2003, 03-10 Permit App: 03001468 Residence Project Number: 03001-168 Inv: 1 Application Date: 3/10/2003 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE/ATTACHED GARAGE-ELECTRIC Contact: STRUNK,GENE & TESS
BASEBOARD Address: 12902 E BROADWAY
C - S -Z: SPOKANE,WA 99216
Setbacks: Front 35 Left: 10 Right: 10 Rear: 40 Phone: (509)922-9073
Group Name:
Site Information: Project Name:
Plat Key: Name: District: F
Parcel Number: 45153.0108 Block: Lot:
SiteAddress: 12905 E SPRINGFIELD AVE Owner: Name: STRUNK,GENE &TESS
SPOKANE,WA USA 00000 Address: 12902 E BROADWAY
Location::SPO SPOKANE,WA 99216
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 14,000 Sq Ft Width: 100 Depth: 100 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: .
Review
Site Plan ReviewReleased By: ', ,ff .,t,�
Plan Review Released By:
Approach/Drainage Released By: "j b
Sr" Ito
Sewer w Relea ed By.
:L.�% r (AT(LI CS • 1_ v _ +:-�L� :� , .
Permits:
Operator: RMB Printed By: RMB Print Date: 3/10/2003
Project Number: 03001468 Inv: I Application Date: 3/10/2003 Page 2 of 3
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: New 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:
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 520 $6,240.00 520 $6,240.00
RESIDENCE R-3 VN 1,327 $87,582.00 1,327 $87,582.00
Totals: 1,847 $93,822.00 1,847 $93,822.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $855.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $188.10
Permit Total Fees: $1,047.60
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone:
Item Description Units Unit Desc Fee Amount
VENTILATING FANS 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF $10.00
Permit Total Fees: $40.00
Plumbing Permit
Contractor: OWNER Firm: OWNER
Phone:
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 2 NUMBER OF $12.00
SINKS 4 NUMBER OF $24.00
SHOWERS 2 NUMBER OF $12.00
DISH WASHERS 1 NUMBER OF $6.00
GARBAGE DISPOSAL 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
WATER USING DEVICES 2 NUMBER OF $12.00
Permit Total Fees: $78.00
Operator: RMB Printed By: RMB Print Date: 3/10/2003
•
Project Number: 03001-168 Inv: 1 •
Application Date: 3/10/2003 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 $1,047.60 $1,047.60 $0.00 $1,047.60
Mechanical Permit $40.00 $40.00 $0.00 $40.00
Plumbing Permit $78.00 $78.00 $0.00 $78.00
$1,165.60 $1,165.60 $0.00 $1,165.60
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 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: 3/10/2003
l PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
Aitt
111
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675
SoxSPOKANT COUNTY
SPECIFIC SITE INFORMATION
Street Address: pew SE T, f4c1 Assessors Tax Parcel Nuumber s : 13---„6.7--...9.. 4Vefy
Legal Description: ��A i/�f c j 206n0�Z2d�/�G'�/1/2•df'‘"y����'Z/e=571E
� '
Project Description: U -K..t� I-V' ti'1 tLn
.. (Building Permit ❑ Change in Use El Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign El Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor. Sewer District/Purveyor Road width ) Setbacks
0Front Rear.
////
School District: Fire District Zon1 1/ing: ,(. J
3 1 Lefr. Right
OWNER/APPLICANT INFORMATION
El Indicate who should be contaded regarding this j m,fed
Arm nee Phone R-IPZ 7 /fi� plicant: Phorc9/%�/
Et.ne "I5yri,7,c '5 — z -) C---4-1207,e tvp fes'froom
Mailing Address: Mailing Address:
City,State,7i Cir,State,Zi
❑ Contractor PhoneArchitect/ S Phone
❑ lin necr
Phone.
I•ax
Mailing address Mailing address
Cin,State Zip Cite,State Zip
VA A State Contractor license# Contact name
PROJECT INFORMATION
Building Information
Building height to ptiak #of stories Main floor sq.ft. Unfinished basement sq.ft.
/` / ! / /3Z7
Dimensions Total hay.s ace 2"1 floor sq.ft. Finished basement sq.ft.
Occupancy� groo p �� Construction�jtype Garage sq.ft. �. Deck sq.ft.
,.....6 ..,..,. >
c....
Cost of ojectI feat source(electric,gas,etc.) ii
4 e?V-• � cc�C.....1
Manufactured Home Signs ,
Width: Length: What is the square footage of the sign l low high is the sign?
face?
Year: Make: #of signs Area of existing signs
Relocation Fire Safety
Previous address Fire Sprinkler fent
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
O Concrete O Welding 0 Bolting 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? .''es 0 No What is the current property size?
If yes,identi15,on site plan (square feet or acres) l aes�J
Is any part of the property within 250 feet of a she cli c? What is the current use of this property
Ifje,identiA on site plan 0 Yes o d/j e?f217---.
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes No
0 Don't know 0 Yes No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identib'on site plan If yes,iden4!on the site plan 0 Yes -4-No
0 Maybe 0 Don't know 0 Yes *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,ielenti,b,on site plan 0 Yes Ar No O Yes No
Are there slopes greater than 30°o on the property?(30 ft e in 100 ft) Are critical or hazardous materials used or stored on site!'( %) 0 Yes , No 0 Yes No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Arca? 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
0 Yes 0 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 Represcntatn e:
METHOD OF PAYMENT
� SUBTOTAL
VISA❑ CASA ❑ CIII?CK ❑ ❑ ❑ '-
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
LXPI RI?S: TOTAL FEE
BANKCARD NUMBI.R: MINIMUM PERMIT FEE IS S35.00PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
\UTI TORI%IiD SIGNATURI:: COUNTY PERMIT CENTER
Planning
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represef-JJI,Jn of the pi i ,r.,•:-.,Ii.AU kr :4n i;.roperty
lines/derEions.001 ) ii-i: s Ft-iiIctulics T;rid easements
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ZONE _ j_)x.,.7_3s bodies0' i. = , - eep— sii4w,:.4r Lri, 1 areas.
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SPOKANE VALLEY
NOTICE OF INSPECTION •
PROPERTY ADDRESS:
PROJECT -6 O. —I�
OWNER 1C
CONTRACTOR' 7 iO-005
INSPECTION TYPO-14 .
So IALJ-
STATUS OF WORK LISTED ABOVE:
APPROVED CORRECTIONS
NEEDED
NOTES:
•
BY:
INSPECTOR DATE
QUESTIONS?CALL OUR OFFICE:
BUILDING DIVISION
(509)688-0036
OFFICE INSPECTION LINE(509)688-0054
CALLED IN:
STokane
DTE TIME