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2002, 07-24 Permit App: 02006242 Addition Project Number: 02006242 Inv: 1 'Application Date: 7/24/02 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RES ADD-GREAT ROOM&BATHROOM Contact: FORGEY,GWYNNE Address: 12923 E SPRINGFIELD AVE C- S-Z: SPOKANE,WA 99216 Setbacks:Front Left: Right: 5 Rear: 41 Phone: (509)927-0535 Group Name: Site Information: Project Name: Plat Key: 001858 Name: OPPORTUNITY SUB.TR.121 District: F Parcel Number: 45153.0111 Block: Lot: SiteAddress: 12923 E SPRINGFIELD AVE Owner: Name: FORGEY,GWYNNE SPOKANE, WA 99216 Address: 12923 E SPRINGFIELD AVE Location::SPO SPOKANE,WA 99216 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 0 Sq Ft Width: 75 Depth: 122 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: I Review Information: Review Site Plan Review Released By: Originally Released: 7/24/02 By: jshatto Plan Review Released By: Originally Released: 7/24/02 By: jshatto Permits: Operator: JAS Printed By: JAS Print Date: 7/24/02 • Project Number: 02006242 Inv: 1 Application Date: 7/24/02 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: OWNER Finn: OWNER Phone: Building Characteristics Const Category: Addition Group:R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: Stories: 1 Bldg W x D: 24 x 26 Building Sq Ft: 624 Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: ❑ This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RES ADD R-3 VN 624 $41,184.00 624 $41,184.00 Totals: 624 $41,184.00 624 $41,184.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $505.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $111.10 Permit Total Fees: $620.60 Mechanical Permit Contractor: OWNER Firm: OWNER Phone: Item Description Units I tnit Desc Fee Amount VENTILATING FANS 1 NUMBER OF $10.00 MINIMUM FEE ADJUSTMENT 1 Select $25.00 Permit Total Fees: $35.00 Plumbing Permit Contractor: OWNER Firm: OWNER Phone: Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 1 NUMBER OF $6.00 SINKS 1 NUMBER OF $6.00 SHOWERS 1 NUMBER OF $6.00 MINIMUM FEE ADJUSTMENT 1 Select $17.00 Permit Total Fees: $35.00 Operator: JAS Printed By: JAS Print Date: 7/24/02 f Project Number: 02006242 Inv: 1pp1ication Date: 7/24/02 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $620.60 $620.60 $0.00 $620.60 Mechanical Permit $35.00 $35.00 $0.00 $35.00 Plumbing Permit $35.00 $35.00 $0.00 $35.00 $690.60 $690.60 $0.00 $690.60 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 contrued to be a permit for,or an approNal of,aur violation of an) of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: JAS Printed By: JAS Print Date: 7/24/02 a t ,,, 1 PROJECT APPLICATION- - SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE _ ilii SPOKANE,WA 99: PIONEER TITLE COMPANY S CIY 509-477-3675 Project Description- Single Family / New Construction A- - \-`ov-. �-), TYPE OF APPLICATION XBuilding Permit 0 Change in Use 0 Grading O Manufactured Home Permit 0 Relocation 0 Sign O Tenant (New/Change) O Other SPECIFIC SITE INFORMATION Street Address: E .a:33k- 1,ne icy ; i c, �1 9'916 Assessor's Tax Parcel Number(s): Legal Description: a -•x E 4 'g OWNER/APPLICANT INFORMA1 N ✓l Indic"rP who should be contacted regarding this project Owacr _ Phone: <.1 XI c/535 ❑Applicant: Phone: GL.-7 1 n`^Q- .1 Tic: SAME Fa c Mailing Address: Mailing Address 1'Vta• 5"_ �INi e-ta City,State,Zip ^ 1 /_ City,State,Zip `-*0 .r�, _ - 1 ri�CJ I Contractor Su+' R.eX- Phone 5 -(OryIt 0 Architect/Engineer Phone OpMEI C.ho.r one CorA- FaX Fax Mailing address Mailing Mailing address b0A-5 t 0.\ City,State Zip City,State Zip *0 LvNS2._ c. `f l kts-1 WA State Contractor license I Contact marc C.haE-w.L :IK 69 O iv\U PROJECT INFORMATION Building 1�for�a:a�o�a'' Building height to peak il of stories , Main floor sq.rt. Unfinished basement sq.ft. LC:;-(:)'' Li ) dv\IL. i-k Dimensions , Total habitable space 2"d floor sq.ft. Finished basement sq.ft. Occupmcy group Construction type Garage sq.ft. Deck sq.ft. ^ R-3 V—N Cost of project He..c"."MP/nlnrtr:r out pre 1 6 a(4C6C_ ' L.,C.h Wt . I . r � 4 '.z Width: 1 eagch: What is the square footage ofthe sign How high is the sign face Year Make I of signs Area of existing signs Safet Previous address Fire Sprinkler Tent Paint booth_ Fre Alarm Fireworks display Proposed use Value S l � �0. T - :- r eg r Firm Name Phone Plans Eruniner Phone • Inspectors: Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement 1 Address ADDITIONAL SITE INFORMATION Are there structures on the property? X Yes 1 No What is the current property size? If yes,identify on sztepIan (square feet or acres) Is any part of the property within 250 feet of a sho�relsine? What is the current use of this property? . ums n If yes,identify on site plan 0 Yes Jam!No KPs�;d Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes No O Don't know Yes 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 O Yes x No D Maybe Cl Don't know O Yes AL•No Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the pro property? D Yes No If yes, identify on site plan O Yes No Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored o si e? ( /%) 0 Yes 3 No 0 Yes No DEPARTMENT USE ONLY he�ro�ei* ode gnatedStorm�rat Co rex ASre - Is.patblic:sewes ►e sit r - 3 s� fJ y.: - €-1`b Is'the properi l7gst.. .the ASAI • 0 Yes' Q No Is`public'water-au33lab e`�ta4 Iiesst 4 i " '3 _ � :L ,... ;_ .. Yds .�Q. �. Is ebe prope the PS A,? .'" 0 Yes- - t-j Is the prtipery lecate v: n IE1©-eet s 6 * YET _ _, Areals Dau Received Staff Representative: ?5 t ' . • e1 t _ e - --/ -- i •n r, . ''4.--------------4-,.,,,<( . !, &P), , .. 1.• Ln I i s''I tH �� jjt P �� F', � 29 /g' X4.0 S . Pate C / \ This site plar�Is being submitted for thepurpose of , obtaining a b it g permit and is a true and correct ii �. } representati n'b the proposal.All known propertyii o lines/dimensions,curb Ines.structures and easemen �'�� have been identified Also ad;cated are wetlands, ADDRESS bodies of w. : , .teep s c:Es or o' er critical areas. ZONE' :. :` �= - .. 9LYa Sned: ��ONT PAN IN 3" pate: -... y.. - COMMENTS r �: . � s� 1' tau! �D / _ h r � sa �2g , 63 FT DF ?tiE /vZ%?,9`� c, //5-Ard,P\19/1/ Dle- P ScJ Ft je( FT G F E 7.5' 7"::.--\F w g ,2 2 LF-- i THE 5 iF 7-47&'-/- <5 l 1 _ D.€5 PLOT. PL iN ' IyFk VIRGIN/,¢ j6NN SoW 10 ::: 2a ' • i d/^ a