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2000, 03-22 Permit App: 00001865 AdditionProject Number: 00001865 Inv: 1 Application Date: 03/22/2000 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE ADDITION - LIVING ROOM, DINNING ROOM & BATHROOM Setbacks: Front 35 Left: 11 Right: EX Rear: 53 Site Information: Plat Key: 001834 Name: OPP.TR. 1-354 Parcel Number: 45163.0214 Block: SiteAddress: 10903 E VALLEYWAY AVE Spokane, WA USA 99206 Location:: SPO Zoning: UR -3.5 Water District: Area: 20,909 Sq Ft Nbr of Bldgs: 2 Urban Residential 3.5 Width: 130 Nbr of Dwellings: 1 Review Information Department BUILDING Hold Reasons: Permit Conditions: BUILDING Hold Reasons: Permit Conditions: HEALTHDISTRICT Hold Reasons: Permit Conditions: Permits: Review Site Plan Review \IC RA Plan Review Septic System Review — le /20e Contact: ARLEY ROEMER CONSTRUCTION Address: 16116 E KAHLUA LN C - S - Z: MICA, WA 99023 Phone: (509) 999-9878 Group Name: Project Name: District: F Lot: Owner: Name: WALSER, ROGER M & JOAN Address: 10903 E VALLEYWAY AVE SPOKANE, WA 99206-5055 Hold: ❑ Depth: 160 Right Of Way (ft): 40 By: 27e -e. Project Number: 00001865 Inv: 1 Application Date: 03/22/2000 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: ROEMER CONSTRUCTION Firm: ARLEY ROEMER CONSTRUCTIO Address: 16116 E KAHLUA LN Phone: (509) 999-9878 MICA, WA 99023 Building Characteristics Const Category: Addition Group: R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 12 Stories: 1 Bldg W x D: 28 x 38 Building Sq Ft: 230 Sprinklers: ❑ Req Parking: 0 Handicap Parking: 0 Critical Materials: Iii This Application: Total Project: DescriptionGrp Type Notes Su Ft Valuation Sq Ft Valuation COV DECK R-3 VN 192 $1,816.32 192 $1,816.32 RES ADD R-3 VN 342 $21,204.00 342 $21,204.00 Totals: 534 $23,020.32 534 $23,020.32 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $338.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $74.36 Permit Total Fees: Mechanical Permit $416.86 Contractor: ROEMER CONSTRUCTION Firm: ARLEY ROEMER CONSTRUCTIO Address: 16116 E KAHLUA LN Phone: (509) 999-9878 MICA, WA 99023 Item Description Units Unit Desc Fee Amount DUCT SYSTEMS 1 NUMBER OF $10.00 VENTILATING FANS 1 NUMBER OF $10.00 CLOTHES DRYER 1 NUMBER OF $10.00 MINIMUM FEE ADJUSTMENT 1 Select $5.00 Permit Total Fees: $35.00 Plumbing Permit Contractor: ROEMER CONSTRUCTION Firm: ARLEY ROEMER CONSTRUCTIO Address: 16116 E KAHLUA LN Phone: (509) 999-9878 MICA, WA 99023 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 1 NUMBER OF $6.00 TUBS 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 MINIMUM FEE ADJUSTMENT 1 Select $17.00 Permit Total Fees: $35.00 Project Number: 00001865 Inv: 1 • . Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 03/22/2000 Page 3 of 3 Payment Summary: Operator: RMB Permit Type Building Permit Mechanical Permit Plumbing Permit Notes: Printed By: RMB Print Date: 03/22/2000 Fee Amount Invoice Amount $416.86 $35.00 $35.00 $416.86 $35.00 $35.00 $486.86 $486.86 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $416.86 $35.00 $35.00 $486.86 • PROJECT APPLICATION SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION ro Street Address: Assessor's Tax Parcel N /0 ?'C /4' y ct.ee umber(s): tick I (f23; 1 t-/ Legal Description: Project Description: e re t' TYPE OF APPLICATION Drtuilding Permit 0 Grading O Manufactured Home Permit 0 Timber Harvest 0 Relocation 0 Change in Use 0 Other yae, City, State, Zig.City, L7r OWNER/APPLICANT INFORMATION 0 Owner: A.Qf' L.VALS,,___ Phone: 47,-0 S'0 Fax: lD Applicant: At i'y Pei -c t., (1- Phone: Fax: Maili Address: ale, logo 3 E, Lal/ee-y Mailing Address: I 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 --go yae, City, State, Zig.City, L7r State, Zip Is there evidence of fill or excavation on the property? _- 0 Yes f No Contact: A�I D . e-..,--6- i Phone: 494/ .4c? 7 g `T Fax: 0 Indicate who should be contacted regarding this project `\'` �J �� Mailing Address: /016 E. KKGI1uti 1�, City, State, Zip /Litt* cu Gtio ‘11e, 3 ADDITIONAL INFORMATION Are there structures on the property? E Yes 0 No If yes, identify on site plan Al c a y P What is the current property size? (square feet or acres) /50 , Is 0 Is any part of the property within 250 feet of a shoreline? If yes, identify on site plan O Yes 0"3Qo What is the current use of this property? k _k' S' Is your property in a designated wildlife habitat area? 0 Don't know 0 Yes 12" -go Will the site be served by a septic system? Q' Yes 0 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 --go Are or will there be wells located on the property? If yes, identify on the site plan 0 Yes 0' No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, identify on site plan 0 Yes a'•go Is there evidence of fill or excavation on the property? _- 0 Yes f No Are there slopes greater than 30% on the property? (30 fl.rise in 100 ft) — _ No (%) 0 Yes C� Are critical or hazardous materials used or stored on site_,? — 0 Yes No 1 Project Number: CO -U FOR STAFF USE ONLY itp3r care' Is the property in a designated Stormwater Control O Yes a? No Is the property inside a Joint Planning Area? What jurisdiction? O Yes No Is the property inside the ASA? 0 Yes O Yes 0 No O No Is public water available to the site? (kkres 0 No Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural ' s • urce Area? 0 Yes i No Is public sewer available to the site? 0 Yes pi No What is the zoning for the property? LL te 3 5 School District: Water District/Purveyor: Fire District: Sewer District/Purveyor: Date Received: _3/0, /CD Staff Represen Comments: SPOKARE COMA' PROJECT APPLICATION — Detail Information SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 Project Number: Contractor Architect / Engineer ContractorArchitect/Engineer ki,.geV' sf - Unfinished basement sq. ft. Phone (? 47 79 0 7 6- Fax 776 70) ,) 4 Phone Fax Mailing address )( /( , � - `4 t' 6.16 C..- Mailing address City, State Zip City, State Zip WA State Contractor license # )20&_ ME 1'>o-ecpIL0 Contact name: Building Information Building height to peak .1 # of stories / Main floor sq. ft. 0, 42.3 O Unfinished basement sq. ft. Dimensions asp :3cif Total habitable space 2'd floor sq. ft. Finished basement sq. ft. Occupancy group Construction/�type A Tr4,1A e Q 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 face? How high is the sign? Year: Make: # of signs Area of existing signs Relocation Fire Safety Firm Name Previous address Fire Sprinkler _ Tent Paint booth _ Fire Alarm Fireworks display Inspectors: Proposed use Value Address Special Inspections Required? Non -Residential Energy Code Compliance? Firm Name Phone Plans Examiner Phone Inspectors: Address Inspector Phone 0 Concrete 0 Welding O Bolting 0 Reinforcement Address D E 3 �SG # 731GI�� SOLD— $ y(.�rQ.... �pt # q= Ger plan is be r? obirl .- building >)L r ei'•, ' seri a i . l line;; hav both Sign Date: imer on,3, been identified. F•:is_5:.. of w•l'er, s°.. ,,,,,,,ose of correct iroperty •?sement: a•.ands, •= I areas. ti this site plan is being submitted for the Purpose of obtaining a building permit and is a true and correct representation of the proposal. Alt knower property lines/dimensions, curb lines, structujes and easements have been identified. Al o indicated are wetlands, bodies of w. r. slopes or other critical areas. Signed: _ate_ 3 60/vE ass: //5 � 3 lyT. CONjFRDMFNr�. p.synf.1-11- (.;, 2:e&41iAi . '1T f