2001, 06-01 Permit App: 01004199 AdditionProject Number: 01004199 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/1/01 Page 1 of 3
Proiect Information:
Permit Use: RES ADD -
BEDRM,BATHRM,FAMILYRM,GARAGE,&NE W
WINDOWS
Setbacks: Front 45 Left: Right: 7 Rear:
Site Information:
Plat Key: 000382 Name: CHESTER HILLS ADD.
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
DECKER, LARRY
13121 E 14TH
SPOKANE WA 99216
(509) 926-0687
District:
F
Parcel Number: 45291.0607 Block:
SiteAddress: 2120 S SUNRISE RD
SPOKANE, WA 99206
Location:: SPO
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 0 Sq Ft Width: 104
Nbr of Bldgs: 3 Nbr of Dwellings: 1
Review Information:
Lot:
Owner: Name: DECKER, LARRY
Address: 13121 E 14TH
SPOKANE WA 99216
Hold: ❑
Depth: 272 Right Of Way (ft): 60
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
Permits:
Review
Site Plan Review
Originally Released:
Plan Review
6/1/01 By: jshatto
Originally Released:
6/1/01 By: jshatto
Project Number: 01004199 Inv: 1 Application . Date: 6/1/01 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: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers:
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes So Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 528 $6,336.00 528 $6,336.00
RES ADD R-3 VN 712 $44,144.00 712 $44,144.00
RESIDENCE R-3 VN REMODEL 0 $1,000.00 0 $1,000.00
Totals: 1,240 $51,480.00 1,240 $51,480.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $592.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $130.35
Permit Total Fees: $727.35
Mechanical Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000)000-0000
000000,00 000000
Item Description Units Unit Desc Fee Amount
DUCT SYSTEMS 1 NUMBER OF $10.00
GAS PIPING 1 #OF UNITS $1.00
VENTILATING FANS 1 NUMBER OF $10.00
MINIMUM FEE ADJUSTMENT 1 Select $14.00
Permit Total Fees: $35.00
Plumbing Permit
Contractor: OWNER Finn: 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
TUBS 1 NUMBER OF $6.00
MINIMUM FEE ADJUSTMENT 1 Select $11.00
Permit Total Fees: $35.00
Project Number: 01004199 Inv: 1 Application Date: 6/1/01 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Operator: JAS Printed By: JAS Print Date: 6/1/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $727.35 $727.35 $0.00 $727.35
Mechanical Permit $35.00 $35.00 $0.00 $35.00
Plumbing Permit $35.00 $35.00 $0.00 $35.00
$797.35 $797.35 $0.00 $797.35
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SPOKAWCOMA'
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: / 0 S. wn r t st-
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description:0r-Uor>1
Er Building Permit
6,0?
ba.kk r c)o Su,n t' ( y roo tom.
dvv b I -L �c�r- 45 -a-
❑ Change in Use
O Grading
O Manufactured Home Permit
0 Relocation
O Sign
O Tenant (New/Change)
O Other
OWNER/APPLICANT INFORMATION
Indicate who should be contacted regardin
Owner: Phone:
L 41i&'pEC kEf. Fax:
n
0 Applicant:
Phone:
Fax:
Mailing Address:
/,?/ .2.-t E, /4T1
Mailing Address:
City, State, Zip
5P ANE- wO , 9'aib
(
City, State, Zip
0 Contractor Phone
c AmE ftS A vii -ax
❑ Architect/Engineer
Phone
Fax
Mailing address
Mailing address
Ciry, State Zip
City, State Zip
WA State Contractor license M
Contact name:
PRO ECT INFORMATION
Building height topeak
/y ,
N of stories
Main floor sq. h.
980
Unfinished basement sq. ft.
e�Aw1
Dimensions
Total habitable space
2"d floor sq. h.
Finished basement sq. ft.
Occupancy group
Aal i 41 (509 Ll
Cost of project
Construction type
Ntvi MOD ,'non/
Garage sq- ft_
5:0?
Deck sq. h.
Heat source (electric, gas, etc.
too
o'd 711
0�.s"(r`kir`'t�aFC4.s Y
wA.., t+'
.i.,�'r
6 n t _,
� Q � PY �. ` 'o
Is any part of the property within 250 feet of a shoreline?
If identify 0
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs
Area of existing signs
Are there slopes greater than 30% on the property? (30 rise in 100 ft)
(%) 0 Yes No
/
Are critical or hazardous materials used or stored onsit
0 Yes No
Previous address
Proposed use
Paint booth Fire Alarm
Fireworks display
Value
0 Concrete 0 Welding 0 Bolting 0 Reinforcement
ADDITION
Are there structures on the property? frYes 0 No
If yes, identify on site plan
What is the current property size?
(square feet or acres) a � CtCf--
Is any part of the property within 250 feet of a shoreline?
If identify 0
What is the current use of this property?... ,
S t N5 1 etwtwQ, (( t
yes, on site plan Yes B --1<o
Is your property in a designated wildlife habitat area?_,._Will
0 Don't know 0 Yes g No
.
the site be served by a septic system? 0 Yes a No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
0 Maybe O Don't know 0 Yes el No
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes 119 -"No
Are there any wetlands, strearns or ponds within 200 feet of the
property?
!hes, identify on site plan 0 Yes No
Is there evidence of fill or excavation on the property?
0 Yes 0No
Are there slopes greater than 30% on the property? (30 rise in 100 ft)
(%) 0 Yes No
/
Are critical or hazardous materials used or stored onsit
0 Yes No
DEPARTMENT USE ONLY
Due Recgved
METHOD OF PAYMENT
Staff Repreenti
VISA
❑ CASH ❑ CHECK ❑MOM❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
_`lC VE`
•
SUBTOTAL
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