2002, 08-26 Permit App: 02007336 Garage Project Number: 02007336 Inv: 1 `Application Date: 8/26/02 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RELOCATED GARAGE(20 X 22 X 8) Contact: MALEK,H DWAYNE
Address: 4503 N MAYHEW RD
C- S-Z: SPOKANE WA 99216
Setbacks: Front Left: Right: Rear: Phone: (509) 924-3210
Group Name:
Site Information: Project Name:
Plat Key: 002678 Name: TRENTWOOD ORCHARDS District: H
Parcel Number: 45031.1806 Block: Lot:
SiteAddress: 13513 E RICH AVE Owner:Name: MALEK,H DWAYNE
SPOKANE,WA 99216 Address: 4503 N MAYHEW RD
Location::SPO SPOKANE WA 99216
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 4.00 Acres Width: 0 Depth: 0 Right Of Way(ft): 60
Nbr of Bldgs: 4 Nbr of Dwellings: 1
Review Information:
Review _
Site Plan Review ---,
I Released : :
I
Plan Review Released By: (7 --t,'"). T
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P � a.,,aff. � Released By: !� � ,
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Permits: ------ __----------- -
Operator: JAS Printed By: JAS Print Date: 8/26/02
Project Number: 02007336 Inv: I Application Date: 8/26/02 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER Firm: OWNER
Phone:
Building Characteristics
Const Category: New 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: El
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Su Ft Valuation
FOUNDATION U-1 VN 440 $880.00 440 $880.00
Totals: 440 $880.00 440 $880.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $35.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $7.70
Permit Total Fees: $47.20
Relocation Permit
Contractor: OWNER Firm: OWNER
Phone:
Item Description Units Unit Desc Fee Amount
RELOCATION INSPECTION 1 NUMBER OF $50.00
Permit Total Fees: $50.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $47.20 $47.20 $0.00 $47.20
Relocation Permit $50.00 $50.00 $0.00 $50.00
$97.20 $97.20 $0.00 $97.20
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 construed 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: JAS Printed By: JAS Print Date: 8/26/02
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I h I PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
_= SPOKANE,WA 99260
509-477-3675
SPokAiv CouNrY
SPECIFIC SITE INFORMATION
fAsseStreet Address: /go X,.-e,h A tie-
Assessor's
ssor's Tax Parcel Number(s):
✓� b3 L// /80�
Legal Description:
Tr/'en / uood Dh6hc(4 /31J 4/4' e . /30 // o 8 /5'62F)
a, f i c. s /00 0-e //Ce Pl. d f- /oo c ieC W (p o-F P
Project Description: 49r(. _ Cea- e 72
❑ Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
Crrelocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor: Sewer Distract/Purveyor Road width Setbacks
Front Rear
School District Fire District Zoning
Left Right:
OWNER/APPLICANT INFORMATION
10 Indicate who should be contacted regarding this project
Osr ner:t ' �/J /}�j Phone: „meq- 902ef 3�?/ ❑ Applicant: Phone:
�k //e, ASL i a..�\ Fax: s:
fvlailin Address: Mailing Address:
Cite,State,lip City,State,Zip
6/0 sb 9 ,1/6
❑Contractor Phone ❑ Architect/Engineer Phone
Fax Fax
Mailing addn..- Mailing address
Cite,State Zip City,State Zip
VC A State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stories / Main floor sq.ft. Unfinished basement sq.ft.
Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft.
Occupancy grou e Construction type Garage sq.ft. Deck sq.ft.
Cost of proirct I leat source(electric,gas,etc.)
4
Manufactured Home ign
Width: Length: What is the square footage of the sign flow 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? Lh Yes O No What is the current property size?
Ifjes,identi'on site plan (square feet or acres) 5-a e re
Is any part of the property within 250 feet of a shoreli What is the cu nt use f di's property?
Ifyes,identi on site plan O Yes C3 No ��
Is your property in a designated wildlife habitat area? � Will the site be served by a septic system?Ff Ycs O No
O Don't know O Ycs 171 No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identifii on site plan �� Ifyes,ident,,on the site plan O Yes No
O Maybe O Don't know O Yes C3 No
Arc there any wetlands,streams or ponds within 200 Iluerof the property? Is there evidence of fill or excavation on the property?
Ifyes,idem,on site plan O Yes LJ N o O Yes E No
Arc 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 Yes O No O Yes C�No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes O No
OYes 0 N
Is the property inside the ASA? O Yes O No Is public water available to the site? Ycs O No
OYes 0 N
Is the property inside the PSSA? O Yes O No Is the property located within 1000 feet of a Natural Resource Area?
OYes 0 N
Date Received: Staff Representative:
METHOD OF PAYMENT
MINIM SUBTOTAL
VISA
0 c:\sl I 0 cl iEcK ❑ ❑ 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I?XPIRI?S: TOTAL FEE
B:\NKC ARl)NUMBI,R: MINIMUM PERMIT FEE IS$35.00 PLEASE
SLAKE CHECKS PAYABLE TO SPOKANE
;WTI IORI'ZFI)SIS iN:ATURI b: COUNTY PERMIT CENTER
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