2002, 07-17 Permit App 02006009 Relocate Bldg on Foundation Project Number: 02006009 Inv: l Application Date: 7/17/2002 Page 1 of 2
THIS IS,NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RELOCATE OUT BUILDING ON NEW Contact: MIKE SILVEY CONSTRUCTION
FOUNDATION 19 X 20 Address: 10221 E MONTGOMERY AVE
C-S -Z: SPOKANE WA 99206
Setbacks: Front 100 Left: 20+ Right: 10 Rear: 30 Phone: (509)924-4283
Group Name:
Site Information:
Project Name:
Plat Key: 006289 Name: -1251"A"- 0 p e_eu m l N 1444District: F
Parcel Number: 45153.1562 Block: Lot: C
SiteAddress: 13919 E VALLEYWAY AVE Owner: Name: MIKE SILVEY
SPOKANE,WA USA 00000 Address: 10221 E MONTGOMERY AVE
Location::SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: 010 VERA Hold: ❑
Area: 24,621 Sy Ft Width: 100 Depth: 246 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released By: Q
't_ihs4i4= =b----
Plan Review Released By: +' (7/ OZ
Special Reviews Released By:
PRE-RELOCATION INSPECTION REQUIRED
Approach/Drainage Released B �? 0 }. ` _L e' `i
Landuse/Zoning k Released By: ®® Ai' / ' �
Operator: RMB Printed By: RMB Print Date: 7/17/2002
•
Project Number: 02006009 Inv: 1 Application; Date: 7/17/2002 Page 2 of 2
THIS IS NOT A'PERMIT
Penalties will be assessed for commencing work without a permit
Permits:
Building Permit
Contractor: SILVEY CONSTRUCTION Firm: MIKE SILVEY CONSTRUCTION
Address: 10221 E MONTGOMERY AVE#A Phone: (509)924-4283
SPOKANE,WA 99206
Building Characteristics
Const Category: New Group: U-1 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
FOUNDATION U-I VN 380 $760.00 380 $760.00
Totals: 380 $760.00 380 $760.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $35.00
STA 1'E SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $7.70
Permit Total Fees: $47.20
Relocation Permit
Contractor: SILVEY CONSTRUCTION Firm: MIKE SILVEY CONSTRUCTION
Address: 10221 E MONTGOMERY AVE#A Phone: (509)924-4283
SPOKANE,WA 99206
Item Description Units Unit Desc Fee Amount
RELOCATION INSPECTION 1 NUMBER OF $50.00
Permit Total Fees: $50.00
Notes: .
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $47.20 $47.20 $0.00 $47.20
Relocation Permit $50.00 $50.00 $0.00 $50.00)
$97.20 $97.20 $0.00 597.20
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: RMB Printed By: RMB Print Date: 7/17/2002
PROJECT APPLICATION WORK SHEET
SPOKANE COU QTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026'WEST BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675
SPOKANE COMP
SPECIFIC SITE INFORMATION
Street Address: C• ` 39 Ph Daii e, , yy�� �, '' e
` 'l WI 2_ 7rV t 't
Assessor's Tax Parcel Number(s): p r7 u'�• cif, �LZ- _ SGoW �' �S e 2.5-i
.5 I C' DF
Legal Description: ll
tAftSA M5 We 'IL
VV bet `4
Project Description: Retotr cTe - Hawke- ✓ 'i ' V N A-`Td-1C 1-1CD air- 13()(L 17t ti('-
❑ Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor. Sewer District/Purveyor Road width Setbacks
Front ZO t/ Rear.
School District Fire District Zoning
Left: Right:
/00 X aq , — i 64/
OWNER/APPLICANT INFORMATION
0 Indicate who should be contacted re'tarding this project
rT C--ner. {/ ` Phone: "(L-( L(Z 1( l'( ❑ Applicant: Phone-
! / t I /40 >I l._L.—1' Fax: et z-7 o€ '5 7 Fax:
Mailing Address: Mailing Address:
t9 G�Z 2 i zr 114 o N"r&-o ge-i7
City,State,ZIP City,State,Zip
5Po( - gi ?ZC2
QContractor Phone ❑ Architect/lrngineer Phone
OWNS r, Fax /1-71t–`‘----(_.. Fax
Mailing address Mailing address
S1&
Cin',State Yip City,State Zip
WA State Contractor license# Contact name-
PROJECT
amePROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished ba: cot sq.ft.
Dimensions "Total habitable space 2nd floor sq.ft. Finished basement sq.ft.
Occupancy group Construction t}-pe Garage sq.ft. Deck sq.ft.
Cost of project Heat source(electric,gas,etc.)
Manufactured Home Sign
Width: Length: What is the square footage of the sign flow high is the sign?
face? 4
Year: Make: #of'cAiis Arca of existing signs
Relocation Fire Safety
Previous address Fire Sprinkler 'fent
ki Paint booth Fire Alarm Fireworks display
1 39 0-7 Eimer 1)
Proposed use Value
Ve-6( Ce0(--)Ce/C12"")
Special Inspections Required? Non-Residential Energy Code Compliance?
Firm Name Phone Plans Itxaminer Phone
Inspectors: Address
Inspector Phone
❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? ❑ Yes b No \Vhat is the current property size?
If yes,identifj,of site plan (square feet or acres)
Is any part of the property within 250 feet of a shoreline? \Vhat is the current use of this property?
Ifyes,ident 'on site plan ❑ Yes ❑ No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?❑ Yes ❑ No
❑Don't know ❑ Yes El No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identifit on site plan Ifyes,identifjt on the site plan ❑ Yes ❑ No
❑Maybe ❑Don't know ❑ Yes ❑ No
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Ifyes,identi on site plan ❑ Yes ❑ No ❑ 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?
( %) ❑ Yes ❑ No ❑ Yes ❑ No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? ❑ Yes ❑ No
❑ Yes ❑ No
Is the property inside the ASA? ❑ Yes ❑ No Is public water available to the site? ❑ Yes ❑ No
❑ Yes ❑ No
Is the property inside the PSSA? ❑ Yes ❑ No Is the property located within 1000 feet of a Natural Resource Area?
❑ Yes 0 N
Date Received: Staff Representative:
METHOD OF PAYMENT
,?COV SUBTOTAL
.
VISA
❑ CASH ❑ CI 11?CK ❑ ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
llA"1'1?: IaPIRI(S: TOTAL FEE
BANKC:ARI NUMBER: MINIMUM PERMIT FEE IS$35.00 PLP_ASE
MAKE CliECKS PASA13LE TO SPOKANE
AUfI IORIZED SIGNATURE: couNTx PERMIT CENTER
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