2001, 06-21 Permit App: 01004930 Deck Project Number: 01004930 Inv: 1 Application Date: 6/21/01 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: REBUILD DECK(PORTION COVERED) Contact: C W BUILDERS
Address: 415 MISTY MEADOW LN
C-S-Z: ATHOL,ID 83801
Setbacks:Front Left: 20 Right: 20 Rear: 25 Phone: (208)683-4089
Group Name:
Site Information: Project Name:
Plat Key: 004092 Name: SUMMERFIELD EAST 1ST ADD District: H
Parcel Number: 46354.2812 Block: 8 Lot: 12
SiteAddress: 14823 E SUMMERFIELD CT Owner:Name: GOTT,ROBERT
SPOKANE,WA 99216 Address: 14823 E SUMMERFIELD CT
Location::SPO SPOKANE,WA 99216
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 10,258 Sq Ft Width: 90 Depth: 115 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: .,n7,
•
Department Review Released, — v
BUILDING Site Plan Review .
Hold Reasons:
Permit Conditions:
BUILDING Plan Review Released —
Hold Reasons:
Permit Conditions:
HEALTHDISTRICT Septic System Review Released By: 2.1
Hold Reasons:
Permit Conditions: ,F_K/S4n
Permits:
Project Number: 01004930 Inv: 1 Application Date: 6/21/01 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: C W BUILDERS INC Firm: DOUG HUFFMAN/C W BUILDERS
Address: 415 MISTY MEADOW LN Phone: (208)683-4809
ATHOL,ID 83801
Building Characteristics
Const Category: Addition Group:R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: E
Req Parking: Handicap Parking: Critical Materials:
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
COV DECK R-3 VN 216 $2,043.36 216 $2,043.36
DECK R-3 VN 308 $2,266.88 308 $2,266.88
Totals: 524 $4,310.24 524 $4,310.24
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $100.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $22.11
Permit Total Fees: $127.11
Payment Summary: , ..
w r�W
Operator: JAS Printed By: JAS Print Date: 6/21/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $127.11 $127.11 $0.00 $127.11
$127.11 $127.11 $0.00 $127.11
Notes:
SPECIAL LOT FEE OF$168.00 PLUS 9%PER'ANNUM TO BE
SUBMITTED FOR EAST VALLEY SCHOOL DISTRICT PRIOR TO
ISSUANCE OF PERMITS BUILDING PERMITS
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675
SPOKANE CouNry
SPECIFIC SITE INFORMATION
Street Address: t4 IAA t
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: 13U /✓ L k ST)J1,6-- " ' ' "o k 4
Pl Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water Distnct/Purveyor. Sewer District/Purveyor Road width Setbacks
Front Rear.
School District Fire District Zoning
Left: Right
OWNER/APPLICANT INFORMATION
El Indicate mho should he contacted regarding this project
Phone: (;r 16 � � ❑ Plicant: Phone: v �
El Owner: Ph `♦!a1 r n 9 i{�,r� `^,L
8
Fax: V I LOL-7 ax:1'
�J/�' Madin,Add ess:
Mailing Add css '^ t.^, may{ zio Madin,
t gn {LsUctf2J Liu
1Y. 5 �UV V I Y VI� l�P (:in,Snate,Zip
Ott;..State,Zip 41)L 4,o i 60
Phone i Phone
❑ (� ntractor Pt)kfebi
❑ Architect/1';nbnncer
'EC)( 1) a Fax
Math aiddts k t s-c (e JhcoLu bk-) Mailing address
Cit tate%�1 City,State Zip
16
W.A,[ Contras r license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
Dimensions Total habitable space 2nd floor sq.ft. finished basement sq.ft.
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project I[eat source(electric,gas,etc.)
Manufactured Home Sign
Width: Length: What is the square footage of the sign 1 low 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 Fireworks display
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
Firm Name Phone Plans Examiner Phone
hone
Inspectors: Address
Inspector Phone
O Concrete 0 Welding 0 Bolting 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes O No What is the current property size?
If yes,identif on site plan (square feet or acres)
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
Thies,identz,on site plan O Yes 0 No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes O No
O Don't know 0 Yes 0 No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifj,es,identify on site plan If yes.identib,on the site plan 0 Yes 0 No
0 Maybe 0 Don't know 0 Yes 0 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,identifi,on site plan 0 Yes 0' No l- 0 Yes 0 No
Are there slopes greater than 30°on the property?(30 ft rise m 100 ft}. Are critical or hazardous materials used or stored on site?
( O Yes 0 No: 0 Yes 0 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? r 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 `O No
0 Yes `;`0"No
Is the property inside the PSSA? 0 Yes• 0`N'OIs the property located within 1000 feet of a Natural Resource.Area?
OYes 0 N
Date Itccci,cd: Staff Representative:. - -
METHOD OF PAYMENT
VISA . 4t[= SUBTOTAL
❑ CASH ❑ cl ck ❑ _ E. .5 ❑ ❑ �.
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRI?S:
TOTAL FEE
B.ANKC.ARD NtIMBI.R:
MINIMUM PERMIT FEE IS 335.001'LE\Sha
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SCALE: APPROVED By:
DRAWN BY
DATE: REVISED
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