2001, 03-16 Permit App: 01001535 Fire Damage RepairProject Number: 01001535 Inv: 1 Application Date: 3/16/01 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: FIRE DAMAGE REPAIR TO GARAGE AND NEW Contact: SERVPRO OF SW SPOKANE
SIDING Address: P.O. BOX 8611
C - S - Z: SPOKANE, WA 99203
Setbacks: Front Left: Right: Rear: Phone: (509) 534-0566
Group Name:
Site Information: Project Name:
Plat Key: 000376 Name: CHESTER HILLS HEIGHTS District: E
Parcel Number: 45294.0707
SiteAddress: 3007 S OBERLIN RD
SPOKANE, WA 99206
Location:: SPO
Zoning: AG
Water District:
Block: Lot:
Area: 0 Sq Ft Width: 100
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Department Review
BUILDIN
Hold easons:
Permit Conditions:
Permits:
Owner: Name: CALLAHAN, ROBERT
Address: 3007 S OBERLIN RD
SPOKANE, WA 99206
Hold: ❑
Depth: 130 Right Of Way (ft): 0
Project Number: 01001535 Inv: 1 Application Date: 3/16/01
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Page 2 of 2
Contractor: SERVPRO OF S/W SPOKANE
Firm: SERVPRO OF S&W SPOKANE CO
Address: 7232 S HATCH RD
Phone: (509) 534-0566
SPOKANE, WA 99224
Building Characteristics
Const Category: New Group:
R-3 Type: VN
Nbr Of Dwellings: Occupant Load:
Building Height:
Stories:
Bldg W x D: x Building Sq Ft:
Sprinklers: ❑
Req Parking: Handicap Parking:
Critical Materials: 0
This Application:
Total Project:
Description Gru Type Notes
So Ft Valuation
So Ft Valuation
RESIDENCE R-3 VN FIRE
0 $8,000.00
0 $8,000.00
DAMAGE
REPAIR/SID
ING
Totals:
0 $8,000.00
0 $8,000.00
Item Description Units
Unit Desc Fee Amount
RESIDENTIAL VALUATION 1
Y OR BLANK
$138.00
STATE SURCHARGE 1
Y OR BLANK
$4.50
RESIDENTIAL SURCHARGE 1
Y OR BLANK
$30.36
Permit Total Fees:
$172.86
Payment Summary:
Operator: MKC Printed By: MKC
Print Date:
3/16/01
Permit Type Fee Amount Invoice Amount Amount Paid
Amount Owing
Building Permit $172.86
$172.86 $0.00
$172.86
$172.86
$172.86 $0.00
$172.86
Notes:
1�1 PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
"PINA6 1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
S 509-477-3675
SPECIFIC SITE INFORMATION
Street Address: :I�C�l
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description:
Pq Building Permit O Change in Use O Grading Fff Manufactured Home Permit
O Relocation O Sign 113 Tenant (New/Change) 10 Other
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted repardinp this nroiect
O owner:
Phone:
Building height to peak
❑ Applicant: Phone:
����5�/;�
Fax:
Dimensions
Fax:
Mailing Address:
Finished basement sq. ft.
Occupancy group
Mailing Address:
Garage sq. ft.
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc.)
City, State Zip
City, State, Zip
Contractor
Phone
❑ Architect/Engineer Phone
C -l—Faxf �%['�
�n
Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
WA State Contractor license H
Contact name:
6"C-/'G't';5,-,
6 -
PROTECT INFORMATION
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Building height to peak
N of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
Total habitable space
2nd floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc.)
Age,
Width: Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: N of signs Area of existing signs
Proposed use
Value
Fire Sprinkler _ Tent
Paint booth _ Fire Alarm _ Fireworks display
ADDITIONAI. SUTR INFORMATION
Are there structures on the property? X Yes O No
What is the current property size?
I yes, identify on site plan
(square feet or acres
Is any part of the property within 250 feet of a shoreline?
What is the current use of this property?
1 yes, identify on site plan O Yes 0( No
Is your property in a designated wildlife habitat area?
Will the site be served by a septic system? O Yes O No
O Don't know O Yes No
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Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the property?
If yes, identify on site planIf
yes, identify on the site plan O Yes O No
O Maybe O Don't know O Yes No
Are there any wetlands, streams or ponds within 200 feet of the
Is there evidence of fill or excavation on the property?
property?
O Yes O No
I es, identif
y on site plan O Yes No
Are there slopes greater than 30% on the property? (3Q -ft rise in 100 ft)
Are critical or hazardous materials used or stored on site?
O Yes No
O Yes O No
/ \ DEPARTMENT USE ONLY
Dace Received: Staff Representative:
METHOD OF PAYMENT
'a-
❑ CASH ❑ CHECK ❑ ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
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