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2001, 07-25 Permit App: 01006127 Addition Project Number: 01006127 Inv: 1 Application Date: 7/25/2001 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: .................................................................................................... Permit Use: 2 STORY ADDITION-2 BEDROOMS, Contact: SCOTT,CHIRS BATHROOM,LAUNDRY &EXPAND KITCHEN Address: 1201 S WALNUT RD C-S -Z: SPOKANE,WA 99206 Setbacks: Front EXI Left: 10+ Right: EX Rear: 56 Phone: (509)879-1113 Group Name: Site Information: Project Name: ......................................................................................................................................................... . Plat Key: 002704 Name: UNIVERSITY PLACE District: F Parcel Number: 45204.1844 Block: Lot: SiteAddress: 1201 S WALNUT RD Owner:Name: SCOTT,CHIRS SPOKANE,WA 99206 Address: 1201 S WALNUT RD Location::SPO SPOKANE,WA 99206 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review In ormation: :. f Department Review BUILDING Site Plan Review Released By: (tz L {,�� f� Hold Reasons: �7l ay Permit Conditions: / C7 BUILDING Plan Reviewl2eleased t - By. r { Hold Reasons: Permit Conditions: e its: ........................................................................... P rm Project Number: 01006127 Inv: 1 Application Date: 7/25/2001 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000)000-0000 000000,00 000000 Building Characteristics Const Category: Addition Group: R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 18 Stories: 1 Bldg W x D: 19 x 19 Building Sq Ft: 400 Sprinklers: ❑ Req Parking: 0 Handicap Parking: 0 Critical Materials: ❑ This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation BASEMENT F R-3 VN 400 $6,304.00 400 $6,304.00 RES ADD R-3 VN 400 $24,800.00 400 $24,800.00 Totals: 800 $31,104.00 800 $31,104.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $415.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $91.30 Permit Total Fees: $510.80 Mechanical Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000)000-0000 000000,00 000000 Item Description Units Unit Desc Fee Amount GAS WATER HEATER 1 NUMBER OF $10.00 GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00 GAS PIPING 2 #OF UNITS $2.00 VENTILATING FANS 2 NUMBER OF $20.00 CLOTHES DRYER 1 NUMBER OF $10.00 Permit Total Fees: $54.00 Plumbing Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000) 000-0000 000000,00 000000 Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 1 NUMBER OF $6.00 SINKS 1 NUMBER OF $6.00 TUBS 1 NUMBER OF $6.00 MINIMUM FEE ADJUSTMENT 1 Select $17.00 Permit Total Fees: $35.00 f Project Number: 01006127 Inv: 1 Application Date: 7/25/2001 Page 3 of 3 THIS IS NOT A,PERMIT Penalties will be assessed for commencing work without a permit Payment Summary Operator: RMB Printed By: RMB Print Date: 7/25/2001 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $510.80 $510.80 $0.00 $510.80 Mechanical Permit $54.00 $54.00 $0.00 $54.00 Plumbing Permit $35.00 $35.00 $0.00 $35.00 $599.80 $599.80 $0.00 $599.80 Notes ..... I iPROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE l SPOKANE,WA 99260 111 509-477-3675 SPoxc Com SPECIFIC SITE INFORMATION Street Address: ` .2...0 I C c.c./A(..4,1/414"T Assessor's Tax Parcel Number(s): L/ c—ZO LI ( ' 5 Li Li Legal Description: U --PLACE_ L,OT ( 2 l c.,o 0L 1 -7 Project Description: /1\ 4°6 i t o/kJ ❑ 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: Zonin• i!` i / am Left: Right:Am%�j OWNER/APPLICANT INFORMATION a Indirale who should be contacted n;kanline,this pr-o eel St Owner: Phone: 977q - l ( 11�3 ❑ Applicant: Phone: C 1-1-/2--i 5 CO' Tr las: q22.'Sc.(CS-- . -4."1, fax: Mailing Address: Mailing Address: City,State,Zip City,State,Lip 9 GAG• tail— 9 c b Phone Phone '''.6:,,,' '7 5-/�3 ❑ Contractor ® !f Architect/ gi anccr / Pas / 2 &L 4 ' f. fjlbAt fax Mailing address Mailing address City,State Zip City,State Zip W(\State Contractor license# Contact name: PROJECT INFORMATION Building Information Building height toypeak #of stories Main floor sq.it. Unfinished basement sq.ft. ( V t ( "/-Z q ao moi° Dimensions Total habitable space 2"`I floor sg.ft. Finished basement sq. ft. Occupancy group Construction type Garage sg.ft. Deck sg.ft. Cost of project I feat snurCe(electric,gas,etc.) AI / —21 00J ('45 • Manufactured Home Sign Width: Length: What is the square footage of the sign I Iow high is the sign? face? Year: Make: .#of signs Area of existing signs Relocation Fire Safety Previous address Fire Sprinkler fent 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 0 Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? ® Yes 0 No What is the current property size? 1f yes,identify on site p/an (square feet or acres) �cJ000 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 0 Yes . No i(ie) 1'4c,C Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes PF No 0 Don't know 0 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 f yes,identin,on site plan If yes,identi on the site plan 0 Yes 'I No 0_Maybe 0 Don't know 0 Yes No Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property? If ye.,identin,on site plan 0 Yes ® No 0 Yes No Are there slopes greater than 30°%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site? ( °%) O Yes 91 No 0 Yes Pr No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No CI Yes 0 N Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No OYes 0 N Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area? OYes 0 N Date Rea,cd: Staff Representatne: METHOD OF PAYMENT =MR ;) u/ SUB101 \l, VISA ❑ CASI I ❑ CIII{CK ❑ 0 0 FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD D.VI'I{: I?XPIRI(S: TOTAL FEE B.ANK(,.ARD NUMBER: MINIMUM PERMIT FEE IS$3500PLP.,ySF hl_1KE CHECKS PAS:MILE:"I'O SPOKANE \UII IORI/,l:D SIGNATURE:: col'y11PERMIT CENTER IER 1 r , rt,,,-- it., - i-ic 6,-ot e At/ 66, ,4,t..., ougfrr ; V QE- .1 b - t0 "Ey-C57— 1 PI fa 1z(3c1/67 43 LAS -- t'lAl 4 � 0 Ulit1-7,'/2- > -. A'— 1So This site pian is being sut:ritted for the purpose of obtaining a building permit and is a true and correct ()JAI- t,ti ut— 122-e^ n 0 representation of the proposal.All known property 1`j 1lines/dimensions,curb lines.structures and easements have been identified.Also indicated are wetlands, bodies ter,steep slopes. . er critical areas. E_J,..J., CI-L.).(a0, (1.�0.kv� ADDh� J u� Signe 410 ZONE V\.It 1 Date: _-_...._.__ ROAD WIDTH toC FRONT CC© FLANKING COMMEN • INN. REVIEWED'.-