2002, 03-19 Permit App: 02001706 Deck, Roof CoverProject Number: 02001706 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/19/02 Page 1 of 2
Project Information:
.`.,.....""01RMIS slog
Permit Use: DECK W/PARTIAL ROOF COVER
Setbacks: Front
Site Information:
Left: Right: Rear:
'AOC -. "AW`?" :s .4T " " ..=moi
Contact: TYLER FORBUSH/FORBUSH CONCRET
Address: 3318 E 34TH
C - S - Z: SPOKANE WA 99223
Phone: (509) 294-0970
Group Name:
Project Name:
unY�..:.. ..Nmow AVS k:..
Plat Key: 004369 Name: MIDILOME 5TH ADD
District: F
Parcel Number: 45331.3407 Block:
SiteAddress: 3735 S UNION CT
SPOKANE, WA 99206
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: HYNDMAN, LARRY
Address: 3735 S UNION CT
SPOKANE, WA 99206
Hold: ❑
Area: 0 Sq Ft Width: 49 Depth: 134 Right Of Way (ft): 50
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Originally Released: 3/19/02 By: jshatto
Plan Review
Permits:
Originally Released: 3/19/02 By: jshatto
Operator: JAS Printed By: JAS Print Date: 3/19/02
Project Number: 02001706 Inv: 1
Application Date: 3/19/02 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: FORBUSH CONSTRUCTION Firm: FORBUSH CONCRETE & CONSTR
Address: 3318 E 34TH Phone: (509) 294-0970
SPOKANE WA 99223
Building Characteristics
Const Category: Addition Group: R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories: 1
Bldg W x D: 16 x 34 Building Sq Ft: 544 Sprinklers: 0
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
COV DECK R-3 VN 272 $2,573.12 272 $2,573.12
DECK R-3 VN 272 $2,001.92 272 $2,001.92
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:y
Payment Summary:..
Permit Type
Building Permit
Totals: 544 $4,575.04 544 $4,575.04
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Fee Amount
$127.11
Permit Total Fees:
Invoice Amount
$127.11
$127.11 $127.11
Fee Amount
$100.50
$4.50
$22.11
Amount Paid
$0.00
$0.00
$127.11
Amount Owing
$127.11
$127.11
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: 3/19/02
t !
SPOKAECOINTY
PROJF,'CT 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:
3735
5, c>>v)o,&.) £ ,
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description:
l /?Z L 0
I Building Permit
❑ Change in Use
a Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
Water District/Purveyor.
Sewer Distnct/Purveyor
Road width
Setbacks
Front Rear
Left: Right:
School District:
' Fire District:
Zoning
OWNER/APPLICANT INFORMATION
0 Indicate who should be ,onlu %ed reeurdinp this broiea
❑ Owner: Phone:
L-.AY2R. ( N YO IWA/v Fax:
(1Z Z — z5'-') Z / 5J
4v
❑ Applicant:
Main floor sq. ft.
Phone:
lax:
Dimcnsio s .3
► I
Mailing Address:
-3 73 9 f_5,, V n// o cNl C. -T,
Mailing Address:
Finished basement sq. ft.
Occupancy group
Construction hype
City, State, Zip
- Pb kii—A-/t , LAIA
Duck sq. ft.
City, State, "Zip
1 Icat source (electric, gas, etc.)
Contractor Phone
/
��.�C[/ f 67 E7� * �6/ g /NC I ax
2G1Phone
Y—Og70
❑ Architect/Engineer
6 -,:it ,-
-c4
I ax
C/y�'-72Z/
Mailing address
3�« t 3,4 TA
Mailing address
City, State Zip
-)Pok-N.4-71/:—, w/+
ZZ5
City, State Zip
VV A State Contractor license #
,2,6u C 1- 0LONA'
eYj, ct I/7/v3
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimcnsio s .3
► I
Total habitable space
2nd floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction hype
Garage sq. ft.
Duck sq. ft.
Cost of project
1 Icat source (electric, gas, etc.)
Manufactured Home
Sign
What is the square footage of the sign
face?
I low high is the sign?
Width:
Length:
Year:
Make:
# of signs
Area of existing signs
Fire Alarm
Fireworks display
Are critical or hazardous materials used or stored on site;
❑ YesNo
Address
Relocation
Fire Safety
Firm Name
\Vhat is the current use of this property?
/' T 3/OELe.c'
Precious address
Will the site be served by a septic system? ❑ Yes S No
Paint booth
Firc Sprinkler
Tent
Fire Alarm
Fireworks display
Are critical or hazardous materials used or stored on site;
❑ YesNo
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
\Vhat is the current use of this property?
/' T 3/OELe.c'
Phone
Will the site be served by a septic system? ❑ Yes S No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
❑ Yes lg No
Are there slopes greater than 30°'0 on the property? (30 ft rise in 100 ft)
( � o'o) ❑ Yes 'gr. No
Are critical or hazardous materials used or stored on site;
❑ YesNo
Address
Inspector
Phone
❑ Concrete
❑ Welding
❑ Bolting
❑ Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? S... Yes ❑ No
If yes, identz, on site plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
If yes, idem j, on site plan ❑ Yes ❑ No
\Vhat is the current use of this property?
/' T 3/OELe.c'
Is your property in a designated wildlife habitat area?
❑ Don't know ❑ Yes n No
Will the site be served by a septic system? ❑ Yes S No
'`Is any part of the property within a 100 yr flood plain?
I_ f yes. identif' on site plan
❑ Maybe ❑ Don't know ❑ Yes No
Are or will there he wells located on the property?
1 f yes, identify on the site plan ❑ Yes (: No
Are there any wetlands, streams or ponds within 206 feet of the property?
If pes, identify on site plan ❑ Yes rak,No
Is there evidence of fill or excavation on the property?
❑ Yes lg No
Are there slopes greater than 30°'0 on the property? (30 ft rise in 100 ft)
( � o'o) ❑ Yes 'gr. No
Are critical or hazardous materials used or stored on site;
❑ YesNo
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
❑ Yes No
Is public sewer available to the site? Yes ❑ No
Is the property inside the ASA?
Yes ❑ No
Yes ❑ No
Is public water available to the site? ❑ Yes ❑ No
Is the property inside the PSSA?
Yes ❑ No
Is the prowty located within 1000 feet of a Natural Resource Area?
❑ Yes No
Date Received:
Staff Repr •sen[:
----716r
METHOD OF PAYMENT
❑ C.ASII ❑ (:III?CK ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
ILXPIRI?S:
B.\NK(:.\RI) NU\IBI(R:
\U.111ORI/.1{D SIGN.\'l llRI:::
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT FEE IS $35.017 PLEASE
MAKE (:111`CKs PAYABLE TO SPOK. \NE:
COUNTY PERMIT CENTER
ce
ADDRESS
ZONr
REVIEWED
0,00 —
-0,0�
0_ 0
5O1JTH 3735 L1N1ON C.T.
LOT 7 - 13LDG1< 1 -
n1D1LotlE 6-17-11 ADD.
S 11.6 PLAN
SG4t�; 3O
0 S' 10 20 30 50
P��