2003, 03-11 Permit App: 03001530 Addition Project Number: 03001530 Inv: 1 Application Date: 3/11/2003 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information: o4.0.ct,
Permit Use: 12 X 24 B'E1rR69M ADDITION Leictreiti40Contact: HARRIS,WILLIAM C
Address: 12810 E WALTON AVE
C - S -Z: SPOKANE,WA 99216
Setbacks: Front NA Left: 12+ Right: 39 Rear: 56 Phone: (509)928-3306
Group Name:
Site Information: Project Name:
Plat Key: 002503 Name: STEVICK ADD District: H
Parcel Number: 45032.0306 Block: Lot:
SiteAddress: 12810 E WALTON AVE Owner: Name: HARRIS,WILLIAM C
SPOKANE,WA 99216 Address: 12810 E WALTON AVE
Location::SPO SPOKANE,WA 99216
Zoning: B-2 Community Business
Water District: Hold: ❑
Area: .00 Acres Width: 55 Depth: 189 Right Of Way(ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information: , : ... .:
Review
Site Pla 'eview ` Released By
4
Plan Review Released By: J ,, /1
p aC)3
cpc System Review Released B : U((
IV* ‘►
Permits:
Operator: CKF Printed By: CKF Print Date: 3/11/2003
f f
Project Number: 03001530 Inv: 1 Application Date: 3/11/2003 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
RES ADD R-3 VN 288 $19,008.00 288 $19,008.00
Totals: 288 $19,008.00 288 $19,008.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $288.00
STA 1'h SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $63.36
Permit Total Fees: $355.86
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $355.86 $355.86 $0.00 $355.86
$355.86 $355.86 $0.00 $355.86
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 the code or of any other state or local laws or ordinances.
Signature:
Operator: CKF Printed By: CKF Print Date: 3/11/2003
-
Project Number: 03001530 Inv: 1 Application Date: 3/11/2003 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information: . i •
Permit Use: 12 X 24 I EDR99M DDITION Contact: HARRIS,WILLIAM C
Address: 12810 E WALTON AVE
C - S -Z: SPOKANE,WA 99216
Setbacks: Front NA Left: 12+ Right: 39 Rear: 56 Phone: (509)928-3306
Group Name:
Site Information: Project Name:
Plat Key: 002503 Name: STEVICK ADD District: H
Parcel Number: 45032.0306 Block: Lot:
SiteAddress: 12810 E WALTON AVE Owner: Name: HARRIS,WILLIAM C
SPOKANE,WA 99216 Address: 12810 E WALTON AVE
Location::SPO SPOKANE,WA 99216
Zoning: B-2 Community Business
Water District: Hold: ❑
Area: .00 Acres Width: 55 Depth: 189 Right Of Way(ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: I
Review Information:
Review
Site Plan Review Released By:
Plan Review Released By:
Septic System ReviewReleased By,•
f/
Sewage system ties..g,tea C
' bedrooms ,nit,
Permits:
;c
sl
Operator: CKF Printed By: CKF Print Date: 3/11/2003
i i PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
Ilk
SPOKANE,WA 99260
509-477-3675
SPOKAIV CDUIVII
SPECIFIC SITE INFORMATION
Street Address: �' i 0 01/4f_r_ ie
Assessor's Tax Parcel Number(s): 01/414v
Legal Description:
4 Project Description: becQiy oar. 6CA.ii ill o-u
Urr riilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Depai anent Use Only
Water District/Purveyor. . Sewer District/Purveyor Road width Setbacks
Front: Rear.
School District Fire Distnct Zoning
Left: Right:
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted rearding ibis project
44❑
` r Ver o t ee Phone jigs._33cco CI Applicant: Phone.
\Lt,1A..... I.i S Fax: V t J 3 1® Fax
�/IJJ��""' Mailing Address. Mailing Address:
( t .-.S I O 11v0,L of
Cite,State,Zip Cirv,State,tip
St Dk cn'L-. r} c e.1 Il C-
CIContractor Phone ❑ Architect/Engineer Phone
Fax Pas
Mailing address Mailing address
City,State Zip City,State Zip
VC A State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
1y ' 1
Dimensions Total habitable space .2'.]floor sq.ft. Finished basement sq.ft.
(2 r.?Lf .99 c ''td—
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
4 W
Cost of project I feat source(electric,gas,etc.)
4 (ptcoo. co
•
Manufactured Home Sign
Width: Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: #of signs Arca 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 O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
r, Arc there structures on the property? -Yes 0 No What is the current property size?
I fyes,ideitti .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?
Ifyes,ident/,on site plan O Yes . No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes O No
O Don't know 0 Yes t -No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
I If yes,identtb,on site plan I f yes,identi,bt on the site plan O Yes 0 No
i O Maybe O Don't know O Yes g/No
Are there any wetlands,streams or ponds within 200 f'et of the property? Is there evidence of fill or excavation on the property?
Ifyes,ident/,on site plan O Yes No O Yes 0 NO
Are there slopes greater than 30°o on the property?(30 ft in 100 ft) Are critical or hazardous materials used or stored on site?
( °/o) O Yes No O Yes O No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes O No
O Yes O No
Is the property inside the ASA? O Yes O No Is public water available to the site? O Yes O No
O Yes O No
Is the property inside the PSSA? 0 Yes O No Is the property located within 1000 feet of a Natural Resource Area?
O Yes O No
l)ate Received: Staff Representative
METHOD OF PAYMENT
'CAW SU B'FOT,U.
VISA e . y
0 c:1sl I 0 CI ll CK 0 0 0 --
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
L):A'l'I I:YPIRI?S: TOTAL FEE
BANK(.:ARI)NUislBl:R: MINIMUM PERMIT FEE IS$35.0OPLEASE
MAKE CHECKS PAYABLE To SPOKANE
Min IORIZI?l)SIGN:ATURI:: COUNTY PERMIT CENTER
Parcel: 45032.0306
Owner: HARRIS,WM C
CoOwner:
4' - •5032.02 : 032.0101 pp
Owner Address 032.040c -5032.020 45032.9047 . '31.34;7
12810 E WALTON AVE SPOKANE WA 99216-1227 USA •x•032.040' 132.021 '5032.010:
5032 X20' 45032 9044 0'
•032.040' X20' 132.0214 ' 032.010!
Site Address .k /^1
12810 E WALTON AVE SPOKANE •032040• X32.021 '503 •11� ` ++
��4. .020• 45032 9045
r0 '020' ' 2.021•
45032 9012
45032 9079
Legal Description 6032 0301 X32.021. •®3 .011• 0
..ti.020: 45032 9013
STEVICK ADD L6 '.032.030' - :32.021' 're 018 =5
B3 450329087 .50 '.020
•032,030c 632 021 'Ml---- .. '
4.03290'3
5032.020. �~
+032.03'• i � ' 4i .901' a
0 git, 45032 9601
IP
-5032 030
4320
R '° 'a"� g
45; 11,P32 901:
.'32451 08
45032.9080
45.3245 '.0 i l� ��� .
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4 JKxfllr'
-
45033 9112
z
4 633.6
V
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.----
)33.4 4 ,
4503 9925
Notice: This is not a legal document. Data depicted on this map is general&subject to constant revision. It is intended
for reference use only. Legal documents should be obtained from the appropriate agency.
JOB ri7/�G/R-h'1 C• /1vv/PFr/S a -
COOK BROTHERS CONTRACTING ""Route 2 Box 853 B SHEET NO. - 5. AI
OTIS ORCHARDS, WA 99027 /
(509) 924-1557 CALCULATED BY�QX'/iiX/'Sc
DATE
CHECKED BY DATE
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This site p.ar,is being submitted for the purposeof
obtaining a building permit and is a true and correct
representation of the proposal:All knownP roperty
lines/dimensionsi curb.lines,structures and easements
have been identified.Also indicated are wetlands,
, ibodies of water,steep slopes aj other:critical areas. ,
•
Signed iC4-etzt-a- IGch.n...
1 D.te; 4, _ --