2003, 03-26 Permit App: 03002015 Addition Project Number: 03002015 Inv: 1 Application Date: 3/26/2003 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RES ADD-COV DECK& ROOF COVER Contact:
Address:
C-S-Z:
Setbacks: Front Left: Right: Rear: 58 Phone:
Group Name:
Site Information: Project Name:
Plat Key: 002810 Name: WALLACE ADD District: D
Parcel Number: 35244.1705 Block: Lot:
SiteAddress: 6807 E 11TH AVE Owner: Name: TRENT,JOHN
SPOKANE,WA 99212 Address: 6807 E 11TH AVE
Location:: SPO SPOKANE WA 99212
Zoning: UR-12 Urban Residential-12
Water District: Hold: ❑
Area: .00 Acres Width: 75 Depth: 130 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: .. ,. .
Review
Site Plan Review IIReleased By:
Originally Released: 3/26/2003 By: jshatto
Plan Review Released By:
Originally Released: 3/26/2003 By: jshatto
Operator: JAS Printed By: JAS Print Date: 3/26/2003
r ,
Project Number: 03002015 Inv: 1 Application Date: 3/26/2003 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
Phone:
Building Characteristics
Const Category: Addition Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: u
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
CARPORT U-1 VN ROOF 560 $2,520.00 560 $2,520.00
COVER
COV DECK R-3 VN 200 $2,014.00 200 $2,014.00
Totals: 760 $4.534.00 760 $4,534.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $100.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $22.11
Permit Total Fees: $127.11
Notes:
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Pa ment umma
y ry• ;. ,,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $127.11 $127.11 $0.00 $127.11
$127.11 $127.11 $0.00 $127.11
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JAS Printed By: JAS Print Date: 3/26/2003
t
< < PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
Alilk
1026 WEST BROADWAY AVENUE
AWN SPOKANE,WA 99260
509-477-3675
SPOKANE COUNTY
SPECIFIC SITE INFORMATION
Street Address: ti so 7 /
Assessor's Tax Parcel Number(s): `3 / 9 4 v / '7 V ti
Legal Description: Q i 5 ill
ik /
Project Description: CD✓e►�GLS ge c k
K Building Permit ❑ Change in Use ❑ Grading El Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor. Sewer District/Purveyor Road.width Setbacks
Front Rear.
School District: Fire District Zoning
Left: Right:
OWNER/APPLICANT INFORMATION
❑ Indicate who shonld he centarted rrgardmg this project
❑ Owner: Phone: 569 ?L? 9. 7 ld6 ❑ Applicant: Phone:
J 044 D- P fax: lrax:
Mailing Ad rens: Mailing Address:
6
R DLJ Az l/_
(.tty,State,Zip Cite,State,Zip
.75:,)b e /14 9TH/a
Contractor Phone ❑ Architect,Iingineer Phone
Sd _ 77 ax l:ax
Mailing address ��[ Mailing address
Cit,State''Zip City,State Zip
VV A State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stories. Main floor sq. ft. Unfinished basement sq.ft.
Di .ensirn s i r .Total habitable space 2"d floor sq.ft.loc+
Finished basement sq.ft.
ec-if Foo
Occupancy group Construction tx$' Garage sq.ft. e".:. vv Deck sq.ft.
Cost of sject I teat soure eetric,gas,
00
0 4-46
t ,
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
❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? ❑ Yes ❑ No What is the current property size?
If yes,identil5'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?
Ifyes,identz on site plan ❑ Yes ❑ No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?❑ Yes ❑ No
❑Don't know ❑ Yes ❑ No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identify on site plan Ifyes,identf on the site plan ❑ Yes ❑ No
❑Maybe ❑Don't know ❑ Yes ❑ No
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Ifyes,identify on site plan ❑ Yes ❑ No ❑ Yes ❑ No
Are there slopes greater than 30°-k on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( /°'o) ❑ Yes ❑ No ❑ Yes ❑ No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? ❑ Yes ❑ No
❑ Yes ❑ No
Is the property inside the ASA? ❑ Yes ❑ No Is public water available to the site? ❑ Yes ❑ No
❑ Yes 0N
Is the property inside the PSSA? ❑ Yes ❑ No Is the property located within 1000 feet of a Natural Resource Area?
❑ Yes ❑ No
Date Received: Staff Representative-
METHOD
epresentativeMETHOD OF PAYMENT
VISA
C ski SUBTOTAL
0 CASI I 0 CIIIiCK 0 0 0 --
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D ATI?: I?\1'IRISS: TOTAL FEE
BANKCARD NUMBI',IZ: MINIMUM PERMIT FEE IS$35.00PLEASE
BLAKE CHECKS PAYABLE TO SPOKANE •
AM]LORI''/.I;ll SIGN A FURI:: COUNTY PERMIT CENTER
L 1 L 1V�.� ' ` 9, it „iY //;; O c7
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