2003, 02-26 Permit App: 02001130 Addition r .
Project Number: 03001130 Inv: 1 Application Date: 2/26/2003 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RES ADD- COVERED DECK Contact: WOMACK,LEANNE
Address: 19215 E VALLEYWAY AVE
C - S-Z: GREENACRES,WA 99016
Setbacks: Front Left: Right: Rear: Phone: (509)000-0000
Group Name:
Site Information: Project Name:
Plat Key: 001092 Name: GUTHRIES VALLEY VIEW 05TH ADD District: G
Parcel Number: 55173.1208 Block: Lot:
SiteAddress: 19215 E VALLEYWAY AVE Owner: Name: WOMACK,LEANNE
GREENACRES,WA 99016 Address: 19215 E VALLEYWAY AVE
Location:: GRE GREENACRES,WA 99016
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: []
Area: .00 Acres Width: 75 Depth: 122 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review (,Released By-
,.... c_.\k 1111
Plan Review [-Released By:
Septic System .
1--/Z-4'4,3
Review Rel-; ed By:
—/7/e- z -9
i
Permits:
Operator: JAS Printed By: JAS Print Date: 2/26/2003
Project Number: 03001130 Inv: / Application Date: 2/26/2903 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER Firni: OWNER
Phone:
Building Characteristics
Const Category: Addition Group: Type:
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
COV DECK R-3 VN $4,672.48 464 $4,672.48
Totals: 464 $4,672.48 464 $4,672.48
Item Description Units Unit Desc Fee Amount
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $22.1
RESIDENTIAL VALUATION 1 Y OR BLANK 00 0
Permit Total Fees: 27. 1 t >
Notes: ( (
(
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $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 he 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: 2/26/2003
r ,
j l PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
2;ilk
SPOKANE,WA 99260
509-477-3675
SPo1( Cowl,
SPECIFIC SITE INFORMATION
Street Address: /92;5-- G- //44,..e .„.7
CejRr ,:,,e. � 5 z Jam,
Assessor's Tax Parcel Number(s): '- ((J G,
Legal Description: 5c j 2 3 ( ' 1--rD(\
Project Description:
❑ 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: Rear:
School District: Fire District: Zoning
Left: Right:
OWNER/APPLICANT INFORMATION
IZi Ind/rale who should he coneue/ed regarding this preyed
❑ Owner:,//�, / �,1 �/ // Phone ❑Applicant: Phone
�t1TT�l./j'✓ t✓l/0/li ./�--- Fax: l'ax:
Mailing Address: Mailing Address:
Circ,State,Zip Cin',State,Zip
❑ Contractor Phone ❑ Architect/lngineer Phone
Fax Fax
Mailing address Mailing address
Cin',State Zip City,State Zip
\\A State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
/Z / /
Dimensions Total habitable space 2"a floor sq.ft. finished basement sq.ft.
Gq
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project 1[cat source(electric,gas,etc.)
,,
Manufactured Home Sign
Width: Length: What is the square footage of the sign I tow high is the sign?
face
Year: Make: #of signs Area of existing signs
Relocation Fire Safety
Previous address lire Sprinkler 'Tent
Paint booth_ Fire Alarm Fireworks display
Proposed use ,Value
Special Inspections,Required? Non-Residential Energy Code Compliance?
Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
D Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? (tt Yes D No What is the current property size?
Ifyes,identj on site plan (square feet or acres)
Is any part of the property within 250 feet of a shoreline? \What is the current use of this property?
If yes,identify on site plan ❑ Yes D No >/2 /--)441,:y i ty i -
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?EL Yes ❑ No
❑Don't know CI Yes -No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
I_/yes,ident fy on site plan Ifjes,identz y on the site plan ❑ Yes akNo
O Maybe D Don't know ❑ Yes re–No
Are there any wetlands,streams or ponds within 200, .Li
, feet'' of the property? Is there evidence of fill or excavation on the property?
Ifyes,identi8p
,on site plan D Yes o D Yes No
Are there slopes greater than 30°o on the property?(30�fft rise in 100 ft) Are critical or hazardous materials used or stored on site,,??y,,,
( �9�,) p❑ Yes KLNo ❑ Yes a_No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? ❑ Yes D No
CI Yes No
Is the property inside the ASA? D Yes ❑ No Is public water available to the site? ❑ Yes ❑ No
CI Yes 0 N
Is the property inside the PSSA? Cl Yes D No Is the property located within 1000 feet of a Natural Resource Area?
Cl Yes ❑ No
Date Received: Staff Representative:
METHOD OF PAYMENT
CAW SUBTO'f:11,
VISA
❑ Cnsll cmcK ❑ 0 : ❑ ..
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1).111i: 1.YPIRI':S' TOTAL FEE
BANKCARDNf iM ISI':R: MINIMUM PERMIT FEE IS$35.A7PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
API]IORIZUI)SIGN:A1'URI(: COUNTY PERMIT CENTER
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