2003, 02-20 Permit App: 03001015 ResidenceProject Number: 03001015
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE/ATTACHED GARAGE FORCED AIR Contact: MARSHALKIN, YEVGENIY
GAS Address: 324 E NORTH AVE
C - S - Z: SPOKANE, WA 99207
Setbacks: Front 60 Left: 15 Right: 42 Rear: 48 Phone: (509) 483-6017
Group Name:
Project Name:
Name: District: F
Site Information:
Plat Key:
Parcel Number: 45163.0217 Block: 110 Lot:
SiteAddress: 10908 E OLIVE AVE
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -3.5
Water District:
Area: 16,988 Sq Ft
Nbr of Bldgs: 1
Urban Residential 3.5
Owner: Name: MARSHALKIN, YEVGENIY
Address: 324 E NORTH AVE
SPOKANE, WA 99207
Hold: Lil
Width: 130 Depth: 130 Right Of Way (ft): 50
Nbr of Dwellings: 1
Page 1 of 3
Review
Site Plan Review
rfbrl\)
leased Bv:
Plan Review
Released By:
Approach / Drainage
Released Byt
el MAIO
Released By:
LtTIUT(- /lc -42'2000,k_ 0a-jrIC0
Operator: RMB Printed By: RMB
Print Date:
2/20/2003
Project Number: 03001015
Inv: 1
Application
Date: 2/20/2003 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Const Category: New
Nbr Of Dwellings:
Bldg W x D: x
Req Parking:
Description
BASEMENT U
DECK
GARAGE
RESIDENCE
Building Permit
Finn: OWNER
Phone:
Building Characteristics
Group:
Occupant Load:
Building Sq Ft:
Handicap Parking:
Type
R-3 VN
R-3 VN
U-1 VN
R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Type:
Building Height:
Sprinklers: ❑
Critical Materials: ❑
This Application:
Valuation
$18,622.20
$783.00
$5,520.00
$99,924.00
Notes Sq Ft
i D$D _.
100
DSO —47514'
Contractor: OWNER
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
GAS LOG OR GAS INSERT
Totals: 3,588 $124,849.20
Units
1
1
1
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Mechanical Permit
Units
1
1
4
5
1
1
Operator: RMB Printed By: RMB
a
Stories:
Total Project:
Sq Ft Valuation
1,514 $18,622.20
100 $783.00
460 $5,520.00
1,514 $99,924.00
3,588 $124,849.20
Fee Amount
$1,020.00
$4.50
$224.40
$1,248.90
Firm: OWNER
Phone:
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Print Date:
Fee Amount
$10.00
$12.00
$4.00
$50.00
$10.00
$10.00
$96.00
2/20/2003
Project Number: 03001015
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/20/2003 Page 3 of 3
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
WATER USING DEVICES
Notes:
Payment Summary:::
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Disclaimer:
Plumbing Permit
Firm: OWNER
Phone:
Units
3
5
1
2
1
1
1
1
3
Fee Amount
$1,248.90
$96.00
$108.00
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Permit Total Fees:
Invoice Amount
$1,248.90
$96.00
$108.00
$1,452.90 $1,452.90
Fee Amount
$18.00
$30.00
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
$18.00
Amount Paid
$0.00
$0.00
$0.00
$108.00
Amount Owing
$1,248.90
$96.00
$108.00
$0.00 .90 13
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: 2/20/2003
I I
=T�
SPo COUNTY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
/c L SPECIFIC SITE INFORMATION
Street Address: E 0 e
Assessor's Tax Parcel Number(s):
Legal Description:
L51b3.o r1
Project Description: /44 )—i4DrUt- -e
Building Permit
El Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
❑ Applicant: Phone 4833— e 6/7
item- /1Li-kat/ Ri-//R Fax:
Mailing Address:
3i'1 e /ori -i Ave
Water District/Purveyor:
Sewer District/Purveyor
Road width
'
Setbacks
Front:
Left
Rear.
Right.
School District
Fire District:
Zoning
(A_P
C_...„
�,
OWNER/APPLICANT INFORMATION
9 Indiaile who should be ,onlrvled rrtardi ne 1lira Arora
/..R!) k -
3C� '
❑ (Trnee Phone: Lig 3 - 6 D / 7
'1 0r54_6i1 ke,'0 Yl A 90.9 Fax,
❑ Applicant: Phone 4833— e 6/7
item- /1Li-kat/ Ri-//R Fax:
Mailing Address:
3i'1 e /ori -i Ave
Mailing Address:
32 Y E IVo r
, €
Cm-, State, Lip
spa} e ,vj/,
9g -7i(9 -7r
City, State, /.,p
S� e w
9, Zoe
,
❑ Contractor
QCh
Phone
Fax
❑ Architect/ I sngineef
Phone
Fax
Mailing address
I'eat source(electric, gas. etc.)
4a-9
Mailing address
City, State Lip
City, State Lip
WA State Contractor license #
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
# of stories
Z
Main floor sq. ft.
/5-/ `i
Unfinished baseme sq. ft.
Dimensions
Total habitable space
2nd floor sq. ft.
i57 LI
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq.
Cost of project
I'eat source(electric, gas. etc.)
4a-9
Manufactured Home
Sign '
Width:
length:
What is the square footage of the sign
face?
1 low high is the sign?
Year:
Make:
# of signs
Arca of existing signs
Fireworks display
Are critical or hazardous materials used or stored on site?
0 Yes 0No
Address
Proposed use
Relocation
Fire Safety
Firm Name
What is the current use of this'roperty?
Previous address
Will the site be served by a septic system? IdYes O No
--�
Paint booth
Fire Sprinkler
'fent
Fire Alarrn
Fireworks display
Are critical or hazardous materials used or stored on site?
0 Yes 0No
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
What is the current use of this'roperty?
Phone
Will the site be served by a septic system? IdYes O No
--�
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
O Ycs No
.Arc there slopes greater than 30% on the property? (30 Vise in 100 ft)
( %) 0 Ycs a No
Are critical or hazardous materials used or stored on site?
0 Yes 0No
Address
Staff Rcprescntativc:
Inspector
Phone
0 Concrete
0 Welding
0 Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
;Are there structures on the property? O Ycs [t No
Ifyes, ideiiti' on site plan
What is the current property size?
(square feet or acres) ' 7%"7 1 2 0
Is any part of the property within 250 feet of a shore ne?
Ifjes, ident s on site plan 0 Ycs 7 No
What is the current use of this'roperty?
Is your property in a do iignatcd wildlife habitat arca?
Don't know O Yes O No
Will the site be served by a septic system? IdYes O No
--�
Is any part of the property within a 100 yr flood plain?
Ifjes, identib' on site plan
O Maybe O Don't know O Yes No
Are or will there be wells located on the property?
Ifyes, idenli6' on the site plan 0 Ycs iaNo
Are there any wetlands, streams or ponds within 200 eet of the property?
If yes, identi/j on site plan I7 Ycs 0.1 No
Is there evidence of fill or excavation on the property?
O Ycs No
.Arc there slopes greater than 30% on the property? (30 Vise in 100 ft)
( %) 0 Ycs a No
Are critical or hazardous materials used or stored on site?
0 Yes 0No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Arca?��
si Yes 17 No
Is public sewer available to the site? l ' Yes 0 No
Is the property inside the ASA?
�On X
t' 0 Yes
0 Ycs
0 No
0 No
Is public water available to the site? t "Yes 0 No
Is the property inside the PSSA?
11
11 0 Ycs
0 No
Is the property located witWn 1000 feet of a Natural Resource Area?
0 Yes 0 No V o nt., 14 40•✓
Date Received:
Staff Rcprescntativc:
METHOD OF PAYMENT
VISA
❑ CAsl1 ❑ Cln(CK ❑ s ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
EX
B;ANKC;ARL) NUMBI?R:
:ADTI 10111/FD SIGNA'1'URI::
SUB I O 1'A].
TOTAL FEE
MINIMUM PERMIT FEE IS $35.AOPLEASE
MAKE CHECKS PAYABLE TO SPOKANE
COUNTY PERMIT CENTER
01/
-40(4n5e8,
e*s i cc.
rGY/30.68
This site plan is being submitted for the purpose of
obtaln!r j ng permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines. structures and easements
have been identified. Also indicated are wetlands,
bodies of water,eslopes r other critical areas.
✓'
Signed:
Date: V (J• W 0 l 0,3
ADDRES`, i c8 Je Ou've,
ZONE LJI ,3—
ROAD WIDTHSr
FRO �• • NKING
COM > ANTS
REVIEWED