2002, 04-25 Permit App: 02002972 Finish Basement, Sprinkler SystemProject Number: 02002972 Inc
INpplication
Date: 4/25/2002 Page 1 of 3
THIS IS NOTA PERMIT
Penalties will be assessed for commencing work without a permit
Project Infornmtion:
Permit Use: ADD BATHROOM IN BASEMENT, FINISH
BASEMENT & SPRINKLER SYSTEM
Setbacks: Front
Left:
Right:
Rear.
Site Information:
Plat Key CONV Name: CONVERTED CNTY DATA
Contact
Address
C - S - Z.
Phone•
Group Name.
Project Name:
LOHR, CHARLES
1812 S PINES RD
SPOKANE, WA 99206
(509) 928-13711
District: G
Parcel Number: 45281.0202
Block'
SiteAddress' 1812 S PINES RD
SPOKANE, WA 992116
Location.. SPO
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Lot:
Owner: Name
Address
LOUR, CHARLES
1812 S I'INES RD
SPOKANE, WA 9921)6
Hold: ❑
Area. 0 Sq Ft Nidi h: 90 Depth. 1411 Right Of Way (ft)' 0
Nbr of Bldgs. 0 Nbr of Dwellings: 11
Review Information: .., ..
Permits:
Operator: DMD Printed By: DMD
Print Date:
4/25/2002
Project Number: 02002972 Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/25/2002 Page 2 of 3
Contractor: OWNER
Building Permit
Firm: OWNER
Phone
Building Characteristics
Const Category: Remodel Group: Type:
Nbr Of Dwellings: Occupant Load Building Height: Stories:
Bldg W x D: x Building Sq Ft. Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT R R-3 VN 550 $2,469.50 550 $2.469.50
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor OWNER
Item Description
VENTILATING FANS
MINIMUM FEE ADJUSTMENT
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
TUBS
CROSS CONNECTION DEVICES
WATER PIPING - DWV
MINIMUM FEE ADJUSTMENT
Operator: DMD
Toads: 550 $2,469.50
Units Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Mechanical Permit
Firm OWNER
Phone:
Units Unit Desc
1 NUMBER OF
1 Select
Permit Total Fees:
550 $2,469.50
Fee Amount
575.50
$4.50
$16.61
$96.61
0
Plumbing Permit
Firm- OWNER
Phone:
Units Unit Desc
I NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
I NUMBER OF
1 Select
Printed By: DMD
Permit Total Fees:
Fee Amount
$10.00
$25.00
$35.00
Fee Amount
$6.00
$6.00
$6.00
$6.00
$6 00
$5.00
$35.00
Print Date: 4/25/2002
Project Number: 02002972 Inc: I
ti
Application
Date: 4/25/2002 Page 3 of 3
THIS IS NOTA PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summery:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Fcc Amount l nvoicc Ainonnt Amount Paid Amount Owing
596.61 c 596.61 50.00 596.61
535.00 $35.00 50.00 $35.00
535.1)0 $35.00 $0.00 535.00
516661 5166.61
$0.00 5166.61
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained ss ithin 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 he contrued to he a permit for, or an approval of, any violation of:nn of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: DMD Printed By: DMD
Print Date: 4/25/2002
Ull
Spowtg COUNTY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 \VEST BROADWAY AVENUE
SPOKANE, \VA 99260
509-477-3675
SPECIFIC SITE INFORMATION
c)2— 2`72
Street Address: %Q✓0, Ow „� go
Assessor's Tax Parcel Number(s): 4(5.76,/ tz&z
Legal Description:
Loi 2 fiat 2 � #cu cR2i' Mit nasi /Win fct- per 141.44ty n
Project Al /AlDescriptio p` � 79r(/CGCJ pralar 1l oa - 4.01)/ Db CJ1feeje aYSEIVI flAJS- �
ui
0 Change in Use 0 Grading .'❑ Manufactured Home Permit
}Z1 B lding
Pet/rut
0 Relocation
0 Sign
0 Tenant (New/Change)
0 Other
LSC aftine11f Use ,Ont .„ 6r . 2u,?:.
tl ;; ;..•
.ft
Nadut • Address
/on ..
)Vater IJ,stna/Par,eyor, r, ..
Seer District/Ptiroeyor;
t... ..
Road width i
-
Setbacks:,:.."rt;". '
;,Frone.'.
,--�'?�': - -
' Lerr t
...
- Rca
.
y` ..: �, - ^ _
Rtgtir...y-.`:.:
•.
'
.
Schtwt1 Drsrncr s -
Fire I strict.. - ..
-
_
Inning
OWNER/APPLICANT INFORMATION
Irnlne/e nJn ihou!/ be t nnfaicd rr,an rm fltb Pnue/
❑tTtnu Phone9e /372)
CfgielR. Lo/K. I.1.
❑Applicant
✓ ice — owAisz
Phone
,.t.
Nadut • Address
/on ..
AIES R(%
SlatLng AJJress
Total habitable apace
, 61)
Ca}, State, Zip
, gVI<>
GcJn QUO
Citi, State, ftp
Construction np e
009 R
0 Contactor �
1r!✓4E. —
Phone
Du% 1 -as
❑ Archdec1/1:ngCmer ^'',
C. -C..�/
Phone
Pa,
Stalling address
S tailing Aches,
Cu), State hip
rnt, Nine /.ti,
\\'A Sum Contractor license =
Contact name
PROTECT INFORMATION
Building Information ' .,
Bwldntp height tit peak,#
-6
of stout,
/
i\Imn t1oin sy It
/!e
Unfinished basement sq ft
.1-0
Dimensions
X> k S7C,
Total habitable apace
, 61)
^ta Ouor.y ft.
Finished bast n nt sq. ft
1030
Occupancy group
P
Construction np e
009 R
Garage Sq. ft.
320
Deck sq. ft.
c„st of,,,,Beet f{ 65-00
e�'(fl
I Isat supra. (electric Cas, etc)
7km- u,�GP-- NA. F7 Cis
Manufactured Hoine:• ,-.; " •. . _•.
Sign .•: .:_ ...
Width
Length:
What is the square footage of the sign
face?
1 low high is the sign?
Year
Make.
# of signs
Area of existing signs
Are there slopes greater than 30% on the property? (30 0 rise in 100 ft)
( /%) 0 Yes X No
Proposed use
Value
0
Relocation'
Fire Safe
Pre ills address
Phone
fire Sprinkler
Tent
Paint booth lire Alarm
fireworks display
_
Are there slopes greater than 30% on the property? (30 0 rise in 100 ft)
( /%) 0 Yes X No
Proposed use
Value
0
'
Special Inspeetiori°Required?. .,. ' ..
-Non-Residential-Energy. Code Compliance?,.
Frim Name
What is the current use of this property,/) t ¢
/17j zle/Cwr
Phone
Will the site he served hC a septic system? 0 Yes X No
Plan. Examiner
Phone
1mi/ruin,
Is there evidence of fill or escavanon on the property?
0 Yes fkNo
Are there slopes greater than 30% on the property? (30 0 rise in 100 ft)
( /%) 0 Yes X No
Are critical or hazardous naatemJs used or stored on site?\
0 Yes [.'No
Address
0
Yes
0
No -
Impecnn
Phone
0 Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? YSI les 0 No
If yes, identify on site plan /
What is the current property• size? /a,
(square feet or acres) � �DD
Is any part of the property within 230 feet of a sho�re/line?
If Yrs. iden4fp on sue plan 0 Yes 1No
What is the current use of this property,/) t ¢
/17j zle/Cwr
Is your property 01 a designated wildhfe habitat area?�.�{
.
0 Don't know 0 Yes W No
Will the site he served hC a septic system? 0 Yes X No
Is any part of the property xvithin a 100 pr Flood plain?
lfyer, hien/i» on mite))!?
0 Maybe 0 Don't know 0 Yes 1W No
Are or will there be wells located on the property?
If; wt. Idea/i/j. 011 the site plan 0 Yes kNo
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, Identify on me p/ria 0 Yes Ilet No
Is there evidence of fill or escavanon on the property?
0 Yes fkNo
Are there slopes greater than 30% on the property? (30 0 rise in 100 ft)
( /%) 0 Yes X No
Are critical or hazardous naatemJs used or stored on site?\
0 Yes [.'No
DEPARTMENT USE ONLY
-Ii the property in a designated Stormwater Control Area?
O Yes
O
No
Is,public sewer available to the sire? _ _ 0 Yes -0 No
Is the property inside the ASA? '
0
Yes
0
No
Is public water available to the site? 0 Yes . 0 No,
0
Yes
0
No -
. Is the property inside the PSSA?.
;
0
Yes
0
No, '
Is the property located withut 1000 feet of a Natural Resource Area?
.
0 Yes 0 No -
Nate Her/lied
Surf 12/prem mala r
METHOD OF PAYMENT
❑ C:\Sl I ❑ IIIECK-
VISA
'DISCOVER
03 tflZ tZ3
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D,\'I'I
B.\NI:CARD NUS\IBIfR-
NNP1121IS
AUTI It /RIVED SI(IN:CI'URI(
SLBT(YC\I.
- TOTAL FEE
MINIMUM PERMIT FEE l.551500P1.11.\SIt
\I.\Kit 0 IPCE< PAN 3111.E10 SIX/KANE
COIJN Ey PHEW l (:CRI ER