2000, 08-02 Permit App: 00006719 Basement w r 00 (0-1
ihi PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
I R-I SPOKANE,WA 99260
SPOIcAXE COtKrY 509-477-3675
Project Description: 'S�'l e f'o c/-^y 8Cr S"Ir
TYPE OF APPLICATION
D"Building Permit 0 Change in Use 0 Grading 0 Manufactured Home Permit
0 Relocation 0 Sign 0 Tenant (New/Change) 0 Other
SPECIFIC SITE INFORMATION
Street Address: J c� r 0
Assessor's Tax Parcel Number(s):
Legal Description:
Department Use Only
Water District/Purveyor: Sewer District/Purveyor Road width Setbacks
Front: Rear:
SchoolDistrict: Fire District: Zoning J
Left: Right:
OWNER/APPLICANT INFORMATION
�/ 0 Indicate who should be contacted regarding this project
lia Owner:A Phone: 9 22-113/S 0 Applicant: Phone:
Ct. Creel, Fax: 7Z 6-L/‘/•9 Fax:
Mailing Address: Mailing Address:
j(57 E
City,State,Zip City,State,Zip
s<,It A s a3'7
0 Contractor Phone 0 Architect/Engineer Phone
*e-// 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.
4,0 z�
Dimensions Total habitable space 2na floor sq.ft. Finished basement sq.ft.
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project /9-60
_0 Heat 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 Phone
O Concrete O Welding O 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 O 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
Cl 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 El 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 Area? Is public sewer available to the site? El Yes O No
O Yes' O No
Is the property inside the ASA? O Yes O No Is public water available to the site? O Yes El No
CI Yes ElNo
Is the property inside the PSSA? O Yes O No Is the property located within 1000 feet of a Natural Resource
Area) O Yes El No
Date Received: Staff Representative: