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2002, 06-28 Permit App: 02005340 Remodel
Project Number: 02005340 Inv: 1 Application Date: 6/28/2002 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: CONVERT GARAGE TO LIVING SPACE W/NEW Contact: RANDY BEMIS GARAGE ADD,KITCHEN ADD Address: PO BOX 11733 C - S -Z: SPOKANE,WA 99211 Setbacks: Front 30 Left: NA Right: 20 Rear: 40 Phone: (509)922-9984 Group Name: Site Information: Project Name: Plat Key: 002766 Name: VERADALE HEIGHTS 04TH ADD District: F Parcel Number: 45143.2051 Block: Lot: SiteAddress: 509 N REES RD Owner: Name: ZACK,DAVE SPOKANE,WA 99206 Address: 509 N REES RD Location::SPO SPOKANE,WA 99206 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 0 Sq Ft Width: 150 Depth: 175 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Release By: �,.. ,,,/ C- _� t_ i an Revi �� 1 leased By _ 4 7 t �Z� R 4 \i/ �r�' e Sstem Review\ yticI Released BN: 9 e s '_�. 1 \'‘.;\ Permits: -. Operator: DMD Printed By: DMD Print Date: 6/28/2002 Project Number: 02005340 Inv: 1 Application Date: 6/28/2002 Page 2 of 3 THIS IS NOTA PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: OWNER Firm: OWNER Phone: Building Characteristics Const Category: Remodel Group: R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: 17 Stories: 1 Bldg W x D: 26 x 36 Building Sq Ft: 936 Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: ri This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation GARAGE U-1 VN 936 $11,232.00 936 $11,232.00 RES ADD R-3 VN 128 $8,448.00 128 $8,448.00 RESIDENCE R-3 VN CONVERT 0 $15,000.00 0 $15,000.00 TO LIVING Totals: 1,064 $34,680.00 1,064 $34,680.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $442.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $97.24 Permit Total Fees: $543.74 Mechanical Permit Contractor: OWNER Firm: OWNER Phone: Item Description Units Unit Desc Fee Amount DUCT SYSTEMS 1 NUMBER OF $10.00 GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00 VENTILATING FANS 1 NUMBER OF $10.00 CLOTHES DRYER 1 NUMBER OF $10.00 RANGE 1 NUMBER OF $10.00 HOOD -TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $62.00 Operator: DMD Printed By: DMD Print Date: 6/28/2002 Project Number: 02005340 Inv: 1 Application Date: 6/28/2002 Page 3 of 3 THIS IS NOT A-PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: OWNER Firm: OWNER Phone: Item Description Units Unit Desc Fee Amount TOILETSBIDETS 2 NUMBER OF $12.00 SINKS 3 NUMBER OF $18.00 SHOWERS 1 NUMBER OF $6.00 DISH WASHERS 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 WATER USING DEVICES 1 NUMBER OF $6.00 Permit Total Fees: $54.00 Notes: Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $543.74 $543.74 $0.00 $543.74 Mechanical Permit $62.00 $62.00 $0.00 $62.00 Plumbing Permit $54.00 $54.00 $0.00 $54.00 $659.74 $659.74 $0.00 $659.74 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: DMD Printed By: DMD Print Date: 6/28/2002 1 PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 509-477-3675 SpoicANT Com SPECIFIC SITE INFORMATION Street Address: 501 t I , {2 9 tJ 74 `C Assessor's Tax Parcel Number(s): I - ;/"(5Ec/if.3. 2,05---) Legal Description: Project Description: Re4A.tela 4r (.1.44 U Diaiinafe/ te-V It Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit El Relocation El Sign ❑ Tenant(New/Change) El Other Department Use Only Water District/Purveyor. Sewer District/Purveyor Road width Setbacks Front Rear. School District Fire District Zoning Left Right. OWNER/APPLICANT INFORMATION IZI Indicate who should be contacted ngurdinr Ibis project El Owner. �� Phone: g 2z 7242_ p Apphcant:�'/�)/(y Phone: CtZ 7j`�1 R gQ1/e 6- Iiax: ` 12 -1 V _ F32144, tax: a 6 Mailing Address: � Mailing Address: D7 N eek oa o x / �3 Cm,State�p t Cin,Stare, © Lau. Oa leok-a/AZ 9 a ll❑ Contractor Phone R'Archinecr Phone lax lax Mailing address Mailing address Cite,State Zip Cin-,State Zip \V'A State Contractor license# Contact name: PROJECT INFORMATION \ .." ..� Building Information t/-4') Building height to peak #of stones Main floor sq.ft. r 2-0 Unfinished basement N.ft. Dimensions Total habitable space 2°'i floor sq. t. Finished basement sq.ft. Occupancy group Construction type Garage sq.ft. Deck sq.ft. Cost of project I teat source(electric,gas,etc.) j �LtC!/&' Manufactured Home Sign Width: length: Whatys the squ:ire footage of the sign I Iow high is the sign? face? Year: Make: #of signs Area of existing signs Relocation Fire Safety Previous address Fire Sprinkler Tent Paint booth Fire Alarm Fireworks display Proposed use Value Special Inspections Required? Non-Residential Energy Code Compliance? Firm Name Phone Plans Examiner Phone Inspectors: Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? IP Yes O No What is the current property size? / CO _. Des,identJj on site plan (square feet or acres) • Is any part of the property within 250 feet of a shoreline? What is the current use of this property? _Q n If yes,ident 'on site plan O Yes we No j/�l i;40 Is your property in a designated wildlife habitat area? Will the site be served by a septic system?ID Yes O No 0 Don't know O Yes I No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? Ifyes,ides tz 'on site plan Ifyes,identifi,on the site plan 0 Yes No 0 Maybe 0 Don't know 0 Yes al No Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property? Ifyes,ident,on site plan 0 Yes PII, No 0 Yes No Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site? ( /°'o) 0 Yes *No 0 Yes No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes 0 No O Yes 0 No Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? D Yes 0 No D Yes 0 No Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area? D Yes 'D No Date Received: Staff Representative: METHOD OF PAYMENT MEMO } s SUBTO'I';11, VISA 0 C:ASI t ❑ CHECK 0 ❑ 0 -- FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD D,11I I:AIRES: TOTAL FEE BAN KCARD NUMBI.R: MINIMUM PERMIT FEE IS$35.00PLEASE SLAKE CHECKS PAYABLE TO SPOKANE AUfI IORI'/J 1)SIGNATURE: COUNTY PERMIT CENTER s 4 • r i ADDRESS _s ZONE . ' ROAD WIDT D FRONTdIA ,N� COMMENTS REVIEWED B *WI: This site plan is being subrr < I obtair•ing a biliding permit f---1 rePresenta;;cn of iha proaos lines/dimensions,curb lines. t y,it) �,cM, have been identified.Also in. ---7( (J\3�f bodies of ;r :r,steep s(o`. J ( Signed: / 4b 7}...._ Date: I • V;6 i A ( c'..:ri,i)vw)'''AL' 36 k, ik Nei / - 0 o` 1 ?--ee ) tl-° a4 ,n [-t'& vo1/ ,