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2001, 04-05 Permit App: 01002218 Residence rt t Project Number: 01002218 Inv: 1 Application ate: 4/5/017) Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE-ELECTRIC Contact: PROHASKA,ROBERT I Address: 4125 E BOONE C-S-Z: SPOKANE,WA 99202 Setbacks:Front 39 Left: 36 Right: 8 Rear: 50+ Phone: (509)928-7698 Group Name: Site Information: Project Name: Plat Key: 001834 Name: OPP.TR. 1-354 District: F Parcel Number: 45172.1311 Block: 57 Lot: SiteAddress: 1009 N WOODRUFF RD Owner:Name: PROHASKA,ROBERT I SPOKANE,WA USA 00000 Address: 4125 E BOONE Location::SPO SPOKANE,WA 99202 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 21,974 Sq Ft Width: 72 Depth: 301 Right Of Way(ft): 40 Nbr of Bldgs: 2 Nbr of Dwellings: 1 Review Information: Department Review rr tt BUILDING Site Plan Review I Released By: 7 `"4J ✓/ - Hold Reasons: Permit Conditions: BUILDING Plan ReviewReleased By: Hold Reasons: Permit Conditions: ENGINEER Approach/Drainage ' Released By: r ; _ V Hold Reasons: Permit Conditions: of.. i�te pt UTILITIES Sewer Review Released By: Hold Reasons: "_-L L j cf Permit Conditions: c) F . j1/4 tp, Permits: Project Number: 01002218 Inv: 1 Application Date: 4/5/01 Page 2 of 3 I 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: New Group:R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: Building Height: 16 Stories: 1 Bldg W x D: 28 x 36 Building Sq Ft: 939 Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: ❑ This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RESIDENCE R-3 VN 939 $58,218.00 939 $58,218.00 Totals: 939 $58,218.00 939 $58,218.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $636.25 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $139.98 Permit Total Fees: $780.73 Mechanical Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000)000-0000 000000,00 000000 Item Description Units Unit Desc Fee Amount VENTILATING FANS 3 NUMBER OF $30.00 CLOTHES DRYER 1 NUMBER OF $10.00 HOOD-TYPE II 1 NUMBER OF $10.00 Permit Total Fees: $50.00 Plumbing Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000) 000-0000 000000,00 000000 Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 1 NUMBER OF $6.00 SINKS 2 NUMBER OF $12.00 TUBS 1 NUMBER OF $6.00 DISH WASHERS 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 ELECTRIC HOT WATER TANK 1 NUMBER OF $6.00 WATER USING DEVICES 2 NUMBER OF $12.00 Permit Total Fees: $54.00 • f ' ` . f Project Number: 01002218 Inv: 1 Application Date: 4/5/01 Page 3 of 3 i THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: Operator: CKF Printed By: CKF Print Date: 4/5/01 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $780.73 $780.73 $0.00 $780.73 Mechanical Permit $50.00 $50.00 $0.00 $50.00 d Plumbing Permit $54.00 $54.00 $0.00 $884.73 $884.73 $0.00 Notes: i w ", ` , I tPROJECT API1LICATION WORK SHEET AHU SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 SPOKAM C uvr 509-477-3675 ) 0 pq 14444 SPECIFIC SITE INFORMATION Street Address: ¢t N. 1 10,y0 0ZUFF Assessor's Tax Parcel Number(s): 951-72- -131 5�,7 A 1 3 �ilJ Legal Description: 7T N `24CT 57 QPP02T11N IT)/ )/ Project Description: S I N GI,E FIrn I t_y SFS I D E.NC.t= ,` 'Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit 0 Relocation 0 Sign 0 Tenant (New/Change) 0 Other sF ;.� I :. ,.:. ,y„ ,;: t?o s`'': a. ,.+ .a_ 3.i ';.:::�"' # 'tt...',, .%' a i,'�£'-IZ U,.`n,'�LAit,... ,n = 1 _ R}4.w....' .,a., a ....war:-:•.; OWNER/APPLICANT INFORMATION E1 Indicate who should be contacted regarding this project � 121/Owner: Phone: D -26N`U Q ❑Applicant: Phone: I R MT 1G.L 14 Pi K1 Fax: ` Fax: Mailing Address: �7 Mailing Address: 4115 F_ s ICQi\IE City,State,Zip City,State,Zip SCOK_cN-Z. WA- °G 2Oz �/y� 0 Contractor Phone ❑ Architect/Engineer Phone SIAt+ tE Fax Fax Mailing address Mailing address City,State Zip City,State Zip WA State Contractor license# Contact name: PROJECT INFORMATION 'Tviov., w a .'" w` �; _ ..'h'e`r s�.'"v fi r" ' s` 0... 'C: ;` vYm' tzia�a k u ��,a' -f'r f'aw` ,g: os `` ,2'„ f f�'tsr t Building height to peak \ #of stories Main floor sq.ft. Unfinished basement sq.ft. 16 a `� 0 Dimensions z2, Total habitable space ^ ^' 2'1 Finished basement sq.ft. o Occupancy group Construction type Garage sq.ft. Q Deck sq.ft. Cost of project ` T2 Heat source(electric,gas,etc.} I ELE.� tC Width: Length: t What is the square footage of the sign How high is the sign? face? Year: Make: #of signs Area of existing signs " .$ <s• �- :;t , gym-- i Previous address Fire Sprinkler Tent Paint booth Fire Alarm Fireworks display _ Proposed use Value IUMMS!dUPNIS s, € Firm Name Phone Plans Examiner Phone Inspectors: Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? t/4.Yes O No What is the current property size? Z ,/ •- -t z If yes,ident ib on site plan (square feet or acres) 1 / Is any part of the property within 250 feet of a shoreline? What is the current use of this property? ' S If yes,ident on site plan O Yes 12( No V kI r Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes J No O Don't know O Yes X No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? Ifyes,idem on site plan Ifyes,identify on the site plan O Yes No O Maybe O Don't know O Yes JR( No Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property? property? O Yes pf No Ifyes,identib on site plan D Yes Pr 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 X No 0 Yes %. No DEPARTMENT USE ONLY �1S 1 � s° } CS1atl.t�(f tUr Ti �°ite ®� ® e' SC eI i 4 i 3 © it ... �.fly : _ � a.Y •s^ l ,,,A4-0,-; ,,g, AzAp ,. sus * N ' ,Plat cL ,,,4� a„., oe a ® � a. a ,:t 3 i - ,13,-.z, ,rte - a ut, ' J 4fD Xts If �C $ e 4 �, � I.t ,a,„i? � 3, � ' 'R'S£leb175a r , . + .r � r .�• eS' ,- _., ' :44,4.....,,,,,,g4..-.‘,442-,-A., ?- .'' , ` 3 c . >> ., Date Received: Staff Representative: METHOD OF PAYMENT a3C yf;. SUBTOTAL ❑ CASH 111CHECK ❑ 610161M ❑ __ ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: BANKCARD NUMBER: atrntirurnrnFurrtisa3soo3'iEnsB ‘,MAKE CI-1ETDs:DKAt AUTHORIZED SIGNATURE: Utv C© ?XPRKXiffiCE Tt£It This site pian is being submitted for the purpose of obtaining a buiiding permit and is a true and correct representation of the proposal.All known property lines/dimensions,curb fines,structures and easements have been identified.Also indicated are wetlands, bodies of wn r,atee'siopes�r other critical areas. Signori: /1 20'-0" IISte: 17249-:4/ I Property Corner \s� 1 8'-O" r- Future Addition' Proposed New I Single Family � 28'-0" NewLine 4" Residence 1 Sewer 26'-0" 72'-0" ---J Existing• ,i Barn _, 36'-0" c 1 1 10'-6" Q v ‘1--K%-i '-e' -41--35P-6" 9'-0"-, 10-- li . ca .,, 1 1 L Property Corner 165'-6" 301'-0" Site Plan ADDRESS M , � �tu i---c- ZONE UScale 1" = 35' ROAD WIDTH 4 FRONT,3cf. FLANKING COMMENTS N REVIEWED BY C - '`--) Project Owner: Robert Prohaska Legal Description:PTN Tract 57,Opportunity Project Address: 1007 N Woodruff 4125 E Boone Parcel No.45172.1311 Spokane WA Spokane WA 99202