2000, 05-30 Permit App: 00004288 ReroofL(
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SPOKANE CONY
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PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project Description:
TYPE OF APPLICATION
4 Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
O Relocation
O Sign
O Tenant (New/Change)
O Other
SPECIFIC SITE INFORMATION
Street Address:
•
Assessor's Tax Parcel Number(s):
Legal Description:
Department Use Only
Water District/Purveyor:
Road width
School District:
Fire District:
Zoning
Setbacks
Front:
Left:
Rear:
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
0 Owner:
Building height to peak
# of stories
Phone:
Fax:
Unfinished basement sq. ft.
0 Applicant:
Phone:
Fax:
Mailing Address:
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Mailing Address:
Cost of proje
6 9
City, State, Zip
City, State, Zip
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Phone
Fax
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0 Architect/Engineer
Phone
Fax
Fax
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Mailing address
City tate Zip..
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City, State Zip
W)tate Contractor license N
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 group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of proje
6 9
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
Relocation
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tent
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? O Yes O No
If yes, identify 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?
If yes, identify on site plan O Yes O No
What is the current use of this property?
Is your property in a designated wildlife habitat area?
O Don't know O Yes 0 No
Will the site be served by a septic system? O Yes O No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
0 Maybe 0 Don't know 0 Yes 0 No
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes 0 No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan 0 Yes 0 No
Is there evidence of fill or excavation on the property?
0 Yes 0 No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(/ %) 0 Yes 0 No
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
O Yes O No
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA?
0 Yes - 0 No
O Yes O No
Is public water available to the site? 0 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? ` 0 Yes 0 No
Date Received:
Staff Representative: