2000, 03-30 Permit App: 00002207 Tear Off, Reroof PROJECT APPLICATION - Detail Information
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
1011 SPOKANE,WA 99260
SPoxi CouNIT 509-477-3675
Project Number:
Contractor
Architect /Engineer
Contractor I Architect/Engineer
70 6-t
Phone !Fax Phone
Fax
' c
Mailing address
C) Mailing address
City, tate Zip
WA Stat Contac or license p
(AlA
City,State Zip
pe (rte co,'s-c L n,6 6 Contact name:
Building Information
Building height to peak l#of stories Main floors .ft.
q Ilinfinished bazement sq.ft.
Dimensions ITotal habitable space 2"d floors .ft.
q Finished basement sq.ft.
Occupancy group Construction type YP Garage sq.ft. Deck sq.ft.
Cost of projectDL---7,3„.....7D 4pHeat source(electric,gas,etc.)
Manufactured Home
Sign
Width: Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: #of signs
Area of existing signs
C
Relocation Fire Safety
Previous address
Fire Sprinkler Tent
Paint booth Fire Alarm Fireworks display
Proposed use
Value
Special Inspections Required? I Non-Residential Energy Code Compliance?
Firm Namc Phone Plans Examiner
Phone
Inspectors:
Address
Inspector Pham
0 Concrete 0 Welding O Bolting ] Reinforcement Address
► ► PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
Aia
1026 WEST BROADWAY AVENUE
tQQ� SPOKANE,WA 99260
SPOKARE COUITY 509-477-3675
SPECIFIC SITE INFORMATION
Street Address: 6(2 ( r - u.-(7N z_filt/,)
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: 7ATS /`'c- /6. '[ /2 yam- 4 1,'4/444-Tr-
TYPE OF APPLICATION
rauilding Permit ❑ Grading 0 Manufactured Home Permit
0 Timber Harvest 0 Relocation 0 Change in Use
' ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner. / hone:t4:62. 0 Applicant-. Phone:
` J — Fax:
Mailing Address- Mailing Address:
City,State, ip City,State,Zip
❑ Contact: P:-.one:
El Indicate who should be contacted regarding this project
Fax:
Mailing Address:
City,State,Zip
ADDITIONAL INFORMATION
Are there structures on the property? 0 Yes 0 No What is the current property size?
If yes,identify 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?
If yes,identify on site plan 0 Yes 0 No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes 0 No
0 Don't know 0 Yes ❑ No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
• If yes,identify on site plan If yes,identify on the site plan ❑ Yes Cl No
❑ Maybe 0 Don't know 0 Yes 0 No
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property?
property? 0 Yes 0 No
If yes, !Wen tify on site plan Yes O No
Arc there slopes greater than 30%on :11e property? (30 It rise in 100 ft) Arc critical or hazardous materials used or stored on site?
( '%,) El No 71 Yes El No
r
frojcct Number:
FOR STAFF USE ONLY
Is the property in a designated Stormwater Control Area? Is the property inside a Joint Planning Area?
O Yes 0 No What jurisdiction? 0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
O Yes O No
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource
Area? 0 Yes 0 No
Is public sewer available to the site? 0 Yes 0 No What is the zoning for the property?
School District: Water District/Purveyor: Fire District: Sewer District/Purveyor:
Date Received: Staff Representative:
Comments: