2003, 02-21 Permit App: 03001041 Basement Project Number: 03001041 Inv: 1 - Application Date: 2/21/2003 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: FINISH BASEMENT Contact: ANDY GUTMAN
Address: 3314 W ROAMOND
C-S-Z: SPOKANE WA 99224
Setbacks:Front Left: Right: Rear: Phone: (509)456-5484
Group Name:
Site Information: Project Name:
Plat Key: 005871 Name: RIVERWALK 04TH ADD PUD District: G
Parcel Number: 55083.3301 Block: Lot:
SiteAddress: 19215 E RIVERWALK LN Owner: Name: MILLER,LARRY
GREENACRES,WA 99016 Address: 19215 E RIVERWALK LN
Location::GRE GREENACRES,WA 99016
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .00 Acres Width: 67 Depth: 110 Right Of Way(ft): 35
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review In orm tto
f
Review
Plan Review ReleasedBy
„,
i
Perm ts.
Operator: RMB Printed By: RMB Print Date: 2/21/2003
Project Number: 03001041 Inv: 1 Application" Date: 2/21/2003 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: ANDY GUTMAN Firm: ANDY GUTMAN
Address: 3314 W ROSAMOND Phone: (509)456-5484
SPOKANE WA 99224
Building Characteristics
Const Category: Remodel Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stones:
Bldg W x D: x Building Sq Ft: Sprinklers:
Req Parking: Handicap Parking: Critical Materials:
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT R R-3 VN 1,260 $5,657.40 1,260 $5,657.40
Totals: 1,260 $5,657.40 1,260 $5,657.40
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $113.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $24.86
Permit Total Fees: $142.36
Mechanical Permit
Contractor: ANDY GUTMAN Firm: ANDY GUTMAN
Address: 3314 W ROSAMOND Phone: (509)456-5484
SPOKANE WA 99224
Item Description Units Unit Desc Fee Amount
VENTILATING FANS 2 NUMBER OF $20.00
MINIMUM FEE ADJUSTMENT 1 Select $15.00
Permit Total Fees: $35.00
Operator: RMB Printed By: RMB Print Date: 2/21/2003
Project Number: 03001041 Inv: 1 Application Date: 2/21/2003 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
OK TO ISSUE ALL SEWER PERMITS PER ROGER 5/11/98
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $142.36 $142.36 $0.00 $142.36
Mechanical Permit $35.00 $35.00 $0.00 $35.00
$177.36 $177.36 $0.00 $177.36
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: RMB Printed By: RMB Print Date: 2/21/2003
iiiii PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING& CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
A SPOKANE,WA 99260
509-477-3675
SPOKANE Coviry
SPECIFIC SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s):
2
Legal Description:
Project Description: 24i,' ester%
Z •-•( •
71 Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water Distnct/Purveyor. Sewer District/Pun-eyor Road width Setbacks
Front Rear.
School District Fire District: Zoning
Left Right.
OWNER/APPLICANT INFORMATION
121 Indicate who rbould be contacted retarding thirpt njer7
7 ❑�Owne�r:/ �/ /�,�// �`//��Phone ( ` ❑ Applicant: Phone:
I�tom^"'/ <—Zc)1('CL AIL L4-'6 Le Fax: 943 (x(71#�/ I•ax:
Mailing Address: Mailing Address:
City,State,Zip City,State,Zip
oICtfl7f�
❑C tractor Phone - Phone
������ / /7
_ �'7 (�1C� ❑ Architect/lingineer
/IrYJ�/( 6sk� 3,d..-i)(/7—ax Z '.O I /1 Fax
Mailing address i Mailing address
✓3i 7¢)' ti) 2a. --f k i< iQ )
City,State"/.t Cin,State Zip
j —ic— QL o / ( C/�P�2 --
VA'A State(1'ntractor license# / Contact name:
1Af 6 - n4k)
PROJECT INFORMATION
Building Information
Building height to peak #of stones Slain floor sq.ft. Unfinished basement sq.ft.
Dimensions "Total habitable space 2"`t floor sq. ft. finished basement sq.ft.
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of protect I!eat source(electric,gas,etc.)
Manufactured Home 'Sign
Width: Length: vWhat 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
D Concrete 0 Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes O No What is the current property size?
If yes,idem '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?
Ifyes,identi on site pion O Yes O No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes O No
O Don't know O Yes O No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identifi on site plan Ifyes,identi on the site plan 0 Yes 0 No
0 Maybe 0 Don't know 0 Yes 0 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,identifi on site plan 0 Yes 0 No 0 Yes 0 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 Yes 0 No 0 Yes D No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0,Yes 0 No
DYes 0 N
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
DYes CI No
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
DYes 0 N
Date Received: Staff Representative:
METHOD OF PAYMENT
SUBTOTAL
O'1'AL
VISA
❑ CASA ❑ CIIECK ❑ MEM . 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I':XPIRI':S: TOTAL FEE
BANKCARD NUMBI.R: MINIMUM PERMIT FEE IS$35.00PLEASE
MAKE.CHECKS PAYABLE TO SPOKANE
\U 11 TORI'/ND SIGN;\hUltl?: COUNTY PERMIT CENTER