2001, 05-14 Permit App: 01003529 RemodelProject Number: 01003529
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/14/01 Page 1 of 2
Project Information:
Permit Use: ENCLOSE AND REMODEL EXISTING PORCH
Setbacks: Front 8 Left: NA Right: NA Rear: NA
Site Information:
Plat Key: 001854 Name: OPPORTUNITY PLAT 3
Parcel Number: 45211.1012
Contact: ANDERSON, DOUG
Address: 11919 E 4TH AVE
C - S - Z: SPOKANE, WA 99206
Phone: (509) 921-6492
Group Name:
Project Name:
Block: Lot:
SiteAddress: 11919 E 4TH AVE Owner: Name: ANDERSON, DOUG
SPOKANE, WA 99206 Address: 11919 E 4TH AVE
Location:: SPO SPOKANE, WA 99206
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Hold: ❑
District: F
Review Information:
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
Review
Site Plan Review
Plan Review
Released By:
Project Number: 01003529 Inv: 1
Appiication
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/14/01 Page 2 of 2
Building Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000, 00 000000
Building Characteristics
Const Category: Remodel Group: R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: 10 Stories: 1
Bldg W x D: 8 x 19 Building Sq Ft: 152 Sprinklers: 0
Req Parking: Handicap Parking: Critical Materials: 0
This Application: Total Project:
Description Grp 'km Notes So Ft Valuation So Ft Valuation
COV DECK R-3 VN REMODEL 0 $1,000.00 0 $1,000.00
COV
PORCH
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Payment Summary:
Operator: DMD
Permit Type
Building Permit
Totals: 0 $1,000.00 0 $1,000.00
Units Unit Desc Fee Amount
1 Y OR BLANK $35.75
1 Y OR BLANK $4.50
1 Y OR BLANK $7.87
Printed By: DMD
Permit Total Fees: $48.12
Print Date: 5/14/01
Fee Amount Invoice Amount
$48.12 $48.12
$48.12
Notes: a,.;; �....:
$48.12
Amount Paid
$0.00
$0.00
Amount Owing
$48.12
$48.12
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PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: 11C F
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: Pp
3-1.c. (0). pc it (
O Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
O Relocation
O Sign
O Tenant (New/Change)
O Other
OWNER/APPLICANT INFORMATION
0
Ownjr. �/(\
\4j C gin C'2/5c"1
Phone: 50c\ la i 6(q4 J'
Fu.
❑ Applicant:
Phone:
Fax:
Mailing address:
ti
Mailing Address:
Cir,, State, Zip
' tL
Q
c /�
I?OCity,
Store, Zip
0 Contract())
Phone
Fax
0 Architrct/Engineer
Phone
Fu
Mailing address
Mailing address
City, Stam Zip
City, State Zip
WA State Contractor license 1
Contact name
PRO ECT INFORMATION
BuUding height to peak
Dirnenfions
Dccupancy group
Main floor sq. ft.
Unfinished basement sq. ft.
Total habitable space
2.d floor sq. ft.
Finished basement sq. ft.
Construction type
Garage sq. h.
Deck sq. h.
:oh 6f project
y (jU0
Heat source (electric, gas, etc.)
Width:
Length:
-e
A
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
d of signs
Area of existing signs
O Concrete O Welding O Bolting O Reinforcement
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes O No
If yes, identify on site plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
Ifyes, identify on she plan O Yes O No
What is the current use of this property?
1s your property in a designated wildlife habitat area?
O Don't know 0 Yes 0 No
Will the site be served by a septic system? 0 Yes 0 No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
0 Maybe O Don't know O Yes 0 No
Are or will there be wells located on the property?
If yes, identify on rhe site plan O Yes 0 No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan 0 Yes 0 No -
Is there evidence of fill or excavation on the property?
O Yes 0 No
•
Are there slopes greater than 30% on the property? (30 ft rise in 100 (t)
(_�%) O Yes 0 No
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
DEPARTMENT USE ONLY
Date Received:
StafiRepresentative:
METHOD OF PAYMENT
WS(
D CASH 0 CHECK ❑MIME ❑ 1...''_'-: ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
sirC€IJEr2
AUTHORIZED SIGNATURE:
This site plan is being submitted for thepurpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines, structures and easements
have,been ' • - ed. s dicated are wetlands,
bodies water, steep s • s or other critical areas.
Signed
Date:
ADDRESS
ZONE
ROAD WIDT
FRONT
COMMENTS
REVIEWED
vt
FLANKING
ie /9/0