2002, 04-12 Permit App: 02002506 Garage Project Number: 02002506 Inv: 1 Application Date: 4/12/02 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 32 X 36 DETACHED GARAGE Contact: SAMPSON,MARY
Address: 2216 S UNIVERSITY RD
C-S-Z: SPOKANE,WA 99206
Setbacks: Front 117 Left: 8 Right: 64 Rear: 8 Phone: (509)928-5253
Group Name:
Site Information: Project Name:
Plat Key: 000382 Name: CHESTER HILLS ADD. District: F
Parcel Number: 45291.0804 Block: Lot:
SiteAddress: 2216 S UNIVERSITY RD Owner: Name: SAMPSON,MARY
SPOKANE,WA 99206 Address: 2216 S UNIVERSITY RD
Location::SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 105 Depth: 180 Right Of Way(ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Site Plan ReviewReleased By: "� �t �.��. t{ " I Z -02_
Plan Review Released By: (ft [`31,
Perm its:
Operator: CKF Printed By: CKF Print Date: 4/12/02
Project Number: 02002506 Inv: 1 Application Date: 4/12/02 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
Phone:
Building Characteristics
Const Category: New Group:U-1 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: 18 Stories: 1
Bldg W x D: 32 x 36 Building Sq Ft: 1152 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: El
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 1,152 $13,824.00 1,152 $13,824.00
Totals: 1,152 $13,824.00 1,152 $13,824.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $213.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $46.86
Permit Total Fees: $264.36
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $264.36 $264.36 $0.00 $264.36
$264.36 $264.36 $0.00 $264.36
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: CKF Printed By: CKF Print Date: 4/12/02
4c1 PROJECT`APPLICATION WORK SHEET
rr SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
AillIllk
1026 \VEST BROADWAY AVENUE
111ISPOKANE,WA 99260
SPo, C!) 509-477-3675
UNF
SPECIFIC SITE INFORMATION
Street Address:
2-2—((o S, ttNit)Elscry Sfl, g- 95ZJC
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: 3 Z)c3a b f5- r -rte
Building Permit ' O Change in Use 0 Grading 0 Manufactured Home Permit
❑ Relocation O Sign 0 Tenant(New/Change) 0 Other
Department Use Only
Water District/Purveyor Sewer D;stnct/Purveyor Road width ..Setbacks -
Front Rear
School D;stnct Fire D;str;ct: Zoning
Left Right:
OWNER/APPLICANT INFORMATION
❑ Indicate inho,hou/d be contacted rep,ardzng lbir project
On or A �r C Phone: gC7iO>~,57iS3 fphcant: Phone.:
ML l AP P-S e A) I-as. / Fa..:
Maihng.Addro._ "r.
�talmg:lJdress:
2—"2" L(e, S. il/AJi✓ icy
(.n,State,tip Cin,State,Lip
S Po >tie > 35zro 6
❑ contractor Phone
ID Architect/Engineer Phone
Ia'
SIarl,5e address Fax
Mailing address
Cin,Mare/.;p City,State Zip
\\A State Contractor license= Contact name
PROJECT INFORMATION
Building Information
Building height ttt teak #of sterie; \lain floor sq.It. Unfinished basement sq. ft.
Dimctoteetts Total habitable space 2na -
3 Z--X3 r f' floor sy.ft. Finished basement sq.it.
Occupancc group p Construction tyre Garage sq. It. Deck sq It.
( 152
Crest rel pre set I feat source(electric.gas,etc.)
0�
✓ 1 000 00&�
Manufactured Home Sign
Width: length: ' What is the square footage of the cignt I lore high is the sgit?
lace?
Year: Make: t#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?
1-um Name Phone Plans Grammer Phone
Inspectors: Address
Inspector Phone
O Concrete 0 Welding 0 Bolting 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? Yes II No What is the current property size? 6 n
Y!
Ijyis,identi'o/site plan etis� (square feet or acres) ! J
Is any part of the property within 250 feet of a shoreline? What is the current use of this proper[?
If yes,identtft on site plan 0 Yes No F--15
is your property in a designated wildlife habitat area? \\'ill the site be served by a septic system?O Yes NI No
0 Don't know 0 Yes j No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identi('on site plan lbws,ntenttn,on the site plan 0 Yes a.No
0 Maybe 0 Don't know 0 Yes No
Are there ant'wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
If yet,identify on site plan 0 Yes ,® No 0 Yes JW No
Arc there slopes greater than 30%o on the property?(30 ft rise in 100 ft) Arc critical or hazardous materials used or stored on site?
�'0No
) O Yes „ No 0 Yes
DEPARTMENT USE ONLY
Is the property in a designated Stotmwater Control Area? Is public sewer available to the site? 0 Yes 0 No
0 Ycs 0 No
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 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 Arca?
0 Yes 0 No
Date Rce iced: Staff Repre.tntatnc
METHOD OF PAYMENT
WaliVV SUBTOTAL
Ol'_AL
VISA
❑ (:.\sl I ❑ call:cI; ❑ MN= ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DAM:: I:\I'll:l(S: TOTAL FEE
Fi.\NKC.\RD NUMBFR: MIN/MUM PERMIT FEE IS S35.O01'1.17:\SE
\t\kC.CIIECti P\'t\151E to'I'o1:.\
\UIilORl:alp SIGN\Tl'l<l: COUNTY PERMIT 0\IFR
? • / f
This s'te plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
,-00, PURPOSED representation of the proposal.All known property
GARAGE lines/dimensions,curb lines.structures and easemerts
have been identified.Also indicated are wetlands,
bodies,of wat r,steep slope r other tical areas.
Signed: J
Date: 47(/— L.- —
32-00-00
b
X1 `
.� 4a0000
33-08-00
22-04-00
/5-00-00
EXISTING
HOUSE
•
42-00-00
ADDRESS - 2-1 ( Ui1.I o
ZONE ll -3,
C7
ROAD WIDTH
FRONT I 17__FLANKING
COMMENTS___
REVIEWED ` 4 t V.et..
0
o / 104-00-00 /
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r I f � f y )
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