2002, 02-13 Permit App: 02000873 Addition Project Number: 02000873 Inv: 1 Ap�)jlcation Date: 2/13/2002 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 10 X 10 MUD ROOM ADDITION Contact: LOVE,AARON
Address: 4115 S SUNDERLAND DR
C - S -Z: SPOKANE,WA 99206
Setbacks: Front EXI Left: 20+ Right: 20+ Rear: 50+ Phone: (509)892-7691
Group Name:
Site Information: Project Name
Plat Key: 003151 Name: PONDEROSA ACRES 7TH ADD District: F
Parcel Number: 45323.0106 Block: Lot:
SiteAddress: 4115 S SUNDERLAND DR Owner: Name: LOVE,AARON
SPOKANE,WA 99206 Address: 4115 S SUNDERLAND DR
Location::SPO SPOKANE,WA 99206
Zoning: UR-7 Urban Residential-7
Water District: Hold: ❑
Area: 0 Sq Ft Width: 206 Depth: 167 Right Of Way(ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review 1
Site Plan Rev •w leased By: Ai
Plan Review Released By L
Septic System Review Released By: e
rv� J
Permits:
Operator: RMB Printed By: RMB Print Date: 2/13/2002
Project Number: 02000873 Inv: 1 Application Date: 2/13/2002 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit —
-
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000)000-0000
000000,00 000000
Building Characteristics
Const Category: Addition Group: R-3 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 12 Stories: 1
Bldg W x D: 10 x 10 Building Sq Ft: 100 Sprinklers: El
Req Parking: Handicap Parking: Critical Materials:
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RES ADD R-3 VN 100 $6,200.00 100 $6,200.00
Totals: 100 $6,200.00 100 $6,200.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $125.50
STAIE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $27.61
Permit Total Fees: $157.61
Mechanical Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000)000-0000
000000,00 000000
Item Description Units Unit Desc Fee Amount
VENTILATING FANS 1 NUMBER OF $10.00
CLOTHES DRYER 1 NUMBER OF $10.00
MINIMUM FEE ADJUSTMENT 1 Select $15.00
Permit Total Fees: $35.00
Plumbing Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000,00 000000
Item Description Units Unit Desc Fee Amount
SINKS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
MINIMUM FEE ADJUSTMENT 1 Select $23.00
Permit Total Fees: $35.00
Operator: RMB Printed By: RMB Print Date: 2/13/2002
Project Number: 02000873 Inv: l • Application Date: 2/13/2002 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $157.61 $157.61 $0.00 $157.61
Mechanical Permit $35.00 $35.00 $0.00 $35.00
Plumbing Permit $35.00 $35.00 $0.00 $35.00
$227.61 $227.61 $0.00 $227.61
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 he 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: RMB Printed By: RMB Print Date: 2/13/2002
a
Y
! PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
-- - SPOKANE,WA 99260
N 509-477-3675
SPoicANE Couis ry
SPECIFIC SITE INFORMATION
Street Address: -
5 /1/ Ae.r–la,,-,A Vr-
Assessors Tax Parcel Number(s): v 5 3 ^„'�x)3 . 01a2 01 O(w
Legal Description: v
Project Description: N\--4:\._ -0t--.^— Aeicw
R3Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign Cl Tenant(New/Change) ❑ Other
Depatunent Use Only
Water District/Purveyor. Sewer District/Purveyor Road width Setbacks
Front Rear.
School District Fire District: Zoning
lNe...-ri Left Right:
OWNER/APPLICANT INFORMATION
El Indicate alto should he contacted re„ardin,t this project
0Owner: Phone: Is-q-2,--A:A( ❑Applicant: Phone:
AAQw,i Lam,/e lax: l ax:
Mailing Address: Mailing Address:
Lk115 .)'-'-..k-\C^—d
Cite,State,Zip City,State,Zip
QVIC-6-,-e A 619ZGC�
❑ Contractor Phone ❑ Architect/Ingineer
Phone
Fax l-ax
Mailing address Mailing address
Cite,State Zip Cin-,State Zip
\1.1 State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stories - r��t� Main floor sq.ft. r Unfinished basement sq.ft.
lam` 1 3, b6,''X c so oomf
Dimensions 39{ls3i�Total habitable space 2"d floor s ft. Finished basement sq.ft.
(0 x 0Z(.0 CNGf+l / 3,600 H `'10 I I coo
Occupancy group Construction type Garage sq.ft. eck sq:ft.
F-S t,--'tco fPAoe s_ 1),,k G`f
Cost of project . I Icat source(electric,gas,etc.)
li OObr c}-EL-ClZS C_
Neu, A00triorN 15 IXMiirJ ,ioo1 lo" x roe r /ov 5Q
Manufactured Home Sign
Width: Length: What is the square footage of the sign }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
Inspectors: Address
Inspector Phone
O Concrete O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property?' Ales O No What is the current property size?
If yes,identzi on siteplan (square feet or acres) „t-e-
Is any part of the property within 250 feet of a shoreline? What is �the current use of this property?
Ifyes,identify on site plan O Yes j No 1{.-s,�
Is your property in a designated wildlife habitat area? Will the site be served by a septic system? I Yes 0 No
Don't know O Yes O 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,ident on site plan If yes,identi,on the site plan 0 Yes Lk No
Maybe O Don't know 0 Yes 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,identify on site plan O Yes ,No O Yes No
Are there slopes greater than 304%on the property?(30 ft rise in 100 ft) Arc critical or hazardous materials used or stored on site?
O Yes O No O Yes No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes O No
O Yes O No
Is the property inside the ASA? O Yes 0 No Is public water available to the site? O Yes O No
OYes 0 N
Is the property inside the PSSA? O Yes O No Is the property located within 1000 feet of a Natural Resource Area?
OYcs 0 N
Date Received: Staff Representative:
METHOD OF PAYMENT
fC40\4 : SUBTOTAL
VISAI
❑ C:ASII D c]II:Ck ❑ 0 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
ll:\'1'I?: ENI'IRES` TOTAL FEE
BANkt..ARI)NUMBER[ MINIMUM PERMIT FEE IS$3509VLT_9SE
MAKE CHECKS PAYABLE'P()SPOKANE
\UI I IORI''/ND SIGN.ATURI(: COUNTY PERMITcENTEIt
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repesei .a on of the pro: ,al.Al!known property ZONE J l�_ "`��"'
lines/dimensions.curb Imes.structures and easements ROADWIDTH 1 ba
have been identified.Also indicated are wetlands, FRONT SING
bodies of v ater,steep slopes r other critical areas. COMMENT' I'
Signed:_ — _
Date: 2— — ' ,.„..-_-.,_,,p,Z-- _
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