2001, 03-28 Permit App: 01001936 AdditionProject Number: 01001936 Inv: 1
Application
Date: 3/28/01 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE ADDITION - BEDROOM & FAMILY Contact: DERRICK, KEVIN SCOTT
ROOM Address: 916 N WOODRUFF RD
C - S - Z: SPOKANE, WA 99206
Setbacks: Front 100 Left: 25 Right: 49 Rear: NA Phone: (509) 922-2436
Group Name:
Site Information: Project Name:
Plat Key: 001855 Name: OPPORTUNITY SUB.TR.99 District: F
Parcel Number: 45171.1103 Block:
Lot:
SiteAddress: 916 N WOODRUFF RD Owner: Name: DERRICK, KEVIN SCOTT
SPOKANE, WA 99206 Address: 916 N WOODRUFF RD
Location:: SPO SPOKANE, WA 99206
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 0 Sq Ft Width: 90 Depth: 312 Right Of Way (ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Hold: ❑
Review Information:
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
Review
Site Plan Review
Plan Review
HEALTHDISTRICT Septic System Review
Hold Reasons:
Permit Conditions:
e4.6-6, 42 A
Released By:
t VIOL
Released By: 4 `tet "Crej.AjL; -
Released By:
Permits:
Project Number: 01001936 Inv: 1
Applicatio1l
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/28/01 Page 2 of 2
Contractor: FOLEY ENTERPRISES
Address: 22712 E RED FEATHER LN Phone: (509) 926-1514
LIBERTY LAKE, WA 99019
Building Characteristics
Group: R-3 Type: VN
Building Height: 12
512 Sprinklers: ❑
Critical Materials: ❑
This Application:
Sq Ft Valuation
512 $31,744.00
Building Permit
Firm: RICH FOLEY ENTERPRISES
Const Category:
Nbr Of Dwellings:
Bldg W x D: 16
Req Parking:
Description
RES ADD
Addition
Occupant Load:
x 32 Building Sq Ft:
Handicap Parking:
Grp Type Notes
R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Payment Summary:
Operator: CKF
Permit Type
Building Permit
Totals: 512 $31,744.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Printed By: CKF
Permit Total Fees:
Stories: 1
Total Project:
Sq Ft Valuation
512 $31,744.00
512 $31,744.00
Fee Amount
$415.00
$4.50
$91.30
$510.80
Print Date: 3/28/01
Fee Amount Invoice Amount
$510.80 $510.80
$510.80 $510.80
Notes:._
Amount Paid
$0.00
$0.00
Amount Owing
$510.80
$510.80
SPOKANE C0uFUY
t�,
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address:
cAltoM • WooLUPP
Assessor's Tax Parcel Number(s):
Legal Description:
i-fs 171[(1®3
Project Description: An) D €1%e-coii.4 c-AiYu ( Thom (0 a (S—rr t{OO&
.Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
0 Relocation
O Sign
0 Tenant (New/Change)
O Other
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this projea
Phone: 4 4 u— 14310
0 Owner. 5[7
K(Lot&) SLOT( ✓f� garezk- Fix:
0 Applicant:
Phone:
Fax:
Mailing Address:
q►ce 0 (,ei RoPE6Q\
Mailing Address:
City, State, Zip
Qp tffi 3a w A qg ZOb
Ciry, State, Zip
® Cont or Phone - /$-/Phone
9�
D e.Lf �1i / ey�%/Se•S Fax 7�� _/�/
0 Architett/Engineer
Fax
M ding address
127/Z E. Ted AJher H'
Mailing address
City, State Zip
I-4 AerG.a Ke , Wei 990/9
Ciry, State Zip
WA State Contra or license f
rbG.e`l ED (Co PS
Contact name:
PRO ECT INFORMATION
Building height to peak
N of stories
Ditneniions
O X 3Z `.
Total habitable space
57 2—
Main floor sq. ft.
S/Z c9
2"d floor sq. .
N/R-
Unfinishedbpsemens sq. ft.
Occupancy group
SIaG Ic
Construction tyke
S§rlC L
Garage sq. ft.
Nii-
Finishedb ement sq. h.
��
Deck sq. t
Cost afp 201 DOD
Heat source (electric, gas, etc)
S[-tcr2/c oactt A/2
Width:
Length:
t
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
A of signs
Area of existing signs
Fire Sprinkler
Paint booth Fre Alarm
Tent
Fireworks display
Proposed use
Value
Firm Name
Phone
Plans Examiner
Phone
Inspectors
Address
Inspector
Phone
ID Concrete ❑ Welding O Bolting O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes O No
Ifyes, 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 plan •O Yes O No
What is the current use of this property?
Is your property in a designated wildlife habitat area?
O Don't know O Yes O No
Will the site be served by a septic system? O Yes O No
Is any pan of the property within a 100 yr flood plain?
If yes, identify on site plan
O Maybe O Don't know O Yes ❑ No
Are or will there be wells located on the property?
If yes, identify on the site plan O Yes ❑ No
Are there any wetlands, streams or ponds within 200 feet of the
property?
Ifyes, identify on site plan O Yes ❑ No
Is there evidence of fill or excavation on the property?
O Yes O No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(/%) OYes 0 N
Are criticalaochazardous materials used or stored on site?
❑Yes 0 N
DEPARTMENT USE.ONLY
Due Received:
Staff Representative
METHOD OF PAYMENT
VASO
❑ CASH ❑ CHECK ❑=NM ‘, Li
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
I
NTA
This site Plan Is being submitted for the purpose Of
obtaining building permit and is a true and correct
representation of the proposal, All IMOWO PmPerly
linesUrna,sions, curb lines, structures and easements
have been identified. Also
Inds ioratVedParIe �vetlanad1cs8,
bodies of water, st pspa
Signed: :
s.
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ADDRESS
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IF L A X I N G
COMMFNTS
REVIEWED,13