2001, 01-26 Permit App: 01000495 AdditionProject Number: 01000495 Inv: 1
Application
Date: 1/26/01 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: ADDITION TO BATHROOM Contact: DORIUS, RAEANN
Address: 8009 E NORA AVE
C - S - Z: SPOKANE, WA 99212
Setbacks: Front Left: Right: Rear: Phone: (509) 926-2602
Group Name:
Site Information: Project Name:
Plat Key: 002333 Nanie: SANTA ROSA PARK(SUB.OF S. OF SW)
District: E
Parcel Number: 45073.1107
SiteAddress: 8009 E NORA AVE
SPOKANE, WA 99212
Location:: SPO
Block: Lot:
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 42.600 Sy Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Department
BUILDING
Hold Reasons:
Permit Conditions:
Review
Plan Review
Owner: Name: DORIUS, RAEANN
Address. 8009 E NORA AVE
SPOKANE„ WA 99212
Hold: ❑
Depth: 0 Right Of Way (ft): 60
Releas
Permits •
Project Number: 01000495 Inv: 1
r
Application
Date: 1/26/01 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Address: 0
000000, 00 000000
Const Category: Remodel
Nbr Of Dwellings:
Bldg W x D:
Req Parking:
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Group:
Occupant Load:
x Building Sq Ft:
Handicap Parking:
Description Grp Tyne
RESIDENCE R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Type:
Building Height:
Sprinklers: ❑
Critical Materials: ❑
This Application:
Notes Sq Ft Valuation
ADDITION 0 $500.00
TO BATH
Totals: 0 $500.00
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
VENTILATING FANS
MINIMUM FEE ADJUSTMENT
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
SHOWERS
MINIMUM FEE ADJUSTMENT
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit.
Stories:
Total Project:
Su Ft Valuation
0 $500.00
0 $500.00
Fee Amount
$35.00
$4.50
$7.70
$47.20
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
1 Select
Permit Total Fees:
Phunbing Permit
Fee Amount
$10.00
$25 00
$35.00
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
1 Select
Fee Amount
$6.00
$29.00
Permit Total Fees: $35.00
Project Number: 01000495 Inv: 1
.1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/26/01 Page 3 of 3
Pa,ment Smnmary•
Operator: DMD Printed By: DN1D Print Date: 1/26/01
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$47 20
$35.00
$35.00
Invoice Amount
$47.20
$35.00
$35.00
$117.20 $117.20
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$47.20
$35.00
535.00
$0.00 $117.20
Notes• , .
at
9� ���I���`i,i��r�a'
SPolwr�ECOWIE
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
d(-oy9:3
SPECIFIC SITE INFORMATION
Street Address: eiCejl bra. Uw_
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description:
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—A Building Permit
❑ Change in Use
O Grading
O Manufactured Home Permit
0 Relocation
O Sign
O Tenant (New/Change)
O Other
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OWNER/APPLICANT INFORMATION
121 Indicate who should be contacted reeardmr his to ea
❑ Owner: .�j-�{I� �j \
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Mailing Address:btailin
Ma Yn-
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Occupancy group
Address -
TrY9 c- Oalri&
Garage sq. ft
DC; Zip
Cost Of project
Heat source (electric, gas, etc)
City State, Zip
•
0 Contractor
r
�.V"'
Phone
Fax
❑ Architect/Engineer
Phone
Fax
Mailing address
Mailing address
City, State Zip
CD60C
City, State Zip
WA State Contractor license #
Contact name:
PRO IECT INFORMATION
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Building height to peak
9 of stories 1
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
Deck sq ft.
Cost Of project
Heat source (electric, gas, etc)
1�IanL'FaRture dHomAf"e"=`"` .-.4*
e^ ; .s ,Sign'
' -a> =`s�r-e,r,
'w an,
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs
Area of existing signs
0 Concrete 0 Welding 0 Bolting 0 Reinforcement
Proposed use
Value
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Previous address
Phone
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
Phone
0 Concrete 0 Welding 0 Bolting 0 Reinforcement
Proposed use
Value
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Firm Name Phone
Plans Examiner
Phone
Inspectors:
Address
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes 0 No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan 0 Yes 0 No
Inspector
Phone
0 Concrete 0 Welding 0 Bolting 0 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 yes, identtb 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 sire be served by a septic system? 0 Yes 0 No
Is any part of the property within a 100 yr flood plain?
If yes, identify 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, identify on the site plan 0 Yes 0 No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify 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% 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
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Date Received
Staff Representative:
METHOD OF PAYMENT
VISA
❑ CASH ❑ CHECK ❑ ❑ ; --n ❑
DIICOVEfi
FAXED PERMITS WILL ONLY BE ACEPTED W ITI-I PAYMENT OF A MAJOR CREDIT CARD
DATE- EXPIRES:
BANKCARD NUMBER.
AUTHORIZED SIGNATURE -
SUBTOTAL
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MPEP. E -,". OOPL:&SEr:
-yAlIMMUM PERAM:p'EE IS r35,nOP.LEASE,-
:'hfAKE CHEC%SPAYAISL6;TO,STOAANE:
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