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2000, 09-06 Permit App: 00007953 Remodel f Project Number: 000.07953 Inv: / Application Date: 09/06/2000 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: STRUCTURAL REPAIR AND REMODEL OF Contact: TOOMBS, HAROLD BASEMENT Address: 1209 N UNIVERSITY RD C- S-Z: SPOKANE,WA 99206-4812 Setbacks: Front Left: Right: Rear: Phone: (509)891-9410 Group Name: Site Information: Project Name: Plat Key: 001497 Name: LOCKWOOD HEIGHTS SUB OF TR.28 OPP District: F Parcel Number: 45171.0336 Block: Lot: SiteAddress: 1209 N UNIVERSITY RD Owner: Name: TOOMBS,HAROLD SPOKANE,WA USA 00000 Address: 1209 N UNIVERSITY RD Location::SPO SPOKANE,WA 99206-4812 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 9,130 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Department Review BUILDING Plan ReviewI Released Hold Reasons: 'ermit Conditions: 5+ 014.-La _S rn/'`f $1 A t-lC fu -D i-ir recT o ix\ce iso s Permits: ( w . 'j t}'1/j �,, PQST N Project Number: 00007953 Inv: 1 Application Date: 09/06/2060 Page 2 of 2 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: Remodel Group: Type: Nbr Of Dwellings: Occupant Load: Building Height: Stories: Bldg W x D: x Building Sq Ft: Sprinklers: E Req Parking: Handicap Parking: Critical Materials: El This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RESIDENCE R-3 VN REMODEL 0 $800.00 0 $800.00 Totals: 0 $800.00 0 $800.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $35.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $7.70 Permit Total Fees: $47.20 Payment Summary: Operator: RMB Printed By: RMB Print Date: 09/06/2000 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $47.20 $47.20 $0.00 $47.20 $47.20 $47.20 $0.00 $47.20 Notes: we - { ► , ► PROJECT APPLICATION SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE 1111 SPOKANE,WA 99260 SPOT(Al\tE COUNTY 509-477-3675 Project Description: TYPE OF APPLICATION 14,Building Permit 11 Change in Use O Grading O Manufactured Home Permit O Relocation O Sign O Tenant (New/Change) © Other SPECIFIC SITE INFORMATION Street Address: tad C? Oh)l Vc:-f2 s/% RD Sic 'JE WA) 9'9,1-06 Assessor's Tax Parcel Number(s): Legal Description: Department Use Only Water District/Purveyor: Sewer District/Purveyor Road width " Setbacks Front: Rear: School District: Fire District: Zoning Left: Right: OWNER/APPLICANT INFORMATION ll Indicate who should be contacted regarding this project VIOwner: Phone: ❑Applicant: Phone: /b\ioLD L ices. €c `'691 94110 5�.v1 r= f.(rWW", Oc--tc 12c-5h\vTEL- Fax: Fax: Mailing Address: p C � Mailing Address: l l .c -!reAl C.Ui\f,/�C7,1 �1 /.) City,State,Zip City,State,Zip 61-16ISA,Uc- (s'Conttrractor Phone ❑ ArchitecttA,/Engineer Phone U C G Fax 'v 4 Fax Mailing address Mailing add esf s City,State Zip City,State Zip WA State Contractor license H Contact name: PROJECT INFORMATION Building Information Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft. /3 '26 Dimensions Total habitable space 2°d floor sq.ft. Finished basement sq.ft. Occupancy group Construction type Garage sq.ft. Deck sq.ft. Cost of project Heat source(electric,gas,etc.) �V V✓c,b C�L�C7,14l C. 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 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 Are there structures on the property? CRI Yes O No What is the current property size? / If yes,identify on site plan /3,A C--.)F ( i/1 e (square feet or acres) $_o 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 O Yes g No C-c / 06:07/74 L Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes CI.No O 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 0 Yes No 0 Maybe 0 Don't know 0 Yes '' No Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property? property? O Yes .H( No If yes,identify on site plan 0 Yes No Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site? ( /%) 0 Yes No 0 Yes X No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes O No O Yes O No Is the property inside the ASA? 0 Yes O No Is public water available to the site? O Yes 0 No 0 Yes 0 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 Date Received: Staff Representative: