2002, 09-19 Permit App: 02008142 Repair Fire Damage Project Number: 02008142 Inv: 1 Application Date: 9/19/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: FIRE DAMAGE REPAIR OF GARAGE Contact: WALTERS,KEVIN
Address: 10605 E 6TH AVE
C- S -Z: SPOKANE,WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509)928-7159
Group Name:
Project Name:
Site Information:
Plat Key: 001834 Name: OPP.TR 1-354 District: F
Parcel Number: 45201.1003 Block: Lot:
SiteAddress: 10605 E 6TH AVE Owner:Name: WALTERS,KEVIN
SPOKANE,WA 99206 Address: 10605 E 6TH AVE
Location:: SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Plan Review Released By:
Permits:
Operator: RMB Printed By: RMB Print Date: 9/19/2002
Project Number: 02008142 Inv: 1 Application Date: 9/19/2002 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
Phone:
Building Characteristics
Const Category: Remodel Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: E
Req Parking: Handicap Parking: Critical Materials: El
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VN FIRE 0 $4,000.00 0 $4,000.00
DAMAGE
REPAIR
Totals: 0 $4,000.00 0 $4,000.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $88.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $19.36
Permit Total Fees: $111.86
Notes:
Payment Summary: .
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $111.86 $111.86 $0.00 $111.86
$111.86 $111.86 $0.00 $111.86
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: 9/19/2002
4
e
10c1 PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
117- SPOKANE,WA 99260
509-477-3675
SPOKAI\T COUNrY
SPECIFIC SITE INFORMATION
Street Address: 1()60 5 6,4„ fq(.1,, S�o/� o'i 'e ` 2 o
Assessor's Tax Parcel Number(s):
Legal Description:
Pr ject Description: R/ P.G *r2-rs C7/tc/ /on S-hen '/nc14�//7y(e5 cmd 4/'n cf j
0 v doors 12..e. cce ',25c,r fCt�,ttn go- 54et'.� (c J
C�3'Building Permit CI Change in Use CIGrading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water Distract/Purveyor. Sewer District/Purveyor Road width Setbacks
Front. Rear.
School District Fire District: Zoning
Left: Right:
OWNER/APPLICANT INFORMATION
10Indicate who should be contacted renardingg this prrsect
(honer Phone:6 C1/ (2-g'7/55 ❑ Applicant: Phone
keue., D. fr2c.,/4-ers Fax:Csocr)`1L `4O7c Sem. c2 Ott/oer Fac
Mailing Address: Mailing Address:
/CCC5 E. C+h A(/.
City,State,Zip
City,State,Zip A)of ?92-DC
PhonePhone
❑ Contractor ❑ Architect]l=n},nncer
I-as
Fax
Mailing address Mailing address
City,State Zip Cite,State Zip
WA State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak/ #of stories Main floor sq.ft. �t/�/9- UnfinishedLbaiiement sq.ft.
' — i ONS N
1L. 5
Dimensions , / Total habitable s ace 2"`l oor sq.ft. Finished base 21fit sq.ft.
Occupancy groupConstruction type Garage sq. ft. Deck sq.ft.
P Y 70 ,f-7- �, / /�
5i-;C fru rr /-I/lrrC' 5O 7' V /
Cost of project I leat/source(electnc, ns etc.) G
Manufactured Home Sign
Width: Length: What is the square footage of the sign How high is the sign?
face?
Year: #of signs S Area of existing signs
Relocation 'Fire Safety
Previous address
Fire Sprinkler fent
P
Paint booth Fire Alarm Fireworks display
Proposed use
/1q
Value
Special Inspections Required? Non-Residential Energy Code Compliance?
Firm Name Phone Plans lans Iisammer Phone
Inspectors: , Address
Inspector Phone
O Concrete O Welding O Bolting 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? Yes 0 No What is the current property sic?
Ifyes,identib on see plan Reanc i C C'ce jxG e tied, (square feet or acres) /2-7 X. /565...
Is any part of the property within 250 feet of a shore ne? What is the current puse of this property?
Des,ident on site plan 0 Yes C� .o S�z 1�_ 4 mf/y
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes C3 No
0 Don't know 0 Yes 121<
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identify on site plan Ifyes,identf on the site plan 0 Yes
O Maybe O Don't know 0 Yes 2r-No
Arc there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Ifyer,identify on site plan 0 Yes O No 0 Yes la'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?
( %) 0 Yes O No O Yes C3 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes O No
0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? El Yes 0 No
OYes ID No
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
O Yes 0 No
Date Received: Staff Representatn e.
METHOD OF PAYMENT
VE: SUBTOTAL
VISA
❑ CASI I 0 CHECK ❑ ❑ � � 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D;1Tl?: 0? — 02- I:NPIRFS:
TOTAL FEE
B' NK(\Rl)NUNIBI';R: MINIMUM PERMIT FEE IS$3.5.00 PLEASE
T'"" / �E,�, MAKE CHECKSNTPAYABLEMITTO SPOKANE
AU"1'I IOKI'/.I�a S1GN.1'1'URl?: '�/ (/�' "�c�— CouNTVPE>uw}TCENTER