2002, 08-23 Permit App: 02007276 Storage Bldg Project Number: 02007176 Inv: I Application Date: 8/23/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DETACHED STORAGE W/SELF-SUPPORTING Contact: KUCHLING,WALDO E
LEAN-TO Address: 16024 E RICH AVE
C- S -Z: SPOKANE,WA 99216
Setbacks: Front NA Left: 7 Right: 64 Rear: 7 Phone: (509)891-8001
Group Name:
Site Information: Project Name:
Plat Key: 002848 Name: WELLESLEY MANOR 2ND ADD District: E
Parcel Number: 45012.2705 Block: Lot:
SiteAddress: 16024 E RICH AVE Owner: Name: KUCHLING,WALDO E
SPOKANE,WA 99216 Address: 16024 E RICH AVE
Location::SPO SPOKANE,WA 99216
Zoning: UR-7 Urban Residential-7
Water District: Hold: ❑
Area: 0 Sq Ft Width: 95 Depth: 142 Right Of Way(ft): 50
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Reviewrwro ,
Released : /
1
Plan Review Released = : !`,� 'ftp 2 3
Permits:
Operator: DMD Printed By: DMD Print Date: 8/23/2002
a R
Project Number: 02007276 Inv: 1 Application Date: 8/23/2002 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: E
Req Parking: Handicap Parking: Critical Materials: E
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
CARPORT U-1 VN 160 $720.00 160 $720.00
GARAGE U-1 VN 192 $2,304.00 192 $2,304.00
Totals: 352 $3,024.00 352 $3,024.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $88.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $19.36
Permit Total Fees: $111.86
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $111.86 $111.86 $0.00 $111.86
$111.86 $111.86 $0.00 $111.86
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: DMD Printed By: DMD Print Date: 8/23/2002
r t
lecl PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
_ _= SPOKANE,WA 99260
SPO509-477-3675 , 2;2 7(...c,_
SPECIFIC SITE INFORMATION
Street Address: I G Q.1 q E Kick A V .e..._.
Assessor's Tax Parcel Number(s):
Legal Description:
k\ Project Description: .?rO}.n Q . S h e .4 /2x/6. 4J/A-Trw/f&V' /4dwwA///IJ 9
WBuilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor: Sewer District/Purveyor Road width Setbacks
Front Rear.
School District. Fire District: Zoning
Left Right:
OWNER/APPLICANT INFORMATION
y El Indica/e ubn should be can/aded rogardin,Ibis prproject
.,J Of Owner: p Phone:509- 7319-$QO I ❑ Applicant: Phone:
w� e AG i cAc..k 1',v,t 1 Fax: Fax:
Mailing Address: Mailing Address:
I(Do a 41 e R,t c l, Au ,
via,State,Zip City,State,Zip
S p0 Kar.e. W M ?9aJ/
❑ Contractor Phone Sap- ?/_TOO 1 ID Architect/Engineer Phone
S e.,Le
lax � Fax
Mailing address Mailing address
ICeoa&I E Aie__1t.. A-1.>
City,State Zip City,State Zip
fx„,c, w.... 492/4.
\\A State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stones Main floor sq.ft. Unfinished basement sq.ft.
/0/-7 �i / i f 2. ov/s
Dimensions Total habitable space 2't floor sq.ft. finished basement sq.ft.
is V i co Gln WA w/4
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
A1/4 aV7/4 N//9
Cost of project I Teat source electric,gas,etc.)
Eimtrg 4 000 N/1-
Manufactured Home Sign
Width: Length: What is the square footage of the sign I low high is the sign?
face?
Year: Make: #of signs Area of existing signs
Relocation Fire Safety
Previous address Fire Sprinkler "fent
Paint booth Fire Alarm Fireworks display
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
hem 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? Yes 0 No What is the current property size?
Ifye.,idents 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?
Des,identifi on site plan O Yes g No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes Pt No
0 Don't know 0 Yes M No
Is any part of the property within a 100 yr flood plain? Arc or will there be wells located on the property?
Ifyes,idents,on site plan I_fyes,identifi,on the site plan 0 Yes 71 No
0 Maybe Don't know 0 Yes O No
Arc there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Ifyes identify on site plan 0 Yes 66 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?
( / /0° 0 Yes la No 0 Yes kl No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No
0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
O Yes O No
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
O Yes O No
Date Received: Staff Representative:
METHOD OF PAYMENT
`.`Ciltif SUB'1'O'lAI.
VISA
❑ CASH 0 CHECK 0 0 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: I:XFlRI?& TOTAL FEE
BAN KCARD NUMBER: MINIMUM PERMIT FEE IS$35.00 PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
AUTI IORI/.I{D SIGNATURE: COUNTY PERMIT CENTER
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