2002, 06-11 Permit App: 02004647 Remodel Project Number: 02004647 Inv: 1 ,Application Date: 6/11/02 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: REMODEL EXISTING GARAGE TO GAME RM Contact: M.E.REMODEL
W/NEW BATHROOM Address: 1314 S SOUTH CHESTNUT
C-S-Z: SPOKANE WA 99224
Setbacks: Front Left: Right: Rear: Phone: (509)838-5433
Group Name:
Project Name:
Site Information:
Plat Key: 002450 Name: SPARK'S ADD TO SPOKANE District: D
Parcel Number: 35243.0442 Block: Lot:
SiteAddress: 6425 E 11TH AVE Owner:Name: maghakian,mike
SPOKANE,WA 99212 Address: 6425 E 11TH AVE
Location::SPO SPOKANE,WA 99212
Zoning: UNKN Unknown
Water District: Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review � 6 -- I
/ - e--- i
, Released .
Plan Review Released : S ' It'" erljN 1
Special Reviews /) / •- .IReleased By: (�/e......., -
S t 11=ate
Septic System R iew Released By: 112/
41 All Ai d fil"11 1'14 0 IV .."/"/""" gilitis.-, ,e0,1„,/,‘,.--...r-,
Perm its:
Operator: JAS Printed By: JAS Print Date: 6/11/02
Project Number: 02004647 Inv: 1 Application Date: 6/11/02 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: UNKNOWN Firm: UNKNOWN
Address: UNKNOWN Phone: (000)000-0000
UNKNOWN,WA UNKNOWN
Building Characteristics
Const Category: Remodel Group:R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RESIDENCE R-3 VN REMODEL 0 $18,000.00 0 $18,000.00
Totals: 0 $18,000.00 0 $18,000.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $263.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $57.86
Permit Total Fees: $325.36
Mechanical Permit
Contractor: UNKNOWN Finn: UNKNOWN
Address: UNKNOWN Phone: (000)000-0000
UNKNOWN,WA UNKNOWN
Item Description Units Unit Desc Fee Amount
GAS WATER HEATER 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 2 #OF UNITS $2.00
VENTILATING FANS 1 NUMBER OF $10.00
MINIMUM FEE ADJUSTMENT 1 Select $1.00
Permit Total Fees: $35.00
Plumbing Permit
Contractor: UNKNOWN Finn: UNKNOWN
Address: UNKNOWN Phone: (000)000-0000
UNKNOWN,WA UNKNOWN
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 1 NUMBER OF $6.00
SINKS 2 NUMBER OF $12.00
SHOWERS 1 NUMBER OF $6.00
MINIMUM FEE ADJUSTMENT 1 Select $11.00
Permit Total Fees: $35.00
Operator: JAS Printed By: JAS Print Date: 6/11/02
Project Number: 02004647 Inv: 1 ,Application Date: 6/11/02 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $325.36 $325.36 $0.00 $325.36
Mechanical Permit $35.00 $35.00 $0.00 $35.00
Plumbing Permit $35.00 $35.00 $0.00 $35.00
$395.36 $395.36 $0.00 $395.36
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 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: JAS Printed By: JAS Print Date: 6/11/02
.114.
• V
I PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
1111 SPOKANE,WA 99260
509-477-3675
SpoicARE COUNUT
SPECIFIC SITE INFORMATION
Street Address: / fi
6 6-(
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: 4c--
El—Building Permit Et—Change in Use 0 Grading 0 Manufactured Home Permit
0 Relocation 0 Sign 0 Tenant(New/Change) 0 Other
Department Use Only
•
Water Disttict/Purveyor Sewer District/Pun-eyor - . Road width :';;Setbacks
Fiont Rcar
School District: Fire District: Zoning .
Left Right
OWNER/APPLICANT INFORMATION
121 Indiade who should be,confireted rcgarditrAthirpnyid
0 Oxt tier Phone: 5-3 Lid—tot 0 Applicant- Phone:
/-71-#(C(41-rt-- Fax
Mailing Address: Mailing Address:
4-t
City,.Star ,Zip City,State,Zip
e.e./AtC
0 CMItrICIOr Phone F; 3
0 Architect/Engineer Phone
é /1e-74-to F- l Fax
Mailing address Mailing address
/ 3 ei-f c
Citv,State Zip Cary,State Zip
5/1d a
\VA Siatc Contractor Ikensa4 Contact name:
/41 6, e "f
PROJECT INFORMATION
Building Information
Building height 11 pr-ak #olsi(>nes Main floor sr.ft Unfinished basement sr ft.
DimensionsHal habitable space .2"d floor sq.ft. Finished basement sq.ft
Occupancy group (r,nsructurn tr.%pc Garage sq.ft. Deck sq.ft.
Gist oiprr4, Heat source(electric_gas,etc.)
P-00- 0
Manufactured Home __,`•
sign
Width: Length: What is the square footage of the sign How 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?
Firm Name Phone -
Plans Examiner Phone
Inspectors:
Address
Inspector Phone
O Concrete O Welding O Bolting Cl Reinforcement Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? Cl Yes O No
What is the current property size?
Ifyes,identO,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?
f_yet,idntl6,on site plan O Yes O No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes O No
O Don't know O Yes Cl No
Is any part of the property within a 100 yr flood plain? ,\rc or will there be wells located on the property?
If es,identz on file plan f yes,itientffi,on the filenn I
O Maybe CI Don't know O Yes CI No p O Yes Cl No
Arc there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Dyes,tdent45,on site plat O Ycs O No
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or storredlNo
on site?
( _% 0 Yes O No
0 Yes 0 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
Is public sewer available to the site? O Yes O No
O Yes O No
Is the property inside the ASA? O Yes O No Is public water available to the site?
OYcs ONo OYes ONo
Is the property inside the PSSA? O,Yes O No
Is the property located within 1000 feet of a Natural Resource Area?
Date Received: O Yes O No
staff RtI sxsntaticc:
METHOD OF PAYMENT
MIMI VISA
>%rppt: SlB-11)IAL •
❑ CAS!! 0 cirEcK ❑ =NM ❑ ❑
•
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1),VIE:
EXPIRES::S:
B:1NKC.\RD NUMBER: TOTAL FEE
MINIMUM PERMIT FEE IS 1JS.001'1 E1S
_\UTI IOKIX1•.1)SIGNATURE:
:
MAKE CI IFCti PAYABLE TO SPOKANE
Ct)UN7Y PERMIT CI-i tit
06/11/2002 13 33 FAX 5093242601 L I HR REGION 6 Z001
CRUMCC DEPARTMENT OF LABOR AND INDUSTRIES CRIS
ID: 01 prod
_
CONSTRUCTION CONTRACTOR INFORMATION -
?OPTION : _ (ADD,CHG,REN,REP,PRT,CRL or Screen ID)
?LICENSE NUMBER: MEREM**0110A ?Status: A ACTIVE
?Contractor Type: CC CONST CONT
Contractor Name: M E REMODEL UBI: 601375822
Parent Company : COMMENT: 04/09/02
Search Name ; M E REMODEL
Address Line 1 : 1314 S CHESTNUT
Address Line 2
City,State,Zip : SPOKANE WA 99224 County: 32 SPOKANE
Telephone : 5098385433
?Reg Reason Code:
Effective Date : 090199 ?Business Type: I INDIVIDUAL
Expiration Date: 090602 ?Specialty Code 1 : 01 GENERAL
SuSperded Date : 000000 ?Specialty Code 2: 00 UNUSED
Audit Until Date: 000000
Nbr of Type Chg: 0 Employees: (Y/N)
Fee RE.ceived Dt: 000000 LINIIS ID:
F1=H1p F2=USH F3=End F4=Adr F5=Pry F6=Nxt
Record Review successful
A I
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