2001, 08-09 Permit App: 01006671 AdditionProject Number: 01006671 Inv: 1
Application
Date: 8/9/01 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RES ADD - EXPAND LIVING ROOM, DINING
ROOM, & KITCHEN
Setbacks: Front 49 Left: Right: 10 Rear:
Site Information:
Contact: ARLEY ROEMER CONSTRUCTION
Address: 16116 E KAHLUA LN
C - S - Z: MICA, WA 99023
Phone: (509) 999-9878
Group Name:
Project Name:
Plat Key: 001834 Name: OPP.TR. 1-354 District: F
Parcel Number: 45174.0803
Block: Lot:
SiteAddress: 521 N UNIVERSITY RD Owner: Name: BENA, PETE
SPOKANE, WA USA 99206 Address: 521 N UNIVERSITY RD
Location:: SPO SPOKANE, WA 99206-7223
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Hold: ❑
Area: 27,439 Sq Ft Width: 90 Depth: 310 Right Of Way (ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department Review
BUILDING Site Plan Review
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
Permits:
Originally Released:
Plan Review
8/9/01 By: jshatto
Originally Released: 8/9/01 By: jshatto
Project Number: 01006671 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/9/01 Page 2 of 2
Contractor: ROEMER CONSTRUCTION
Address: 5516 E CATALDO AVE Phone: (509) 999-9878
SPOKANE, WA 99212
Building Permit
Firm: ARLEY ROEMER CONSTRUCTIO
Const Category: Addition
Nbr Of Dwellings: Stories: 1
Bldg W x D: 42 x
Req Parking:
Building Characteristics
Group: R-3 Type: VN
Occupant Load: Building Height:
6 Building Sq Ft: 252 Sprinklers:
Handicap Parking: Critical Materials: 0
This Application: Total Project:
Sq Ft Valuation SQ Ft Valuation
252 $15,624.00 252 $15,624.00
Descriation Grp Type Notes
RES ADD R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: ROEMER CONSTRUCTION
Address: 5516 E CATALDO AVE
SPOKANE, WA 99212
Item Description
SINKS
DISH WASHERS
MINIMUM FEE ADJUSTMENT
Payment Summary:
Totals: 252 $15,624.00 252 $15,624.00
Units Unit Desc
1 YORBLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Plumbing Permit
Fee Amount
$238.00
$4.50
$52.36
$294.86
Firm: ARLEY ROEMER CONSTRUCTIO
Phone: (509) 999-9878
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 Select
Fee Amount
$6.00
$6.00
$23.00
Permit Total Fees: $35.00
Operator: JAS Printed By: JAS Print Date: 8/9/01
Permit Type
Building Permit
Plumbing Permit
Fee Amount Invoice Amount
$294.86 $294.86
$35.00 $35.00
Amount Paid
$0.00
$0.00
Amount Owing
$294.86
$35.00
$329.86 $329.86 $0.00 $329.86
Notes:
SPOKANE COUNTY
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: c^� ( 4,,! j / `t ; v S ; 1 t,
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: 440
g" Building Permit
❑ Change in Use
11 Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
Water Distnct/Purveyor
Sewer District/Purveyor
Road width
Setbacks
Front: Rear.
Left Right:
School District
Fire Distract:
Zoning
OWNER/APPLICANT INFORMATION
El Inditute who .rbon/d be ,ontaded rejurdinp this /)rota
(rJ (honer: �/,��Phone:
Pe f g � —ei-, 4 I as:
❑ Applicant:
Phone:
Fax:
Mailing Address:
501 4.) . 1Yeii-<s i 4)1
Mailing Address:
Dimension
.,-'4--•a
City, State, %ip
�D r
City, State, Zip
Finished basement sq. ft.
f�7
71,ontrac tr Phone Qq€ ' Q � 7 b
Z Qom--- Fax ri�..2 • 77 6 f
❑ Architect/ Engineer
Phone
lax
Mailing address
Mailing address
I lcat source (electric, :;as, etc.)
F/�
City, State Zip
it4 QV/a
Ott-, State Zip
VA :A State tractor license #
ROE Aik-- c -X-
Contact na ne:
PRO ECT INFORMATION
Building Information
13uilding height to peak
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimension
.,-'4--•a
Total habitable space
.2"d door s�ft
Finished basement sq. ft.
Occupancy group
Construction tv e
Garage sq. ft.
Deck sq. It.
Cost of prop.ct
/00,60 0
I lcat source (electric, :;as, etc.)
F/�
Manufactured Home
Sign
Width:
Length:
What is the square footage of the sign
face?
I low high is the sign?
Year:
Make:
# of signs
Area of existing signs
Fireworks display
Are critical or hazardous materials used or stored on site?
DYes 0 N
Address
Proposed use
Relocation
Fire Safety
Finn Name
What is the current use of this property?
Previous address
Will the site be served by a septic system? 0 Yes O No
Paint booth
Fire Sprinkler
Tent
Firc Alarm
Fireworks display
Are critical or hazardous materials used or stored on site?
DYes 0 N
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Finn Name
What is the current use of this property?
Phone
Will the site be served by a septic system? 0 Yes O No
Plans ILsaminer
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
0 Yes 0 No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( — °o) DYes 0 N
Are critical or hazardous materials used or stored on site?
DYes 0 N
Address
Inspector
I'hone
O Concrete
0 Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes O No
If yes, identi, on site plait
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
Ifyes, idem Jj on site plan O Yes O No
What is the current use of this property?
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes 0 No
Will the site be served by a septic system? 0 Yes O No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
0 Maybe 0 Don't know 0 Yes 0 No
Are or will there be wells located on the property?
I_Eyes, identif , on the site plan 0 Yes 0 No
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, identj, on site plan 0 Yes 0 No
Is there evidence of fill or excavation on the property?
0 Yes 0 No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( — °o) DYes 0 N
Are critical or hazardous materials used or stored on site?
DYes 0 N
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
DYes
0 N
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA?
0 Yes
DYes
0 No
0 N
Is public water available to the site? 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?
DYes 0 N
Daft Received:
Staff Representative:
METHOD OF PAYMENT
VISA
❑ (;.ASII ❑ (:1II,:CKD MINIUM
CEItt
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1 \NKC.AR1) NFMRI:R:
I:SPIRI{S:
\U fl I( )R1%I'a) SICEN .ATUBI(:
\I.
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT FEE IS $35.0X1111.E. \SE
AlAKE CI I1 CKS PAYA131.P. TO SPOK-ANF.
COUNTY PERMIT CENTER
ZONE
ADDRESS a--1'LfIZA-ces
ROAD WIDTH
C
REVIEWED
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