2002, 05-22 Permit App: 02003974 Deck Project Number: 02003974 Inv: 1 Application Date: 5/22/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: REPLACE EXISTING DECK Contact: JAMES,RONALD L&MARY ELLEN
Address: 18724 E 2ND AVE
C-S -Z: GREENACRES,WA 99016-9739
Setbacks: Front NA Left: 75+ Right: 20 Rear: 200 Phone: (509)891-9166
Group Name:
Project Name:
Site Information:
Plat Key: 000697 Name: PELLEY ADD District: G
Parcel Number: 55202.0903 Block: Lot:
SiteAddress: 18724 E 2ND AVE Owner:Name: JAMES,RONALD L&MARY ELL
GREENACRES,WA USA 990 Address: 18724 E 2ND AVE
Location:: GRE GREENACRES,WA 99016-9739
Zoning: UR 3.5
Water District: 008 CONSOLIDATED IRRG#1 Hold: ❑
Area: 45,501 Sq Ft Width: 148 Depth: 307 Right Of Way(ft): 50
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information: ..,.;:::::
Review
Site Plan Review Release y: ,l, ►7 / S - t
Plan Review Released By 74 f L t
Septic System Review `! r . i 2 Released By:
r_- /
Permits:
Operator: DMD Printed By: DMD Print Date: 5/22/2002
Project Number: 02003974 Inv: 1 Application Date: 5/22/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencingtwork without a permit
Building Permit
Contractor: OWNER Firm: OWNER
Phone:
Building Characteristics
Const Category: New Group: R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories: 1
Bldg W x D: 44 x 16 Building Sq Ft: 704 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials:
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
DECK R-3 VN 704 $5,512.32 704 $5,512.32
Totals: 704 $5,512.32 704 $5,512.32
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $113.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $24.86
Permit Total Fees: $142.36
Notes:
Payment Summary: ::.:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $142.36 $142.36 $0.00 $142.36
$142.36 $142.36 $0.00 $142.36
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 contrued 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: DMD Printed By: DMD Print Date: 5/22/2002
I l PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
A SPOKANE,WA 99260
SPOKARE COUW-Y 509-477-3675 ,2 ,3 97 ,/77J
W SPECIFIC SITE INFORMATION !r
Street Address:
/' 7a y 1 _ o).ND AVE — CREEN l-C leCS
Assessors Tax Parcel Number(s): i---.s 4--20z r %
Legal Description:
•
Project Description: DECK
Building Permit 0 Change in Use 0 Grading 0 Manufactured Home Permit
0 Relocation 0 Sign 0 Tenant(New/Change) 0 Other
Department Use Only
Water District/Purveyor. Sewer District/Purveyor - •Roadwidth - .Settsiati .
Eiorit..- ,Rear. ..
School District Fire District: - - Zoning -
Lek Right
OWNER/APPLICANT INFORMATION
�El I ndruile mho should ie eonladrt
ed kurdin./her prtjed
E
7�St-Ores: Phone: /)gyp// /b(p/�� / 1 sQ -� 0 Applicant: Phone
Fax:
Mailing Address:
Mailing
IF -lay E ,?.ti4J /4 V-
or Mate,Zip City,State,Zip
GAietiitcn6--.s GO Pt 9 ?0/
❑ Contractor Phone
0 Architect/EngineerPhone
Fax Fax
Mailing address Mailing address
City,State Zip Cir,State Zip
\C A State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building h.it;lit ttt peak #of storks Main floor sq.ti. Unfinished basement sq.ft.
1)irncnsions Ttaal habitable xpacc lei floor W.ft. Finished basement sq.ft.
1P-/ X /(0
Occupant group (:onstntction r pc Garage sq.ft. Deck sq.ft.
c2 ?o q
(:ost of project 1 Isar source(electric_gas.etc.)
Manufactured Home Sign
Width: Length: F`� Wt
at is the square footage of the sign How high is the sign?
face
Year. Make: #of signs ` —
Area of existing signs
Relocation • Fire Safety
Previous address
Fire Sprinkler _ Tent
Paint booth Fire/Harm Fireworks display
Proposed use Value
•
Special.Inspections Required?
Firm Name
Non-Residential Energy Code Compliance?
Phone
Plans Examiner Phone
Inspectors:
Address
Inspector Phone
0 Concrete 0 Welding 0 Bolting 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? 0 Yes 0 No \Y hi
at is the current propertysvc?
!fy13,identift on site plan
(square uare feet or acres)
Is any part of the property within 250 feet of a shoreline?
What is the current use of this property?
Eyes,identift on site plop 0 Yes 0 No
is your property in a designated wildlife habitat area? \\'ill the site be served by a septic system?0 Yes 0 No
0 Don't know 0 Yes 0 No
Is any part of the property within a 100 yr flood plain? ,\re or will there be wells located on the property?
Ifyet,identz on site plan f pet,nlen4fr on the silt'plan
Cl Yes 0 NoO Maybe 0 Don't know 0 Yes 0 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,ident on sitep/an O Yes 0 No
Arc there slopes greater than 30%on the property?(30 ft rise in 100 k) 0 Yes 0 No
(._,..- _°/..) .\re critical or hazardous materials used or stored on site?
0 Yes 0 No O Yes 0 No
DEPARTMENT USE ONLY
Is the property in a designated Storrnwater Control Area? Is public sewer available to the site? 0 Yes 0 No
O Yes O No
Is the property inside the ASA? Cl Yes 0 No Is public water available to the site?
O O Yes 0 No
Yes O No
Is the property inside the PSSA? O,Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
Date Received:
Yes 0 No
Staff!Itpra-s.nratna:
METHOD OF PAYMENT I
...Z-::::: ::!!ICOVET: SIAM)TAL
- VISA
,7..: ::':: :.',".:7::::❑ ( \Sl 1 ❑ Ci fick ❑ ❑ ❑ U —
-
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
EXPIRES: .
B_\NKCARD NUMBFR: TOTAL FEE
MINIMUM PERMIT FEE IS$35 PLEASE
_\Uri IORIZEDSIGNATURF: MIKE C]n_CIC<P:\yMSlf to SPOKANE
CUtN]\mom-CENTER
At
This site Alan is being submitted for thepurpose of
cb'`;;r!n,•s bidding permit and is a true and correct
represen'.ation of the proposal.All known property
lines/dimensions,curb lines. ctures and easements
N have been identified.Ais odic. -d are wetlands,
bodies of wa • -=• ,.pe •r other critical areas.
Signed: L ' ���
Dater
o • k 1 ;iln
- ., •> _....e
. e• ' &_..if • tis `-
, _ ,..,,ock \_, ,, .• lifk.-
SPA:;)44.4)1.
. \i____7- vey *;. .o. - 7,P" dree-
, ;(-- 9%° c:9' — . 40, le/0) it'
. \cC . -e ...„ w. ,f
71 ; � u ose of
i� C'C 72 plan is being subrrt ttad for the a d correct
This site
obtaining a building Permit and is a tru� ro edY
representation of the proposal Alt known P P 4
, a
linesldimensions,curb lines,s diGated are wuctures and etlandsnt`
have been identified. Als•
•• s or other critical areas.
bodies of water stere !
Signed: Ak.
Date: f < v
i C f G1
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