2002, 07-10 Permit App: 02005762 GarageProject Number: 02005762 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/10/2002 Page 1 of 2
Project Information:
Permit Use: DETACHED 24 X 32 GARAGE
Setbacks: Front 111 Left: 53 Right: 5 Rear: 5
Site Information:
..........
Plat Key: 001402 Name:
KRUEGER'S 2ND ADD
Contact: BLAKESLEY, CURTIS
Address: 15209 E UPLAND DR
C - S - Z: SPOKANE, WA 99216-2608
Phone: (509) 924-7605
Group Name:
Project Name:
District: H
Parcel Number: 45021.5504 Block:
SiteAddress: 15209 E UPLAND DR
SPOKANE, WA USA 99216
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: BLAKESLEY, CURTIS
Address: 15209 E UPLAND DR
SPOKANE, WA 99216-2608
Hold: ❑
Area: 11,700 Sq Ft Width: 90 Depth: 140 Right Of Way (ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information: :::.............
Review
Site Plan Review
Plan Review
Relea ed By:
Septic System Review
Permits:
Released By:
Operator: DMD Printed By: DMD
Print Date: 7/10/2002
Project Number: 02005762
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/10/2002
Contractor: OWNER
Const Category: New
Nbr Of Dwellings:
Bldg W x D: 24 x
Req Parking:
Description
GARAGE
Building Permit
Page 2 of 2
Firm: OWNER
Phone:
Building Characteristics
Group: U-1
Occupant Load:
32 Building Sq Ft:
Handicap Parking:
Type: VN
Building Height: 15
728 Sprinklers: 0
Critical Materials: 0
This Application:
Grp Type Notes Sq Ft Valuation
U-1 VN 728 $8,736.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Payment Summary:
Permit Type
Building Permit
Totals: 728 $8,736.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Stories: 1
Total Project:
Sq Ft Valuation
728 $8,736.00
728 $8,736.00
Fee Amount
$150.50
$4.50
$33.11
$188.11
Fee Amount Invoice Amount Amount Paid Amount Owing
$188.11 $188.11
$188.11 $188.11
$0.00 $188.11
$0.00 $188.11
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and tends 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: DMD Printed By: DMD
Print Date: 7/10/2002
SPOKANE COUNTY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
-(12-57(4'
SPECIFIC SITE INFORMATION
Street Address:
C. /S-20 9 G7,e9/4 y/) 7/
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: C,46E
❑ Building Permit
❑ Change in Use
El Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
El Other
Department Use Only
Water District/Purveyor.
Sewer Distract/Purveyor
Road width
Setbacks
Front Rear.
Left Right
School District:
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
.�,.jd h� .�,"i,,, incl n'o,,,xJ,*e,:
IJ (teener: e� /�YS'�
CeiRVS C. -Y- �p�,� ji"CS AY
_ ..�
Phone: 92�- 76 40.5—
Fax:
,..❑ Applicant
Phone:
Fax:
Mailing Address:
/_ 2C c . 6/e7i44N
Dfz ..
Mailing Address:
2".1 Floor sq. ft.
City, State, Zip
S - i,v, w,
?92/6
Cite, State, Zip
Garage sq. ft.
728
1:71 Contractor
Phone
fax
❑Architect/lingnneer
Phone
Fax
Mailing address
Mailing address
Cite, State Zip
City, State Zip
WA State Contractor license #
Contact name
T INFORMATION
v
Building Information
Building height to peak
i
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
3 / x Z </
Total habitable space
2".1 Floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
r—,E'A/4 E.ei
Garage sq. ft.
728
Dcck sq. ft.
Cost of project
1 Icat source (electric, gas, etc.)
Manufactured Home1Sign
Fire Safety
Width:
Length:
What is the square footage of the sign
face?
I low high is the sign?
Year:
Make:
# of signs
Arca of existing signs
Fireworks display
Are critical or hazardous materials used or stored on site?
o
O Yes /
471-'‹ONi
Address
Proposed use
Relocation
Fire Safety
Firm Name
What is the current use of this property?
426—S /79e VT//4L
Previous address
Will the site be served by a septic system? 1 'Yes O No
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
Are critical or hazardous materials used or stored on site?
o
O Yes /
471-'‹ONi
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
What is the current use of this property?
426—S /79e VT//4L
Phone
Will the site be served by a septic system? 1 'Yes O No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
O Yes 0' No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( , %) 0 Yes E'No
Are critical or hazardous materials used or stored on site?
o
O Yes /
471-'‹ONi
Address
Inspector
Phone
O Concrete
0 Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? EV.Yes O No
Ifyes, identzi on site plan
What is the current property size?
(square feet or acres) 7Z, C oe
Is any part of the property within 250 feet of a shoreline?
Ifyes, identifi on site plan O Yes 11:1-"f;o
What is the current use of this property?
426—S /79e VT//4L
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes Q No
Will the site be served by a septic system? 1 'Yes O No
Is any part of the property within a 100 yr flood plain?
If yes, identi(7' on site plan
O Maybe O Don't know O Yes L --No
Are or will there be wells located on the property?
Ifyes, ident5t on the site plan O Yes EtrNo
Are there any wetlands, streams or ponds within 200 feet of the property?
Ifyes, identt.fi, on site plan O Yes EVSio
Is there evidence of fill or excavation on the property?
O Yes 0' No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( , %) 0 Yes E'No
Are critical or hazardous materials used or stored on site?
o
O Yes /
471-'‹ONi
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
OYes 0 N
Is public sewer available to the site? O Yes O No
Is the property inside the ASA? O Yes 0 No
O Yes O No
Is public water available to the site? O Yes O No
Is the property inside the PSSA? 0 Yes 0 No
Is the property located within 1000 feet of a Natural Resource Area?
0Yes O No
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
❑ (\SII ❑ ca II:CK ❑11111.111111 ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I?XPIRF"S:
B:ANKC,ARD NUMBER:
:XVII IORIZI(D SIGNATURE:
SUB'1'O'1':\l.
TOTAL FEE
MINIMUM PERMIT FEE IS 35. AO P LEAS E
MAKE CIIECKS PAYABLE TO SPOKANE
COUNTY PERMIT CENTER
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