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2001, 08-09 Permit App: 01006674 Addition Project Number: 01006674 Inv: 1 Application Date: 8/9/2001 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE ADDITION -LIVING ROOM Contact: CLIFT JENNY Address: 6322 E 7TH AVE C-S -Z: SPOKANE,WA 99212 Setbacks:Front NA Left: 20 Right: 12 Rear: 75 Phone: (509)536-7989 Group Name: Site Information: Project Name: .:........................................................................................................................................................ .. Plat Key: CONY Name: CONVERTED CNTY DATA District: E Parcel Number: 35242.2626 Block: Lot: SiteAddress: 6322 E 7TH AVE Owner:Name: CLIFT,JENNY SPOKANE,WA 99212 Address: 6322 E 7TH AVE Location::SPO SPOKANE,WA 99212 Zoning: UR-7 Urban Residential-7 Water District: Hold: ❑ Area: 6,750 Sq Ft Width: 50 Depth: 135 Right Of Way(ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review In orm ation: :. f Department Review iBUILDING Site Plan Review Release, By: ea . 'J Hold Reasons: Permit Conditions: BUILDING Plan Review Released • '� ' I its/ Hold Reasons: Permit Conditions: \ HEALTHDISTRICT Septic System Review Released 13y: ; Hold Reasons: Permit Conditions: Project Number: 01006674 Inv: 1 Application Date: 8/9/2001 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 Address: 0 Phone: (000)000-0000 000000,00 000000 Building Characteristics Const Category: Addition Group: R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: 17 Stories: 1 Bldg W x D: 20 x 12 Building Sq Ft: 732 Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: LI This Application: Total Project: Description Grp Type Notes Si Ft Valuation Sp Ft Valuation RES ADD R-3 VN 72 $4,464.00 72 $4,464.00 RES ADD R-3 VN ENCLOSE 0 $5,043.84 0 $5,043.84 COVERED PORCH Totals: 72 $9,507.84 72 $9,507.84 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $163.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $35.86 Permit Total Fees: $203.36 Pa ment Summa v ry• : Operator: DMD Printed By: DMD Print Date: 8/9/2001 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $203.35 $203.35 $0.00 $203.35 $203.35 $203.35 $0.00 $203.35 Notes >:; • t 1 PROJECT APPLICATION WORK SHEET Ilk SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WF ST BROADWAY AVENUE SPOKANE,WA 99260 SPO C 509 477-3675 6 (--- q SPECIFIC SITE INFORMATION Street Address: -?- f{-�f W- S Z lv�Z� ,72: S Pa/�>�,�/�- Z / Assessor's Tax Parcel Number(s): Legal Description: 2 sc& • R,E_SI D£& TA4._ I-4-0 M E Project Description: tNCt_t5 /G CO '& L POGZcH /i4DL, 0() rli Building 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 Indioule who should be ronladed n,ardinthi.t prrje,l 9.OwneGr:'` (, /� Phone: S3( `i gCI Applicant Phone: 5"j‘ --7-5'S-7— 5ErVN ( C. "C-1---r- Fax: Se—E-7— (L 4--- --7-- IFax: Mailing Address: Mailing Address: T� City,State,Zip City,State,Zip CI Contractor C Phone El Architect/ICngineer Phone SElax 5 P-2.--F Fax Mailing address Mailing address City,State Zip Cit,State Zip WA State Contractor license# Contact name: PROJECT INFORMATION Building Information Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft. /3 / -3d- -r+ 6-6? Q4-' Dimensions Total habitable space ? 2"d floor sg.It. Finished basement sq.ft. 2.0 X /Zo o +. _. Occupancy group Construction type EA/e_�S��E, Garage sal.ft. Deck sg.It. 3 / - — — (J /¢l7�itZdN Cost of project I Icat source(electric,gas,etc.) I l2 e 6/4-s Manufactured Home Sign Width: Length: What is the square footage of the sign flow high is the sign? face? Year: Make: #of signs Arca 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 Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes la'No What is the current property size? If yes,ident/,on site plan (square feet or acres) Is any part of the property within 250 feet of a shoreline? What is the current use of this property? o �,�� If yes,,identi'on site plan O Yes p No d2 F sz enc 1l4-C- Is your property in a designated wildlife habitat arca? Will the site be served by a septic system?O Yes O No O Don't know 0 Yes ® No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? 11 yes,identih,on site plan Ifyes,identO'on the site plan O Yes RI-No O Maybe 0 Don't know 0 Yes la No Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property? I fj'es,idem 'on site plan 0 Yes 0 No 0 Yes ® NC) Are there slopes greater than 30°-0 on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site? 0 Yes 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 OYes 0 N 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? OYes 0 N Date Received: Staff Representative: METHOD OF PAYMENT MEM SUBIOT:Al. VISA ❑ c:vslI ❑ clll:ch ❑ ❑ ❑ -- FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD ICNPIRI?S: TOTAL FEE B.ANKC:.ARD NUMBI':R: MINIMUM PERMIT FEE IS$35.00P1.r1 MAKE CHECKS PAY 1131.E'11)SPOKANE \f1 I'l It)Rl%1':D SIGN.\I f'RI?: COUNTY PERMIT CENTER Li./ b �PAL� PrOP ED S �� + •Tom e `.✓ -k- iz3 ri 81 LL 9L EL 91 EL EL LL 11 OL sw- 8 L 9 5 b 1 Z L 1 mosimmomesemsomismommilillmst Awn Nom ��■� ■..•■■m8._ 1111■■■•�8... -�_ ■ .11••11-_._•_._...9�:: _._ 1 •■■..•�8.M� u ■■H8i■��I� t►�■. ••■•.■�8.r� r�■. ■ ■■�■w�..� ■■�■■I z U���I ._■■i �.alk _ "v 1111 �1 r ■8�■8a �_ • E NMS ■■•11111■. . 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