2002, 09-24 Permit App: 02008304 AdditionProject Number: 02008304 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/24/02 Page 1 of 3
Project Information:
Permit Use: RESIDENCE/GARAGE ADDITION - BEDRM,
BATHRM, FAM RM, DINING RM
Setbacks: Front NA Left: 50+ Right: 50+ Rear: 50+
Site Information:
Plat Key: CONV Name: CONVERTED CNTY DATA District: F
Contact: BOLT CONSTRUCTION
Address: 6907 W JOHANNSEN AVE
C - S - Z: NINE MILE FALLS, WA 99026
Phone: (509) 990-0874
Group Name:
Project Name:
Parcel Number: 45164.0256
Block: Lot:
SiteAddress: 12117 E VALLEYWAY AVE
SPOKANE, WA 99216
Location:: SPO
Zoning: UR -7 Urban Residential -7
Water District:
Owner: Name: DUNWOODIE, LES & MARY
Address: 907 S PERRY
SPOKANE, WA 99202
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
I Released By:
i
_-u; q- z4-62.
Septic System Review
Permits:
Released By:
Operator: CKF Printed By: CKF
Print Date: 9/24/02
Project Number: 02008304 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/24/02 Page 2 of 3
Contractor: BOLT CONSTRUCTION
Address: 6907 W JOHANNSEN AVE Phone: (509) 466-2717
NINE MILE FALLS, WA 99026
Building Characteristics
Building Permit
Firm: AYNE BOLT CONSTRUCTION
Const Category: Addition
Nbr Of Dwellings:
Bldg W x D: x
Req Parking:
Group:
Occupant Load:
Building Sq Ft:
Handicap Parking:
Description Grp Tvpe
2ND FLOOR R-3 VN
BASEMENT U R-3 VN
DECK R-3 VN
GARAGE U-1 VN
RE ADD R-3 VN
1i Co
r( _
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes
Type:
Building Height: Stories:
Sprinklers:
Critical Materials:
This Application: Total Project:
Sq Ft Valuation Su Ft Valuation
512 $33,792.00 512 $33,792.00
384 $4,723.20 384 $4,723.20
48 $375.84 48 $375.84
720 $8,640.00 720 $8,640.00
464 $30,624.00 464 $30,624.00
a,9-# 2,128 $78,155.04 2,128 $78,155.04
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Contractor: BANNER FURNACE & FUEL CO
Address: P 0 BOX 4346
SPOKANE, WA 99220
Item Description
GAS APPLIANCE<=100,000BTU
VENTILATING FANS
MINIMUM FEE ADJUSTMENT
Permit Total Fees:
Mechanical Permit
Fee Amount
$761.25
$4.50
$167.48
$933.23
Firm: BANNER FURNACE & FUEL CO I
Phone: (509) 535-1711
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 Select
Operator: CKF Printed By: CKF
Permit Total Fees:
Fee Amount
$12.00
$10.00
$13.00
$35.00
Print Date: 9/24/02
Project Number: 02008304 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/24/02 Page 3 of 3
Contractor: BOLT CONSTRUCTION
Address: 6907 W JOHANNSEN AVE
NINE MILE FALLS, WA 99026
Item Description
TOILETS/BIDETS
SINKS
TUBS
WATER PIPING - DWV
MINIMUM FEE ADJUSTMENT
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Units
1
1
1
1
1
Fee Amount
$933.23
$35.00
$35.00
$1,003.23
Plumbing Permit
Firm: AYNE BOLT CONSTRUCTION
Phone: (509) 466-2717
Unit Desc Fee Amount
NUMBER OF $6.00
NUMBER OF $6.00
NUMBER OF $6.00
NUMBER OF $6.00
Select $11.00
Permit Total Fees: $35.00
Invoice Amount
$933.23
$35.00
$35.00
$1,003.23
Amount Paid
$0.00
$0.00
$0.00
$0.00
Amount Owing
$933.23
$35.00
$35.00
$1,003.23
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: CKF Printed By: CKF Print Date: 9/24/02
IiLI
.t
l II
SPOKE COUNTY
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: / //7/—y t 17/g/(,
/ /( 7
t/V!
Assessor's Tax Parcel Number(s): L'�.0�
Legal Description:
Project Description:
�61?T.fjG r'
Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
0 Relocation
O Sign
O Tenant (New/Change)
O Other
d - r`
D``epartment Use Only
Applicant:
l/atilLI/ODd sG
Phnr '- 92r sty,'///
Fax:
Mailing cess:
9 7 c&a Peg -
h/adin?Address:
`707 SO Peg
Dimensions
City, State, Zip .
Sgat a6 4/74- sl%/L
Water Drstnct/Pufveyoe.
>
e'Seape L i et%Pdlve ors r}5+
rP fir' a tFo
! �.'
y " f x
A9aklwrdt�,yysy z
's.7y'
! Gi
iSetbacks'' , Sz;}.
On-'
— :
—
-.,.
it >
Lett
':t "i " �-x'3' ". w 7
,
izsht
r '„r"• e
School District'
Fire D,strict rF
t ("'
n rc
Zngg " °e
OWNER/APPLICANT INFORMATION
El Indicate who should be ronmtied ntnr& ibis ftrui?el
0 Owner: Phone:
nth, Oral i-ei Fax:
Applicant:
l/atilLI/ODd sG
Phnr '- 92r sty,'///
Fax:
Mailing cess:
9 7 c&a Peg -
h/adin?Address:
`707 SO Peg
Dimensions
City, State, Zip .
Sgat a6 4/74- sl%/L
Citv, State, 'zip
SedieVvr Lida-
95'z04.
0 Cnor /Phoh�.e_ 9_ 02 C!Orl
13067-445024-51,--, F j -V 6 r2/7
0 Architect/Engineer
Phone
Fax
Maling address
Mailing address
Tent source (electric, gas, etc.)
Of 4.-
City, State Zip
.Vyker /%%/% /ri-TS L 97Yl86
City, State Zip
WA State tractor license H
-S
Contact name:
Cte SGT / V4%1
PROTECT INFORMATION
Building Information
Building height to peak
# of stories 2-
Hain door ny. ft. ` q
'rf/n
Unfinished baseme9t sq. ft.
Dimensions
'Poral hnbimblc>pn<c�
i'-
?sl floor sq. t'tt''QG2--i
Finishedbasementsq. ft.
Occupancy group
Construction type
Garage sj. ft.f
Deck sq. lid"
Cost of projectI
4� ZOO
Tent source (electric, gas, etc.)
Of 4.-
w
T�
anufa bed Ho 1C ^
Si n , Ai�'� ', zx wx s.m�n2
s
Width:
Length:
What is the square footage of the sign
face?
!low high is the sign?
Year.
Make:
# of signs
Arca of existing signs
..•�.� •��
Plans Examiner
Phone
Inspectors:
Previous address
Fire Sprinkler
Paint booth _ Fire Alarm
Tent
Fireworks display
Proposed use
Value
--
L/111Ve11. as 1LINAAAA.--•
ALINn V ....
��
Are there structures on the property? 1'es 0 No
identify
What is the current property size?
(square feet or acres) 547J7,10 SP
What is the current use of this property?
If yes, on site plan
Is any part of the property within 250 feet of a shoreline?
identi%, 0 Yes 041 o7
1%yes, on site plan
Is your property in a designated wildlife habitat area? ��.
0 Don't know 0 Yes f0 No
Sped In'secrioris tegtuted.
;Non R6ide it
nexgy C , :Omphatice?
...
Firm Naamemc
rent iert i oh plan
Are thereeslopes greater than 30% on the property? (30 ft se in 100 ft)
0 Yes lig No
(
hon c
..•�.� •��
Plans Examiner
Phone
Inspectors:
Address
Inspector
phone
0 Concrete
O Welding
0 Bolting
O Reinforcement
Address
--
L/111Ve11. as 1LINAAAA.--•
ALINn V ....
��
Are there structures on the property? 1'es 0 No
identify
What is the current property size?
(square feet or acres) 547J7,10 SP
What is the current use of this property?
If yes, on site plan
Is any part of the property within 250 feet of a shoreline?
identi%, 0 Yes 041 o7
1%yes, on site plan
Is your property in a designated wildlife habitat area? ��.
0 Don't know 0 Yes f0 No
Will the site be served by a-sepLtic system? 1:9 Yes 0 No
1r1�/ �oj�
Is any part of the property within a 100 yr flood plain?
Ifj'es, ;dent onsite plan
0 Maybe 0 Don't know 0 Yes firNo
Are or will there be wells localEi on the property?
�
Ilya, ;dentin, on the site plan 0 Yes Wr No
Are there any wetlands, streams or ponds within 200fe�et of the property?
ate 0 Yes .-No
Is there evidence of fill or excavation on the property?
0 Yes [�4lo
rent iert i oh plan
Are thereeslopes greater than 30% on the property? (30 ft se in 100 ft)
0 Yes lig No
(
Are critical or hazardous materials used or stored on site?
0 Ye`s No
.%)
DEPARTMENT USE ONLY
I; public sewer Available ig the site?
.Is the property in aidesignated Stormwater Control Area?'
❑,Yes 0 No
Is the'property inside the ASA?
O Yes a No
O Yes ,O No
O Yes .0., No
Is public watef available to the site?
Is the property inside'the PSSA?
0 Yes O,'No
O Yes , ❑ No
Is the property locatedwithint1000 feet of a Natural Resource Area?
0 Yes 0 N
Date Received:
Staff Representative
METHOD OF PAYMENT
VISA
❑
CAS! I ❑ CI ii :K ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I?NI'I12I
BANKCARD NUMB] 'it:
.\UTI IORI%Till SIGNATURE:
0 ^'
0
G�UCAVB�
SUBTOTAI.
TOTAL FEE
MINIMUM PERMIT FEE IS $15.00PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
COUNTY PEIUUI'r CENTER
cyl-t-
301.95'
:;>0
4
4
This s:te p!an is being submitted fo` a purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines. structures and easements
have been identifjed".-,Also i • . is -ted , re wetlands,
bodies of waif, �ierep • r��o :;,,:rte. al - - as.
Signed:
Date:
191.57 191.57
110.38'
r