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2002, 04-09 Permit App: 02002361 Residence • Project Number: 02002361 Inv: 1 A'ppllcation Date: 4/9/2002 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE/ATTACHED GARAGE-FORCED Contact: BORISYUK,YEKATERINA S &VASIL AIR GAS Address: 7324 E 11TH AVE C- S -Z: SPOKANE,WA 99212 Setbacks: Front 29 Left: 13 Right: 13 Rear: 20+ Phone: (509)922-6315 Group Name: Site Information: Project Name: Plat Key: 002955 Name: WOODLAWN PARK District: D Parcel Number: 35244.1506 Block: 19 Lot: 8-9 SiteAddress: 7324 E 11TH AVE Owner: Name: BORISYUK,YEKATERINA S &V SPOKANE,WA USA 00000 Address: 7324 E 11TH AVE Location:: SPO SPOKANE,WA 99212 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 13,500 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released By: � Plan Review 10 Released Brf y:' ®- Approach/Drainage Released By: /_q—Q4-- Sewer Revi 41111111t • 4/ _Cate- U1T(LITI ..- •.0. 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C.1 \ —(Ip Z') 747.19S -1.0 lose- Permits: Operator: RMB Printed By: RMB Print Date: 4/9/2002 • Project Number: 02002361 Inv: 1 Application Date: 4/9/2002 Page 2 of 3 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: New Group: R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 22 Stories: 1 Bldg W x D: 68 x 44 Building Sq Ft: 2345 Sprinklers: ❑ Req Parking: 0 Handicap Parking: 0 Critical Materials: E This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Su Ft Valuation BASEMENT U R-3 VN 945 $10,924.20 945 $10,924.20 DECK R-3 VN 270 $1,987.20 270 $1,987.20 GARAGE U-1 VN 528 $6,336.00 528 $6,336.00 RESIDENCE R-3 VN 1,400 $86,800.00 1,400 $86,800.00 Totals: 3,143 $106,047.40 3,143 $106,047.40 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $930.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $204.60 Permit Total Fees: $1,139.10 Mechanical Permit Contractor: OWNER Firm: OWNER Phone: 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 4 NUMBER OF $40.00 CLOTHES DRYER 1 NUMBER OF $10.00 Permit Total Fees: $74.00 Operator: RMB Printed By: RMB Print Date: 4/9/2002 Project Number: 02002361 Inv: 1 Application Date: 4/9/2002 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Plumbing Permit Contractor: OWNER Firm: OWNER Phone: Item Description Units Unit Desc Fee Amount TOILETSBIDETS 2 NUMBER OF $12.00 SINKS 3 NUMBER OF $18.00 TUBS 2 NUMBER OF $12.00 DISH WASHERS 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 FLOOR DRAINS 1 NUMBER OF $6.00 WATER USING DEVICES 2 NUMBER OF $12.00 Permit Total Fees: $72.00 Notes: Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $1,139.10 $1,139.10 $0.00 $1,139.10 Mechanical Permit $74.00 $74.00 $0.00 $74.00 Plumbing Permit $72.00 $72.00 $0.00 $72.00 $1,285.10 $1,285.10 $0.00 $1,285.10 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: RMB Printed By: RMB Print Date: 4/9/2002 i I I PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE �1�� SPOKANE,WA 99260 509-477-3675 SPOKANE COUNTY SPECIFIC SITE INFORMATION Street Address: 73.a-2/ E id -i-h give Assessor's Tax Parcel Number(s): •� ,4)' i 5'O Legal Description: J o� 1&'ood iawfi pg12u2. 1— S — g 81 Project Description: JQeSldenC, Building Permit O Change in Use O Grading O Manufactured Home Permit 0 Relocation O Sign O Tenant(New/Change) O Other Department Use Only Water District/Pun-eyor Sewer District/Purveyor Road width Setbacks - Front Rear. School District Fire District: Zoning --5L5, `5Left Right OWNER/APPLICANT INFORMATION E1 Indi ale who Should he contacted nnardin,;Ihi.r project `LRJ Owner Phone: Applicant: Phone: Coli ©ol's��ce v= qp2- G3 ( svc\5t` Iii( [eigvuleIan: 922-6,31.S Nailing:\ddre Nailing Address: 73J , 1I t7Ue 7324 E it . --4-6 qVe (;in,Mare,Zip Citi,State,Zip S po,CalA Q..., )4r '9�/Q_ Spoic,re W;09. 990.2/ 2. C n[racn,r Phone - Phone I t r ❑Architect/Engineer Vex I r y 60p i sp i4- I as .-q2 2 631 s Fax Mailing address Nailing address '7.3A E i aile City State Zip Cin,State lip PO 1 00/1 4Q—, v n 99;2/0-- \\A Stare Conrraci„r license= Contact name: PROJECT INFORMATION Building Information Building height to peak #of uoor-s / Alain Floor sq.ft. Unfinished basement sq. ft. ?tE o- F. 1,4oc, ss.•� '.'...0a1)ocnnzions 'oral habitable space 2nd floor Sc]. ft. Finished basement sq. ft. Occupancc group (:onstruction tare Garage sq.It. Deck sq.ft. ge s 2tS. S1 4+ .04.7o P4- (.ost of project . I feat source(electric_gas,etc.) /-tvcsv-vt7. eta.S • Manufactured Home Sign Width: Length: Whit 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 O Reinforcement Address ADDITIONAL SITE INFORMATION Arc there structures on the property? Q Yes O No What is the current property size? If yet,ident f,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,ident,on site plan 0 Yes `a No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes 0 No O Don't know 0 Yes 'Q, No Is any part of the property within a 100 yr flood plain? Arc or will there be wells located on the property? Ifyes,identify on site plan Ifyes„idenl��on the site plan Yes " No O Maybe 0 Don't know 0 Yes Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property? Ifyes,identifi,on site plan 0 Yes .) No 0 Yes tl,No Are there slopes greater than 30°o on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site? ( / 9/0 Yes No O Yes VL,No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes 0 No O Yes O No Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes O No O Yes O No Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area? OYes 0 N Date Received: Ctalf Rcpre's stance METHOD OF PAYMENT MIMEO ,Z; DIICIOVEF SUBT( OVISA I D (:ASII , clll{ch ❑ NEEME ❑ ❑ ._" FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD 1).111:: I(\PIRI(S: TOTAL FEE R:\NI (,Vt1)NUMBER: M/NiMUMPERMIT FEEISSa5.o01'LEASE \t\EF ci BStss P.\I.\BLE TU 4'okA\t \h'CI K)Rl"/,l•:I)SIGN_\_MAU:: cot\r\PERMIT CIN I5.R ` Sf-�E r ec[AJ ,,,,,L, !!�_! 3 • ` e R This site plan is bein• submitted for the ur.ose of A { � ZVII& J' o` ta<<ning a building per- i and is a true and correct li ADDRESS Pole representation of the propos=al.All known property ZONE u-z-a.S lines/dimensions,curb lines.structures and easement - a wetlands,have been identified.Also indicated zr..�,��..�_nds, z ROAD WIDTH FRCFLANKING — bodies of water teep 6:c pes or etr, r critical areas. FRONT_ q Signed: `.---i REVIEWE" ...--__-_-_-_-=-.- Date: ®4 ©9 --o r----(------ r ► S a I — G fi ± I - 15'-iE _ 6 _- --- K /3.5 ...t.,.., a Ii i P ; t i. 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