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2001, 10-01 Permit App: 01008526 Addition, RemodelProject Number: 01008526 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/1/01 Page 1 of 2 Project Information: Permit Use: RES ADD/REM - EXPAND FAMILY RM & GARAGE & REROOF RESIDENCE Setbacks: Front 26 Left: Right: 34 Rear: Site Information: - :. mt:«:=VIPfi.. ,t ...: Plat Key: 003629 Name: PONDEROSA 4TH ADD Contact: JACK BOOTH/AZTEC ELECTRIC Address: 5204 E BROADWAY C - S - Z: SPOKANE WA 99212 Phone: (509) 536-6200 Group Name: Project Name: District: F Parcel Number: 45321.1805 Block: Lot: SiteAddress: 3907 S WOODRUFF RD Owner: Name: BAGGARLEY, DAN SPOKANE, WA 99206 Address: 3907 S WOODRUFF RD Location:: SPO SPOKANE, WA 99206 Zoning: UR -3.5 Water District: Area: 0 Sq Ft Urban Residential 3.5 Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Department Review BUILDING Site Plan Review Hold Reasons: Permit Conditions: BUILDING Hold Reasons: Permit Conditions: Permits: :gym a Hold: ❑ Depth: 0 Right Of Way (ft): 50 Released By: Originally Released: 10/1/01 By: jshatto Plan Review Released By: Originally Released: 10/1/01 By: jshatto r, ;: rnaaassd Project Number: 01008526 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/1/01 Page 2 of 2 Building Permit Contractor: AZTECH ELECTRIC INC Firm: AZTECH ELECTRIC INC Address: PO BOX 11795 Phone: (509) 536-6200 SPOKANE, WA 99211 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 GARAGE U-1 VN 364 $4,368.00 364 $4,368.00 RES ADD R-3 VN 246 $15,252.00 246 $15,252.00 RESIDENCE R-3 VN REROOF 0 $2,400.00 0 $2,400.00 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Payment Summary: Operator: JAS Permit Type Building Permit Totals: 610 $22,020.00 610 $22,020.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Printed By: JAS Permit Total Fees: Print Date: Fee Amount Invoice Amount $401.61 $401.61 $401.61 $401.61 Fee Amount $325.50 $4.50 $71.61 $401.61 Amount Paid $0.00 $0.00 10/1/01 Amount Owing $401.61 $401.61 Notes: 4174 11111 SromNECovr{rY PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: 3901 5 . W oonszu P.? rz-o AD Sp o lednuE Gu/r , 9'a tOC. Assessors Tax Parcel Number(s): p p ¢ , 5 Z / - / 6365, Legal Description: Po&J OS4tO A 414 ADOrreti y Ler 5 3/ Project Description: A00(+/OU ua F eiIz'r RM * e&2AGS Building Permit O Change in Use ❑ Grading O Manufactured Home Permit ❑ Relocation O Sign O Tenant (New/Change) ❑ Other ,Depaltnerit°Use Only q; 0 Applicant: Water District/Purveyor' Sewer District/Puneyor Road width Setbacks` "' ,Front Y , Rear? - Right` c.„ ,. ter School Disjrice Fire District Zoning Left OWNER/APPLICANT INFORMATION &ute who tbould be mnlac/ed re,\vnlinroie g !bir pd ❑ flamer. Q Phone: MIta M� ©A0 SAGGARL2Y Fas: Building height to peak# t,o't 0 Applicant: Phone. Fac: Mailing Address: 3907 5 wooprwt=P 12M) Dimensions A3'—reel X ¢ -co° Mailing Address: 2^a floor sq. ft. City, State, Zip 9°1'206 Occupancy group Cin, Stare, Zip Garage sq. ft. 3'+ 441,pr ��SPOts-lc,WA LT l.ontractor Phone 142.lrRe14 gin a tRIL/ gPL Fa, 5 3 G - G 24 0 ❑ Architect/Engineer Phone Fax Maaing address E_ C204. B2OA L4Jk' Mailing address City, Stare Zip SPO K141+6 , WA . RQytz Cin, State Zip WA State Contractor license # kz. PEG SM 329 KO Contact name: PROJECT INFORMATION Building Information Building height to peak# t,o't of stories 1 Main floor sq. ft. -2%T So p'C Unfinished basement sq. ft.Ann-.0)Clet Dimensions A3'—reel X ¢ -co° Total habitable .space 2^a floor sq. ft. Finished basement sq. ft. Occupancy group Constmction tape Garage sq. ft. 3'+ 441,pr Deck sq. ft. Cost of project I Ica( source (electric, gas, etc.) D4a1-iufg lured; -I0 se d w Sign} rd Width: Length: What is the square footage of the sign face? I low high is the sign? Yeah Make: # of signs Area of existing signs Fire Alarrn Fireworks display Address SUB'I.O"fA]. ReIdcatlo" Nbn Res dental Epergy pde'Gglliplianr3 c? Finn Name Phone Pians Examiner "n Previous address Address Paint booth Fire Sprinkler _ Tent Fire Alarrn Fireworks display Address SUB'I.O"fA]. Proposed use Value 0 CAM I • CI IRCK ❑ Mean FAXED PERMITS WILL ONLY BE DAI'I is OF A MAJOR .tb Ins 1, ,,tibfie I�egililre'd? Nbn Res dental Epergy pde'Gglliplianr3 c? Finn Name Phone Pians Examiner Phone Inspectors: Address Are or will there be wells located on the property? IJyes, idents on the site plan 0 Yes 0 No Arc there any wetlands, streams or ponds within 200 feet of the property? IJyes, identify on site plan 0 Ycs 0 No Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address SUB'I.O"fA]. ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes O No If ye., identify on site plan What is the current property size? (square feet or acres) Is any part of the property within 250 feet of a shoreline? If yes, identify on site p/an O Yes O No \Vhat is the current use of this property? Is your property in a designated wildlife habitat area? 0 Don't know 0 Yes 0 No Will the site be served by a septic system? O Ycs O No Is any part of the property within a 100 yr flood plain? IJyes, identifr on site plan 0 Maybe 0 Don't know 0 Ycs 0 No Are or will there be wells located on the property? IJyes, idents on the site plan 0 Yes 0 No Arc there any wetlands, streams or ponds within 200 feet of the property? IJyes, identify on site plan 0 Ycs 0 No Is there evidence of fill or excavation on the property? 0 Yes 0 No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( —%) OYcs ONo Are critical or hazardous materials used or stored on site? OYes ONo DEPARTMENT USE ONLY I$ the property in a designated Stormwater Control Area? ` . O Yes Cl, No Is public sewer available to the site? 0 Yes 0 No ' Is the property inside rhe ASA? * 0 _Ycs O. No O Yes O No Is'puhlic water available to the site? O'=Yes 0 No " , Is the property inside the PSSA? O Ycs 0 No Is the property located within -1000 feet of a Natural Resource Arca? O Yes ONo Date Recto ed: Staff Representative METHOD OF PAYMENT VISA- - r°' 0 t 0 ACEPTED WITH PAYMENT EXPIRES: CREDIT CARD SUB'I.O"fA]. !r€lSi. i;_ • •• 0 CAM I • CI IRCK ❑ Mean FAXED PERMITS WILL ONLY BE DAI'I is OF A MAJOR TOTAL FEE MINIMUM PERMIT FEE IS W PLEASE MAKE (NECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER BANKCARD N U?IBFR: AUII IORIZEI) SIGNAIURI?: m zclo-) -S, Lqjcx2)D-,P"!,)FlP mm TS 9 45 -S � O'y /6 0,04" - 00, SI; zoolk yo oP 6y, �alsca A'o $q V ot So men wcxov.-� 2ONE SSS Ro4o PPI. --- Rp vllj�3 -'�Q:/V- P\OD\ —\Lo -,.D 171�