2001, 07-17 Permit App: 01005829 Finish Basement Project Number: 01005829 Inv: 1 Application Date: 7/17/2001 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
.............................................................................................. ..
Permit Use: FINISH PORTION OF BASEMENT Contact: PEFLEY,TROY
Address: 1317 N SKIPWORTH CT
C-S -Z: SPOKANE,WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509)921-9181
Group Name:
Site Information: Project Name:
........................................................................................................................................... . .. .
Plat Key: 004159 Name: ROBINSON ADD District: F
Parcel Number: 45162.2105 Block: Lot:
SiteAddress: 1317 N SKIPWORTH CT Owner:Name: PEFLEY,TROY
SPOKANE,WA 99206 Address: 1317 N SKIPWORTH CT
Location::SPO SPOKANE,WA 99206
Zoning: UR 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Revaew In orm
ation: :.
f
Department Review
BUILDING Plan Review Released By: CjIL
Hold Reasons: ti
Permit Conditions: jI ~
s:
Permit
Project Number: 01005829 Inv: 1 Application Date: 7/17/2001 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
Address: 0 Phone: (000)000-0000
000000,00 000000
Building Characteristics
Const Category: Remodel Group: R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes So Ft Valuation So Ft Valuation
BASEMENT R R-3 VN 560 $2,352.00 560 $2,352.00
Totals: 560 $2,352.00 560 $2,352.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $75.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $16.61
Permit Total Fees: $96.61
Payment Summary
Operator: MKC Printed By: MKC Print Date: 7/17/2001
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $96.61 $96.61 $0.00 $96.61
$96.61 $96.61 $0.00 $96.61
.....................................................................................................................................................................................................................................................................
e • . Oi _25F0-9
iiLi PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
Aiti
1026 WEST BROADWAY AVENUE
_= SPOKANE,WA 99260
509-477-3675
SPOxK COINTY
SPECIFIC SITE INFORMATION
Street Address:
13/7 xi vim`tiD[,..io G`r , sQc, a,�� `g.2.0 lQ
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: F'A lg A«7 � �I.-e,rite
V
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign 0 Tenant(New/Change) 0 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
0 Indicate who.should he mnladed re ardinn lids prlecl
Cs,ncr `1 e- '�.. Fax:
Phone: I,/. — 1i l 0 Applicant: Phone
k.
---)
l 1 '\1l l:ax:
Mailing:Address. Mailing Address:
\311 Tl Srl) ;'
Cite,State,Zip City,State,Zip
S?tKo UA- 772-0(,
PhonePhone
❑ Contractor 0 Architect'Engineer
Fax I ax
Mailing address Mailing address
Cine,State tip Ca),State Zip
11\State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
C2 4ai Cr Cal
Dimensions Total habitable space 2"1 floor sq.ft. Finished basement sq.ft.
/61/0 S4O
Occugmaey�up Construction t pe Garage sq.ft. Deck sq.ft.
s 'ko.,.wt` J o DN Y50 —
Cost of ph peel � I feat source(electric,gas,etc.)
„k.Sa.Ck , 4 46
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 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
0 Concrete 0 Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes O No What is the current property size?
I fyer,identify 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?
If yes,identi.,61 on site plan 0 Yes 0 NO
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes 0 No
0 Don't know 0 Yes 0 No
Is any part of the property within a 100 yr flood plain? .Are or will there be wells located on the property?
I fyes,identi#on site pion If yes,identifyon 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?
If yes,identiff on site plan 0 Yes 0 No 0 Yes 0 No
Are there slopes greater than 30°'0 on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
(
o/c) 0 Yes 0 No 0 Yes 0 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
D Yes D No
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
0 Yes 0 No
Date Received: Staff Representative:
METHOD OF PAYMENT
g f SUBTO'T'AL
VISA
0 C.vSl I ❑ Cl ll x:h 0 ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
FXPIRFS: TOTAL FEE
B.\Nk(.:\Rl)NUMBI:R: MJNIMUMPERMIT FEE IS$35.00PLFASii
MAKE CI IF_CKS P ViABLE To SPOKANE
AUII iORI%I?D SIGN.ATURl:: COUNTY PGRyIIT CENTER