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Home My WebLink About2003, 02-21 Permit App: 03001034 Addition ShopProject Number: 03001034 Inv: 1 Application THIS THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: . . ........................ ............... Permit Use: SHOP ADDITION (19 X 20 X 10) TO EXISTING Contact: PAXSON, KEN GARAGE Address: 111 N LOCUST, #A-105 C - S - Z: SPOKANE WA 99206 Setbacks: Front Left: 18 Right: Rear: 15 Phone: (509) 924-0496 Group Name: Project Name: Site Inforniation: Plat Key: 001834 Name: OPPORTUNITY TR # 01-354 District: F Date: 2/21/2003 Page 1 of 2 Parcel Number: 45163.0429 Block: SiteAddress: 10802 E VALLEYWAY AVE SPOKANE, WA USA 99206 Location:: SPO Zoning: UR -3.5 Urban Residential 3.5 Water District: Area: ,680.00 Acres Lot: Owner: Name: PAXSON, KEN Address: 111 N LOCUST, #A-105 SPOKANE WA 99206 Hold: 11 Width: 80 Depth: 146 Right Of Way (ft): 40 Nbr of Bldgs: 2 Nbr of Dwellings: 1 Review Site Plan Review Released By • . Plan Review Permits: Originally Released: 2/21/2003 By: jshatto Released By Originally Released: 2/21/2003 By: jshatto Operator: JAS Printed By: JAS Print Date: 2/21/2003 Project Number: 03001034 Inv: 1 Application' Date: 2/21/2003 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: OWNER Const Category: Nbr Of Dwellings: Bldg W x D: Req Parking: Description STORAGE Building Permit Firm: OWNER Phone: Building Characteristics Addition Group: Type: Occupant Load: Building Height: Stories: x Building Sq Ft: Sprinklers: El Handicap Parking: Critical Materials: 0 This Application: Total Project: Grp Type Notes Sq Ft Valuation Su Ft Valuation U-1 VN 380 $4,560.00 380 $4,560.00 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Notes: Permit Type Building Permit Totals: 380 $4,560.00 Units Unit Desc 1 1 1 Y OR BLANK Y OR BLANK Y OR BLANK 380 $4,560.00 Fee Amount $100.50 $4.50 $22.11 Permit Total Fees: $127.11 Fee Amount Invoice Amount Amount Paid Amount Owing $127.11 $127.11 $0.00 $127.11 $127.11 $127.11 $0.00 $127.11 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 construed 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: JAS Printed By: JAS Print Date: 2/21/2003 Spokive Cowry J 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: _ 16yb/a /ci /' L J Assessor's Tax Parcel Number(s): (47,57(!, 6 + 6 4.4a Legal Description: 0p or-f"17'T e("3/,4 /3,2,A) F6 Pt ere 3dte rt ofA] /`/(p Project Description: d/// 181 Building Permit O Change in Use O Grading O Manufactured Home Permit ❑ Relocation O Sign ❑ Tenant (New/Change) O Other OWNER/APPLICANT INFORMATION / ( l 0 Indiiaie who should be contacted regardin, this projeci (� ExOwner. Phone: 9t7y - D yC'/ 4, , �j / / n 1 co se'11 Fax: O App i leant: Depai.t> hent Use Only Water District/Purveyor. Sewer District/Purveyor Road width Setbacks Front Rear Left: Right: School District: lire District: Y.on;ng OWNER/APPLICANT INFORMATION / ( l 0 Indiiaie who should be contacted regardin, this projeci (� ExOwner. Phone: 9t7y - D yC'/ 4, , �j / / n 1 co se'11 Fax: O App i leant: V Phone: Fax: Building height to peak Mailing Address: N - /// toc451 mac./ 1-/e5--. Mailing Address: / City, State, Zip 5 pc L:.% tet 9 9',26 G, City, State, Zip (1 ❑ Contractor Phone I:u ❑ Architect/Engineer Phone Fax / (\( /� iV\ Marling address Mailing address I leat source (electric, gas, etc.) r • City, State Zip City, State Zip c la \VA State Contractor license # Contact name: eAN PROJECT INFORMATION Building Information Building height to peak # of stories / Main floor sq. ft. Unfinished basement sq. ft. / Dimension) Total habitable s ace 4 2...I floor sq. ft. Finished basement sq. ft. V Occupancy group Construction type , nve.40/ Lu.ar6e✓ Garage sq. ft. Deck sq. ft. Cost of project I leat source (electric, gas, etc.) Matiufactuted.HolneSign r , Wdth: Length: What is the square footage of the sign face? How high is the sign? Year. Make: # of signs Area of existing signs _ Fireworks display _ Inspectors Proposed use Relocation.. x, .a.` Fire Safety` ' Cpde Camp ii Tice?..„ Previous address Will Will the site be served by a septic system? 0 Yes Q No Paint booth Fire Sprinkler Tent _ Fire Alarm _ Fireworks display _ Inspectors Proposed use Value Address Special-lrispecnoas 'eq>ured?' =btpn-Re$identialE Ief Cpde Camp ii Tice?..„ Is your property in a designated wildlife habitat area? ial 0 Don't know 0 Yes No Will Will the site be served by a septic system? 0 Yes Q No Firm Name Phone Is there evidence of fill or excavation on the property? 0 Yes Ii No Plans Examiner Phone Inspectors Address Inspector Phone O Concrete 0 Welding 0 Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? er Yes 0 No Ilya, identify on site plan What is thc current property size? (square feet or acres) ga 40* Is any part of the property within 250 feet of a shoreline? Ifyes, identi on site plan 0 Yes c No What is tlic current use of this property? j/QYYLe Is your property in a designated wildlife habitat area? ial 0 Don't know 0 Yes No Will Will the site be served by a septic system? 0 Yes Q No Is any part of the property within a 100 yr flood plain? Ifyes, idelle at site plan ,,,V 0 Maybc 0 Don't know 0 Ycs No $ Arc or will there be wells located on the property? lbw, ident on the site plan 0 Ycs IQ No Are there any wetlands, streams or ponds within 200„,/ feet of thc property? lip”, identify on site plan 0 Yes yK No Is there evidence of fill or excavation on the property? 0 Yes Ii No Arc there slopes greater than 30% on the property? (30 ft rise in 100 ft) / Et ( %) ❑ Yes ,,No Are critical or hazardous materials used or stored on site? 0 Ycs 4 No DEPARTMENT USE ONLY Is thespropetty in a de§ignated Stotnnyater Control'Area? -:Is `” O, Yes O'No public„sewer availible. to`thie'site7 ' f- Yes: O., Noy, .� Is the property inside the ASA? . O Yes ,0 Na, O` Yes ,O No Ts pubhe water available to the site? •" O Yes, ID No - , Is the pjoperty inside'the,PSSA? O Yes. 0 No y r Is the -property ioca€ed within 1000 feet of a -Natural Resource Arca? O'Yce O 'No », . , Date Received: Staff Representative: METHOD OF PAYMENT VISA 0 CASH ig CHECK ❑ ❑ __. ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD UNIT: EXPIRES: BANKCARD NUMBER: AU'T'HORIZED SIGNATURE: SUB'I'O'1'AL TOTAL FEE -MINIMUM IERMITFEE 15$.3400 PLEASE MAKE CHECKS PAYABLE TO SPOKANE .. ... COUNTY PERMIT.Ct?Ic1ER,. I/14L.LE wA y 4u E, L64- 1oiD' x go' 6o Caneee-klc. 5Cof Cbv cfd Co cele- Slab 06 , s '0 ra,^ss has0Aa0s0� ,aa�ra� 0 6 oa 6 0 fo .. , 0/4 00 7 , �J vn i7 of a 'o of 9 9s Oaf mo, �y a0 �s r60 v0,, 06 a7., � r CG A.,n "A?�,• 0a n6 � � a 0ryi C ��Ilt» s s a 9rs°'rnA t�"r� 0 aar Oren a�ma�.o 0 �, '7/5 o; aa4-0o 0 "PO, �0 aj0 nn0 f 0n c0"d as0 ct do aS X07 Das fs Goricre4t_ ';kc fop -4. r 4 cl