2001, 04-04 Permit App: 01002186 Repair ResidenceProject Number: 01002186 Inv: I Application Date: 4/4/01 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Parcel Number: 45181.0502
SiteAddress: 1513 N SARGENT RD
SPOKANE, WA 99212
Location:: SPO
Zoning: UNKN Unknown
Water District:
Block: Lot:
Area: 0 Sq Ft Width: 70
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Owner: Name: FALCON
Address: 1513 N SARGENT RD
SPOKANE, WA 99212
Hold: ❑
Depth: 250 Right Of Way (ft): 0
Review Information:
Department Review
BUILDING Plan Review
Permit Conditions:
Permits:
Project Number: 01002186 Inv: 1 Applicution Date: 4/4/01 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit—
--
Contractor: CREEKSIDE CONSTRUCTION
Firm: CREEKSIDE CONSTRUCTION
Address: 8907 E MAIN AVE
Phone: (208) 659-2655
SPOKANE, WA 99212
Building Characteristics
Const Category: Remodel 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: 11
This Application:
Total Project:
Description Grp Tyne Notes
Sa Ft Valuation
SQ Ft Valuation
RESIDENCE R-3 VN FIRE
0 $10,000.00
0 $10,000.00
DAMAGE
Totals:
0 $10,000.00
0 $10,000.00
Item Description Units
Unit Desc
Fee Amount
RESIDENTIAL VALUATION 1
Y OR BLANK
$163.00
STATE SURCHARGE 1
Y OR BLANK
$4.50
RESIDENTIAL SURCHARGE 1
Y OR BLANK
$35.86
Permit Total Fees:
$203.36
I I PROJECT APPLICATION WORK SHEET
i SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: / Jr! Nr S�iCCT i
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: rr� � ge-.,
O Building Permit O Change in Use O Grading O Manufactured Home Permit
O Relocation O Sign O Tenant (New/Change) fi LOther
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Phone:
'krpplicant:
Phone:
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Unfinished basement sq. fr.
Fax:
Total habitable space
C&/"7 `, Fax: v
Mailing Add ss:
Occupancy group
Mailing Address:
-to
City, State, Zip+
Cost 6f project
Heat source (electric, gas, etc.
City, State, Zip
CIIQ
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ontractor
Phone �y L
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❑ Architect/Engineer
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OWNER/APPLICANT INFORMATION
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Owner:
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Phone:
'krpplicant:
Phone:
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Unfinished basement sq. fr.
Fax:
Total habitable space
C&/"7 `, Fax: v
Mailing Add ss:
Occupancy group
Mailing Address:
-to
City, State, Zip+
Cost 6f project
Heat source (electric, gas, etc.
City, State, Zip
CIIQ
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ontractor
Phone �y L
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❑ Architect/Engineer
Phone
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i Fax
Fax
Mailing address
Mailing addr
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City, State Zip
City, State Zip
n
WA State Contractor license p
Contact name:
PROTECT INFORMATION
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Building height to peak
N of stories
Main floor sq. h.
Unfinished basement sq. fr.
Dimensions
Total habitable space
2"d floor sq. fr.
Finished basement sq. h.
Occupancy group
Construction type
Garage sq. fr.
Deck sq. fr.
Cost 6f project
Heat source (electric, gas, etc.
Width:
What is the current property size?
I yes, iden i ify on site plan
(square feet or acres
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
X of signs
Area of existing signs
Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the property?
Ifyes, identify on site plan
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes O No
What is the current property size?
I yes, iden i ify 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?
1 es, identify on site plan 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, identify on site plan
If yes, identify on the site plan O Yes O No
O Maybe O Don't know O Yes O No
Are there any wetlands, streams or ponds within 200 feet of the
Is there evidence of fill or excavation on the property?
property?
O Yes O No
1 es, identify on site plan O Yes O 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 Yes O No
D Yes O No
DEPARTMENT USE ONLY
Date Received: Staff Representative:
METHOD OF PAYMENT
❑ CASH ❑ CHECK ❑ ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNA'T'URE:
SUBTOTAL