2001, 10-10 Permit App: 01008903 ShopProject Number: 01008903 Inv: 1
..--
Application
Date: 10/10/2001 Page 1 of 2
THIS IS NOTA PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 28 X 19e SHOP BUILDING Contact: RAMSEY, ROSLYN
C Address: 3423 N PARK RD
C - S - Z: SPOKANE, WA 99212-1508
Setbacks: Front EXI Left: *` Rig ear: 25 Phone: (509) 995-3524
Group Name:
Site Information: Project Name:
................................................................................................
Plat Key: 001866 Name: ORCHARD AVENUE ADD (TR.1-228)
District: H
Parcel Number: 35014.0102 Block:
SiteAddress: 3423 N PARK RD
Spokane, WA USA 00000
Location:: SPO
Zoning: UR -3.5 Urban Residential 3.5
Water District: 002 ORCHARD AVENUE
Lot:
Owner: Name: RAMSEY, ROSLYN
Address: 3423 N PARK RD
SPOKANE, WA 99212-1508
Hold: ❑
Area: 39,450 Sq Ft Width: 150 Depth: 263 Right Of Way (ft): 50
Nbr of Bldgs: 3 Nbr of Dwellings: 1
Review
Site Plan Review
Plan Review
Septic System Review
_��y may_
Landuse/Zoning /
41.0AWAA_
GIS
Permits:
Released
Operator: MKC Printed By: MKC Print Date: 10/10/2001
Project Number: 01008903
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/10/2001
Contractor: OWNER
Address: 0
000000,00
Const Category: N
Nbr Of Dwellings:
Bldg W x D: 28 x
Req Parking:
000000
ew
Description
GARAGE
Building Permit
Page 2 of 2
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Group: U-1 Type: VN
Building Height: 16
2800 Sprinklers: El
Critical Materials: ❑
This Application:
So Ft Valuation
Q� $33,600.00
Occupant Load: Stories: 1
100 Building Sq Ft:
Handicap Parking:
Grp Type Notes
U-1 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Payment Summary:
Permit Type
Building Permit
Totals: 2,800 $33,600.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Total Project:
Sq Ft Valuation
2,800 $33,600.00
2,800 $33,600.00
Fee Amount
$433.00
$4.50
$95.26
6
5 D Vv
Fee Amount Invoice Amount Amount Paid Amount Owing
$532.75 $532.75 $0.00 $532.75
$532.75 $532.75
$0.00 $532.75
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 work will be
complied with. Subsequent issuance of a permit shall not be contrued 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: MKC Printed By: MKC
Print Date: 10/10/2001
SPox< COUNTY
Of
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address:
`2242 7 N ‘2bR eZ)
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description:
tFc Building Permit
❑ (:hangs in Usc
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
Phone: \� ,s5 z..4-
. -/
Fax: 412--�LZ<c'
71 Applicant:
Phone:
Fax:
Mailing Address:
'51123
\X -act District/Purveyor:
y1\+1t(tti
Q.
*ioi
Sewer District/Purveyor
]ATailing :Address:
Road width \)0 (
40 0
e�/S!4'Bhc
Y�
.
J4 nt:
Left:
_f..
Rear:
Right:
ool District:
1 PI 0 illi— kitti
it
lire District
(
Zoning
l)Q 3
S
Phone
Fax
OWNER/APPLICANT INFORMATION
0 liulir�rl, a bo should be ,on/ac/ed n^e,trd/rojer/
PI ( )rcncr:
Phone: \� ,s5 z..4-
. -/
Fax: 412--�LZ<c'
71 Applicant:
Phone:
Fax:
Mailing Address:
'51123
tJ
PiNRK
]ATailing :Address:
1)itncnsions
ZO Nic l(X.7
City, Gate, Zip
QoKL
Total habitable space
-
\)s t,.. `1,cvZ\Phunc
(:its, State, Rip
finished basement sq. tt.
❑ Contractor
Pao
nr
❑ ArchiArchitect..I (nlnn
Phone
Fax
]Alaling address
Cost of projectI
5licco
Nlailing address
]cat 00012.2. (electric, gas, etc.)
City, State Lip
(.its, State Lip
\\ rV State Contractor license 3
(t)ma:1 name
PROTECT INFORMATION
Building Information
Building height to peak#
/5"),...6,1 1
of stories
1
Alain fluor sq. tt.
2-Soo
Unfinished basement sq. i1.
1)itncnsions
ZO Nic l(X.7
Total habitable space
20 floor sq. tt.
finished basement sq. tt.
Occup,tncv group
Construction rcpt
Garage sq. ft.
Deck sy. ft.
Cost of projectI
5licco
]cat 00012.2. (electric, gas, etc.)
Manufactured Home ."---w—T.,,LSign
.
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?
O Ycs El No
Address
Proposed use
Relocation
Fire Safety
Firm Name
\What is the current use of this property?
Previous address
Will the site be served by a septic system? O Ycs sm No
Paint booth
Fire Sprinkler
"fent
Fire Alarm
fireworks display
.Are critical or hazardous materials used or stored on site?
O Ycs El No
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
\What is the current use of this property?
Phone
Will the site be served by a septic system? O Ycs sm No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
O Ycs 11 No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( %) O Ycs $1 No
.Are critical or hazardous materials used or stored on site?
O Ycs El No
Address
Inspector
Phone
O Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
,Are there structures on the property? Ycs O No
If yes, ideuti on site plan
What is the current property size?Al
(square feet or acres) ��, �C
Is any part of the property within 250 feet of a shoreline?
If yes, ident , on site plat O Ycs Al NoE.S11Jta1-.1
\What is the current use of this property?
Is your property in a designated wildlife habitat arca?
O Don't know O Ycs t8t No
Will the site be served by a septic system? O Ycs sm No
Is any part of the property within a 100 yr flood plain?
I f yes, identify on site plan
O Maybe O Don't know O Ycs fYit No
Are or will there be wells located on the property?
If yes, identif y on the site plan O Ycs " C No
.Arc there any wetlands, streams or ponds within 200 feet of the property?
If yes, identif ' on site plan O Ycs No
Is there evidence of fill or excavation on the property?
O Ycs 11 No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( %) O Ycs $1 No
.Are critical or hazardous materials used or stored on site?
O Ycs El No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
D Yes O No
Is public sewer available to the site? O Ycs O No
Is the property inside the ASA? O Yes in No
O Yes O No
Is public water available to the site? 0 Yes O No
Is the property inside the PSSA? O Yes O No
Is the property located within 1000 feet of a Natural Resource Arca?
O Ycs O No
Date Received:
Staff Representative:
METHOD OF PAYMENT
V!SA
❑ (1S11 ❑ (1lFch 0 0 . ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
U.\'1'111 Il% Dc --"C V,
R.\NIC \R1) NUNIRI:R:
\U 1 l IOR1/,l:1) S1GN:Vl URI(:
flXPIR FS:
SUB 101.A1.
TOTAL FEE
MINIMUM PERMIT FEE IS $35.07
PLEASE MAKE (:Il1CKS 1'.Al': AB1E .10
SN )K.\N I . COUNTY PERMIT CEN 1111
ZONE
ROAD WID I
FRONTCOMMENTS _
REVIEWED 8Y
1$50"- Zs 3v
�t2�cu�er�
Nf
,
i
►50
10
Z0� E
i
This site pian is being submitted for the purpose oT
obtaining a building permit and Is a true and coned
representation of the proposal. All known propertylines/dimensions, curb Ines, structures and easement
have been idenqed. Also indicated are wetlands,
bodies of vrater, , alo es or other critical areas.
Signed: —'c%•
If
.. w
c
L.
I'
i
-Ao f FjviLf?1,--Jh L06AATIo413
SCALE:I APPROVED BY: DRAWN BY
(L Qi"
REVISED
DATE:
P�o`1 PLP�t1
DRAWING NUMBER
' ' 4