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2001, 10-01 Permit App: 01008537 Addition, Remodel Project Number: 01008537 Inv: 1 Application Date: 10/1/01 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: (2)DECKS&RELOCATE A/C UNIT Contact: WOLKEY,ROBERT D&MICHELLE K Address: 4617 S WOODRUFF RD C-S-Z: SPOKANE,WA 99206 Setbacks:Front N/A Left: 27 Right: 27 Rear: 50+ Phone: (509)926-4850 Group Name: Site Information: Project Name: uiif xd:d,�3t •^ '.'"=` .. _', nn.,,.rr S.:. - .`qd%'h•a .;., .,,::�r_*t"„� -._ ., „-' s�;w.rwmyw rcsrr Bo_o..,.. Plat Key: 002079 Name: PONDEROSA ACRES District: F Parcel Number: 44051.0103 Block: 1 Lot: 3 SiteAddress: 4617 S WOODRUFF RD Owner:Name: WOLKEY,ROBERT D&MICHEL SPOKANE,WA USA 99206 Address: 4617 S WOODRUFF RI) Location::SPO SPOKANE,WA 99206 Zoning: SR-1 Suburban Residential 1 Water District: Hold: ❑ Area: 43,800 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: A 7 r — ..' r Department Review BUILDING Site Plan ReviewReleasedBy: 64 � Z t Hold Reasons: Permit Conditions: BUILDING Plan Review Released By: Hold Reasons: Permit Conditions: LIA,A -, 0 _ -� �k�.)`}tea ,,1_� ) 0)1.� f � \ r HEALTHDISTRICT Septic System Review f Released By. _/ Hold Reasons: IC Permit Conditions: Permits: r : �� . :. - Project Number: 01008537 Inv: 1 Application Date: 10/1/01 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 Address: 0 Phone: (000)000-0000 000000,00 000000 Building Characteristics Const Category: Addition Group:R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: 13 Stories: 2 Bldg W x D: x Building Sq Ft: 960 Sprinklers: 0 Req Parking: Handicap Parking: Critical Materials: ❑ This Application: Total Project: Description Grp Type Notes Sq Ft Valuation S Ft Valuation DECK R-3 VN 960 $7,065.60 99 $7,065.60 Totals: 960 $7,065.60 4te" $7,065.60 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $138.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $30.36 Permit Total Fees: $172.86 Mechanical Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000)000-0000 000000,00 000000 Item Description Units Unit Desc Fee Amount HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00 MINIMUM FEE ADJUSTMENT 1 Select $23.00 Permit Total Fees: $35.00 Payment Summary: Operator: CKF Printed By: CKF Print Date: 10/1/01 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $172.86 $172.86 $0.00 $172.86 Mechanical Permit $35.00 $35.00 $0.00 $35.00 $207.86 $207.86 $0.00 $ 6 Notes: �, � """V PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE __= SPOKANE,WA 99260 509-477-3675 SPox(COUNTY SSPECIFIC SITE INFORMATION Street Address: 417 17 C \NI-J0dtr 1'r ST61(-. Q t WAS 9 ZJ'j Assessor's Tax Parcel Number(s): Legal Description: Project Description: Ye.0 z-e� �'c 'attn Ock szcL a,t <>. cA TV") Ove U r4evt"\Pakt-‘ t-)-- Building Permit ❑ Change in Use El 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 Zoning Left: Right. OWNER/APPLICANT INFORMATION El Indicate who should lie i nn/aeled regarding lid projea Pi Owner: Phone: 926— gyp ❑ Applicant. Phone: 2.C4TIey Fax: Pax: Mailing Address: Mailing Address: 2flo S NNIDba v�� r Cite,State,Zip City,State,Zip 171 Contractor Phone g Phone ❑ Architect/Rn nnccr Fax I ax Mailing address Mailing address Cin-,State lap <arc,State lip WA State Contractor license# Contact name PROJECT INFORMATION Building Information Building height to peak #of stories Main floor sq.ft. Unfinished basement sq. ft. 12: 6' Co k LP 2 Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft. \Zx ISS Occupancy group Construction type Garage sq.ft. Deck sq.ft. Cost of project I lent source(electric,gas.etc.) I- Manufactured Home Sign Width: Length: What is the square footage of the sign }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 0 Concrete 0 Welding O Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? 0 Yes 0 No What is the current property size? Ifyes,identift on site plait (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 0 Yes 0 No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes 0 No 0 Don't know 0 Yes 0 No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? Ifyes,identj,on site plan Ifyes,identifi,on the site plan 0 Yes 0 No 0 Maybe 0 Don't know 0 Yes 0 No Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property? Ifyes,identifi on site plan 0 Yes 0 No 0 Yes 0 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 0 No 0 Yes O No DEPARTMENT USE ONLY Is the property in a designated Storrnwater Control Area? Is public sewer available to the site? 0 Yes 0 No 0 Yes 0 No 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? DYes 0 N Date Received: Staff Representative: METHOD OF PAYMENT MOM VISA SUB"1'O'I':Al. ❑ CAsl l ❑ cl ll CK 0 ❑ El ._ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD I?XP1Rl?S: TOTAL FEE MINIMUM PERAIIT FEE IS$35.00 BAN KCARl)N UMBI?R: PLEASE MAKE CHECKS P.yy.siti.E To SPOKVNI:COUNT)P1R:Ai1T CENZER AM]IO1Z1'/.Id)SIGNATURE: --- ADDRESS p1l W CEAL-4\ ZONE ROAD WI T I FRONT FLANKING- .NO LANKING•NO COMMEN S .-� ld Plum REVIEWED ' C0 m 1 (,)) /LP- m Heati: A &wal 64 i Plans Pr) This site plan is being Submitted for the purpose of Qbtaining a byildng permit and is a true and correct Plans .�/ vp : 47 "'�� representation of tho proposal.Azi itnawn property ,,�,( "'sr lines/dimensions,cflfii fines.structures and easements have been identified:Alb Indicated are wetlands. `` Plans bodies of w- st Signed: .p sl r. ow 9 O er critical areas. Signed: Plans Date: ID ► - f Plans • (...-00-1)ce141-6 SOUTH I hereby certify information submitted is correct and there are no _other structures is shown. „