2002, 09-10 Permit App: 02007802 Egress Window, Door 1
•
Project Number: 02007802 Inv: 1 ~ Application Date: 9/10/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: EGRESS WINDOW& DOOR IN BASEMENT Contact: HARRIS,ANGEL LEE
Address: 12721 E 12TH AVE
C- S -Z: SPOKANE,WA 99216
Setbacks: Front Left: Right: Rear: Phone: (509)891-2492
Group Name:
Site Information: Project Name:
Plat Key: 002962 Name: WOODWARD PARK ADD District: F
Parcel Number: 45223.0722 Block: Lot:
SiteAddress: 12721 E 12TH AVE Owner:Name: HARRIS,ANGEL LEE
SPOKANE,WA 99216 Address: 12721 E 12TH AVE
Location:: SPO SPOKANE,WA 99216
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 143 Depth: 155 Right Of Way(ft): 50
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Plan Review Released "4 rl
r
Permits:
Operator: RMB Printed By: RMB Print Date: 9/10/2002
a L ■
Project Number: 02007802 Inv: I Application Date: 9/10/2002 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: Remodel 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: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RESIDENCE R-3 VN REMODEL 0 $610.00 0 $610.00
Totals: 0 $610.00 0 $610.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $35.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $7.70
Permit Total Fees: $47.20
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $47.20 $47.20 $0.00 $47.20
$47.20 $47.20 $0.00 $47.20
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: RMB Printed By: RMB Print Date: 9/10/2002
,"" s
i dc i PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
Iw
509-477-3675
SoxSPOKANT COUNDI
SPECIFIC SITE INFORMATION
Street Address: ) Q 7, t £ I t\
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description:
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) El Other
Department Use Only
Water Distnct/Purveyor. Sewer District/Purveyor Road width Setbacks
Front Rear
School District: Fire District Zoning
Left Right:
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
A(hcncr: Phone:56 9(„ p a 9 9 3, ❑Applicant: Phone:
Fax: Pax:
Mailing Address: Mailing Address:
ia7at E. ial-
City,State,'/,ip City,State,Zip
SpdI« nf: Lc ) 9 ? a i6
PhonePhone
❑ Contractor ❑ Architect/Engineer
l'ax Fax
Mailing address Mailing address
City,State tip City,State Zip
V\:A State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
Dimensions Total habitable space 2'fi floor sq.ft. Finished basement sq.ft.
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost ofpro ect 1 /,,&Prat source(electric,gas,etc.)
.,, ,,6-8,„ t,,,, J 0,0
J
Manufactured Home Sign iG%titit/i
Width: I'ength: Wh,t is the square footage of the sign I low high is the sign?
face -s.
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 0 Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes O No What is the current property size?
Ifyes,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?
Ifyes,ident6,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 0 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?
Ifyes,identify on site plan Ifyes,identi),on the site plan O Yes O No
0 Maybe O Don't know 0 Yes O 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,identi_fi,on site plan O Yes O No 0 Yes 0 No
Are there slopes greater than 30°'0 on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
D Yes O No D Yes CI No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes O No
D Yes O No
Is the property inside the ASA? 0 Yes O No Is public water available to the site? 0 Yes 0 No
DYes 0 N
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
E Yes O No
Date Received: Staff Representative
METHOD OF PAYMENT
MIEN •iCfri SUBTOTAL
VISA
❑ ( \sl l ❑ (all:CK ❑ ❑ �� ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DA"1'If: I?XPIRI:S: TOTAL FEE
BANKCARD NUIIBI':R: MINIMUM PERMIT FEE IS$35.00PITA50
MAKE CHECKS PAS 4I31.E TO SPOKANE
ALM LORI''/,FD SIGNATURE:: COUNTY PERMIT CENTER