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2002, 01-28 Permit App: 02000499 Addition Project Number: 02000499 Inv: 1 `Application Date: 1/28/02 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: DECK ADDITION TO UPPER LEVEL OF DUPL Contact: SIMON WAY&COMPANY • Address: 504 E JOSEPH AVE C- S-Z: SPOKANE WA 99207 Setbacks: Front Left: Right: Rear: 70+ Phone: (509)482-0452 Group Name: Site Information: Project Name: Plat Key: 001344 Name: JONES-SHAFFER SUB.TR.21 OPP District: F Parcel Number: 45172.0828 Block: Lot: SiteAddress: 1222 N STOUT RD Owner:Name: SPEIGHT,LARRY SPOKANE,WA USA 99212 Address: 17370 SW EDY RD Location::SPO SHERWOOD,OR 97140-8709 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 9,520 Sq Ft Width: 70 Depth: 136 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 2 Review Information: Review Site Plan Review Released B�,•_-- t Plan Review Released By: ,_ ()D Septic System Review .Released By /A JJ / e 'L _��c, it7 Perm its: Operator: JAS Printed By: JAS Print Date: 1/28/02 Project Number: 02000499 Inv: 1 Application Date: 1/28/02 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: SIMON WAY& COMPANY Firm: SIMON WAY& COMPANY Address: 504 E JOSEPH AVE Phone: (509)879-6955 SPOKANE,WA 99207 Building Characteristics Const Category: Addition Group:R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: Stories: Bldg W x D: 12 x 12 Building Sq Ft: 144 Sprinklers: —i Req Parking: Handicap Parking: Critical Materials: E This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation DECK R-3 VN 144 $1,059.84 144 $1,059.84 Totals: 144 $1,059.84 144 $1,059.84 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $38.50 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $8.47 Permit Total Fees: $51.47 Notes: Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $51.47 $51.47 $0.00 $51.47 $51.47 $51.47 $0.00 $51.47 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 approval of,any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: JAS Printed By: JAS Print Date: 1/28/02 t PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE "ilk SPOKANE,WA 99260 111- 509-477-3675 SPox Cowry SPECIFIC SITE INFORMATION Street Address: I 2 2-2- Alp � 1 -)a-sreorV i Assessor's Tax Parcel Number(s): i j Legal Description: `-� (O-q liS 12- Project Description: GV i /..:0c:_A 73 0 E f C* 0 ;J 11-, Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other Department Use Only Water District/Purveyor. Sewer District/Purveyor Road width Setbacks Front Rear. School District Fire District Zoning Left: Right Ca OWNER/APPLICANT INFORMATION /4 LI,..-S (iv a�,-Vit"-''`'' (zi Indicate wits rbould be con/ad nGarding Ibis prage,Y eei /� 1 . PPh nc f i '‘i 69�IC APPIiPhonr.2./ j �/ 6( ("k").\-- Pae4-,e -L4-5 2 Mailing Address: \failing Address: �CO E AbS 122.2 ilk, S7-0V i o .?- i Cite,State,tip Cin,State,tip Contrelf' ivutzy �.r Phone 7/ (71i E Architect Phone lni 1-1 C. Fa> LP-82 Tel Iax Mailing address ., Mailing address ' h vitt,State rip City,State tip <3a0A-.-< -; .6-. k iA cf q2 67 \S A State Contractoy license# Contact name: 3( MC©.2 C b7 PROJECT INFORMATION Building Information Buily�mg height to peak ° r I #of stories Main floor 8.6 Unfinished basement sq.ft. neKbx 17 i Dimensions 'l'o h bitable space / f 2"d floor sq.ft. Ct tshed basement sq.ft. tiot Occupancy group Construction Ppe' Garage sq.ft. Dick sq.ft. Cost of project I Teat source(electric,gas,etc.) n V:(614/1„) ,fies_s_{ /2-2 o A1 , 50-071— Manufactured Home .:'Sign` Width: Length: What is the square footage of the sign Ilow 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 Pireworks display Proposed use Value Special InspectionsRequired? Non-Residential Energy Code Compliance? Firm Name Phone flans Examiner Phone Inspectors: Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? 1sYes O No What is the current property size? / 0 If yes,identi 'on site plan (square feet or acres) �0 K Is any part of the property within 250 feet of a s oreline? What is the current use of this property? If yes,identi on site plan O Yes ,No Is your property in a designated wildlife habitat area? , Will the site be served by a septic system?O Yes X No 0 Don't know 0 YesNo Is any part of the property within a 100 yr flood pia ? Are or will there be wells located on the property If yes,identi:on site plan If yes,ident/,on the site plan 0 Yes Al No 0 Maybe 0 Don't know 0 Yes No Are there any wetlands,streams or ponds within 00,,feet of the property? Is there evidence of fill or excavation on the property? Ifyes,identi,on site plan 0 Yes No O Yes j&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? ( /%) 0 Yes No 0 Yes No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes t No O Yes No .><Y, Is the property inside the ASA? X Yes No Is public water available to the site? lc'Yes 0 No Yes 0 No / l Is the property inside the PSSA? Yes 0 No Is the pre located within 1000 feet of a Natural Resource Area? 1 Yes 'o Date llate Ncccivcd: Staff Rcprescnta t-c: METHOD OF PAYMENT IIt ltif SUB'I'O"I':'U. ❑ CAS!1 ❑ Cl FCK 0 . 0 0 FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD ll:\'1'!?: 1:\lslRl:S TOTAL FEE BANK(.:UtD NUI\IB!'.IZ: MINIMUM PERMIT FEE IS$35.00PI.E,ISF :MAKE CHECKS PAYABLE TO SPOKANE AUTI l lORIz1'1D SIGN A'I'UKlU: COUNTY PERMIT CENTER _...._ 7 _ .. ... . i . c.,) t , , ,._ ROAD ",,„ FR 'DTI-4 - Co °IV MmENTS REV/Ev, Pi z -ED ; —NKI G • , 7 - 0. 4.... 11111W 74tPziar 4 F • Aft.....a_A fp/2- 1 , •,',, I ff---b-16)0 f .4 14-0 / , , 11 , k , ....... P ..„--,-------- reS)k I..-Cki NIG- t4 icvik...—s PM , Cifts1 <ROM.** LIMP / / / )0 t 414:. ..1. " 1 g.' 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