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2002, 11-15 Permit App: 02010263 DuplexProject Number: 02010263 Inv: 1 Y � � Application Date: 11/15/2002 Page 1 of 3 THIS IS NOTA PERMIT Penalties will be assessed for commencing work without a permit Project Information: ................. Permit Use: DUPLEX/ATTACHED GARAGES - FORCED AIR Contact: SEVERSON, AL GAS Address: PO BOX 141735 C - S - Z: SPOKANE, WA 99214 Setbacks: Front 25 Left: 10 Right: 10 Rear: 20 Phone: (509) 990-6080 Group Name: Site Information: Project Name: Plat Key: 006270 Name: SP -1305-02 District: F Parcel Number: 45083.0497 Block: Lot: B SiteAddress: 1909 N WOODRUFF RD SPOKANE, WA USA 00000 Location:: SPO Zoning: UR -7 Water District: Urban Residential -7 Owner: Name: SEVERSON, AL Address: PO BOX 141735 SPOKANE, WA 99214 Hold: ❑ Area: 11,000 Sq Ft Width: 77 Depth: 295 Right Of Way (ft): 40 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Pl5ev^T�'�ew eleased By: Plan Revi v Released Byc://- tWee.GL/ Approach / Drainage Released.By: .JS-a1)- AAA4•4•ii-v-- Permits: �cx lg.( L.ttle5 Pe Released By: Operator: RMB Printed By: RMB Print Date: 11/15/2002 Project Number: 02010263 Inv: I t Application Date: 11/15/2002 Page 2 of 3 THIS IS NOTA PERMIT Penalties will be assessed for commencing work without a permit Building Permit Firm: OWNER Phone: Building Characteristics Contractor: OWNER Const Category: New Nbr Of Dwellings: Bldg W x D: x Req Parking: Group: Occupant Load: Building Sq Ft: Handicap Parking: Description Type Notes 2ND FLOOR R-3 VN GARAGE U-1 VN RESIDENCE R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Contractor: OWNER Item Description GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER Type: Building Height: Stories: Sprinklers: ❑ Critical Materials: El This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 1,678 $110,748.00 1,678 $110,748.00 800 $9,600.00 800 $9,600.00 1,064 $70,224.00 1,064 $70,224.00 Totals: 3,542 $190,572.00 3,542 $190,572.00 Units 1 1 1 Unit Desc Y OR BLANK Y OR BLANK Y OR BLANK Permit Total Fees: Mechanical Permit Fee Amount $1,350.00 $4.50 $297.00 $1,651.50 Firm: OWNER Phone: Units Unit Desc 2 NUMBER OF 2 NUMBER OF 4 #OF UNITS 10 NUMBER OF 2 NUMBER OF Operator: RMB Printed By: RMB Permit Total Fees: Fee Amount $20.00 $24.00 $4.00 $100.00 $20.00 $168.00 Print Date: 11/15/2002 Project Number: 02010263 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 11/15/2002 Contractor: OWNER Item Description TOILETSBIDETS SINKS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER WATER PIPING - DWV Notes: Payment Summary: Permit Type Building Permit Mechanical Permit Plumbing Permit Plumbing Permit Firm: OWNER Phone: Units Unit Desc 6 NUMBER OF 8 NUMBER OF 4 NUMBER OF 2 NUMBER OF 2 NUMBER OF 2 NUMBER OF 4 NUMBER OF Fee Amount $1,651.51 $168.00 $168.00 Permit Total Fees: Invoice Amount $1,651.51 $168.00 $168.00 $1,987.51 $1,987.51 Fee Amount $36.00 $48.00 $24.00 $12.00 $12.00 $12.00 $24.00 Amount Paid $0.00 $0.00 $0.00 $0.00 $168.00 Amount Owing $1,651.51 $168.00 $168.00 $1,987.51 Page 3of3 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and fmds 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: RMB Printed By: RMB Print Date: 11/15/2002 Alitilik • PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 ��`\ 509-477-3675 41 ©0Fes. J�(7� W SPECIFIC SITE INFORMATI SpowsTCouruy Street Address: a Assessor's Tax Parcel Number(s): Legal Description: IN 453(1( ifq.' 61)- 1305 Project Description: Permit fBuilding Relocation App • Change in Use O Grading O Manufactured Home Permit O Sign O Tenant (New/Change) O Other Department Use Only 0 Applicant: Phone: Fax: Water District/Purveyor. Sewer Distnct/Purveyor Road width City, State, Zip ka nt bpi,- Setbacks Front 1 eft Rear. Right: School District Fire District: Zong ......1 OWNER/APPLICANT INFORMATION ® lndlcate who should be contacted re ardrnt thrt Aroieet Al OOwwwn�-er: ) /� Phone: to 99296,0 3-0 `/ r / ✓ W ' -3 r\ Fax: CJ`s ✓ 0 Applicant: Phone: Fax: M1lailirtplKldress: r � V0i�/7/_ Mailing Address: Dimensions 490Xlig6 City, State, Zip ka nt bpi,- ie )2s /Phone City, State, Zip Occupancy group Phone ❑ ctor (91A.) Y l'ax 0 Architect/Engineer Fax Mailing address Mailing address City, State Zip J City, State Zip \'A State Contractor license # Contact name: PROJECT INFORMATION Building Information Building hcightcak 2//y5"— ‘..,/ # of stories Stain floor sq. ft. 32.. Unfinished ba' s�rltynt it,. ' Dimensions 490Xlig6 Total habitable s ace / 2.1 Floor sq. ft. ��� Finished base ee`/t s ft. Occupancy group Construction ty e 1310 FrA Garage sq. ft. y0D Deck s' q. Cost of project�� j �DO 1 leat source (electric, gas, etc) Manufactured•Hot>t e, ;; ,. Sign ., ' 1 `� Width: Length: What is the square footage of the sign face? 1 -low high is the sign? Year. Make: # of signs Area of existing signs Are there slopes greater than 30% on the proper (30 rise in 100 ft) ( —%) 0 Yes No Proposed use Value Rel*}�catfoa� , -.4' 'C`�ar>b. 4 F.4 (+ i'.* FIT& Safety . .„'ec.y Firm Name Previous address Phone Fire Sprinkler Tent _ Paint booth Fire Alarm Fireworks display _ Are there slopes greater than 30% on the proper (30 rise in 100 ft) ( —%) 0 Yes No Proposed use Value EiSl ec> In "ptendn kequife: y ne 6 s Y % 'S" r ,44€`. "° . i •y TSI a. �' 4 � NotI 13eSfclentfatEn ergy; oc� Cbmianee , Y .'n . 'L, , t . � Y� '..�eP'�-�:=s'x"1.� '�-' b . Firm Name What is the current use of this proptsrty? Phone Will the site be served by a septic system? 0 Yes i ] No Plans Examiner Phone Inspectors: Is there evidence of fill or excavation on the property? 0 Yes o Are there slopes greater than 30% on the proper (30 rise in 100 ft) ( —%) 0 Yes No Are critical or hazardous materials used or stored on site? 0 Yes $No Address Inspector Phone 0 Concrete 0 Welding 0 Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION n Are there structures on the property? 0 Yes 11)No If yes, identify an rite plan / What is the current property size? (square feet or acres) /2%000 S 42 Is any part of the property within 250 feet of a shoreline? Ilya, identify on site plan 0 Yes No What is the current use of this proptsrty? Is your property in a designated wildlife habitat a ea? 0 Don't know 0 Yes No Will the site be served by a septic system? 0 Yes i ] No Is any part of the property within a 100 yr flood pl ' ? Ifye , ident on site plan 0 Maybe 0 Don't know 0 Ycs �% No Arc or will there be wells located on the property?...rrr,,,,,,���''' Ifyes, idents on the site plan 0 Yes 2310 / Are there any wetlands, streams or ponds within 20 ea of the property? flyer, idents on site plan 0 Ycs o Is there evidence of fill or excavation on the property? 0 Yes o Are there slopes greater than 30% on the proper (30 rise in 100 ft) ( —%) 0 Yes No Are critical or hazardous materials used or stored on site? 0 Yes $No DEPARTMENT USE ONLY `Is -the *petty- in a.desigha ed SmrrilwateP Control Area?' 0 Yes ,O IC10 Is Ilubbc sewe av5ilable to the site?. (< ' ©.Ye` co N , - . ;t`« ,-.• �I Is the ro e t Inside the ASA4 ' ' 0. Yes 0 , No P P rtY h.: - , w , Oe,Yes O to Is ubbc wai'er.available to the site'? P 'I's tiierproperty inside the PSSA? ' 0• Yes 0 No, -Issthe-propehy located,within 1600 Ycet of a Natural Irg,'Sourceifrca?= O Yes. ,O No . .. ..' „ Date Received: Staff Representative: METHOD OF PAYMENT VISA ❑ CASII ❑ CHECK 0 linina 0 FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: SUBTOTAL. NOTAL FEE 'JJN%MUMPLR IT/tE/.i0100Y 'J n, E `* MAKE CHECKS PAIAbt$Yd SPOKAtIE,, UERI T9.prfER -COUNTY P •. 0 -Yl 0 / u n frl • ND O N o \ �U CD 0- 0 N O 0 c PLAT 295.37' - -137.88 — Z pe 24.00' 0 (Tho 2/100' O T c CD 0 ID CD11; Q CD /C0 C CD ai (D o — 7 tb.\ CD 7U CD 3 CD ID 0 0 0 18.60' 147.49 — — 99 W 2/1/1.99- () --� Mc<Z \,,\,-boL