2000, 06-12 Permit App: 00004853 Finish Basement Project Number: 00004853 Inv: 1 Application Date: 06/12/2000 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: FINISH BATHROOM IN BASEMENT Contact: JOE COLLINS
Address: P.O.BOX 322
C-S-Z: CHATTAROY,WA 99003
Setbacks: Front Left: Right: Rear: Phone: (509)238-2048
Group Name:
Project Name:
Site Information•
Plat Key: 001852 Name: OPPORTUNITY(TR.1-142INC.143-354) District: F
Parcel Number: 45163.0317 Block: Lot:
SiteAddress: 203 N SKIPWORTH RD Owner: Name: MULLER,LORI
SPOKANE,WA 99206 Address: 203 N SKIPWORTH RD
Location::SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: .VVAA,x 1,4 AIM
Department Review
BUILDING Plan Review B-• �, : � —
Hold Reasons:
Permit Conditions:
Permits: ro w. - u . st- d tau rr ,=-1-1P1',2=1...-- .._..t,,. 4t$VWVA. . _4,1, -_:
Project Number: 00004853 Inv: 1 rApplication • Date: 06/12/2000 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
--- Building Permit
Contractor: COLLINS LSM CONSTRUCTION Firm: COLLINS LSM CONSTRUCTION
Address: P.O.BOX 322 Phone: (509)238-2048
CHATTAROY WA 99003
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: El
Req Parking: Handicap Parking: Critical Materials: 0
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RESIDENCE R-3 VN REMODEL 0 $1,500.00 0 $1,500.00
Totals: 0 $1,500.00 0 $1,500.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $49.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $10.89
Permit Total Fees: $64.89
Mechanical Permit
Contractor: COLLINS LSM CONSTRUCTION Firm: COLLINS LSM CONSTRUCTION
Address: P.O.BOX 322 Phone: (509)238-2048
CHATTAROY WA 99003
Plumbing Permit
Contractor: COLLINS LSM CONSTRUCTION Firm: COLLINS LSM CONSTRUCTION
Address: P.O.BOX 322 Phone: (509)238-2048
CHATTAROY WA 99003
Payment Summary: n �, . _..
Operator: DMD Printed By: DMD Print Date: 06/12/2000
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $64.89 $64.89 $0.00 $64.89
$64.89 $64.89 $0.00 $64.89
Notes:
. 4. 4 - 43S-3
ii,ici PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
1 SPOKANE,WA 99260
SPOIcANE GDINTY 509-477-3675
Project Description: n r: 46At'C7` { 1,Q-I ,.
TYPE OF APPLICATION
tuilding Permit 0 Change in Use 0 Grading 0 Manufactured Home Permit
0 Relocation 0 Sign 0 Tenant (New/Change) 0 Other
SPECIFIC SITE INFORMATION
Street Address: U 3 S k W c ti-1-1
Assessor's Tax Parcel Number(s):
Legal Description:
Department Use.Onl
Water District/Pure or:' ' Sewer Dzstrict/Purveyor Road width Setbacks
Front: Rear:
School District: .Fire Distrct Zoning
Left: Right:
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted
�regarding this project
0 Owner: Phone: Pi Applicant: 'Phone: /-/7/ 7
40/t. '✓/c2/ZLK_ Fax: ,..r.,..5,..r.,..5et 1 Cl/(/S Fax:
Mailing Address: Mailing Address:
v _..5'ZZ
City,State,Zip City,State,Zip q�j
� 2e Gr/.4 , g%ZO-b/ e4�j-f�t!/to`j' / / 0o 3
Phone 5 9/-/ 77 7 0 Architect/Engineer Phone
contractor
(1c,//, LS L :S-'24 G.,..,..,J-'/- Fax Fax
Mailing address Mailing address
P o - K A" 3Z Z -4,5,,t1Q x
City,State Zip City,State Zip
WA State Contractor license# L. Contact name:
COL L. L CO .?h �
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft.
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project Heat source(electric,gas,etc.)
Manufactured Home Sign
Width: Length: What is the square footage of the sign How 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: I Address
Inspector Phone
El Concrete Cl 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,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,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?
If yes,identify on site plan If yes,identify on the site plan Cl 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
If yes,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 O Yes O No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes O No
O Yes O No
Is the property inside the ASA? 0 Yes O No Is public water available to the site? O Yes O No
O Yes O No
Is the property inside the PSSA? O Yes O No Is the property located within 1000 feet of a Natural Resource
Area? O Yes O`No
Date Received: Staff Representative:
•
-(74- T � PAN 'HAVE BEEN
Ie/ B� 1 ' J� ,` R�VtEWED
1 �
APPS
MUST LAN
KEPT
ON JOB SITE