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2003, 03-24 Permit App: 03001873 Addition Project Number: 03001873 Inv: 1 Application Date: 3/24/2003 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: DINING ROOM,LAUNDRY ROOM & 2 CAR Contact: HELT,DUANE GARAGE ADDITION tQOVelrec en4fl 1 Address: 13514 E 6TH AVE C-S -Z: SPOKANE,WA 99216 Setbacks: Front 30 Left: EX Right: 5 Rear: 70 Phone: (509)926-1322 Group Name: Site Information: Project Name: Plat Key: 001669 Name: MOORES SURBURBAN HOMES ADD District: F Parcel Number: 45221.0716 Block: Lot: SiteAddress: 13514 E 6TH AVE Owner: Name: HELT,DUANE SPOKANE,WA 99216 Address: 13514 E 6TH AVE Location:: SPO SPOKANE,WA 99216 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: .00 Acres Width: 87 Depth: 127 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: .:...:. . Review ',, Site Plan Review Relea ed By: D' OdAe P .1-41:01k- - Plan Review Released - `jow • Permits: . . Operator: RMB Printed By: RMB Print Date: 3/24/2003 Project Number: 03001873 Inv: 1 Application Date: 3/24/2003 Page 2 of 3 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: Addition Group: Type: Nbr Of Dwellings: Occupant Load: Building Height: Stories: Bldg W x D: x Building Sq Ft: Sprinklers: Li Req Parking: Handicap Parking: Critical Materials: This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation GARAGE U-1 VN 660 $7,920.00 660 $7,920.00 RES ADD R-3 VN 354 $23,364.00 354 $23,364.00 Totals: 1,014 $31,284.00 1,014 $31,284.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $415.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $91.30 Permit Total Fees: $510.80 Mechanical Permit Contractor: OWNER Firm: OWNER Phone: Item Description Units Unit Desc Fee Amount DUCT SYSTEMS 1 NUMBER OF $10.00 VENTILATING FANS 1 NUMBER OF $10.00 CLOTHES DRYER 1 NUMBER OF $10.00 MINIMUM FEE ADJUSTMENT 1 Select $5.00 Permit Total Fees: $35.00 Plumbing Permit Contractor: OWNER Firm: OWNER Phone: Item Description Units Unit Desc Fee Amount CLOTHES WASHER 1 NUMBER OF $6.00 MINIMUM FEE ADJUSTMENT 1 Select $29.00 Permit Total Fees: $35.00 Operator: RMB Printed By: RMB Print Date: 3/24/2003 • Project Number: 03001873 Inv: I ' Application Date: 3/24/2003 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $510.80 $510.80 $0.00 $510.80 Mechanical Permit $35.00 $35.00 $0.00 $35.00 Plumbing Permit $35.00 $35.00 $0.00 $35.00 $580.80 $580.80 $0.00 $580.80 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 he 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: 3/24/2003 ;i1 PROJECT APPLICATION WORK SHEET ik SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 1 1 509-477-3675 SPox CourY SPECIFIC SITE INFORMATION O Street Address: 1 3 51 4 e G -rt-F Ay Assessor's Tax Parcel Number(s): 4 S z a.I. 07 i t Legal Description: L,o 4. 4, &31.a e14 3 1-1c.ov cs 5v‘z,vv 224-1n 14-ov c- p �+Aaj- a Lt.;0-Toa e�4 r �►�'4 C.A.. -CO 4-le,t 5-4" 1 00 O4 c LD+ J f10G� 3 MGrYG,S S mUY)o.li )4-0we,3 4,-,4,-.1.,4.7c.IA e Project Description: 2 GQ.Y 5GUY S,5 G i pi v t In.5 roo w. 11, L u-0 vui v y r2,o ri yvL uilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ 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 El Indicate who should he contacted regarding this pryer! I!7 Owner: Phone 3,..,b-54 34- ❑ Applicant: Phone. Q Ou o.,v, e- e.1 t lax: Fax Mailing Address: Mailing Address- 136)4 ddress:135)4 E bTN 1\-w e, City,State,Lip City,State,Zip SpolLa,ve, Vo..)bev A , PhonePhone ��� 4z 5 ❑ Contractor ❑ Architect Engineer a. -`4 Hou'fv1j 1\Jof Iax I'"t �l. LoYvla.�h Fax 1eY� Mailing address Flailing address 3528 s, -2-81:2Ave. cin,State Zip Cin,State Zip sp©1&CA. Vt _ ,VsJA. 9,92 3 \\.\State Contractor license# Contact name' I"e•1- rl PROJECT INFORMATION Building Information Building height to peak #of stories I Main floor sq.ft. Unfinished basement sq.ft. 14., 35¢ SQ,-F-, CD 6 Dimensions Total habitable space 2"a floor sq. ft. Finished basement sq.ft. 354- 5 . F4-, 0 O Occupancy group Construction type Garage sq.ft. Deck sq.ft. Cost of project I teat sourceelectric gas,etc.) 3S/0o0 Manufactured Home Sign, Width: length: 'What is the square footage of the sign I-low 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? Finn Name Phone Plans Examiner Phone Inspectors: Address Inspector Phone O Concrete O Welding O Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? 1111/Yes 0 No What is the current property size? 4? f 4s 54 �/ If yes,identify on site plan (square feet or acres) Is any part of the property within 250 feet of a shore' e? What is the current use of this property? Ifyes,ident)'on site plan 0 Yes LK No Is your property in a designated wildlife habitat area? .4 Will the site be served by a septic system?0 Yes lifiNo 0 Don't know 0 Yes LX No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? Ifyes,identIb,on site plan ,/ Ifyes,ident on the site plan 0 Yes �No 0 Maybe 0 Don't know 0 Yes L� No Are there any wetlands,streams or ponds within 200 eet of the property? Is there evidence of fill or excavation on the property? Ifyes,ident�q on site plan 0 Yes cNo 0 Yes IF No Are there slopes greater than 30%on the property?(30ft se in 100 ft) Are critical or hazardous materials used or stored on site? ( °%) 0 Yes MrNo O Yes 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? 0 Yes 0 No OYes 0 N Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area? 0 Yes 0 No Date Receieed: Staff Representative: METHOD OF PAYMENT VISA �11f SUBTOTAL ❑ CAsII 0 CHECK 0 ❑ 0 FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD IAPIRES: TOTAL FEE B:1NKCARD NUMBER: MINIMUM PERMIT FEE IS$3S0OPLFASE MAKE CHECKS PAYABLE TO SPOK:W E AUTI10121/i?D SIGNATURE: COUNTY PERMIT CENTER rr, io seipoq A31 A SEaJe nU�IlU 1?pe J�So Ois {Sa}S J 1 �Ni}l��l� .� . ri3V. O� . ?pa EUI UI U`.:,`ev pal}I+U ,�l,.:-: c1� aA°q q� ('14�� L�17 'SpUEl;c.v1 } p Q�i �'"i.l�il1/`� lJ d squaw .1 ea ld u otpi I l sail d aq o ucrlevigslaidal - 0V08 aLoo p urncu�IN �Es� oJd aqua �� ?0 i ua �17'� Flo eso pie , , e si P. :,',.; -4- }o eso+und ay}�o}pa}'wyr1.3 04 CL 6TH AVE. -- -___ u) N N .. .3.75 r/ 63.80 O in `in Existing Driveway Property--------‘.- ° Line 20 0 48 ��Property 0 Line `� W 15.5 Lot 5 5 w¢ s Existing r "� zQ N HOUSE N sO o Lot 3 C'sdl- L 20 48 0 NEW o0 (NI DINING CN 15 / 8 Lot 4 Lot 6 0 o O 0 ICY 3 � e 87.50 Lot 8 0 DUANE & KATHY HELT 0 15 30 50 - REMODEL SITE PLAN PHONE (509) 926-5434 --- Scale 1" = 30' 1