2000, 07-18 Permit App: 00006036 Pool, Heater, Piping •
I , 1 PROJECT APPLICATION 00 — ` 9.e2
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
SPOKANT�rj rj' 509-477-3675
Project Description: 000'
TYPE OF APPLICATION
,Building Permit O Change in Use O Grading O Manufactured Home Permit
O Relocation CI Sign O Tenant (New/Change) O Other
SPECIFIC SITE INFORMATION
Street Address: )'3aI IR S-� y fih Sp 0 Kayle. W A 95)/(�
Assessor's Tax Parcel Number(s):
Legal Description:
Department Use Only
Water District/Purveyor: Sewer District/Purveyor Road width Setbacks
Front: Rear:
School District: Fire District: Zoning
Left: Right:
OWNER/APPLICANT INFORMATION
Ake- 0 Indicate who should be contacted regarding this project
,Owner: N'/ke-//Gt^7J Yt' Phone: ''' -',OW ❑ Applicant: Phone:
t (// /
/ Fax: gao�7 / Fax:
Mailing Address: Mailing Address:
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Cit State,Zip City,State,Zip
CI Contractor Phone ❑ Architect/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 Total habitable space 2"d floor sq.ft. Finished basement sq.ft.
oto x-V— al 2 37
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project Heat source(electric,gas,etc.)
ManufacturedHome - 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 Tnspections Required? Non-Residential Energy Code Compliance?'
Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete 0 Welding O Bolting 0 Reinforcement ' Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes .]2(No What is the current property size?
If yes,identify on site plan (square feet or acres) "E Q X 1),01
1
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 0 Yes No U 1/1�'hpw yN
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes No
0 Don't know 0 Yes 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 0 Yes /1 No
0 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,identify on site plan O Yes No 111
Are there slopes greater than 30%on the property. (30 ft rise in 100 ft) Are critical or hazardous materials used or stored on s' ?
0 Yes No No O Yes No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes O No.
0 Yes; O No
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? O Yes 0 No
] Yes 0 N
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource
Area? 0 Yes 0 No
Date Received: Staff Representative:
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