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2001, 06-19 Permit App: 01004832 Addition GarageProject Number: 01004832 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/19/2001 Page 1 of 2 Project Information: Permit Use: 13 X 24 ADDITION TO ATTACHED GARAGE Setbacks: Front 45 Left: 13 Right: EX Rear: 50+ Site Information: ...................... ...................... ....................... Plat Key: 002764 Name: VERADALE HEIGHTS 02ND Contact: STACH, JOHN S & LINDA L Address: 14106 E SPRINGFIELD AVE C - S - Z: SPOKANE, WA 99216-2053 Phone: (509) 922-8811 Group Name: Project Name: District: F Parcel Number: 45143.1130 Block: SiteAddress: 14106 E SPRINGFIELD AVE SPOKANE, WA USA 00000 Location:: SPO Zoning: UR -3.5 Water District: Area: 13,797 Sq Ft Nbr of Bldgs: 1 Urban Residential 3.5 Lot: Owner: Name: STACH, JOHN S & LINDA L Address: 14106 E SPRINGFIELD AVE SPOKANE, WA 99216-2053 Hold: ❑ Width: 101 Depth: 141 Right Of Way (ft): 50 Nbr of Dwellings: 1 Department BUILDING Hold Reasons: Permit Conditions: Review Site Plan Review BUILDING Plan Review Hold Reasons: Permit Conditions: Releas .............. 2M q( Z HEALTHDISTRICT Septic System Review Hold Reasons: Permit Conditions: Released: By Project Number: 01004832 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/19/2001 Page 2 of 2 Contractor: OWNER Address: 0 000000, 00 000000 Const Category: New Nbr Of Dwellings: Bldg W x D: 13 x Req Parking: Description GARAGE Building Permit Firm: OWNER Phone: (000) 000-0000 Building Characteristics Group: U-1 Type: VN 1 Occupant Load: 0 Building Height: 15 Stories: 1 24 Building Sq Ft: 312 Sprinklers: ❑ 0 Handicap Parking: 0 Critical Materials: 0 This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 312 $3,744.00 312 $3,744.00 Grp Type Notes U-1 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Operator: RMB Permit Type Building Permit Notes: Totals: 312 $3,744.00 312 $3,744.00 Units Unit Desc Fee Amount 1 Y OR BLANK $88.00 1 Y OR BLANK $4.50 1 YORBLANK $19.36 Printed By: RMB Permit Total Fees: $111.86 Print Date: 6/19/2001 Fee Amount Invoice Amount Amount Paid Amount Owing $111.86 $111.86 $111.86 $111.86 $0.00 $111.86 $0.00 $111.86 SPOKANT COUNTY PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: ope4. 5r 3 Assessors Tax Parcel Number(s): Legal Description: 1/_ RR, I 7(s �,''' 1 1 3 Project Description: )(Building Permit ❑ Change in Use 11 Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other Department Use Only Water District/Purveyor. Sewer District/Purveyor Road width Setbacks Front Rear. Left Right: School District Fire District: Zoning OWNER/APPLICANT INFORMATION Indicate :rho should be r ontaded ,rea>zli,o ibis prnjrrt {ll Owner -Tit, J.; 17,..2 5 !r Phone: 9a . • c g)) / ,..ax: ❑ Applicant: 5)F/V.E Phone I as: Mailing Address:[� /�-/o 5r» )ryt2�1' Main hoar sq. ft. 311 Mailing Address: Dimensions lax 2.Y City, State, Zip 5i3O lctt ,,, £ 'y✓g l I `l 1. Cite, State, Zip Finished basement sy. R. CI Contractor Phone Ias iln ❑ Archi[cct"linnccr Phone las Mailing address Cost of project / Mailing address I kat source (electric, gas, etc.) City, State Zip City, State Zip VCA State Contractor license # Contact name: PROTECT INFORMATION Building Information Building height to peak 15' # of stories ��...- Main hoar sq. ft. 311 Unfinished basement sy. ft. Dimensions lax 2.Y Total habitable space — 2'>1 door sy. ft. -- Finished basement sy. R. Occupancy group Construction t -pc 2k y .�� t>ze i',.'-' Garage sq. ft. 3 i) - Deck sq. 11. Cost of project / J 1 ,r60 I kat source (electric, gas, etc.) Manufactured Home , Sign' Width: 1,ength: What is the square footage of the sign face? I low high is the sign? Year: _Make: # of signs Area of existing signs Fireworks display Are critical or hazardous materials used or stored on site? O Yes O No Address Proposed use Relocation Fire Safety firm Name What is the current use of this property? Previous address Will the site be served by a septic system? O Yes O No Paint booth Fire Sprinkler "Tent Fire Alarm Fireworks display Are critical or hazardous materials used or stored on site? O Yes O No Address Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? firm Name What is the current use of this property? Phone Will the site be served by a septic system? O Yes O No Plans I,xaminer Phone Inspectors: Is there evidence of fill or excavation on the property? O Yes O No Are there slopes greater than 30°% on the property? (30 ft rise in 100 ft) ( %) O Yes O No Are critical or hazardous materials used or stored on site? O Yes O No Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes D No If yes, identify 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? I fyes, ident our site plan O Yes O No What is the current use of this property? Is your property in a designated wildlife habitat area? O Don't know O Yes O No Will the site be served by a septic system? O Yes O No Is any part of the property within a 100 yr flood plain? If yes, identq5' on site plan O ;Maybe O Don't know O Yes O No Are or will there be wells located on the property? Ifyes, identifjt our the site plan O Yes O No Are there any wetlands, streams or ponds within 200 feet of the property? $yes, itientilY on site plan O Yes O No Is there evidence of fill or excavation on the property? O Yes O No Are there slopes greater than 30°% on the property? (30 ft rise in 100 ft) ( %) O Yes O No Are critical or hazardous materials used or stored on site? O Yes O No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? OYes 0 N Is public sewer available to the site? O Yes O No Is the property inside the ASA? O Yes O Yes O No O No Is public water available to the site? 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? OYes 0 N Date Received: Staff Representative: METHOD OF PAYMENT ❑ VISA CASI I ❑ CIII(CK *7 :cru FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD 1?XPIRi: : B.ANKC.ARi) NU11BI:R: \DTI TORI/ill)sIC,N.A iI 1RI1: SUBTO T.\]. TOTAL FEE ASE MINIMUM PERMIT FEE IS $35.0011.EASE MAKE CI IECKS PAYABLE 10 SPOKANE COUNTY Y PEIL\i1 l CENTER )' l a6 r, SpRINefiF►t`a This site plan is being submitted for the ptidtabt4 4 L. ; N d A obtaining a building perrnit and is a true and correct �L R ci-p LE r3 a Na c. ! 83 representatimn o ie pWupuaor. lines/dimen4ons curb lines. structures and easements have been ilenti' ;d. Also indicated are wetlands, bodies of wter, • -ep ope r ther c{ ri'tical areas. Signed: ` +%' f/ Date: f it 6°1 �c- 4T Tub ► is- PEw 4PR RIZ 7-P 14101/ - DRI ✓,c ��lPr N Ho ADDRESS E- i‘-gIOb SPAIN 4tt _ ZONE ['Lig -3. S ROAD WIDTH-iS° FRONT 145 FLANKING COMMEN REVIEWED B This site plan is being submitted for the pupdSe©f.` obtaining a building permit and is a true and correct representation of • • • Aif-it®wa-p4e#e4Y- - Iinesidimensions have been igenti bodies of Ater, Signed: Date. curb lines. structures and easements ed. Also indicated are wetlands, eep siopesbr ether itical areas. LAk N 0 ADDRESS - /i410(0 SPAIN&t te-LA ZONE Lh4 -3. S ROAD WIDTH° FRONT 1.45 COMMEN REVIEWED B FLANKING