1997, 07-09 Permit App: 97004891 Carport, Reroof PROJECT NUMBER= 97004891 APPLICATION DATE= 07/09/97 PAGE= 01
PROJECT NUMBER= 97004891 APPLICATION DATE= 07/09/97 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 12022 E 6TH AVE PARCEL#= 45211.2218
ADDRESS= SPOKANE WA 99206
PERMIT USE= 20 X 23 CARPORT + REROOF OF RESIDENCE
PLAT#= 001839 PLAT NAME= OPP.TR. 1-354
BLOCK= LOT= ZONE= UR-3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 40
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= FUCHS, MARK PHONE= 509 456 5008
STREET= 12022 E 6TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= MARK FUCHS PHONE NUMBER= 509 456 5008
BUILDING SETBACKS: FRONT= 56 LEFT= 11 RIGHT= 20+ REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS: Ste, �/� ; 6 - aPdii . ‘10'q7
ly eL SA. . , 9
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: C. FRAZIER DATE: 07/09/97
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= 13 STORIES= 1
BLDG W X D = 20 X 23 SQ FT= 460 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
CARPORT U-1 VN 460 2070.00
RE-ROOF R-3 VN 2000.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 100.50
RESIDENTIAL SURCHARGE Y 22. 11
STATE SURCHARGE Y 4 .50
I
PROJECT NUMBER= 97004891 APPLICATION DATE= 07/09/97 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 127 . 11 . 00 127.11
127 . 11 .00 127 . 11
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
******************************** THANK YOU ************************************
M
� x
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSORS tax parcel number?
/ aUar _ fatt'f kGh.L 'fr'A 77doeo #CzIf, )?
L�jI descriptio as it>3 pears og�he p rty_deed
IVppor ran f r C //t,S �`� r o.O3 Ex .3CQ FT
OWNER or OCCUPANT Phone ham 9 a 7._7 p
1Th dr k + 171ariQn L . /ac,AL %rsbo8
Mailing address City,state Zip
/ O- E. 6 " live, ✓ , ane (z/4` Ci O't9e
Who should we contact regarding this project? Phone), q 7 77O�..
Mafr k.' or 1,?A r-)Olin L, F d— e& 16-b
What work is being done under this permit? Vit,,, T�`ac/ C,c'r Clor''l
y J.Loin. fteiL
Lone Inspector district Property size Right of way width
IAA3 . 5 4Q`
y
yr �
Water district,'.
EL a
a, a)
O
i
Building; Building height #of stories
Contractor Dimensions TOTAL SQUARE FOOTAGE
WA State ontractolicense# Main floor area Unfinished basement area
Mailing address 2nd floor area Finished basement area
Architect/Engineer Garage area Size of decks,etc.
What is the heat source? What is the cost of aour project?
. 010 'r1 k"
Manufactured Home Sign
Width: Length: What is the square footage of How high is the sign?
the sign face?
Year: Make:
Installer Contractor
Wa State Contractor license# Wa State Contractor license#
Mailing address Mailing address
Relocation Fire Safety
Previous address Fire Sprinkler _ Tent _
Paint booth_ Fire Alarm _ Fireworks display
VALUE
Contractor Contractor
WA State Contractor license# WA State Contractor license#
Mailing address Mailing address
!Fuel Storage Tanks 'Swimming"Pool
(Circle one) Above-ground Underground Size/gallons Private
Contents of tank(s) Size/gallons
Public/semi-private
Contractor Contractor
Wa State Contractor license# WA State Contractor license#
Mailing address Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
,.
Site Plan
i C. .pier (-A- Girt, Avif t7 axe_
'N
i�
I- i it 7' I
(-214
J -.f 0 3 vae2.;r I i ra
. i1.rxcla-5(GAA
N croe" •
arport
I ( 22.6-4 1 - , .. .
l�,_7T
4-:kt5t-ir�a fic,,AS:.
i . P
c
ADDRESS !ao? �_k- '- ,
ZONE 3. ti ,
8040 WIC)TH: 1a%-:,;?'o, -,
RONT . 'ii, FLANKING
so :ic . .
sokIMENTS.
{
t14
1 ,
S
INCLUDE THE FOLLOWING:
® All roadways, driveways & easments El Underground utilities
® Distances from center of roads, right of ways, ® North arrow
private roads & property lines ® Septic tanks & wells
O All existing & proposed buildings
Ammo
#2. SPECIAL INSPECTOR AND TESTI: SLA
EMPLOYMENT ACKNOWLEDCME F+O ,
Ott 0%; la/Z.
Please complete one form for each INDIVIDUAL performing Special Inspection or Tgj eaciQro
• pay 1
Date: J 4� � /U, 0
ff � �. ��� I'
Project Address: /a 0��� 1- • �% - i~ '✓''-
q [
Project Name: �a r��� i ' ;�� -c-e`� -- Project Number: l �� 7l - -
Inspection or Lab f=irm Name: 61,ra Fa,-- --1--Address: SO 't " i L S
Phone: (1‘ c. — 0 10'4
Name of Individual performing work: ua _vi G ' L I v –
ICBG Number: SZ2�3/66 5-15"/ S 770 ❑ Non-Certified Trainee
Supervisor (if Trainee): ICBO
(must be Certified Special Inspector)
STATEMENT OF UNDERSTANDING
V( ► hereby affirm that I have been employed
by for a duration of(hours,days,weeks)
to perform special inspections of CPR_ •d 1-.N--rCt1ck Go,--)c' k . 't���{�,✓a
//1/1aSo,J•-/ vyt � S fee G yr a Weld i
relating to the above stated project and that I am
aware that in performing these inspections,I am acting as an agent for the jurisdiction and responsible to the
Building Official. I am aware that my duties include assurance of compliance with the approved plans,
specifications,the Uniform Building Code and recognized construction practices which do not conflict with
any of the aforementioned documents.I will submit written reports to the Building Official as required.I also
agree to immediately notify the Building Official if 1)any discrepancies,corrected or uncorrected,are observed
on this project,and 2)my employment as it relates to this project is modified in any way or terminated prior to
submittal of my final repot `�
Individual's Signature
Supervising Special Inspector's Signature
(required if individual is Trainee)
—11 —