 1 of J n ci____zi__Q,4_____, \\-A State Contractor license # Contact name c-D.✓e$7 / ?..7 yk,4 PROTECT INFORMATION Building Information Building height to peak # of stories Main floor sq. It. Unfinished basement sg. ft. Dimensions 'Total habitable space 2"`t floor s.. ft. Finished basement sq. ft. Occupancy group Construction hype Garage se. ft. Deck seJ. ft. Cost of p Sect - 1 of J n ci____zi__Q,4_____, I feat source (electric, gas, ctc.) Manufactured Home • Width: length: What is the square footage of the sign face? 1 low high is the sign? Year: Make: # of sins b Arca of existing sums Tent Fire Alarm Fireworks display Are critical or hazardous materials used or stored on site? 0 Yes 0 No 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 lire Sprinkler Tent Fire Alarm Fireworks display Are critical or hazardous materials used or stored on site? 0 Yes 0 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? 0 Yes O No Are there slopes greater than 30° o on the property? (30 ft rise in 100 ft) ( °%) O Yes 0 No Are critical or hazardous materials used or stored on site? 0 Yes 0 No Address Inspector Phone 0 Concrete D Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes O No Dyes, 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? 1/ yes, identi' on .rite plan O Yes O 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? O Yes O No Iss any part of the property within a 100 yr flood plain? If yes, identilY on site plan 0 Maybe 0 Don't know 0 Yes 0 No Are or will there be wells located on the property? Ifyes, idem i on the site plan 0 Yes 0 No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, ident tj on site plan 0 Yes 0 No Is there evidence of fill or excavation on the property? 0 Yes O No Are there slopes greater than 30° o on the property? (30 ft rise in 100 ft) ( °%) O Yes 0 No Are critical or hazardous materials used or stored on site? 0 Yes 0 No DEPARTMENT USE ONLY Is the property in 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 No DYes 0No 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 0No 1)atc Received: Staff Representaucc: METHOD OF PAYMENT VISA ❑ C.\SII ❑ fa n?CK ❑ ❑ �" ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD D.A"1'E: EXPIRES: n.ANKC:ARD NUN161:R: All 11 I()RI'ZFD SIGN.A'PURI:: SU RTOT.A1. TOTAL FEE MINIMUM PERMIT FEE IS $35.00 PI .EASE MAKS( CHECKS PAYABLE '0) SPOKANE COt N'1Y PEIt\lrr CENTER • C my of Spokane, Waslegion BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 APPLICATION FOR LAND USE OR STRUCTURE PERMIT GENERAL REQUIREMENTS PERMIT FEE CTU PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any kind or alter any building or structure already erected, or to change a land use. Construction must conform with the Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection. WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office. SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235. SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required. STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress and egress. COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer. MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State Highway, clearance must be obtained from the County Engineer and/or State Highway Department. ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit. RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications. APPLICANT FILL IN BELOW THIS LINE Name of Owner Architect Engineer Contractor al Descri on of P Address Addres Address , 7) Address q'9c/6 completed cr' tion frm deed, tax ec P etc) 3 - / Phone 9Z?-z/4j Phone Phone Phone DESCRIPTION OF WORK: New Addition Size of Lot Stories Rooms Heat. System Use of Bldg. 0 I < (n � �� Q. cc Con t Remodel Moving Bldg. Zone Fire Zone 3 Dimensions Baths Basement I, part, none Sewage System rZ ol v Total Sq Foundatio Const Type of Roofi 9 . Ft /G) S (' Valuatio Chimney Fireplace (Kind) (Number Ext. Finish 7 — /// Int. Wall Finish No. of Units._Bedrodms PLOT PLAN c�- Dra P'sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys- tem and water supply lines. RESIDENTIAL - COMMERCIAL SOUTH ereby certify infor tion submitted is correct . r State License No. Ind. Ins. Acct. No. REQUIRED Plumbing Permit Heating Permit Sewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed and there are no other structures located on this property except Owner or Agent A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE THIS IS NOT A PERMIT. DO NOT WRITE BELOW THIS LINE /6 Date CONSTRUCTION COMMENCES. Your street address will be Ca G / 6 ! Sewage Per. t Number „ ssued Remarks Building Permit The zone is Receipt ssued