2001, 10-19 Permit App: 01009294 Garage Project Number: 01009294 Inv: 1 Application Date: 10/19/2001 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DETACHED GARAGE 40 X 41 Contact: BRIDGET,ANDERSON
Address: 11917 E. 6TH
C-S -Z: SPOKANE,WA 99206
Setbacks: Front 60 Left: 20+ Right: 17 Rear: 25 Phone: (509)921-1142
Group Name:
Site Information: Project Name:
Plat Key: 001382 Name: KIMBERLY SUB District:
Parcel Number: 45211.3002 Block: Lot:
SiteAddress: 11917 E 6TH AVE Owner:Name: BRIDGET,ANDERSON
SPOAKNE,WA 99206 Address: 11917 E. 6TH
Location::SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: ,Hold:
IL (-9
Area: 0 Sq Ft Width: 2,0e Depth: -250— Right Of Way(ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released By -
1L iit iii
111 rti
Plan Review Released i3y*
Operator: RMB Printed By: RMB Print Date: 10/19/2001
Project Number: 01009294 Inv: 1 Application Date: 10/19/2001 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER Finn: OWNER
Address: 0 Phone: (000)000-0000
000000,00 000000
Building Characteristics
Const Category: New Group: U-1 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 17 Stories: 1
Bldg W x D: 40 x 41 Building Sq Ft: 1640 Sprinklers: ❑
Req Parking: 0 Handicap Parking: 0 Critical Materials: 0
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 1,640 $19,680.00 1,640 $19,680.00
Totals: 1,640 $19,680.00 1,640 $19,680.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $288.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $63.36
Permit Total Fees: $355.86
Notes
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $355.86 $355.86 $0.00 $355.86
$355.86 $355.86 $0.00 $355.86
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and fmds 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 o a permit shall not be contrued to be a permit for,or an approval of,any violation of any of the
provisions of the co , "- , ate or local laws or ordinances.
Signature: />
Operator: RMB Printed By: RMB Print Date: 10/19/2001
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
= SPOKANE,WA 99260
509-477-3675
SPOKANE COUNTY
SPECIFIC SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s):
Legal Description:
kSnt3C-Y'.Lv SuRb1 vIsioN IT L 3L113�x�
Project Description: IJHiL/7//V6 4 /frr i1/z G
❑ Building Permit ❑ Change in Use El Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) El Other
Department Use Only
Water District/Purveyor: Sewer District/Purveyor Road width Setbacks
Front: Rear.
School District: Fire District: Zoning
Left: Right:
OWNER/APPLICANT INFORMATION
Indicate who should be contacted n'arding Ibis',inject
❑ (honer: Phone: 92.—//9'Z- ❑ Applicant: Phone:
44/7)f72S01 d %,0G 7 /, las: las
Mailing Address: Mailing Address:
/J 9/Y - A7/1
City,State,Zip City,State,Zip
s/o/'4,z/ /tip. 99zo6—a9O6
❑ Contractor Phoneg Phone
❑ :ArchitcctiF:n nnccr
lax fax
Mailing address Mailing address
City,State Zip City,State tap
WA State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft.
Occupancy group Construction type Garage sq.ft. Deck sg.ft.
Cost of project I cal source(electric,gas,etc.)
Manufactured Home Sign
Width: Length: What is the square footage of the sign I Iow 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 0 Welding O Bolting 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? 0 Yes 0 No What is the current property size?
Ifyes,idenkbf on site plan (square feet or acres) /5365-
Is
3/x.S Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
Ifyes,identify on site plan 0 Yes LEYNo /52fS/ A/77.4
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes ' No
0 Don't know 0 Yes ,itr No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identu,on site plan Ifyes,identift on the site plan 0 Yes gi No
0 Maybe 0 Don't know 0 Yes I No
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Ifyes,identii,on site plan 0 Yes ((No 0 Yes No
Are there slopes greater than 30%on the property?(30 f rise in 100 ft) Arc critical or hazardous materials used or stored on site?
( %) 0 Yes An. No 0 Yes No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No
0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
DYes 0 N
Is the property inside the PSSA? 0 Yes D No Is the property located within 1000 feet of a Natural Resource Area?
D Yes D No
Date Received: Staff Representative:
METHOD OF PAYMENT
MEM
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VISA
❑ C:ASII 0 CHECK ❑ ❑ ❑ --
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1D:A7'1.:: l:XPIRI?S: TOTAL FEE
BANKC:\RI)NUSIBFR: MINIMUM PERMIT FEE IS$35.ADPLE;1_SE
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