2003, 02-07 Permit App: 03000754 GarageProject Number: 03000754 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/7/2003 Page 1 of 2
Project Information:
Permit Use: REBUILD 24 X 24 GARAGE DESTROYED BY Contact: GREEN, DERRICK & JENNIFER
FIRE Address: 8419 E SINTO AVE
C - S - Z: SPOKANE, WA 99212
Setbacks: Front 50+ Left: 5 Right: 10 Rear: 5 Phone: (509) 927-4869
Group Name:
Site Information: Project Name:
Plat Key: 001288 Name: HUTCHINSONS ADD District:
Parcel Number: 45181.0624 Block:
SiteAddress: 8419 E SINTO AVE
SPOKANE, WA 99212
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: GREEN, DERRICK & JENNIFER
Address: 8419 E SINTO AVE
SPOKANE, WA 99212
Hold: 111
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 50
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review
Site Plan Review
Plan Review
ej.-(1.jitecl.,
ReleasedBs CV.- 1e(
Operator: RMB Printed By: RMB
Print Date: 2/7/2003
Project Number: 03000754
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/7/2003
Contractor: OWNER
Const Category: New
Nbr Of Dwellings:
Bldg W x D: x
Req Parking:
Description
GARAGE
Building Permit
Page 2 of 2
Firm: OWNER
Phone:
Building Characteristics
Group: Type:
Occupant Load: Building Height:
Building Sq Ft: Sprinklers:
Handicap Parking: Critical Materials:
Grp Type Notes
U-1 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Summary:
Permit Type
Building Permit
This Application:
Sq Ft Valuation
576 $6,912.00
Totals: 576 $6,912.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Stories:
Total Project:
Sq Ft Valuation
576 $6,912.00
576 $6,912.00
Fee Amount
$125.50
$4.50
$27.61
$157.61
Fee Amount Invoice Amount Amount Paid Amount Owing
$157.61 $157.61 $0.00 $157.61
$157.61 $157.61
$0.00 $157.61
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: RMB Printed By: RMB
Print Date: 2/7/2003
1
Aink
SPOKAXE COUNTY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 \VEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: sLI n
;Assessor's Tax Parcel Number(s):
Legal Description:
Project Description:
t! Building Permit
Z - x 7 L(x I U )c' l� v uc-s- Qo A6?
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
El Other
Department Use Only
Water District/Purveyor.
Sewer District/Pun-eyor
Road width
Setbacks
Front: Rear:
Left: Right:
School District:
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted re(ardint± this pro/ee
71 Owner:
�
J ttA 0_,.,\j l IA
Phone:
Fax:
CIApplicant:
Phone:
Fax:
Mailing Address:
M 11 vi..1cs„ l/•-/AuCV(
'fit \C -
Mailing Address:
Dimensions
(:it,, State, Zip
Spm, LA0, v,c_
>u
99 ?c)5
City, State, Zip
Occupancy group
❑ Contractor
�f
Phone �S O CC-1(3-)
S�
Fax
71rcecEngineer Ahitt/ nginr
ee
('hone
Fax
Mailing address
kat source (electric, gas,, c��/
Mailing address
City, State Zip
City, State Zip
VCA State Contractor license #
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak 1
ILl
# of stories
t
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
Total habitable space
2"d floor sq. ft.
Finished basement sq. ft.
Occupancy group
Constru n vpe
Garage sq. ft.
Deck sq. It.
Cost ref project AiI
kat source (electric, gas,, c��/
Manufactured Home
Sign '
Width:
Length:
What is the square footage of thc sign
face?
1 low high is thc sign?
Year:
Make:
# of signs
Arca of existing signs
Fireworks display
i\ re critical or hazardous materials used or stored on site?
❑ Ycs ❑ No
Address
Proposed use
Relocation
Fire Safety
firm Name
What is thc current use of this property?
Previous address
Will the site be served by a septic system? ❑ Ycs ❑ No
Paint booth
Fire Sprinkler
fent
Fire Alarm
Fireworks display
i\ re critical or hazardous materials used or stored on site?
❑ Ycs ❑ No
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
firm Name
What is thc current use of this property?
Phone
Will the site be served by a septic system? ❑ Ycs ❑ No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
❑ Yes ❑ No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( %) El Ycs ❑ No
i\ re critical or hazardous materials used or stored on site?
❑ Ycs ❑ No
Address
Inspector
Phone
❑ Concrete
❑ Welding
❑ Bolting
❑ Reinforcement
Address
ADDITIONAL SITE INFORMATION
,Are there structures on the property? ❑ Ycs ❑ No
Ij es, identi' 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, identJ, on siteplan ❑ Ycs ❑ No
What is thc current use of this property?
Is your property in a designated wildlife habitat arca?
❑ Don't know ❑ Ycs ❑ No
Will the site be served by a septic system? ❑ Ycs ❑ No
Is any part of the property within a 100 yr flood plain?
If yes, identz, on site plan
❑ \laybc ❑ Don't know ❑ Ycs ❑ No
Are or will there be wells located on the property?
ILyes, identifil on the site plan ❑ Ycs ❑ No
,Are there any wetlands, streams or ponds within 200 feet of the property?
If yet, identz, on site plan ❑ Ycs ❑ No
Is there evidence of fill or excavation on the property?
❑ Yes ❑ No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( %) El Ycs ❑ No
i\ re critical or hazardous materials used or stored on site?
❑ Ycs ❑ No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
❑Yes
0 N
Is public sewer available to the site? ❑ Yes ❑ No
Is the property inside the ASA?
❑ Yes
❑ Yes
❑ No
❑ No
Is public water available to the site? ❑ Yes ❑ No
Is the property inside the PSSA?
❑ Yes
❑ No
Is the property located within 1000 feet of a Natural Resource Arca?
❑Yes 0 N
Date Received:
Staff Representative
METHOD OF PAYMENT
VISA
❑ cysl1 ❑ clII;cI p111111111111111
oc
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1). 11.::
I;ll'IRFS:
B.\NKC.\R1) NUMBER:
\UTI TORIZFD SIGN:A"fURI';:
SUB'1O1':Al,
TOTAL FEE
MINIMUM PERMIT FEE IS $35.t PLEASE
MAKE C./ IEC KS PAYABLE "1-0 SPOKANE
COUNTY PERMIT CENTER
a�xa‘A
)4' Tb ..NAL
20
10
ADDRESS
ZONE:
ROAD WI
FRO T: O FLANKING: _„_
COMME
REVIEWE
NA N FLOOR*
(1'9'
13
Bath
Bedroom
10
Deck
20
3
7
Laundry
Kitchen
Dining
Living Room
Entry
.3
20
8
SHED
10
Storage
Shed
10
16
8
18
Carport
4
16
18