2003, 02-28 Permit App: 03001219 Deck Project Number: 03001219 Inv: 1 Application Date: 2/28/2003 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RES ADD-COV DECK Contact: MARTIN,RAYMOND & RENEE
Address: 9802 E SHARP AVE
C - S -Z: SPOKANE,WA 99206-4084
Setbacks:Front Left: 14 Right: Rear: Phone: (509)921-0219
Group Name:
Site Information: Project Name:
Plat Key: Name: District: F
Parcel Number: 45172.0614 Block: 6 Lot: 14
SiteAddress: 9802 E SHARP AVE Owner: Name: MARTIN,RAYMOND & RENEE
SPOKANE,WA USA 99206 Address: 9802 E SHARP AVE
Location:: SPO SPOKANE,WA 99206-4084
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold:
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 50
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information: ..
Review
Site Plan Review Released By
Plan Review Released By:
41Ase ystfi evieN Released By:
IIIMIIMIIINEW.11111,4111111 e/
Permits:
Operator: JAS Printed By: JAS Print Date: 2/28/2003
Project Number: 03001219 Inv: 1 Application Date: 2/28/2003 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: Addition 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 Sp Ft Valuation Sp Ft Valuation
COV DECK R-3 VN 480 $4,833.60 480 $4,833.60
Totals: 480 $4,833.60 480 $4,833.60
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $100.50
INVESTIGATION FEE 1 ENTER AMT $100.50
STA lE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $22.11
Permit Total Fees: $227.61
STOPWORK ORDER PLACED BY DGH NO PERMIT FOR A COVERED DECK
INVESTIGATION FEE REQUIRED. FMH
Payment Summary: ::
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $227.61 $227.61 $0.00 $227.61
$227.61 $227.61 $0.00 $227.61
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: 2/28/2003
Ii PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675
SPOIL COUNTY
SPECIFIC SITE INFORMATION
Street Address: l�jSO� C c" hc\CD
Assessor's Tax Parcel Number(s): Li C l` `n'� . 0 4 I j/
Legal Description: J
Project Description: Ci 't �.I S I►� Pcck W�1 No)
i Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
0 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
((�� El Indicate who should be eonta�Yed regarding thi.t project
Owner: 1 (�(�( Phone: "1�-t CS t 9 in Applicant: Phone
�� Yrn ' ' If 1" CAI l�� ias:421 ✓�� d� Fax:
Mailing Address: Mailing Address:
Cm,State,Zap City,State,Zap
)6) Nr�11 LO� ctq L(
PhonePhone
❑ Contractor ❑ Architect/Engineer
Fax !lax
Mailing address Mailing address
City,State Zip City,State Zip
WA State Contractor license# Contact name:
Qa PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
Dimensions Total habitable space 2"'l floor sq.ft. Finished basement sq.ft.
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project I kat source(electric,gas,etc.)
Manufactured Home Sign
Width: Length: What is the square footage of the sign I low high is the sign?
r 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
Cl Concrete D Welding D Bolting D Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? Ar Yes D No What is the current property size?
Ifyes,identi.fi,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?I
Ifyes,identz,on site plan D Yes 'No
Is your property m a designated wildlife habitat area? Will the site be served by a septic system? es No
D Don't know D Yes 4(No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,id t n site p n Ifyes,identi_b,on the site plan D Yes No
Maybe Don't know D Yes No
Are there any wetlands,streams or ponds within 2,030, feet of the property? Is there evidence of fill or excavation on the property?
lfyes,ident'on site plan D Yes A txo D Yes No
Are there slopes greater than 30%on the property?(3 ft e in 100 ft) Are critical or hazardous materials used or stored on sits!
( %) D Yes No D Yes o
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? D Yes D No
ID Yes 0 N
Is the property inside the ASA? El Yes D No Is public water available to the site? D Yes D No
CI Yes CI No
Is the property inside the PSSA? D Yes D No Is the property located within 1000 feet of a Natural Resource Area?
D Yes 0 N
Date Received: Staff Representative:
METHOD OF PAYMENT
MEM . SUBTOTAL
VISA
❑ C:vsll 0 CHECK 0 ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
TOTAL FEE
RANKCARD NUMBER: MINIMUM PERMIT FEE IS S35C0 PLEASE
MAKE CHECKS ECKS PAYABLE TO SPOK.-W E
ALl1I IORI'/PD SIGNA"I URF: COUNTY PERMIT CENTER
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Monday, May 9 2005 —