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2002, 09-05 Permit App: 02007631 Pole BldgProject Number: 02007631 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/5/2002 Page 1 of 2 Project Information: Permit Use: 30 X 40 POLE BUILDING Setbacks: Front 48 Left: 5 Right: 50+ Rear: 15 Site Information: Plat Key: 000162 Name: BAUMANNS SUB District: Contact: MELLEH, BARRY Address: 12720 E 4TH AVE C - S - Z: SPOKANE, WA 99216 Phone: (509) 924-5193 Group Name: Project Name: Parcel Number: 45222.1121 Block: SiteAddress: 12720 E 4TH AVE SPOKANE, WA 99216 Location:: SPO Zoning: UR -3.5 Water District Urban Residential 3.5 Lot: Owner: Name: MELLEH, BARRY Address: 12720 E 4TH AVE SPOKANE, WA 99216 Hold: ❑ Area: 0 Sq Ft Width: 145 Depth: 119 Right Of Way (ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Plan, l Reviiew ] Septic System Review Permits: Operator: RMB Printed By: RMB Print Date: 9/5/2002 1 Project Number: 02007631 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/5/2002 Contractor: OWNER Const Category: New Nbr Of Dwellings: Bldg W x D: x Req Parking: Building Permit Firm: OWNER Phone: Building Characteristics Group: Occupant Load: Building Sq Ft: Handicap Parking: Description Qpr Type Notes GARAGE U-1 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Notes: Payment Summary: Permit Type Building Permit Type: Building Height: Sprinklers: 11 Critical Materials: This Application: Sq Ft Valuation 1,200 $14,400.00 Totals: 1,200 $14,400.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Stories: Total Project: Sq Ft Valuation 1,200 $14,400.00 1,200 $14,400.00 Fee Amount $225.50 $4.50 $49.61 $279.61 Fee Amount Invoice Amount Amount Paid Amount Owing $279.61 $279.61 $0.00 $279.61 $279.61 $279.61 $0.00 $279.61 Page 2 of 2 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: 9/5/2002 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: E. 1217-0 LIT H Assessor's s T ax Parcel Numb er() s : (1-1 Legal Description: Len '3 tact t /i 4.wy � aurr%w"2-cif &4j )-o`er t._+y. j'. -% G:�' `rACek t4'(o At 1t tint 1044 o-4 Thai 15' o4 Uf,Qe. Project Description: Totem "tart" -h 0-t G L iuilding Permit O Change in Use O Grading O Manufactured Home Permit 0 Relocation O Sign O Tenant (New/Change) O Other Depaitment J e Only, 5 Zs( - C ( 9 3 Fax 0 Applicant Phone: Fax 'Water District/Purveyor" SewetQistnce/Purveyor F . Road width Setbacks Front Left Rear. " Alight ,' tit r. School District -,. Fist District ' Zoning OWNER/APPLICANT INFORMATION Indicate who should he contacted rerardrnq!l>rr Droj'et ICP<Mee Phone: 'Ji pi eccEt.4 5 Zs( - C ( 9 3 Fax 0 Applicant Phone: Fax Mailing Address: C- lni7—r 1-f-rtl Dimensions 11.004 tilt 10 Mailing Address: 2M floor sq. ft. City, State, Zip SPen•Cart ILL WYE gCti to City, State, Zip Garage sq. ft. ❑ Contractor Phone Fax ❑ Architect/Engineer Phone Fax Mailing address Mailing address City, State Zip City, State Zip WA State Contractor license # Contact name: PROTECT INFORMATION Building Information ' Building height to peak (C t # of stories t Main floor sq. ft. Unfinished basement sq. ft. Dimensions 11.004 tilt 10 Total habitable space 2M floor sq. ft. Finished basement sq. ft. Occupancy group Construction type Garage sq. ft. Deck sq. ft. Cost of project 5t t 4.5.cst 1 -feat source (electric, gas, etc.) Manufactured -Home % , Sign" Width: Length: What is the square footage of the sign face?, l -low high is the sign? Year. Make: # of signs Area of existing signs Paint booth Fire:Sprinkler _ Fire Alarm Is the propertymside.ilie ESSAY :a O,. es v .•: s d';.n'., Inspector I OCYSion ;r ° Fixe SIM H et a F "`s.,`st r„z �,` I• ,Y. .� nAtin ,k�'9i. 4,�. Previous address 1-1 1 .i i Paint booth Fire:Sprinkler _ Fire Alarm Is the propertymside.ilie ESSAY :a O,. es v .•: s d';.n'., Inspector Tent O Concrete Fireworks display _ Dae Received: Proposed use Value °Special"Insections Re4 re�l?'s " ; , ,1„:„. ,. . n a` rc wL e ii d` .^x ' 1oi1,.I�� "gy�deritialEller drip i cel' L �©{de x ie d'i4,1 , r o 4.40. `i. .9 'Tj i =4*'-' Finn Name Phone Plans Examiner Phone Inspectors: Are there any wetlands, streams or ponds within 200 feet of the property? I fye, identify on rite plan 0 Yes 0 No Address Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( /%) OYes ONo Are critical or hazardous materials used or stored on site? OYes 0 N Is the propertymside.ilie ESSAY :a O,. es v .•: s d';.n'., Inspector Phone O Concrete O Welding 0 Bolting 0 Reinforcement Address Dae Received: ADDITIONAL SITE INFORMATION Are there structures on the property? 0 Yes 0 No If ye, idents 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? If ye, identify an site plan 0 Yes 0 No What is the current use of this property? Is your property in a designated wildlife habitat area? O Don't know 0 Yes 0 No Will the site be serygd by a septic system? 0 Yes 0 No Is any part of the property within a 100 yr flood plain? If ye, identfr on site plan 0 Maybe 0 Don't know 0 Yes 0 No Are or will there be wells located on the property? IJye, idents on the site plan 0 Yes 0 No Are there any wetlands, streams or ponds within 200 feet of the property? I fye, identify on rite plan 0 Yes 0 No Is there evidence of fill or excavation on the property? 0 Yes 0 No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( /%) OYes ONo Are critical or hazardous materials used or stored on site? OYes 0 N DEPARTMENT USE ONLY Is the troperty in a des]atSto4Riwitei Control Area y ^" TOTAL FEE MINIMUM PERMIT FEE IS $3100PLEASE MAKE CHECKS PAj'ADLu 1p SPOKANE COUNTY PERMIT ctm rER di pdbhc sedre'r`ayiilable[q, the kite? l�'Yettr, Oe, Nd Is theprpperty inside theJA7SA�s a•, ^0,Ye3 .ri. e ' .OtYes O No*^ 40, No' 4 is public wafer. Jailable2o the site? ` O- Ye``sv' MNo r,i " Is the propertymside.ilie ESSAY :a O,. es v .•: s d';.n'., O No ,. .:� ", �''. Is the propertylocated withyi,1000 feet of a Natural Resourtep9rea? O;Yek O No... ' ` Dae Received: Staff Represent ative:.,Y METHOD OF PAYMENT VISA ❑ CASK I ❑ CI IECK ❑ !� ❑ _....:_ ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: SUBTOTAL. TOTAL FEE MINIMUM PERMIT FEE IS $3100PLEASE MAKE CHECKS PAj'ADLu 1p SPOKANE COUNTY PERMIT ctm rER 1'e ✓_ X51 1 ?Posed foxgc pole bldg 1sT© 04 This site plan is being subr-;;;gad for the purpose 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 identified. Also indicated are wetlands, bodies of water, steep slopes or other critical areas. Signed: ,,cvw-D Date: C- S- 02- 0- Z ADDRESS ZONE ROAD WIDTH FRONT �l COMM REV1 ' • ED r ZU 45-2 22, 1 121 cs" 34-= L;