2002, 02-08 Permit App: 02000768 ShopProject Number: 02000768 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/8/02 Page 1 of 2
Project Information:
Permit Use: SHOP (32 X 48 X 14)
Setbacks: Front
Site Information:
tTA, V,WAKE1%,",,
Contact: PISK, DONALD
Address: 4137 S SUNDOWN DR
C - S - Z: SPOKANE, WA 99206
Left: Right: 20 Rear: 15 Phone: (509) 927-5886
Group Name:
Project Name:
Plat Key: 000875 Name: FOREST MEADOW ADD
District:
Parcel Number: 45333.0207
Block:
SiteAddress: 4137 S SUNDOWN DR
SPOKANE, WA 99206
Location:: SPO
Zoning: UR -33
Water District:
Urban Residential 3.5
Lot:
Owner: Name: PISK, DONALD
Address: 4137 S SUNDOWN DR
SPOKANE, WA 99206
Hold: LI
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
S4ti System
eview
4.040...,
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V4IWNCOMMT
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Landuse/Zoning
Permits:
Release
Released By:
6,004.414S4um.
1
)6it-tper FVeJ11,1
0
1,
24‘4 //La. , Released By:
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WWI' >AP ,460
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Of kW
Operator: JAS Printed By: JAS
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Print Date: 2/8/02
02,
Project Number: 02000768 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/8/02 Page 2 of 2
Building Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000, 00 000000
Building Characteristics
Const Category: New Group: U-1 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: 20
Bldg W x D: 32 x 48 Building Sq Ft: 1536 Sprinklers: 0
Req Parking: Handicap Parking: Critical Materials: 0
Description Grp Type Notes
STORAGE U-1 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes: P9141BEMEREN11P111^011111g41MUM11101E411d1ff11111111111111111114111111
Payment Summary:.��
Permit Type
Building Permit
11
Stories: 1
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,536 $18,432.00 1,536 $18,432.00
Totals: 1,536 $18,432.00 1,536 $18,432.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Fee Amount
$340.61
Permit Total Fees:
Invoice Amount
$340.61
$340.61 $340.61
Fee Amount
$275.50
$4.50
$60.61
Amount Paid
$0.00
$0.00
$340.61
Amount Owing
$340.61
$340.61
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:
2/8/02
SPOKE 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:
5 "r737 S4/A/aiex4/1 D� .
Assessor's Tax Parcel Number(s):
L/S 3; 3: 6,a07
Legal Description:
Project Description: S,G/'
D Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Homc Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
Water District/Purveyor.
Sewer District/Purveyor
Road width
Setbacks.
Front Rear.
Left: Right.
School Distnct
elS
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
El Indirule who .should he ,onluded re2urdin2 this proied
'Owner: N
&Mkt) I? K
Building height to peak
19ryt
Phone: 9 g 7_68d &
fax:
❑ Applicant:
Phone:
Fax:
Mailing Address:
S. L7 s,>/./00i,./A 4e .
Total habitable space
2'd floor sq. ft.
Mailing Address:
Occupancy group
City, State, Zip
- p4rtwE W.-- `i'.2.0
&
Deck sq. ft.
City, State, Zip
I Icat source (electric, gas, etc.)
biapa-Xle
❑ Contractor
Phone❑
Fax
Architect/tga
•:nnccr
Phone
Fax
Mailing address
Mailing address
Cin, State lip
City, State Zip
WA State Contractor license t
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
19ryt
# of stones
Hain floor sq. ft.
Unfinished basement sq. ft.
Dimensions
Total habitable space
2'd floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction hype
Garage sq. ft.
/5,34,
Deck sq. ft.
Cost nt project
'4 /3, oLO'
I Icat source (electric, gas, etc.)
biapa-Xle
Manufactured Home
Sign
Width:
Length:
What is the square footage of the sign
face?
}low high is the sign?
Year:
Make:
# of signs
Area of existing signs
Fireworks display
.Are or will there be wells located on the property?
If per, identify 011 the site plan 0 Ycs f3 No
Address
Proposed use
Relocation
Fire Safety
Firm Name
Is any part of the property within 250 feet of a shor • ine?
If j�es, identi fp on site plan O Ycs No
Previous address
What is the current use of this property?
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
.Are or will there be wells located on the property?
If per, identify 011 the site plan 0 Ycs f3 No
Address
Proposed use
Value
0)
Are critical or hazardous materials used or stored on site?
0 Ycs CeNo
Special Inspections Required?
; Non -Residential Energy Code Compliance?
Firm Name
Is any part of the property within 250 feet of a shor • ine?
If j�es, identi fp on site plan O Ycs No
Phone
What is the current use of this property?
Plans I•:aminer
Phone
Inspectors:
Is any part of the property within a 100 yr flood plain?
Ifyes, pea, identify an site plan
,,,/
0 Maybe 0 Don't know L10 Ycs 0 No
.Are or will there be wells located on the property?
If per, identify 011 the site plan 0 Ycs f3 No
Address
Is there evidence of 011 or excavation on the property?
0 Ycs g No
Are there slopes greater than 30°% on the property? (30 0 rise in 100
( °%) 0 Ycs 171" -No
0)
Are critical or hazardous materials used or stored on site?
0 Ycs CeNo
Inspector
Phone
0 Concrete
0 Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 11 Yes O No
Ifjres, ident, on site plan I(tlaSC
Is public sewer available to the site? 0 Yes No
What is the current property size?
(square feet or acres) /j 5'0O Sc? i7• /90X 12V
Is any part of the property within 250 feet of a shor • ine?
If j�es, identi fp on site plan O Ycs No
Is the property inside the PSSA? Yes 0 No
What is the current use of this property?
Is your property in a designated wildlife habitat arca?
O Don't know O Ycs O No
Staff RetiescnJ,iwc"y
R7
Will the site be served by a septic system? O Ycs LZJ No
Is any part of the property within a 100 yr flood plain?
Ifyes, pea, identify an site plan
,,,/
0 Maybe 0 Don't know L10 Ycs 0 No
.Are or will there be wells located on the property?
If per, identify 011 the site plan 0 Ycs f3 No
,Arc there any wetlands, streams or ponds within 200,feel of the property?
Ilyes, identi,5' on site plan 0 Ycs No
Is there evidence of 011 or excavation on the property?
0 Ycs g No
Are there slopes greater than 30°% on the property? (30 0 rise in 100
( °%) 0 Ycs 171" -No
0)
Are critical or hazardous materials used or stored on site?
0 Ycs CeNo
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
0 Yes No
Is public sewer available to the site? 0 Yes No
Is the property inside the ASA? ‘,0,./Yes 0 No
Ycs 0 No
Is public water available to the site? X.Yes 0 No
Is the property inside the PSSA? Yes 0 No
Is the pc located within 1000 feet of a Natural Resource Area?
0 Ycs No
Date Received:
CID
Staff RetiescnJ,iwc"y
r-
METHOD OF PAYMENT
0 (=ASH
1
ci
VISA
MEM
❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I{X1'IRI:S:
B.\NkC:\RD NUNIBNR:
AU'I I IOR1"/.I.D S1GN:V1•U12I.1:
St:B.11) I .\l.
TOTAL FEE
MINIMUM PERMIT FEE 15 535.001'] l?: \SE
MAKE CHECKS PAYABLE 10 SPOKANE
COUNTY PI Awn CENTER
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