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2002, 08-19 Permit App: 02007090 RemodelProject Number 02007090 Inv 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use• REMODEL KITCHEN Contact: JIM FARROW Address: W. 4111 HIAWATHA C - S - Z. SPOKANE, WA 99208 Setbacks Front Left: Right' Real. Phone- (509) 994-3763 Group Name: Site Information: Project Name. Plat Key- 002795 Name VISTA GARDENS NO.5 District H Date. 8/19/2002 Page 1 of 3 Parcel Number: 45074.0503 Block- 1 Lot: 3 SiteAddress: 86119 E NORA AVE SPOKANE, WA USA 99212 Location:: SPO Zoning. UR -7 Water District Arca: 9,855 Sq Ft Urban Residential -7 Owner: Name FLUNO,SCOTT/STEIN, JULIANNE Address 8609 E NORA AVE SPOKANE, WA 99212-2430 Hold: ❑ Width: 0 Depth. 0 Right Of Way (h): 0 Nbr of Bldgs: 11 Nbr of Dwellings 0 Review Information: Review Plan Review Permits: Released B}'. - p8u© 2 Operator: RMB Printed By: RMB Print Date: 8/19/2002 Project Number: 02007090 Inv 1 Application Date: 8/19/2002 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: JAMES V FARROW Address: 4111 W HIAWATHA SPOKANE, WA 99208-6164 Building Characteristics Building Permit Firm JAMES V FARROW CONSTRUCT/ Phone (509) 327-4600 Const Category: Remodel Group: Nbr Or Dwellings' Occupant Load: Bldg W x D: z Building Sq Ft: Req Parking: Handicap Parking. Description Grp RESIDENCE R-3 Type Notes VN REMODEL Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor: JAMES V FARROW Address: 4111 W HIAWATHA SPOKANE, WA 99208-6164 Item Description GAS PIPING VENTILATING FANS RANGE MINIMUM FEE ADJUSTMENT Contractor. JAMES V FARROW Address' 4111 W HIAWATHA SPOKANE, WA 99208-6164 Item Description SINKS MINIMUM FEE ADJUSTMENT Totals: Type: Building Height: Sprinklers: ❑ Critical Materials' ❑ This Application: Sq Ft Valuation 0 $1,000.00 Stories: Total Project: S4 Ft Valuation 0 $1,000.00 0 $1,000.00 Units Unit Desc Y OR BLANK Y OR BLANK Y OR BLANK Permit Total Fees: Mechanical Permit 0 $1,000.00 Fee Amount $35.75 $4.50 $7.87 $48.12 Firm: JAMES V FARROW CONSTRUCT/ Phone: (509) 327-4600 Units Unit Desc 1 # OF UNITS 1 NUMBER OF 1 NUMBER OF 1 Select Fee Amount $1.00 $1000 $10 00 $14.00 Permit Total Fees: $35.00 Plumbing Permit Firm JAMES V FARROW CONSTRUCT/ Phone. (509) 327-4600 Units Unit Desc 1 NUMBER OF 1 Select Operator: RMB Printed By: RMB Permit Total Fees: Print Date: Fee Amount $6 00 $29.00 $35.00 8/19/2002 Project Number 02007090 Inv: I Notes: i Application Date: 8/19/2002 Page 3 of 3 TI -IIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary .... Permit Tvpc Building Permit Mechanical Permit Plumbing Permit Fee Amount Invoice Amount $48.12 $48 12 $35.00 $35.00 $35.00 $35.00 $118 12 $118.12 Amount Paid $0 00 SO 00 $1100 Aniounl Oovtg $48 12 $35 00 $35 00 $0.00 $11812 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 stork will he complied with. Subsequent issuance of a permit shall not he construed to he 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. 8/19/2002 I h I Sro&mw COMFY PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING C CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, \\'A 99260 . 309-477-3675 Street Acld ress: SPECIFIC SITE INFORMATION qlenat Ce tL Assessor's Fax Parcel Number(s)- Legal Description: Project Description: /2„ -,-LQ Er Building Permit O Change in Use 0 Grading O Manufactured Home Permit 0 Relocation O Sign I] Tenant (New/Change) O Other Department Use Only O Appheun Phnne ha\ NI aing \J It c - Parr District/Pun cyor. Sewer D{vncr/Pun-eyor . - Road uidth_ , , ^a" 'Setbacks Front Left . 1 Rear. Right School Drs tnct fire District _ :Zoning. 1 Icat source (skeane. g.m, chi OWNER/APPLICANT INFORMATION El Indnute oho khan/Abe tocm✓ed r? artful thrr pmin- ❑ th, int Phone I a\ O Appheun Phnne ha\ NI aing \J It c - Nailing Addresr Dims'rums Cn,, Stat, Zip OR, State. Zip Pintails bast ntnt ski It ❑ t non nn /1 ham. h"' L./ it/J��/e_wi, y_i�C...�,/I 0 Architect/IpPhune nmnr Garage sq. 6 Alai e addrt-- Madan; address 1 Icat source (skeane. g.m, chi .yIllty 1:n\. Sian Zip Cir. Sine Zip \\ A state ra,nnncttii IR env n JAvv\ es v I' zoZk tA Contact name PROJECT INFORMATION Building Information a.,,ming bright ri in aL R olstonca Main noir sal n. Unrnished baamcnt .y 6 Dims'rums Tonal Itabnabh apace d'"1 noun ay n Pintails bast ntnt ski It l)rcrq anct group Constructor npc Garage sq. 6 Dtd. sol It. COM oil,rnjcrt 1 Icat source (skeane. g.m, chi 1\ilanufactured I-Iome Length Sign \Mint is the .quare foulage Of the sign (ace>li Ito.. high is the sign? Width. Year Make: # of sip s Arca of cvsong signs lire \farm Fireworks display Are critical or h,avardous inatetials used or stored on site 0 l'es 0 No Relocation Fire Safety Finn Name \Chat is the current use of thus property Previous address Phone Paint booth Fire Sprinkler Tent lire \farm Fireworks display Are critical or h,avardous inatetials used or stored on site 0 l'es 0 No Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Finn Name \Chat is the current use of thus property Is your property in a designated \l lldh (e habitat area? 0 Don't know 0 Yes 0 No Phone Is any part of the property within a 100 yr tlood plain? Ifj'es. rdenbfi on nee plan 0 \lacbe 0 Don't know 0 Yes 0 No flans lisaminer Phone Imes:cam Are there slopes greater than 39% nn rhe property (30 0 rise in 100 ft) ( /", o) 0 Yes 0 No Are critical or h,avardous inatetials used or stored on site 0 l'es 0 No Ati l Inmecmr Phone 0 Concrete 0 Welding 0 Bolting ❑ Reinforcement AJdre.. ADDITIONAL SITE INFORMATION Are there structures on the prom rtvs 0 Yes 0 Ni If yrs, Idenbf' on site flan What is the current property si>c (square feet or acres) Is any part of the property within 25(1 feet of a shoreline? kW. 1'ef. tdeniifi' on sae plan 0 les 0 No \Chat is the current use of thus property Is your property in a designated \l lldh (e habitat area? 0 Don't know 0 Yes 0 No Will the site he sen ed by .i septic system? ❑ Yes 0 No Is any part of the property within a 100 yr tlood plain? Ifj'es. rdenbfi on nee plan 0 \lacbe 0 Don't know 0 Yes 0 No Are or win there he wells located on the propett If yes, Identify on the site plan 0 Yes 0 No Are there any wetlands, streams or ponds within 200 feet of the property% 1( yes, ulentifj' on ntep/nr 0 Yes 0 No Is there evidence of fill or excavation on the propertys 0 Yes 0 No Are there slopes greater than 39% nn rhe property (30 0 rise in 100 ft) ( /", o) 0 Yes 0 No Are critical or h,avardous inatetials used or stored on site 0 l'es 0 No DEPARTMENT USE ONLY Is the property in a designated Stonnwater Control Area? ❑Yes 0 N Is public sewer ay.ulable to the site? 0 Yes 0 No Is the property inside the ASA? 0 Yes 0 No ❑Yes 0 N Is public water avvtable 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? 0 Yes 0 No Dale I5rcenLd Taff Rya.tmatna METIIOD OF PAYMENT VISA 0 C \SII ❑ 1 I I} -CK 9 imtim 9 DIICOVER FAXED PERMITS WILE ONLY RE ACEPI'ED \\'ITI I PAYMENT OF A MAJOR CREDIT CARD I •XI'IIII-S l&\ N KC.\RD NUMBER 3U I I IORV,ED SIGN \I IltI', SUM ID \l. TOTAL FEE MINIMUM PERMIT FEF '5135X Pl.E \g \I\ 6L CIn:CK PVi 1111 11 It ',ATM: 'NI: CA ILNIY 1'I R\1 I CI.N 11:11