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2002, 10-25 Permit App: 02009535 AdditionProject Number: 02009535 Inv: Ie Date: 10/25/2002 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Parcel Number: 45231.0650 Block: Lot: SiteAddress: 14819 E 4TH AVE SPOKANE, WA 99206 Location:: SPO Zoning: UR -7 Urban Residential -7 Water District: Area: 0 Sq Ft Width: 198 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: :. Review Site Pian Review Owner: Name: TORRES, MARIANNE/POULIN, M Address: 14504 E 7TH AVE SPOKANE, WA 99216 Hold: ❑ Depth: 314 Right Of Way (ft): 40 Released By: Plan Review Released By: 8e Approach /Drainage Released By: O ,� Sept. Permits: :..::::::............::.:: Operator: CKF Printed By: CKF Print Date: 10/25/2002 Z Project Number: 02009535 Inv: I Application Date: 10/25/2002 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: BROWNING CONSTRUCTION Firm: BILL BROWN/BROWNING CONS Address: 11717 S SHERMAN RD Phone: (509) =448-7871 SPOKANE, WA 99224 Building Characteristics Const Category: Addition Group: Type: Nbr Of Dwellings: Occupant Load: Building Height: Bldg W x D: x Building Sq Ft: Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: ❑ Description Grp Type Notes RES ADD R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE This Application: Sg Ft Valuation 480 $31,680.00 Totals: 480 $31,680.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Contractor: BROWNING CONSTRUCTION Address: 11717 S SHERMAN RD SPOKANE, WA 99224 Item Description DUCT SYSTEMS MINIMUM FEE ADJUSTMENT Stories: Total Project: Scl Ft Valuation 480 $31,680.00 480 $31,680.00 Fee Amount $415.00 $4.50 $91.30 Permit Total Fees: $510.80 Mechanical Permit Firm: BILL BROWNBROWNING CONS Phone: (509) =448-7871 Units Unit Desc 1 NUMBER OF 1 Select Fee Amount $10.00 $25.00 Permit Total Fees: $35.00 Operator: CKF Printed By: CKF Print Date: 10/25/2002 Project Number: 02009535 Inv: IApplication Date: 10/25/21102 Pale 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes:;;;;;:.,.:.:.:.: . Pavinent Sl1iRi1 an: 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 $545.80 $545.80 $0.00 $545.80 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 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: CKF Printed By: CKF Print Date: 10/25/2002 1 1 PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AN'ENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: i ��N q Assessors Tax Parcel Number(s): J Legal Description: Project Description:c: O Building Permit Change in Use O Grading O Manufactured Home Permit 0 Relocation O Sign O Tenant (New/Change) O Other Department Use Only Water District/Purveyor. Sewer District/Purveyor Road width Setbacks Hain floor sq. ft. Unfinished basement sq. ft. Fax: Front: Rear. School District mire District: "Zoning City, Stat, Zip V �-.,,% City, State, Zip Left Right. OiVNER/APPLICANT INFORMATION Owner: ,/V,10�6(.�hr Phone: 0 Applicant: Phone: s s '0M,!�) Hain floor sq. ft. Unfinished basement sq. ft. Fax: Fax: Mailing Address: 1 -i4\ , A� 5f Mailing Address: City, Stat, Zip V �-.,,% City, State, Zip t.ontractor YN1 Phone �` i _ Co11`(s Phone � Architect �ln(,nneCT v C) Fax Fax Mailin, addr,-- (� Mailing address City, Statek(�Ci UAGI City, State Zip ) WA state Contra for L� license # � C) Contact name: PROTECT INFORMATION Building Information Building hyight to peak # of stories Hain floor sq. ft. Unfinished basement sq. ft. llimensions 'Total habitable space �6 ` 21,11 floor sq. ft,;---- - Finished basement sq. ft. 1--, — _. Occupancy group Construction type Garage s4 f. a._._. Deck sq.f. Cost of project v C) I lent source (electric, bras, etc.) __.__. Manufactured Home Sig Width: Length: What is the square footage of the sign face? How high is the sign? Year: ;\fake: # of signs Area of existing signs Address ((/1 ❑ No Relocation Fire Safety Previous address Fire Sprinkler _ "Tent _ Paint booth _ Fire Alarm _ Fireworks display _ Proposed use Value Special InspectionsRequired?_ Firm Name Phone Non -Residential Energy Code Compliance? Plans Examiner Phone Inspectors: Address Is any part of the property within 250 feet of a shoreline?`" Inspector Phone ❑ Concrete ❑ Welding ❑ Bolting ❑ Rentforcement Address ADDITIONAL SITE INFORMATION .are there structures on the property? 03-`7es ❑ No What is the current property size? If jes, identi , 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? �CT MAId: CI tkG Pxmi3u, To sPOt .i\r If yes, idem ift on .rite plan ❑ Yes lr No ((/1 ❑ No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?tT Yes ❑ No ❑ Don't know ❑ Yes ©'No ❑ 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 plain Ifyes, idem;( on the site plan ❑ Yes ❑ No ❑ 1fa ybe ❑ Don't know ❑ Yes EV -N. .are there any wetlands, streams or ponds within 200 feqdf the property? Is there evidence of fill or excavation on the property? If yen, identi � on site lan C3Yes ❑ Yes 'o Are there slopes greater than 30% on the property? (30 ft rjWin 100 ft) Are critical or hazardous materials used or stored on site? (_ �% ❑ Yes No ❑ Yes ®" Ivo DEPARTMENT USE ONLY Is the property in a designated Stoxmwater Control Area? Is public sewer available to the site? ❑ Yes ❑ No ❑ Yes ❑ No MAId: CI tkG Pxmi3u, To sPOt .i\r Is the property inside the ASA? ❑ Yes ❑ No Is public water available to the site? ❑ Yes ❑ No ❑ Yes ❑ No Is the property inside the PSSA? ❑ Yes ❑ No Is the property located within 1000 feet of a Natural Resource Area? ❑ Yes 0 N Date Received: Staff Representative: METHOD OF PAYMENT ❑ CASII ❑ CHICK ❑ 1121M ❑ ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: BANKCAM) NU\IBFII: AUTI-I0lUZI D SIGNATURIi: I"X1311ZI "S: SUBTOTAL, TOTAL FEE MINIMUMPEILi-fITFEEISS35.00PLF LSr " MAId: CI tkG Pxmi3u, To sPOt .i\r - COUN"IN PERMIT CENMR This s to ::'an is tieing submitted for the purpose of obtaining a b::iid:ng permit and is a true and correct 1 representation of the proposal. All known property �•✓ lines/dimensions. curb lines. structures and easements have been identified. Aiso indicated are wetlands, bodies of wr �te p opes or other cr cal areas. Signed: i Date:— J F� I�b O AOC�wO��' 0#4 Ute -TO, �f''�� `_.i sit— 12 r 5