2000, 05-09 Permit App: 00003582 Garage Project Number: 00003582 Inv 1 Application Date: 05/09/2000 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will e assessed for commencing work without a permit
Project Information:
Permit Use: ATTACHED GARAGE(26 X 25 X 9) Contact: CLIFF MULLENDORE
Address: 10807 E 12TH
C-S-Z: SPOKANE WA 99206
Setbacks:Front 30 Left: 10 'tight: NA Rear: NA Phone: (509)922-0540
Group Name:
Site Information: Project Name:
Plat Key: 999999 Name: GE District: F
Parcel Number: 45213.9051 Block: Lot:
SiteAddress: 10807 E 12 H AVE Owner:Name: FORNEY,GEORGE DEAN
Spokane,W• USA 99206 Address: 10427 E 20TH
Location::SPO SPOKANE WA 99206
Zoning: UR-3.5 rban Residential 3.5
Water District: Hold: LII
Area: .31 Acres Width: 90 Depth: 120 Right Of Way(ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review In formation:
Department Review
BUILDING Site Ilan Review By:
Hold Reasons:
Permit Conditions:
J SHATTO
Originally Released: 05/09/2000 By: jshatto
BUILDING Plan Review By:
Hold Reasons:
Permit Conditions:
J SHATTO
Originally Released: 05/09/2000 By: jshatto
Project Number: 00003582 Inv: I Application' Date: 05/09/2000 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
Address: 0 Phone: (000)000-0000
000000,00 000000
Building Characteristics
Const Category: Addition Group:U-1 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories: 1
Bldg W x D: 26 x 25 Building Sq Ft: 650 Sprinklers: I
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 650 $7,800.00 650 $7,800.00
Totals: 650 $7,800.00 650 $7,800.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $138.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $30.36
Permit Total Fees: $172.86
Payment Summary: . . iw... T .._ ... : rrc
Operator: JAS Printed By: JAS Print Date: 05/09/2000
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $172.86 $172.86 $0.00 $172.86
$172.86 $172.86 $0.00 $172.86
Notes. .,
I I PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
HP SPOKANE,WA 99260
SpoKANE COINTY 509-477-3675
Project Description:
TYPE OF APPLICATION
Building Permit O Change in Use O Grading O Manufactured Home Permit
O Relocation O Sign CI Tenant (New/Change) 0 Other
SPECIFIC SITE INFORMATION
Street Address: / a P) ? / T� Sp D () 4JZ bun Fgoi'O�C/,
Assessor's Tax Parcel Number(s): I'
Legal Description:
Department Use Only
Water District/Purveyor. Sewer District/Purveyor Road width i74,16
/ "Setbacks
From: Rear:
School District: Fire District: Zoning
3 5 Left: Righr.
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
19`Owner: ` Phone: q01 / Applicant:: �) 1 Phone: 9c)
v C
.be / (/` /`i�j Fax: / fo IIT(/ " G��/f /
Mailing Address: Mailing Address:
✓o va /o Q0-) 7'L%.
City,Slite,Zip City,State,Zip
1:1 Contractor Phone ❑ Arch tect/Engineer Phone
Fax Fax
Mailing address Mailing address
City,State Zip City,State Zip
WA State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stories / Main floor sq ft Unfinished basement sq.ft.
Dimensions,/l O Total habitable space 2"d floor sq.ft. Finished basement sq.ft.
25x2(
Occupancy group Construction type Garage sq.ft. / Deck sq.ft.
Cost of projects Heat source(electric,gas,etc.)
ISOU
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 Cl Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes O No What is the current property size?
If yes,identify 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?
If yes,identify 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 El No
O Don't know O Yes O No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
If yes,identify on site plan If yes,identify on the site plan O Yes O No
O Maybe O Don't know O Yes O No
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property?
property? O Yes O No
If yes,idents on site plan O Yes O No
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( /%) O Yes O No O Yes O No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control rea? Is public sewer available to the site? ,Yes El No
O Yes l No
Is the property inside the ASA? YesEl No Is public water available to the site? X.
Yes El No
OYes CINo
Is the property inside the PSSA? )(Yes O No Is the property located within 1000 feet of a Natural Resource
Area? O Yes No
Date Received: Staff Represents ive:
Leff AL OPSCY i T-I•iOv,
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(509) 924-6133
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This site plan is being submitted for the purpose of
— -- I Z 1-K -- --------i3btaining a building permit and is a true and correct -
representation of the proposal.All known property
lines/dimensions,curb lines, structures and easements 4
' have been identified.Also indicated are wetlands,
bodies of t-,st-:p-lopes or other "tical areas.
Signed" �� .
•
SCF11-4° ( 'I _ 2o ' Date: '" -- 0 0