2001, 08-29 Permit App: 01007368 Pole BldgProject Number: 01007368 Inv: 1
r
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/29/2001 Page 1 of 2
Project Information:
Pennit Use: 36 X 48 POLE BUILDING
Setbacks: Front 75 Left: 20+ Right: 12 Rear: 50+
Site Information:
Plat Key: 002044 Name: PLAT"A" GREENACRES IRRDISTRICT District: G
Contact: KNOBEL, HARLAN
Address: 18311 E RIVERWAY RD
C - S - Z: GREENACRES, WA 99016
Phone: (509) 924-1213
Group Name:
Project Name:
Parcel Number: 55071.0189
Block: Lot:
SiteAddress: 18311 E RIVERWAY RD
GREENACRES, WA 99016
Location:: GRE
Zoning: SR -1
Water District
Area: 0 Sq Ft
Suburban Residential 1
Owner: Name: KNOBEL, HARLAN
Address: 18311 E RIVERWAY RD
GREENACRES, WA 99016
Hold: n
Width: 100 Depth: 335 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department
BUILDING
Hold Reasons:
Permit Conditions:
Review
Site Plan Review
R0eased83,;
0 cU- kEJ „X(alidl
BUILDING Plan Review
Hold Reasons:
Permit Co ditions:
ern go
HEALTHDISTItICT Septic System Review
Hold Reasons:
Permit Conditions:
Releasect By:
Project Number: 01007368 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/29/2001 Page 2 of 2
Building Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000,00 000000
Building Characteristics
Const Category: New Group: U-1 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 16
Bldg W x D: 36 x 48 Building Sq Ft: 1728 Sprinklers: E
Req Parking: 0 Handicap Parking: 0 Critical Materials: D
Description Grp Type Notes
GARAGE 1.1-1 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Payment Summary:
Operator: RMB
Permit Type
Building Permit
Notes: r.:<:::<:„:.
This Application:
Sq Ft Valuation
1,728 $20,736.00
Stories: 1
Total Project:
Sq Ft Valuation
1,728 $20,736.00
Totals: 1,728 $20,736.00 1,728 $20,736.00
Units Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
1
1
1
Permit Total Fees:
Printed By: RMB Print Date:
Fee Amount
$371.11
Fee Amount
$300.50
$4.50
$66.11
$371.11
8/29/2001
Invoice Amount Amount Paid Amount Owing
$371.11 $0.00 $371.11
$371.11 $371.11
$0.00 $371.11
::Yn'0......4......... ..h>:J4').:J'40u\Vi
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
! W31 1 P. -IQ -Fit c csoc6—
Assessors Tax Parcel Number(s):
Street Address:
ti/g tROe_ad. 5 q
Legal Description:
Project Description: SI -0(W e 1✓ U f (Ott (4.3
ve`Building-Permit
n Change in Use
O Grading
O Manufactured Home Permit
O Relocation
O Sign
O Tenant (New/Change)
O Other
llepaz:hneilTJ
t se`;Onlyrk
❑ Applicane
C�
# of stories/
•
Phone:
Fax:
actin Address:
1 AS 1 i -� f UF2 W acyl
Marling Address:
2"'t floor sq. ft.
',Wit, Du .ct/Pur'eyo, g ` m
3•at a .
sewer Distnctrnnrveyor "
.1*
Ci tate, Zip J
C& -WC Ce ES &(-)A—Q9Q LCO
City, State Zip
Deck sq. ft.
l
Setbacks-
' Ftone
Lefts
3`
A
+Gy y:..r.r,
_"S'.A
k •
}
A f ..
,Schbb6I�stnct k '.(�
^Erre DistnctM
.'#
x. x Li"
x
`
.
a
Zoning
n
OWNER/APPLICANT INFORMATION
Indicate who rbor/Id be contacted rreardine this Droiecf
❑ Ow Phonr.q�z49 z / 0j
�1 44A) A011_7 ► Fax: c726-10 2
❑ Applicane
C�
# of stories/
Main floor sq. ft.
Phone:
Fax:
actin Address:
1 AS 1 i -� f UF2 W acyl
Marling Address:
2"'t floor sq. ft.
Finished basement sq. ft.
Occupancy group
Ci tate, Zip J
C& -WC Ce ES &(-)A—Q9Q LCO
City, State Zip
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc.)
❑ Contractor Phone
Fax
❑ Architect/Engineer
Phone
Fax
Marling address
Mailing address •
City, State Zip
City, State Zip
WA State Contractor license #
Contact name:
, r
i.ugl
LZ
q
PROTECT INFORMATION
.Build•ing1nf6rmatiok
Building height to,pgak
# of stories/
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensigps/p///�O ^
✓
'Total habitable space
2"'t floor sq. ft.
Finished basement sq. ft.
Occupancy group
Co o - 0//�N�
,,,/,-I{,�
Garage sq. ft.
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc.)
iF
e q
1%I„.0.1.1,ifactuied;H6nr& n.:. , ... a :
L+'4 .p `MF'" 4 A' i $K� 3 d Tti'si'• r d'v '
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
_
Proposed use
Value
Relocau
.1. r` 5
F>rksafe
a' Pwhy v s'„.-9K•�''2*nr 3
5 }lt
d?,. Ra".�°R �'' a`eu ,1.”
Previous address
Phone
Fire Sprinkler
Tent
Paint booth Fire Alarm
Fireworks display
_
_
Proposed use
Value
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( /%) L,Yes 0 No
Speti Inpecuozlsegnited
.k,Tv.:-.,g,,,44:444,,
.,1 h n*.'✓'+#,.. "i . G§ . " r 'S %.. '. kv. h v ski
*Non Res cenEnergy„Coopkandez
5. Nr"ii'.<';'kc't .
Firm Name
Phone
Is your property in a de ,gnated wildli c habitat arca?
on't know ❑ Ycs ❑ No
Plans Examiner
Phone
Inspectors:
Are or will there be wells located on the property?
Ijyes, ident on the site plan ❑ Ycs ` o
Address
Is there evidence of fill or excavation on the property? 1—No
❑ Yes f—No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( /%) L,Yes 0 No
Are critical or hazardous materials used or stored on site?/I
❑ Yes �1Vo
Inspector
Phone
❑ Concrete
❑ Welding ❑ Bolting
❑ Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? "(Yes ❑ No
Ifyes, identify on site plan
\'/hat is the current property size? / C.CC./ f�`�
(square feet or acres)
Is any part of the property within 250 fee .of a shoreline?
If yes, identify on site plan `, "Ycs ❑ NoE.
_/ —
What is the current use of this property? ill%Mc
G.r
Is pullllc water avdiiablt''{otthesite? e `4 ; 'fJY 'e; .E7 .No %' ° 2-
t ''s't..',.';',,•.
, " 'x .
Is your property in a de ,gnated wildli c habitat arca?
on't know ❑ Ycs ❑ No
Will the site be served by a septic system?', Yes ❑ No
Is the property. located within -1'000103'o Ea f aw?21 Rcsqufce Area?" - "
O Yes .O:No ., N" 4. :. w, .. ; it ,t„y;r r ..,'CO
Is any part of the property within a 100 yr flood plain?
Ifyes, identi on site pl'ann
❑ Maybe ya don't know ❑ Yes ❑ No
Are or will there be wells located on the property?
Ijyes, ident on the site plan ❑ Ycs ` o
Arc there any wetlands, streams or ponds yithin 200 feet of the property?
If yes, identify on site planes' ❑ No
Is there evidence of fill or excavation on the property? 1—No
❑ Yes f—No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( /%) L,Yes 0 No
Are critical or hazardous materials used or stored on site?/I
❑ Yes �1Vo
DEPARTMENT USE ONLY
Isthe property ih rdesignated $,totmwatei Control Area?
�yye,
" . '❑ Yes' U No
❑; Yc0 N z" -e
,Is'publtc sewers" ableAo,,tt a stte? s
''
e tom' t t. v_r �° *Er
Is the property/insvirf the ASA?. s
, ..
• ❑ Yes 0 So
y O Yes O No"
Is pullllc water avdiiablt''{otthesite? e `4 ; 'fJY 'e; .E7 .No %' ° 2-
t ''s't..',.';',,•.
, " 'x .
Is the property instae the PSA? `
V ❑Yes. I❑ No
J
Is the property. located within -1'000103'o Ea f aw?21 Rcsqufce Area?" - "
O Yes .O:No ., N" 4. :. w, .. ; it ,t„y;r r ..,'CO
Date Receive&
Staff Represent
METHOD OF PAYMENT
VISA
❑ CASII ❑ CHECK ❑ ❑ ' 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATI
EXPIRES:
BANKCARD NUMBER:
AUTI IORIZED SIGNATURE:
SUBTOTAL
TO'FAL,FEE,
MIAMMUA/PERAMITFBRIs tato° PLEASE
VAKE cpgacsFA1��� TQ spoK AY E
COUNTY &RMrc CEN'1ER'
ADDRESSa 1'7511 -ROC'SLOOLLO
ZONE S
ROAD WIDTH 60
FRONT '75BANKING
COMMENTS
REVIEWED BY
This 'site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
linesldimensions, curb lines, structures and easements
have beenidentified. Also indicated are wetlands,
bodies at./ to , s, steeJeppslopes oro er critical areas.
Signed':
Date: �_r-2S ` a (
axenr4 co
) flet
(25J
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k
83'
03 1
d re
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