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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