2003, 02-18 Permit App: 03000927 Remodel Project Number: 03000927 Inv: 1 ► Application Date: 2/18/2003 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: ENCLOSE EXISTING CARPORT(ADDING Contact: WOMACK,LEANNE
FOUNDATION&WALLS) COVERED PATIO Address: 19215 E VALLEYWAY AVE
C-S -Z: GREENACRES,WA 99016
Setbacks: Front EXI Left: EX Right: 5 Rear: 20+ 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: !o a V)1 . A -
11111
Plan Review
Released By:
(7.7
Septic System Review Released By: ed"14' �
Permits:
Operator: RMB Printed By: RMB Print Date: 2/18/2003
Project Number: 03000927 Inv: 1 Application Date: 2/18/2003 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER Firm: 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: El
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
COV DECK R-3 VN 216 $2,175.12 216 $2,175.12
GARAGE U-1 VN REMODEL 0 $4,324.88 0 $4,324.88
Totals: 216 $6,500.00 216 $6,500.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $125.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $27.61
Permit Total Fees: $157.61
Notes:
Payment Summary
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $157.61 $157.61 $0.00 $157.61
$157.61 $157.61 $0.00 $157.61
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 tit=code or of any other state or local laws or ordinances.
Signature: 1 ` ,,4z A;r 1
Operator: RMB Printed By: RMB Print Date: 2/18/2003
f
I I PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
Aiiiilik
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
11- 509-477-3675
SPOWT COUNPI
S ECIFIC SITE INFORMATION
.\(
Street Address: L/
E 1/4--(2tyei(4,7,4g 41 ,,, , A)A.-/ ,
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: / h171, Z.,4)4-6 G 5
ding Permit CI /Change in Use ❑ Grading El Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor: Sewer District/Pun-eyor Road width Setbacks
Front Rear
School District Fire District: Zoning
Left: Right:
OWNER/APPLICANT INFORMATION
El Indiule who should he mnlacled ngardint ibis prsyea
❑ Owner: Phone: ❑ Applicant: YhoPhone:/f /v(� 7 t �/O���( Fan: Fax:
Mailing Address: / Mailing Address
9 7.1'S eek- (/,--WeAt �/
try,State,Zip / Circ,State,Zip
.,/1 il)rfe-R- s 7-04-,
El Contractor Phone
El - Phone
Architect;'1 ingnneer
\
�
A-5 9430.4.4
Mailing address Mailing address
City,State Zip Cin-,State Zip
WA State Contractor license# Contact name:
«x \z
PROJECT INFORMATION
Building Information
v Building height to peel #of stories Main floor sq.ft. Unfinished basement sq.ft.
l
DimensionsPe 'Total habitable space 2nd floor sq.ft. Finished basement sq.ft.
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project ce i� I kat source(electric,gas,etc.)
Manufactured Home Sign
Width: Length: What is the square footage of the sign I low high is the sign?
face?
Year: Make: #of signs Area of existing signs
Relocation Fire Safety
Previous address Fire 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
O Concrete 0 Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
.ire there structures on the property? Yes O No What is the current property size?
If yes,
idenqji on site plain (square feet or acres)
Is any part of the property within 250 feet of a shoreline? What is the current use of this prope ?
If yes,identify on site plan 0 Yes 11 No 6
Is your property in a designated wildlife habitat arca? Will the site be served by a septic system?0 Yes 0 No
0 Don't know 0 Yes l cNo
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
I f yes,identO,on site plan If yes,identify on the site plan 0 Yes fa.:No
0 Maybe 0 Don't know 0 Yes tkNo
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
If yes,identify on site plan 0 Yes No 0 Yes n No
Arc there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( %) 0 Yes NO 0 Yes Q1YNo
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No
DYes 0 N
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
DYes ONo
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
D Yes O No
Date Received, Staff Representative:
METHOD OF PAYMENT
EC®Vc'
SUB'TO'1'Al.
VISA
p (Asn 0 clll:(K 0 iiienn ❑ 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I?XPIRI?S: TOTAL FEE
BANKC:ARD NU\1B1':R: MINIMUM PERMIT FEE IS$35010 PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
ALM TORI/,ED SIGNA'T'URE: COUNTY PERMMrrCENTER
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ROAD WIDTH • .
FRONT._*005 FLANKING
COMMENT
REVIEWE
/
This site plan is being submitted for the purpose of
obtaining a building permit and is a zrue and correct
'•
representation of the proposal.All known property . , . , •
lines/dimensions,curb lines,structures and easements i'
have been identified.Also indicated are wetlands, ,
bodies of w r,steep slopes or ot er critical areas.
Signed: /WI
, ....,
Date.___t--,--.7/
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