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2000, 04-14 Permit App: 00002709 Addition • Project Number: 00002709 Inv: 1 Application Date: 04/14/2000 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: ...................................................... ... Permit Use: ADDITION TO MASTER BEDROOM Contact: TSA CONSTRUCTION Address: 6230 STATE LINE RD C-S -Z: POST FALLS,ID 83854 Setbacks: Front EXI Left: Right: EX Rear: EX Phone: (208) 773-4417 Group Name: Site Information: Project Name: Plat Key: 001834 Name: OPP.TR. 1-354 District: F Parcel Number: 45201.0646 Block: Lot: SiteAddress: 10113 E 4TH AVE Owner:Name: NERISON,C J/LYTLE,K L SPOKANE,WA USA 00000 Address: 10113 E 4TH AVE Location::SPO SPOKANE,WA 99206 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 50,885 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 rmation: Review Ino .................. ... Department Review BUILDING Plan Review By: (4r Hold Reasons: Permit Conditions: HEALTHDISTRICT Septic System Review By: ///'77 Hold Reasons: �'�4"t'iD� Permit Conditions: r its: Project Number: 00002709 Inv: 1 Application Date: 04/14/2000 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: T S A CONSTRUCTION Firm: T. S.A. CONSTRUCTION Address: 6230 S STATELINE RD Phone: (208) 773-4417 POST FALLS,ID 83854 Building Characteristics Const Category: Addition Group: R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: 14 Stories: 1 Bldg W x D: 16 x 13 Building Sq Ft: 208 Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: ❑ This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RES ADD R-3 VN 208 $12,896.00 208 $12,896.00 Totals: 208 $12,896.00 208 $12,896.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $200.50 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $44.11 Permit Total Fees: $249.11 Pa meat umma : S Operator: JEF Printed By: JEF Print Date: 04/14/2000 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $249.11 $249.11 $0.00 $249.11 $249.11 $249.11 $0.00 $249.11 tr J. I , I PROJECT APPLICATION c� SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE ilk SPOKANE,WA 99260 SPOKE GANTT ci 509-477-3675 Project Description: TYPE OF APPLICATION Er Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other SPECIFIC SITE INFORMATION StreetAddress: /v//3 E / - Assessor's Tax Parcel Number(s): L/<-� / C9 & 3 Legal Description: j 2R / 5-7, a .7 �i- c5, ��� X37 � < ,..9o, �Is'�©.e7zt.,� /T� T441- te Department Use Only Water District/Purveyor: Sewer District/Purveyor Road width Setbacks Front: Rear: School'District: Fire District: Zoning Left: Right: OWNER/APPLICANT INFORMATION E1 Indicate who should be contacted regarding this project ❑ Owner: 1 Phone: ❑ Applicant: Phone: 6ki5 4 'i S ').t.j Fax: Fax: Mailing Address: Mailing Address: /0/i3 ‘'. 9. ,ii.4.}10: City,State,Zip City,State,Zip j'r0t<79 - ❑ ContractorPhone, ❑ Architect/Engineer Phone .- -7-73-4/411 7 ,uC7 /' Fax Fax Mailingre address q Mailing address Cid` .. tate Zip City,State Zip `-i'6s i 4/C‹ ,L-. Jigs WA State ntra/cttor license# / Contact name: n. PROJECT INFORMATION Building Information Building height to peak #of stories , Main floor sq.ft. Unfinished basement sq.ft. /4/ / / Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft. /6x /3 Occupancy group Construction type Garage sq.ft. Deck sq.ft. Cost of project Heat source(electric,gas,etc.) /3 00‹.0 Ek i 5 7-1,-,17" -..il 5 'est ManufacturedHome Sign Width: Length: What 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 Alarm Fireworks display Proposed use Value Special Inspections Required? Non-Residential Energy Code Compliance? 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? O Yes O No What is the current property size? If yes,identify 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? If yes,identify on site plan O Yes O No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes O No O Don't know O Yes O No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? If yes,identify on site plan If yes,identify on the site plan O Yes O No O Maybe O Don't know O Yes O 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 O No If yes,identify on site plan O Yes O 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 O No O Yes O No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No O Yes O No Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No O Yes O No Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area? 0 Yes 0 No Date Received: Staff Representative: lit This site plan is being submitted for iuii:purpose of ADDRESSb l t obtaining a building permit and is a true and correctADDRESS representation of the proposal.All known property lineeldimensio , urb lines.structu - ,,,,d eaSe111116 ROAD WIDTH { have been' .Also indi d*;% wetlands. . FRONT FLANKING___._. bodies wa p slopes o r critical : COMMENTS 1 Sig /� —��1� - REVIEWED BYz Date: -ter L57Drell-Wt �✓ 1 ` l I ^L i `\xJ' i 1 i --) Q 1 sNis I.,_ „ )si , i �/�ct.5. 1 1 1I _ys' M 1 f i ,,, ALL , % `7 `r' 1(