2001, 02-23 Permit App: 01001018 GarageProject Number: 01001018 Inv: 1
Application
•
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/23/01 Page 1 of 2
Project Information:
Permit Use: ATTACHED GARAGE (30 X 40 X 10)
Setbacks: Front
Left: 6.5 Right: Rear:
Site Information:
Plat Key: 005421 Name: CANAL ADDITION
Contact: NILLES, RANDY
Address: 18014 E SPRINGFIELD AVE
C - S - Z: GREENACRES WA 99016
Phone: (509) 928-4231
Group Name:
Project Name:
District:
G
Parcel Number: 551843703 Block: 2
SiteAddress: 18014 E SPRINGFIELD AVE
GREENACRES, WA 99016
Location:: GRE
Zoning: UR 3.5
Water District:
Lot: 3
Owner: Name: NILLES, RANDY
Address: 18014 E SPRINGFIELD AVE
GREENACRES WA 99016
Hold: ❑
Area: 0 Sq Ft Width: 80 Depth: 144 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:efte.invv:vmaggstraemm
Department
BUILDING
Hold Reasons:
Permit Conditions:
Review
Site Plan Review
BUILDING Plan Review
Hold Reasons:
t Conditions:
HE HDISTRICT) Septic System Review
Hold Reasons:
Permit Conditions: QL- Z
Permits:
eleased By:
L
Rao( p
-6
-01
Project Number: 01001018 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/23/01 Page 2 of 2
Building Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000, 00 000000
Const Category:
Nbr Of Dwellings:
Bldg W x D: 30
Req Parking:
Description
GARAGE
Building Characteristics
Addition Group: U-1 Type: VN
Occupant Load: Building Height: Stories: 1
x 40 Building Sq Ft: 1200 Sprinklers: [l]Handicap Parking: Critical Materials: 0
This Application: Total Project:
Sq Ft Valuation Su Ft Valuation
1,200 $14,400.00 1,200 $14,400.00
Grp Type Notes
U-1 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Payment Summary:
Operator: JAS
Permit Type
Building Permit
Notes:
Totals: 1,200 $14,400.00 1,200 $14,400.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Printed By: JAS
Permit Total Fees:
Print Date:
Fee Amount Invoice Amount
$279.61 $279.61
$279.61
$279.61
Fee Amount
$225.50
$4.50
$49.61
Amount Paid
$0.00
$279.61
2/23/01
Amount Owing
$279.61
$0.00
WATER DISTRICT APPROVAL REQUIRED FIRE DISTRICT APPROVAL
REQUIRED
$279.61
I dc I
AAL
SPOIW COUINFY
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: nolo C We__,\_\e_t Q- Q2_,PC S W qqo( (P
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: c",.v i\ d p` jC J n y °' tF4q—PA'C ►kL- CMZ C-�. 41" S�
Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
OWNER/APPLICANT INFORMATION
0 Indicate who should be contacted reuardinx this project
‘70—Owner:
4 OU IV 1 LLE
Phone: gag z. --/z„3 %
Fax:
❑ Applicant:
''L.__
Phone:
Fax:
Mailing Address:
Main floor sq. ft.
1 2-G t7
Mailing Address:
Dimensions
. � 'x 40 '
City, State, Zip
P --(2-3L-1 S ()3\c
Cr b l 4(D
City, State, Zip
,-,..._c__-
Occupancy group
❑ Contractor
Phone
Fax
0 Architect/Engineer
Phone
Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
WA State Contractor license #
Contact name:
PROTECT INFORMATION
+3 s.£EyOs,kJ
;Sy"g4+mro ^yA'�@ ®�
y.S4Y�.. .F". 5Yi ,yy 'y�3S^3.}:
A o...�. ARF .f z''w�. '�.;�., k. .. se<.r._. e .0-
0
Building height to peak
# of stories
Main floor sq. ft.
1 2-G t7
Unfinished basement sq. ft.
Dimensions
. � 'x 40 '
Total habitable space
2'd floor sq. ft.
Finished basement sq. h.
Occupancy group
Construction type
Garage sq. ft.
' C.
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc.)
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs
Area of existing signs
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
Proposed use
Value
Firm Name
Phone
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
O Concrete 0 Welding 0 Bolting 0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? .Q. Yes 0 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?
If yes, ident z on site plan 0 Yes [Io
What is the current use of this property?
Q0 5 (..lct41 ct-f)
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes No
Will the site be served by a septic system?4. Yes 0 No
Is any part of the property within a 100 yr flood plain?
If yes, ident i on site plan
O Maybe 0 Don't know 0 Yes No
Are or will there be wells located on the property?
If yes, identih on the site plan 0 Yes KNo
Are there any wetlands, streams or ponds within 2 feet of the
property?
lfyes, identf on site plan 0 Yes ci( No
Is there evidence of fill or excavation on the property?
0 Yes tlf, No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(/ %) 0 Yes A No
Are critical or hazardous materials used or stored on site?
0 Yes i_No
DEPARTMENT USE ONLY
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
❑ CASH ❑ CHECK ❑IMMO D :f El
FAXED PERMITS WILL ONLY BE ACEPTED 'WITH PAYMENT OF A MAJOR CREDIT CARD
DATE:
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
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