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1999, 05-10 Permit App: 99003917 Storage Bldg • • • . • Project Number: 99003917 Inv: 1 Application Date: 5/10/99 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: STORAGE BUILDING 24 X 41 Contact: DORAN,GEORGE Address: 1514 W INDIANA AVE Setbacks:Front 33 Left: 28 Right: 33 Rear: 8 C-S-Z SPOKANE,WA 99205 Phone: (509)328-5715 Site Information: Plat Key: 000325 Name: CAROLINE ADD. District: F Parcel Number: 35231.1484 SiteAddress: 5402 E 4TH AVE Owner:Name: DORAN,GEORGE SPOKANE,WA 99212 Address: 1514 W INDIANA AVE Location::SPO SPOKANE,WA 99205 Zoning: UR-7 Urban Residential-7 Water District: 999 UNKNOWN Hold: El Area: 6,825 Sq Ft Width: 65 Depth: 103 Right Of Way(ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 0 Review Information: nmvomnb.-Rsimmmg.wwmviatg....w3330.,:mx Department Review BUILDING Site Plan Review Eh, ..ft' a .2Ed _ Comments: Air — BypiNG - Plan Review PL-A-NCJ6 i 7aL.-1 Comments: ( -T.) CA-P-57C---N 5 roe__1+i tt- 4 r ENGINEER Approach/Drainage 5///0( f/e 33 t Comments: Permits: . I PC-AK)Th 7 Gail f h 9 rt.q ( ft-2c rlyec:71,- I uotA kr.) GLO-ter) . Ie ed Ife-(ertlineer p)an _s eo1 Jfq7 ut5Q_ )\leed er neereA Project Number: 99003917 Inv: 1 Application Date: 5/10/99 Page 2 of 2 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 Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 12 Stories: 1 Bldg W x D: 24 x 41 Building Sq Ft: 1000 Sprinklers: El Req Parking: 0 Handicap Parking: 0 Critical Materials: ❑ This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation GARAGE U-1 VN 1,000 $12,000.00 1,000 $12,000.00 Totals: 1,000 $12,000.00 1,000 $12,000.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $188.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $41.36 Permit Total Fees: $233.86 Operator: RMB Printed By: RMB Print Date: 5/10/99 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $233.86 $233.86 $0.00 $233.86 $233.86 $233.86 $0.00 $233.86 Notes: ,,,,, ::K:::::: ......'. .:«.,,,,,, :.:,,<,K;:.:.n<.:.�.. �x •�� �.. - � May-26-99 03: 28P Gifford Consultants 5095342925 P.02 • SPECIAL INSPECTOR AND TESTING LAB EMPLOYMENT ACKNOWLEDGEMENT FORM Please complete one form for each INDIVIDUAL performing Special Inspection or Testing work on each project. Date 5-26-99 Project Address 5400 W. Fourth Avenue Project Name Metal Bldg. (George Doran, Contractor) Project No. tin kncyan Inspection or Lab Finn Name Gifford Consultants, Inc. Address 2020 E. Springfield Ave. , Spokane, Washington 99202 Phone (509) 534-3670; FAX (509) 534-2925 Name of Individual performing work Timothy D. Bather 1030 Number 66513 ( )Non-Certified Trainee Supervisor(if Trainee) ICBONo (must be Certified Special Inspector) STATEMENT OF UNDERSTANDING 1, Timothy D. Barber ,hereby affirm that I have been employed by Gifford Consultants, Inc. for a duration of as needed (hours, days,weeks)to provide special inspections under Section 306 of the Uniform Building Code of: High Strength Bolting as it relates to the above stated project and that I am aware that as special inspector, my duties and responsibilities include: 1) Observation of the work assigned for conformance with the approved design drawings and specifications, 2)Furnishing inspection repors to the building official, and the engineer or architect of record, in addition to other designated persons. All discrepancies shall be brought to the immediate attention of the contractor for correction,then, if uncorrected,to the proper design authority and to the building official, and 3)Submitting a final signed report stating whether the work requiring special inspection was, to the best of my knowledge, in conformance with the approved plans and specifications and the applicable workmanship provisions of the Uniform Building Code. I also agree to immediately notify the building official if my employment as it relates to this project is modified in any way or terminated prior to submittal of my final report. Individual's Signature ��., �, 0- ,•--- Supervising Special Inspector's Signature (required if indivual is a Trainee) —1 1--• This site plan is being submitted for the purp.-e of •otaining a building permit and is a true and representation of the proposal.All known property les/dimensions,cu • lines;structures and easeme s have been idenjifi-•. • so indicated are wetlands, bodies of r ps ,.:.s { erc ' - areas. Signed: >t t r Date: © LO q,• ?), T SPOKANE 'TOS �_ �..-� tt...r��i•1°. '111...f.I I !_ •+1..1 falgr, : ►` i+Q ___ Q Q1w.r'fQ .. rI' app, LEw . a' a a! 1 w,.»�111 arl ara •! 1•. • -, 1 23S a{ 2S 7� 7 'il_11 N��..:. j};. I ,•q::1..0!al a�..._.«.; ,a ...,1,_.....0,.._ f — j .—. I.......05_:...7.5.-1:,_!_,_• y�' ..,.......,._"°_;; ,1 ...,..„(....,=,....---__41 . �L_ v . ! . .. l II l.1 , ; 1 t ./...., rd 1s a ._. Y I •.j hm d ! -L-_,,,0004_. Coni. . 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BUILDING 33 Z C.6 1 /1'9" To mL 1-1 >41 , 0 WV ci t Mc,�V�l z L DY Co\le ADDRESS D 4/-(- --2 ) j ZONE_ 4TH AVENUE ITE PLAN 0 10 20 ROAD WIDTH FRONT 35 LANKING 33 l `� COMMENT• 1► ��y��( REVIEWED r..-�Ci� -_! CX