2000, 04-27 Permit App: 00003166 RemodelProject Number: 00003166 Inv: 1
Application
Date: 04/27/2000
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project In formation:
Permit Use: REMODEL RESIDENCE
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: 000000 Name: UNKNOWN
Parcel Number: 45021.1804 Block:
SiteAddress: 4603 N PROGRESS RD
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -3.5
Water District:
Area: 36,300 Sq Ft
Nbr of Bldgs: 0
Review Information:
Department
BUILDING
Permits:
Contact: INGEBO, MYRON
Address: 4604 N LUCILLE RD
C - S - Z: SPOKANE, WA 99216-1395
Phone: (509) 879-2162
Group Name:
Project Name:
Urban Residential 3.5
Width: 0
Nbr of Dwellings: 0
Lot:
District: H
Owner: Name: INGEBO, MYRON
Address: 4604 N LUCILLE RD
SPOKANE, WA 99216-1395
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Page 1 of 3
Hold Reasons:
Review
Plan Review
Permit Conditions:
Project Number: 00003166
Inv: 1
Application
Date: 04/27/2000 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Address:
0
000000, 00 000000
Const Category: Remodel
Nbr Of Dwellings:
Bldg W x D:
Req Parking:
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Group:
Occupant Load:
x Building Sq Ft:
Handicap Parking:
Description Grp
RESIDENCE R-3
Tvpe Notes
VN REMODEL
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
MINIMUM FEE ADJUSTMENT
GAS WATER HEATER
VENTILATING FANS
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
TOILETS/BIDETS
SINKS
TUBS
Totals:
Type:
Building Height: Stories:
Sprinklers: E
Critical Materials: El
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
0 $1,500.00 0 $1,500.00
0 $1,500.00 0 $1,500.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Fee Amount
$49.50
$4.50
$10.89
Permit Total Fees: $64.89
Mechanical Permit
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 Select
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Firm: OWNER
Phone: (000) 000-0000
Fee Amount
$15.00
$10.00
$10.00
$35.00
Units Unit Desc
2 NUMBER OF
3 NUMBER OF
1 NUMBER OF
Fee Amount
$12.00
$18.00
$6.00
Permit Total Fees: $36.00
Project Number: 00003166 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/27/2000 Page 3 of 3
Payment Summary:
Operator: DMD
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Printed By: DMD
Fee Amount
$64.89
$35.00
$36.00
$135.89
Print Date: 04/27/2000
Invoice Amount
$64.89
$35.00
$36.00
$135.89
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$64.89
$35.00
$36.00
$0.00 $135.89
r
SPOKANgCouNirY
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
oil -31(0(e
ENFORCEMENT
Project Description:
TYPE OF APPLICATION
❑ Building Permit
0 Change in Use
0 Grading
0 Manufactured Home Permit
0 Relocation
0 Sign
0 Tenant (New/Change)
❑ Other
SPECIFIC SITE INFORMATION
Street Address: i e) 3
Assessor's Tax Parcel Number(s): }`
Legal Description:
artmentUse Only
Water District/Purveyorn.'
School District: s'
Sewer District/Purveyor
Setbacks
Front:
Fire District:
Zoning
Left:
Rear:
Right:
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
, {Owner: ••--�� �Phone: t?9 - / i A `
//��
/»Yf& 4" Y'.� 4tJ40 Fax: .97/— 9140 1
❑ Applicant:
Phone:
Fax:
Mailing Address:
Wait N /ifc/a' 2u
Mailing Address:
Dimensions
City, State, Zip
s q//fr 4,,A/ �?A/ 6
City, State, Zip
Finished bas ment sq. ft.
1110
0 Contractor Phone
;SIL - Fax
0 Architect/Engineer
Phone
Fax
Mailing address
Mailing address
Heat source(electric, gas, etc.)
�
City, State Zip
City, State Zip
WA State Contractor license #
Contact name:
PROJECT INFORMATION
Building Information
Building height to peak
# of stories
1
Main floor sq. ft.
/j 6
Unfinished basement sq. ft.
Dimensions
Total habitable space
2"d floor sq. ft.
Finished bas ment sq. ft.
1110
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
5t0Cost of project '
Heat source(electric, gas, etc.)
�
Manufactured Home
Sign
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs
Area of existing signs
Previous address
Fire Safety
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
What is the current use of thisroperty?
�1.7$/ j) ; 4'4-L
Phone
Will the site be served by a septic system?, Yes O No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
O Yes No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( /%) O Yes 0 -No
Are critical or hazardous materials used or stored on site?
O Yes fil. No
Address
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes O No
If yes, identify on site plan
What is the current property size?
(square feet or acres) /6 )( .Aa.0
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan O Yes �No
What is the current use of thisroperty?
�1.7$/ j) ; 4'4-L
Is your property in a designated wildlife habitat area?
O Don't know O Yes ALNo
Will the site be served by a septic system?, Yes O No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
O Maybe O Don't know O Yes 7. -No
Are or will there be wells located on the property?
If yes, identify on the site plan O Yes A No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan O Yes $-No
Is there evidence of fill or excavation on the property?
O Yes No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( /%) O Yes 0 -No
Are critical or hazardous materials used or stored on site?
O Yes fil. No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
0 Yes , O No:
Is public sewer available to the site? '' O Yes O No
Is the property inside the ASA?
0 Yes
0 Yes
0 No
0 No
Is public water available to the site? D Yes D No
Is the property inside the PSSA?
0Yes
0 No
Is the property located within 1000 feet of a Natural Resource
Area? 0 Yes 0 No
Date Received:
Staff Representative: