2001, 04-30 Permit App: 01002992 Relocate ResidenceProject Number: 01002992 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/30/01 Page 1 of 3
Project Information: _.M0-4 },
Permit Use: RELOCATE RESIDENCE ON PARTIAL Contact: LEV 0, TERRY
BASEMENT Address: 4308 S. WOODRUFF RD
C - S - Z: SPOKANE, WA 99206-3369
Setbacks: Front 33 Left: 15 Right: 15 Rear: 20+ Phone: (509) 230-1164
Group Name:
Site Information: Project Name:
Plat Key: 002083 Name: PONDEROSA 2ND ADD
District: F
Parcel Number: 45321.1114 Block: 4
SiteAddress: 3919 S SUNDOWN DR
SPOKANE, WA USA 00000
Location:: SPO
Lot: 1
Owner: Name: LEV/NO, TERRY
Address: 4308 S. WOODRUFF RD
SPOKANE, WA 99206-3369
Zoning: UR -3.5 Urban Residential 3:5
Water District: Hold: ❑
Depth: 144 Right Of Way (ft): 60
Area: .00 Acres Width: 129
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department
BUILDING
Review
Site Plan Review
dReasoys __Fik N6 `JT 5�7
Permit Conditions: ,4Ar: s /is" 4 deg +
BUILDING
Hold Reasons:
Permit Conditions:
ENGINEER
Plan Review
Approach / Drainage
Permit Conditions:
BUILDING
easons•
Permit Conditions:
UTILITIES
- FA A_ a i3
Special Reviews
Released By:
Released By:
_?gam-£LocRT10KL
Sewer Review- R.eleased`By:
1dReasopsz' t,l,[(C,jTIES eotkr D99
Permit Conditions: LiJnrLLj (4) :-TL 10k- Zo 15' -L / 4` 30.01
Project Number: 01002992 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/30/01
PLANNING
Permits:
Permit Conditions:
Landuse/Zoning
Released By:
A�.,E-1-5_�!� _ S • Gam—
4111P! 4117
illr/Me ' • ,l
Page 2 of 3
Contractor: OWNER
Address: 0
000000, 00 000000
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 18 Stories:
Bldg W x D: x Building Sq Ft: 2545 Sprinklers: ❑
Req Parking: 0 Handicap Parking: 0 Critical Materials: 0
This Application: Total Project:
Description Grp Type Notes Sa Ft Valuation Sa Ft Valuation
BASEMENT F R-3 VN 735 $11,583.60 735 $11,583.60
FOUNDATION R-3 VN 1,633 $3,266.00 1,633 $3,266.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 2,368 $14,849.60 2,368 $14,849.60
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Mechanical Permit
Contractor: OWNER Firm: OWNER
Address: 0
000000, 00 000000
Item Description
GAS WATER HEATER
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
Fee Amount
$225.50
$4.50
$49.61
$279.61
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
4 # OF UNITS
2 NUMBER OF
1 NUMBER OF
Fee Amount
$10.00
$4.00
$20.00
$10.00
Permit Total Fees: $44.00
Project Number: 01002992 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4130/01 Page 3 of 3
Plumbing Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000, 00 000000
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 1 NUMBER OF $6.00
SINKS 1 NUMBER OF $6.00
SHOWERS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
FLOOR DRAINS 1 NUMBER OF $6.00
MINIMUM FEE ADJUSTMENT 1 Select $5.00
Contractor: OWNER
Address: 0 Phone: (000) 000-0000
000000, 00 000000
Permit Total Fees: $35.00
Relocation Permit
Firm: OWNER
Item Description
RELOCATION INSPECTION
Payment Summary:
Operator: RMB
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Relocation Permit
Notes • . 4A
Units Unit Desc
1 NUMBER OF
Printed By: RMB
Fee Amount
$279.61
$44.00
$35.00
$50.00
Permit Total Fees:
Print Date:
Invoice Amount
$279.61
$44.00
$35.00
$ 50.00
$408.61
$408.61
Fee Amount
$50.00
$50.00
4/30/01
Amount Paid
$0.00
$0.00
$0.00
$0.00
$0.00
Amount Owing
$279.61
$44.00
$35.00
$50.00
$408.61
i t
1111
SPOT COMFY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
39, I SPECIFIC SITE INVORM.ATION
Street Address: -:*(A144419
*(A144 19 e's ��� l a. �,2
Assessor's Tax Parcel Numbers
���
<Vs3z l • 4/
L 4;124 0IAb /°1 -iv off' 17 / 6/,' y zj/SeyoAeheic
Project Description: /11Q176-'
0 Building Permit
%Relocation
O Change in Use
O Grading
O Manufactured Home Permit
O Sign
O Tenant (New/Change)
O Other
OWNER/APPLICANT INFORMATION
Indicate wbo show d be contacted regarding th s project
rT Owner:
/ / '//�
�L �, A L. 8(/N!/
Phone: 4? 0- H 7
Fax:
�p-pj�n ea aW^'L / 9� IIY�
6 / Phone:
��c t_ e074/4418C_
/C /C%/�`7G �/� Fax:
Mailing Addr ss:
S/.tad7 j �Jo 'd a
,��
Mailing Address:
/y 7 q
e:
/, eildri;v0/
City, State,Zi Dp Ala •
/G 0,
City, St Zip.
!moi
% �L � t/
0 Contractor �-^
Phone
❑ Architect/Engineer
Phone
Fax
Mailing address
Mailing address
Ciry, State Zip
City, State Zip
WA State Contractor license M
Contact name:
Building height to peak
/?
PROJECT INFORMATION
M of stories
• lE1/e/
Main floor sq. ft.
/0 7s'
Unfinished basement sq. ft.
Dimensions
Total habitable space
2S-415--
2" floor sq. ft.
73S -
Finished basemen ft.
Occupancy group
Construction type
t!�ODa
Garage sq. ft. /2
Deck sq. ft. j:),v
Cost of project
Heat source e r as, etc)
A,..( il6"/e&
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs
Area of existing signs
0 Concrete 0 Welding 0 Bolting 0 Reinforcement
A DM
Are there structures on the property? 0 Yes *No
If yes, ident on site plan
What is the current properly size?
(square feet or acres) �i feeS, ii
Is any part of the property within 250 feet of a shore e?
Ifyes, identify on site plan 0 Yes A No
What is the current use of this property?
5 '
Is your property in a designated wildlife habitat ar a?
0 Don't know 0 Yes No
Will the site be served by a septic system? 0 Yes *No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
0 Maybe 0 Don't know 0 Yes 'No
Are or will there be wells located on the property?
If yes, ident f on the site plan 0 Yes f No
.,
Are there any wetlands, streams or ponds within 200 feet of the
property?
Ifyes, identf on site plan 0 Yes ,k1 No
Is there evidence of fill or excavation on the property?
0 Yes , ( No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( / %) 0 Yes WNo
Are critical or hazardous materials used or stored on sits?
0 Yes No
DEPARTMENT USE ONLY
Date Received
Staff Representative:
METHOD OF PAYMENT
y� 1154❑ CASH I CHECK ❑ =MB❑
iNTCOVE
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE,
BANKCARD NUMBER:
EXPIRES:
AUTHORIZED SIGNATURE
SUBTOTAL
r
�3? .....
0 "
Att7YlM(!MP.t;RAWI.: IS ip' A '
$Et C3AtiYP RM!t eEA)� A
Sea/( Zz . /J .1`,/
"%i'eoXf/// c S9. //,70.°
Terry Levno
4308 S Woodruff Rd
Spokane, WA 99206-9666
if
e
ADDRESS-3q1)I &JAACt19k12--
ZONE WIZ— 3 S
ROAD WIDTh, 6'V
FRONT a.).3
COMMENT
REVIEWED BY
5/
nZS site plan Is `ti , `U�TE.d r. _ h
:'OSB of
obtain r-^ a hri d;-ig pe: c, t and is a tri:_: and correct
representation of the proposal. All known property
iinesidimensions, curb !fines. structures and easements
have been identified. Also indicate are wetlands,
bodies or watery52esp er critical areas.
Signed, . ,...2/
Oat__