2002, 04-12 Permit App: 02002540 Finish Basement Project Number: 02002540 Inv: 1 Application Date: 4/12/02 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: FINISH BASEMENT-FAMILY ROOM, Contact: MARLL,RICHARD
BEDROOM,BATHROOM Address: 10911 E 11TH
C- S-Z: SPOKANE,WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509)891-6757
Group Name:
Site Information: Project Name:
Plat Key: 005751 Name: PARC CENTRE District: F
Parcel Number: 45213.9284 Block: Lot:
SiteAddress: 10911 E 11TH LN Owner:Name: MARLL,RICHARD
SPOKANE,WA 99206 Address: 10911 E 11TH
Location::SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 11,313 Sq Ft Width: 100 Depth: 114 Right Of Way(ft): 32
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Plan Review t =
Released By: ,{
Permits:
Operator: CKF Printed By: CKF Print Date: 4/12/02
Project Number: 02002540 Inv: 1 Application
Date: 4/12/02 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: Remodel Group:R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: 1200 Sprinklers: El
Req Parking: Handicap Parking: Critical Materials:
Lii
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT R R-3 VN 1,200 $5,040.00 1,200 $5,040.00
Totals: 1,200 $5,040.00 1,200 $5,040.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $113.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $24.86
Permit Total Fees: $142.36
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone:
Item Description Units Unit Desc Fee Amount
DUCT SYSTEMS 1 NUMBER OF $10.00
VENTILATING FANS 1 NUMBER OF $10.00
MINIMUM FEE ADJUSTMENT 1 Select $15.00
Permit Total Fees: $35.00
Plumbing Permit
Contractor: OWNER Firm: OWNER
Phone:
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 1 NUMBER OF $6.00
SINKS 1 NUMBER OF $6.00
SHOWERS 1 NUMBER OF $6.00
WATER PIPING-DWV 1 NUMBER OF $6.00
MINIMUM FEE ADJUSTMENT 1 Select $11.00
Permit Total Fees: $35.00
Operator: CKF Printed By: CKF Print Date: 4/12/02
Project Number: 02002540 Inv: 1 Appjic dion Date: 4/12/02 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
OK TO ISSUE SEWER PERMITS PER BILLY 6/30/98
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $142.36 $142.36 $0.00 $142.36
Mechanical Permit $35.00 $35.00 $0.00 $35.00
Plumbing Permit $35.00 $35.00 $0.00 $35.00
$212.36 $212.36 $0.00 $212.36
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: CKF Printed By: CKF Print Date: 4/12/02
ii;1 PROJECT APPLICATION WORK SHEET
iMTiiikSPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
Si Conry 509-477-3675
SPECIFIC SITE INFORMATION
Street Address:
/C43// F. // 14A/i
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description:
----7,'linljl-)
l x`t ��'i•f
Cl Building Permit - O Change in Use O Grading O Manufactured Home Permit
O Relocation O Sign O Tenant(New/Change) CI Other
Depaitment Use Only
Water District/Purveyor. Sewer District/Purveyor Road width Setbacks
-
Front. Rear"
School District Fire District. - Zoning -
Lek Right
OWNER/APPLICANT INFORMATION
1�sEl Indicate ubo should be contacted regarding thr:r prgo-
S�Ost to r: tl`"
/R /- /� / Phone: � )..E4Ci/, CC 75-7 ❑ Applicant Phone:
iLh(rrG( M6=1,II Fax:
Mailing:\dJress: Fax:
�. Mailing Address:
/p(3// /^ . //'-ti/.&'
Cirr,State,Zip City,State,Zip
❑Contractor Phone
IDArchitect/Engineer Phonc
Fax
Mailing address Fax
Mailing address
City,State Zip Cos State Zip
\C;\Gate C4 license
Contact name-
•
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main sq.Floorft. I
Unfinished basement sq.ft-
Dimensions Tutal habitable space 2"+floor sq.ft_
finished basement sq.ft.
Occupancy group Construction n"pc Garage' 4 It beck sq.R.
Cost 01 prt>jeer I Icat source(electric,gas,etc.)
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 ('hone
O Concrete O Welding O Bolting El Reinforcement Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? O Yes O No \X'hat is the current property size?
Ifyet,idents'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 proper ?
Ifyes,ident'on site plan 0 Yes 0 No
Is your property in a designated wildlife habitat arca? Will the site be served by a septic system?0 Yes O No
O Don't know O \'cs O 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 plan If Fes.identib on the site plan 0 Yes 0 No
0 Maybe O Don't know O Yes 0 No
Arc there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Ifyes,ident f on site plan 0 Yes O No Cl Yes 0 No
Arc 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?
( %)
0 Yes O No 0 Yes O 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? O Yes 0 No
O Yes 0 No
Is the property inside the PSSA? O Nes 0 No Is the property located within 1000 feet of a Natural Resource Area?
0 Yes 0 No
Date Received: Staff Representative
METHOD OF PAYMENT
DUCOVET s sem- Yl'.AL
VISA =
❑
CAS!' ❑ Clll:(;k ❑ UMW ❑ ❑ =.. .
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D.\Tl:: 1{\I'IRIiS: TOTAL FEE
B.\NI;(:.\RD NUMBER: MINIMUM PERMIT FEE cssis.anl'LE SE
MAKE CI IECES PAYABLE ru SPOKANE:
ALM IORI'/l':l)Sl(iNal l'RI:: (:UCN1I PERMIT CENTER