2002, 05-02 Permit App: 02003272 Deck, AwningProject Number: 02003272 Inv: 1
application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 8 X 30 DECK & 6 X 8 AWNING Contact: QUEBODEAUX, ADELAIDE & ANTHON
Address: 2241 LOVELL ST
C - S - Z: CROWLEY, LA 70526-7111
Setbacks: Front 37 Left: 15 Right: 34 Rear: 20+ Phone: (509) 922-8516
Group Name:
Site Information: Project Name:
Plat Key: 002144 Name: REMINGTON PARK AMENDED MAP District: D
Date: 5/2/2002 Page 1 of 2
Parcel Number: 35241.3715
Block: Lot:
SiteAddress: 7115 E 7TH AVE Owner: Name: QUEBODEAUX, ADELAIDE & AN
SPOKANE, WA USA 00000 Address: 2241 LOVELL ST
Location:: SPO CROWLEY, LA 70526-7111
Zoning: UR -7 Urban Residential -7
Water District:
Hold: ❑
Area: 11,430 Sy Ft Width: 90 Depth: 120 Right Of Way (ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Permits:
Operator: RMB Printed By: RMB
Print Date: 5/2/2002
Project Number: 02003272
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/2/2002
Contractor: OWNER
Const Category:
Nbr Of Dwellings:
Bldg W x D:
Req Parking:
Description
New
Building Permit
Firm: OWNER
Phone:
Building Characteristics
Group: R-3 Type: VN
1 Occupant Load:
x 8 Building Sq Ft:
0 Handicap Parking:
Grp Tvpe Notes
COV DECK R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Summary:::::::
Permit Type
Building Permit.
0 Building Height:
240 Sprinklers: 0
0 Critical Materials: 0
This Application:
Sq Ft Valuation
304 $3,061.28
Totals: 304 $3,061.28
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Stories: 30
Total Project:
Sq Ft Valuation
304 $3,061.28
304 $3,061.28
Fee Amount
$88.00
$4.50
$19.36
$111.86
Fee Amount Invoice Amount Amount Paid Amount Owing
$111.86 $111.86
$0.00 $111.86
$111.86 $111.86 $0.00 $111.86
Page 2 of 2
Disclaimer:
Submittal of this application certifies the owner (or person(%) authorized by the owner) has both examined and finds the information
contained within to he 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 contrued 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: 5/2/2002
i ''I
Aia*Imilla
=li
SPoicAECouNuy
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
'Tl/5
Assessor's Tax Parcel Number(s):
Street Address:
Legal Description:
ZxL•37,
Project Description:
❑ Building Permit
O Change in Use
O Grading
0 Manufactured Home Permit
O Relocation
O Sign
[-1 Tenant (New/Change)
Other
Department Use Only
Water District/Purveyor.
Sewer District/Purveyor
R,, -.l w Idth
Setbacks
front: Rear.
heft: Right:
tick - .,1 District:
Fire District:
/,,,,no
OWNER/APPLICANT INFORMATION
El Indiia!r who horr/d be ro,llac
_
11
LXOs n r. �% �% /Ph`onnee:5:79.74a40fir
e/ i4 >C �IIG� ek,4 2 • . /
-rt---- e. --
❑�/ pplicant:
/7 /,�%e
-,
�r Z
A%L
ryes e
Phone: 177:20
GA/:2 0q i
Fax: gr/ 67`� s-Zc
Ma%ilinng A dress: /
/.
Mailing Address:
�f
Finished basement sq. ft.
Occupancy group
Cih $late, Zip i
Cit. tate, Zip
Deck s41 ft'. 1
vO'
Cost of project
/
Contractor Phone
Fax
❑ Architect/Engineer
/
Phone
Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
\VA State Contractor license #
Contact name:
PROJECT INFORMA
Building Information
Building height to peak
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
l' tal habitable apace
2nd floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck s41 ft'. 1
vO'
Cost of project
Heat source (electric, gas, etc.)
Iylannfacti' ff4' 11jome
Si = . ' p
Width:
Length:
CVM[ IJ the square footage of the sign
face?
How high is the sign?
Year
Make:
it of signs
Area of existing signs
Are there slopes greater than 30% on the proper (30 R rise in 100 ft)
❑ es 0 _o
Address
Proposed use
.. �..;
pglaeauonl ys�A 8 ;"
4 A= M ✓�` " ..
Fite Safe`
"t, S.r-
f .4A. s
Previous address
Is your property in a designated wildlife habitat area? /
0 Don't know 0 Yes area?.
Phone
Fire Sprinkler
Tent
_
Paint broth_ Fire Alarm
Fireworks display
Are there slopes greater than 30% on the proper (30 R rise in 100 ft)
❑ es 0 _o
Address
Proposed use
.. �..;
Value
SUBTOTAL
Inspector
Special Inspection^§
�
e I red? y' fr
Phona
Non tef'idenha Enexgy & Eoml:li, et t
Firm Name
Is your property in a designated wildlife habitat area? /
0 Don't know 0 Yes area?.
Phone
Plans Examine
PM1one
Inepertom
Is there evidence of fill or excavation on the property?
0 Ycs 4No
Are there slopes greater than 30% on the proper (30 R rise in 100 ft)
❑ es 0 _o
Address
-
WM
❑ CASII ❑ 0IECK 0 0 ❑
.. �..;
SUBTOTAL
Inspector
Phone
0 Concrete
❑ Welding
❑ Bolting ❑ Reinforcement
Adams
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes 0 No
If yes, identify on site plan
What is the current property sac?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
If yrs, identify on the plan 0 Yes g No
What is the current use of this property?
Is your property in a designated wildlife habitat area? /
0 Don't know 0 Yes area?.
Will the site be served by a septic system? 0 Yes A No
Is any part $f the property within a 100 yr flood plain?
yin, PS* ox site plan
0 Maybe 0 Dont know 0 Yes No
Are or will them be wells located on th�liropeny?
Ilya, ihne on the site piens (/SI Ycs / No
Are there any werlands, streams or ponds within 2 eet of the property?
Ilya, identify on site plan 0 Yes t No
Is there evidence of fill or excavation on the property?
0 Ycs 4No
Are there slopes greater than 30% on the proper (30 R rise in 100 ft)
❑ es 0 _o
Are critical or hazardous materials used or stored on site?
0 Yes DJo
DEPARTMENT USE ONLY
„, the pa%p P[ym stb acetoemd S"tee.CSotrokAroa?. ,.
" p .a6 '`,. ak ❑ Ycs ❑ �lon
Is p blicpeweravoilabk to thesile? r " 0 Y s% 0 Np
k le pibperly babied= ASA? te7 °❑•Yea 0 -No`
' d +,lar ,m 1.r0'Yes #0 No
Is public watravailable to the site?" ° D Yes O No
,
Ix
the topertydatderhei SSik 0 Yes ❑,No "
tyx ,. k o ..
'P
I5 the propertydocated wkddn 1000 feet of a Namral Re'sburce Area?
0 Yes . 0 No
Date Recekct
Staff Representa(e:
METHOD OF PAYMENT
-
WM
❑ CASII ❑ 0IECK 0 0 ❑
.. �..;
SUBTOTAL
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES :
TOTAL FEE
BANKCAI&D NUMBER:
MINIMUM PERMIT FIrISS31eIPIFASE
AUD IOIULED SIGNATURE:
ALUM CHECKS PAYABI%TO'. SPOKANE
COL. 'PEaam tenni.
ADDRESS
ZONE � ;
RGAD ,�FRO ``'; -
GOMMEN 3
'REVIEWED
r
,,,.ucpose, of
in ssbmitted tot true and correct
to rs being ce serpents
sdding Petcoit end �s a e�Y
-phis site P " .
obtaining a f the P
cow" � :,a
ceps$ irnensi of
curb fines\s Cited ate' ,meas.
�e�dicnen$1Q A�.so ind .. hec critical a I
have beenl'dentrfied • stoped o
bodsteep�
,es t-...":52_,------r.
<SL-
Date'
&J -r
7/ee