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2001, 05-11 Permit App: 01003490 Addition J Project Number: 01003490 Inv: 1 Application Date: 5/11/01 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE ADDITION Contact: MONROE CONSTRUCTION INC Address: PO BOX 1378 C-S-Z: MEAD,WA 99021 Setbacks:Front NA Left: NA Right: 11 Rear: 61 Phone: (509)238-2255 Group Name: Site Information: Project Name: Plat Key: CONY Name: CONVERTED CNTY DATA District: F Parcel Number: 45084.0801 Block: Lot: SiteAddress: 1722 N WALNUT RD Owner:Name: HATFIELD,BRIAN&GEMMA SPOKANE,WA 99206 Address: 1722 N WALNUT RD Location::SPO SPOKANE,WA 99206 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 0 Sq Ft Width: 87 Depth: 122 Right Of Way(ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Department Review 1 ' BUILDING Site Plan Reviewl A Released y: e . Hold Reasons: Permit Conditions: j BUILDING Plan Review Release By: , tt_ ;�"',� / • Hold Reasons: Permit Conditions: HEALTHDISTRI► Septic System Review [Released By: fir . LC—F/4°7 oldasons: Permit C,,n: t'ens: Permits: �> Project Number: 01003490 Inv: 1 Application Date: 5/11/01 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: MONROE CONSTRUCTION INC Finn: JEREMIAH MONROE CONSTRUC Address: PO BOX 1378 Phone: (509)238-2255 MEAD,WA 99021 Building Characteristics Const Category: Addition Group:R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: 10 Stories: 1 Bldg W x D: 12 x 12 Building Sq Ft: 144 Sprinklers: El Req Parking: Handicap Parking: Critical Materials: This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RES ADD R-3 VN 144 $8,928.00 144 $8,928.00 Totals: 144 $8,928.00 144 $8,928.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $150.50 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $33.11 Permit Total Fees: $188.11 Payment Summary: Operator: DMD Printed By: DMD Print Date: 5/11/01 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $188.11 $188.11 $0.00 $188.11 $188.11 $188.11 $0.00 $188.11 NOteS• ... tz. ,nu 9.,a a x r pig Psi^r.i ,. °a7, A. vvk t i __ t PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE 111( SPOKANE, WA 99260 &MIRE COLJI\CIY 509-477-3675 P 1 j(- ?ems SPECIFIC SITE INFORMATION Street Address: A, ti 22_ ii.\ 0AuviA/ Assessor's Tax Parcel Number(s): 6 lck4 . ocd©t Legal Description: fr1ts�,,-f, ;,(,_ lam- AND +b oc)p Li 7 _ Project Description: 9.45Cy \ t)1 Building Permit O Change in Use O Grading Cl Manufactured Home Permit Cl Relocation ' O Sign O Tenant (New/Change) O Other Eqq' - ''}} .4- :y rt –1 A lsem �.. 1— Ste` `-,3A 'moi 3�.�-.�a''�' . - ,7 4X�: } .2 •r 4'_'x` �4' y fw,Y3 4 j S 3�. 2 = a^ '$ �S" � iu�� OWNER/APPLICANT INFORMATION II Indicate who should be contacted regarding this project ❑Owner- l"1L. .Phone: CI Applicant. , Phone: 2'22-S Fax: -►/�c t Fax: _v54041.L Mailing Address: Mailing Address: City,State,Zip Ci State,Zip i, b L.i✓� °602-,1 Mr-actor ,, <Phone Z ZZ�� O Architect/Engineer Phone -ri'�r'7r 'x -�t�Ls7�— Fax Mailing Address Mailing address 6iry,St e Zip l City,State Zip WA State Contractor license b Contact name: MOvl PPCI 0 31 c 1 PROJECT INFORMATION Budding height to peak I of stories ?Actin floor sq.fi_ Unfinished basement sq.ft 1© 1 I 4 /l/t- Dirrtenstons Total habitable s ace 2°�P^nr sq.ft. Finished basement sq.h. �2 21 Jccupanc coup Construction cion t Garage h. Ch- x OM O F . sq. Deck sq.ft. , oco, , ,),„ lost of proje hf,�` Heat source(electric,gas,etc esu _. �sb` ' �- a . �� - ��-- - - moi, `C ..--t- .,.- ._ s -,.£ 5 ® $ '��`' °, Width: Length: What is the square footage of the sign How high is the sign? face? Year: Make: if of signs Area of existing signs Previous address � ,1_1_-_,_; ,- ` Fire Sprinkler Tent Paint booth_ Fire Alarm Fireworks display Proposed use Value p �' z' ze °' § �SF_s�,a3' -.ice �c np� - ...,p . y`'.�— z „` . 1i'Z:' z ,� _ :ext .,<iv.a✓= ....,,5ti.�sw a,4. ._.. ± sF -4 _ __._�_,_.,. '= --::�f t ' _ y l0 F . .-5a'�.i :: '., _ Firm Nana a Phone Plans Examiner Phone ��� Address Inspectors: Inspector Phone 0 Concrete 0 Welding 0 Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes D No What is the current property size? If yes,identify 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[his property? If yes,identify on site plan Cl Yes D No Is your property in a designated wildlife habitat area? Will the site be served by a septic system? D Yes D No 0 Don't know D Yes O No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? If yes,identify on site plan If yes,identify on the site plan O Yes D No CI Maybe O Don't know D Yes D No Are there any wetlands,screams or ponds within 200 feet of the Is there evidence of fill or excavation on the property? property? Cl Yes D No yon site plan Are erentslopes greater than 30%on theOpOroYpYeeesrts y?O O(3_0N"Nfto or ise in 100 00 ft) ;merq - --,P.:Are critical or hazardous materials used orOstoYreeds onDsiteN?o E ONLY( /%) DEPARTMENT US - T: 's -' ,_ _`r 'a,`s;" T - act / ri;_1 � '-',---'2-2.--L-- --- - :13.- m�r"�' -4 ,. h -- ' l 'r��. _ vafrs c 'a - ti -.- _ `; ; � - mici 4 � 7.-t-.-1:-E.----t-,--:1",--- -y1 ,,.,__ -: ` -r. -a inx . 4 y @2 a _- - Psb � � ia y ,ta9e _ S" tgm^ f i€P 4 ' 3 cma�. r , " M .� . a` -s ;- -,, 102,-�a°-, r •Dace Received: Staff Representative: METHOD OF PAYMENT lfCytf::; SUBTOTAL [1CASH ❑ CHECK ❑ WM ❑ ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD .tet DATE EXPIRES' t f BANK CARD NUMBER _. --- t> r --i-V4 rrrF is soo tEn - AUTHORIZED SIGNATURE= � � YABUTO`SrogA-,, a �£flLltglx_,, -_173"CENTER ' t This site plan is being submitted for thepurpose of obtaining a building permit and is a true and correct representation of the proposal.All known property ADDRESS 72-2-2 A) C,()'741-(7— lines/dimensions,curb lines structures and easements have been identified.Also indicated are wetlands, ZONE ,. �, bodies of water,steep slopes or other critical areas. ROAD WIDTH, / �� FRONT /v F • I I 1Signed:' _��1''l' .__.,____-.- COMMENTS ;/ , Dater —/1 — 24.- t REVIEWED BY V.IW __ . NORTH / ,-a. P-. .!' ,2 '-' 1 • . p .J r iv ii yii V( i •I 0) e / ' I 3 i t { � f C.1...) I c . ivi J VI Ii L `Z- 7,°__ . V` -.71' 1 -. .—:,--:— . (j2ii - _,:::::-; ..,t_tk1/4 kr Peet i __ = - e_ pig ,, I j \ SOUTH I hereby -- iffy inforit.: tion submitted s correct and there are no other stru< as shown. / ->e ' Z,21_12-/40 V,/ ell"- -...."/ Owner or Agent A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE THIS IS HOT A PERMIT. - 741,440,-)0 DO NOT WRITE BELOW THIS LINE lir , Your street address will be �' �, / 7.,t Z /a_,&-k t Sewage Permit Number Issued Building Permit'' .CI . Remarks