2002, 06-18 Permit App: 02004906 RemodelProject Number: 02004906 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/18/2002 Page 1 of 2
Project Information:
Permit Use: FINISH PORTION OF BASEMENT - REC ROOM Contact: CRAIG'S CONSTRUCTION
& STORAGE ROOM Address: 14019 E NIXON
C - S - Z: SPOKANE WA 99216
Setbacks: Front Left: Right: Rear: Phone: (509) 926-0598
Group Name:
Site Information: Project Name:
Plat Key: 000000 Name: UNKNOWN District: H
Parcel Number: 45063.2311
Block: Lot:
SiteAddress: 3704 N PARK RD
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 14,000 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Owner: Name: JENKE, TERRI
Address: 3704 N PARK RD
SPOKANE, WA 99212
Hold: Ei
Depth: 0 Right Of Way (ft): 0
Review
Plan Review
Released
Operator: RMB Printed By: RMB Print Date: 6/18/2002
Project Number: 02004906 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/18/2002
Contractor: CRAIG'S CONSTRUCTION
Address: 14019 E NIXON AVE
SPOKANE, WA 99216
Building Permit
Page 2of2
Firm: CRAIG BERSAGEL/CRAIG'S CON
Phone: (509) 926-0598
Building Characteristics
Const Category: Remodel Group:
Nbr Of Dwellings: Occupant Load:
Bldg W x D: x Building Sq Ft:
Req Parking: Handicap Parking:
Description Grp Type Notes
BASEMENT R R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Summary
Permit Type
Building Permit
Type:
Building Height:
Sprinklers: 11
Critical Materials: 0
This Application:
Sq Ft Valuation
700 $3,143.00
Totals: 700 $3,143.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Stories:
Total Project:
Sq Ft Valuation
700 $3,143.00
700 $3,143.00
Fee Amount
$88.00
$4.50
$19.36
$111.86
Fee Amount Invoice Amount Amount Paid Amount Owing
$111.86 $111.86 $0.00 $11I.86
$111.86 $111.86
$0.00 $111.86
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: RMB Printed By: RMB
Print Date: 6/18/2002
I 1
SPox< COWIY
PROJECT APPLICATION WORK SHEET
SPOKANE COT INTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 \VEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Street Address:
SPECIy,,IC SITE INFORMATION
c/
Assessor's Tax Parcel Number(s):
/
q`d63—,7 3(l
Legal Description:
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Project Description: r_14_
(
I ti Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
Water District/Purveyor.
Sewer Distnct/Purveyor
Road width
Setbacks
Front Rear.
Left: Right:
School District
Fire Distract:
Zoning
OWNER/APPLICANT INFORMATION
(� Indicule who should be , onlaeled re,ardino lhis pivied
❑ ( :
Ie-i'X'14. /
Phone
—TA fr-i fr.‘2/) Fax.
❑ Applicant:
Phone:
Fax:
Mailing Ad rest:
3
Oc7
Mailing address:
Finished basemen t sq. ft_
(:ity, State, Zip
S]d
Construction type
e_--
! "/% t / �% z /z
City, State, Zip
I kat source (electric, gas, etc.)
❑ Contract I
tCX�'�
Phone q 1 � 0
S517t '�J(il7.04-\
Architect/kngineer
Phone
Fax
Mailing address
//
1 C( 7-7 ()C c'''
Mailing address
City, State ZipC
6
Citi', State Zip
\\ A State Contractor lice se #
C 561
t.
(q C /7 (M N
Contact name
CR- int IGC- =9.- Q-1-frt. /I
PROTECT INFORMATION 1 - 5 -ca.
Building Information
Building height to peak
# of stories
Main floor sq. ft.
Unfinishedbasementsq. ft.
il
Dimensions
"Total habitable space
2'd floor s.1. ft.
Finished basemen t sq. ft_
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
I kat source (electric, gas, etc.)
Manufactured Home
Sign
Width:
Length:
What is the square footage of the sign
face?
1iow high is the sign?
Year:
Make:
# of signs-.
•
Area of existing signs
Are there slopes greater than 30°%o on the property? (30 ft rise in 100 ft)
( .......„......--0/o) ❑ Yes ❑ No
Proposed use
Value
Relocation
Fire Safety
Firm Name
Previous address
Phone
Fire Sprinkler
Tent
Paint booth _ Fire Alarm
Fireworks display
Is there evidence of fill or excavation on the property?
❑ Yes ❑ No
Are there slopes greater than 30°%o on the property? (30 ft rise in 100 ft)
( .......„......--0/o) ❑ Yes ❑ No
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? ❑ Yes ❑ No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
❑ Yes ❑ No
Are there slopes greater than 30°%o on the property? (30 ft rise in 100 ft)
( .......„......--0/o) ❑ Yes ❑ No
Are critical or hazardous materials used or stored on site?
❑ Yes ❑ No
Address
Inspector
Phone
O Concrete
❑ Welding
❑ Bolting
❑ Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? ❑ Yes ❑ No
If yes, identi, 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?
Ifyes, identi, on .site plan ❑ Yes ❑ No
What is the current use of this property?
Is your property in a designated wildlife habitat area?
❑ Don't know ❑ Yes ❑ No
Will the site be served by a septic system? ❑ Yes ❑ No
Is any part of the property within a 100 yr flood plain?
Ifyes, identtfi' on site plan
❑ Maybe O Don't know ❑ Yes ❑ No
Are or will there be wells located on the property?
Ifyes, identify on the site plan ❑ Yes ❑ No
Are there any wetlands, streams or ponds within 200 feet of the property?
Ifyes, ident i on site plan ❑ Yes ❑ No
Is there evidence of fill or excavation on the property?
❑ Yes ❑ No
Are there slopes greater than 30°%o on the property? (30 ft rise in 100 ft)
( .......„......--0/o) ❑ Yes ❑ No
Are critical or hazardous materials used or stored on site?
❑ Yes ❑ No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
O Yes ❑ No
Is public sewer available to the site? ❑ Yes O No
Is the property inside the ASA? ❑ Yes ❑ No
❑ Yes ❑ No
Is public water available to the site? ❑ Yes ❑ No
Is the property inside the PSSA? ❑ Yes ❑ No
Is the property located within 1000 feet of a Natural Resource Area?
❑Yes 0 N
Date Received:
Staff Representative:
METHOD OF PAYMENT
0 (;.\sl i ❑ cI Il?c:K ❑anans❑
VISAe,
0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I?XPIRI?s:
B.ANKC:ARD NUMBER:
\Uf1 IOR1/I:D SI( NATLII I ::
SUBTOTAL.
TOTAL FEE
MINIMUM PERMIT FEE IS 535.QOPLEASE
MAKE CHECKS PAYABLE TO SPOKANE
COUNTY PERMIT CENTER