2002, 05-10 Permit App: 02003561 Finish Basement Project Number: 02003561 Inv: 1 ,k\pplication Date: 5/10/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: FINISH 230 SF OF BASEMENT Contact: WAYNE MOONEY
Address: PO BOX 1400
C-S -Z: MEDICAL LAKE,WA
Setbacks:Front Left: Right: Rear: Phone: (509)217-3479
Group Name:
Project Name:
Site Information
Plat Key: 005979 Name: TURTLE CREEK 2ND ADDITION District: G
Parcel Number: 55194.0615 Block: 3 Lot: 15
SiteAddress: 18122 E 9TH AVE Owner:Name: GALIPEAU,CHRIS
GREENACRES,WA USA 990 Address: 18122 E 9TH
Location:: GRE GREENACRES,WA 99016
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 12,422 Sq Ft Width: 80 Depth: 140 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
.41
Plan Review I Released B .. A -e. .G�_/ 1 _ �
Permits: .
..............
Operator: DMD Printed By: DMD Print Date: 5/10/2002
Project Number: 02003561 Inv: 1 ApplicatThn Date: 5/10/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: JOE BLOW KITCHEN &BATH Firm: WAYNE MOONEY
Address: PO BOX 1400 Phone: (509)299-5317
MEDICAL LAKE,WA 99022
Building Characteristics
Const Category: Remodel Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: El
Req Parking: Handicap Parking: Critical Materials:
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT R R-3 VN FINISH 320 0 $6,700.00 0 $6,700.00
SF+
CLOSETS/S
HELVES
Totals: 0 $6,700.00 0 $6,700.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $125.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $27.61
Permit Total Fees: $157.61
Mechanical Permit
Contractor: JOE BLOW KITCHEN & BATH Firm: WAYNE MOONEY
Address: PO BOX 1400 Phone: (509)299-5317
MEDICAL LAKE,WA 99022
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $157.61 $157.61 $0.00
r $157.61 $157.61 $0.00 fst
Disclaimer: � 3s C i
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and f ds 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 contrued to be 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: DMD Printed By: DMD Print Date: 5/10/2002
, .>
#1.
10;11 PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
Joik
SPOKANE,WA 99260
II 509-477-3675
SPOKANE COI N I Y
SPECIFIC SITE INFORMATION
Street Address: -J i .5 92
Assessors Tax ParcellNumber(s):
Legal Description:
Project Description: k' me.vt + 4 h+s k
ii Building Permit ❑ Change in Use ❑ Grading El Manufactured Home Permit
❑ Relocation ❑ Sign El 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
0 Indicate who should he eontae/ed nnurdrng this pry-ea
❑Owner: Phone: ❑ Applicant: ��/ Phone: ,t� - -. Cf>
G v; 5 6a/l p.e G((�( pas: � �� 1�"l Gl G i'i 7 Fa.:
Mailing Address: Mailing Adds ss:
/ /a-�- r. Pc /‘/&0
City,State,Zip Cin,State,Zip
6/tc.c,,c l-o 5 cu 7 f %— 1,,// z 4W a -z'
17 c.7Architect/I to gineer Phone
Zt.�<�mtrachx Phone „9. - - � � 9 ❑ 2,
4€Yi(G., 'oc -r lax I ax
Mau i rg a(ldress Mailing address
PO / °0
City,State Zip City,State Zip
Paiheu / /64,- 6,,/4
\\A State Contractor license# Contact name:
"--p.e,,,8.LKg990S7/
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
3 .23o I
Dimensions Total habitable space 2.1 floor sq.ft. finished basement sq.ft.
.2 -Sr L
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project I feat source(electric,gas,etc.)
6 7Gv, =' 6-0S
Manufactured Home Sim
Width: Length: What is the square footage of the sign Flow high is the sign?
face%
Year: Blake. #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 O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes O 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?
Ifyer,identi on site plan O Yes 0 No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes 0 No
0 Don't know 0 Yes 0 No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
If yes,identif:on site plan If yes,identi on the site plan 0 Yes 0 No
0 Maybe 0 Don't know O Yes 0 No
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
If yes,identift on site plan 0 Yes 0 No O Yes 0 No
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( °/a) 0 Yes O No O Yes O 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 0No Is the property located within 1000 feet of a Natural Resource Area?
DYes 0 N
Date Received: Staff Representative:
METHOD OF PAYMENT
€Cf!'Ii SUBTOT:AJ.
VISA
❑ C:\SII ❑ Cl 11?CK ❑ UM= 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
TOTAL FEE
BANK(:ARD NUNIBI{R:
MINIMUM PERMIT FEE IS S35.ADPLE ASE
MAKE CHECKS PAYABLE TO SPOK'NE
\UTI IORIZED SIGN.ATURI COUNTY ER