2003, 03-18 Permit App: 03001749 Pole Bldg •
Project Number: 03001749 Inv: 1 Application Date: 3/18/2003 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 24 X 24 POST FRAME GARAGE Contact: JM COOK CONSTRUCTION
Address: 26809 E SANSON AVE
C -S -Z: NEWMAN LAKE,WA 99025
Setbacks: Front 50+ Left: 20+ Right: 5 Rear: 25 Phone: (509)226-3742
Group Name:
Site Information: Project Name:
Plat Key: CONY Name: CONVERTED CNTY DATA District: D
Parcel Number: 35232.0903 Block: Lot:
SiteAddress: 4503 E 2ND AVE Owner: Name: BENSCOTTER,EMILY
SPOKANE,WA 99212 Address: 4503 E 2ND AVE
Location:: SPO SPOKANE,WA 99212
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: ,500.00 Acres Width: 100 Depth: 135 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: .
Review
Site Plan Review
PGA-4d -
Plan Review Released By: a l i& j
-S ( ( tip :
I 11
Septic Syste Review Released By: 1 V
MEM, IiMMY
Permits:
Operator: RMB Printed By: RMB Print Date: 3/18/2003
Project Number: 03001749 Inv: 1 App1icaiion Date: 3/18/2003 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: J M COOK CONSTRUCTION Firm: J M COOK CONSTRUCTION
Address: 26809 E SANSON AVE Phone: (509)924-8225
NEWMAN LAKE,WA 99025
Building Characteristics
Const Category: New Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: Li
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 576 $6,912.00 576 $6,912.00
Totals: 576 $6,912.00 576 $6,912.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $125.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $27.61
Permit Total Fees: $157.61
CONTROL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $157.61 $157.61 $0.00 $157.61
$157.61 $157.61 $0.00 $157.61
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: RMB Printed By: RMB Print Date: 3/18/2003
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675
SPOKN Cowry
SPECIFIC SITE INFORMATION
Street Address:
tiso3 4pc 490t,i/lc , u.)4 . `t`i2 !L
Assessor's Tax Parcel Number(s): (� 3 -3 t v O�^ 3
Legal Description: /r [
Project Description: 2 y',X„2(4'Y$'/ daT-/=/vmt Alae
2'jeLuilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor: Sewer District/Pureyor Road.width Setbacks
,O/60 Front Rear
School District Fire District Zoning
Left Right.
OWNER/APPLICANT INFORMATION
0 Indieale who should he contacted regarding this projee!
(hPner: Phone. s-34 •(�/t,0 Li a Applicant. Phone: .,Z24:) 3 7
/17/i y 6enst Fax: .�"4141 c /{.- I'ax
Mailing Address: Mailing Address:
Li Tog P 2-461 Ave., .,--21t)1)0 - A
,State,Zip Cit,State,tip
.Sper.464_,act `77L/2 /dcr,J4,4,-„. LIL `”.ALS'
a ContractorCook_
T �'YI. p� �� Phone z.Zb-3 7`9 Z, El Architect%Engineer Phone
jbh,i C d L Fax 4/1 t o I lj. M
t}- Fax
Mailing address Mailing address
vZ(o�Dc1 5kris3n j -V
Cin,State Zip City,State tip
1Jewinpn LL. LJA c-/c)D2 S'
\A'A State Contractor license# Contact name-
( 06/C-
ame:l' 0t?L 032.Ns
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
ZI
Dimensions Total habitable space 2'i floor sq.ft. Finished basement sq.ft.
tl'xvli-I'x
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
1)0 IC, 57&
Cost of project I[cat source(electric,gas,etc.)
Manufactured Home Sigr\
Width: Length: What ti;the square footage of the sign Flow 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
❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? ❑ Yes ❑ No What is the current property size?
If yes,ident'on site plan (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,identii on site plan ❑ Yes ❑ No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?❑ Yes ❑ No
❑Don't know ❑ Yes ❑ No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identi6'on site plan Ifyes,identj on the site plan ❑ Yes ❑ No
❑Maybe ❑Don't know ❑ Yes O 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,ideate on site plan ❑ Yes ❑ No ❑ Yes ❑ 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 ❑ No In Yes ❑ No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? ❑ Yes ❑ No
❑ Yes ❑ No
Is the property inside the ASA? ❑ Yes ❑ No Is public water available to the site? ❑ Yes ❑ No
❑ Yes ❑ No
Is the property inside the PSSA? ❑ Yes ❑ No Is the property located within 1000 feet of a Natural Resource Area?
❑ Yes ❑ No
Date Received: Staff Representative:
METHOD OF PAYMENT
' SUBTOTAL
VISA
❑ C:vSII ❑ CIll'CK 0 UMW ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
FXP1RI•.S: TOTAL FEE
BANKCARF)NU MBI':R: MINIMUM PERMIT FEE IS$35.50 PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
WTI IORIZUD SIGNATURE: COUNTY PERMIT CENTER
Pi i 31
TN:_, 7 ' 7' - '.-- ,a autnied for the purpose of i 107 rfriA
ob- :,, ,, ,, : , •;:-.,H, = is a i ::c:ar,J.correct
representa ;on of the propc;:,::1.All known roperty14 50-5 E. z Ad Ave,
lines/dimer,sions, curb i71C:,; SfiliCtUreS c..i easements 04.Anc., .-.?,i z 1 z....
have been identified A1.cc H: icated .Irr k.,; r_is,
bodies of,:iater, steep siopes or other aiTh.ja areas.
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