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2003, 02-19 Permit App: 03000972 Addition j s Project Number: 03000972 Inv: 1 Application Date: 2/19/2003 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RES ADD-BEDROOM & BATH Contact: S &P CONSTRUCTION Address: 3420 E 44TH C -S -Z: SPOKANE WA 99223 Setbacks: Front Left: Right: Rear: 37. Phone: (509)993-8338 Group Name: Site Information: Project Name: ...................................................................................................................................................................................................................................... Plat Key: 000375 Name: CHESTER TERRACE District: F Parcel Number: 45291.1301 Block: Lot: SiteAddress: 10222 E 19TH AVE Owner: Name: LITTLE,SHERAN SPOKANE,WA 99206 Address: 10222 E 19TH AVE Location::SPO SPOKANE,WA 99206 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: ,000.00 Acres Width: 0 Depth: 0 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review In ormation: :. f Review Site Plan Review ReleasedlHy....::: .. Originally Released: 2/19/2003 By: jshatto Plan Review I Released By: Originally Released: 2/19/2003 By: jshatto Operator: JAS Printed By: JAS Print Date: 2/19/2003 r . Project Number: 03000972 Inv: 1 Application Date: 2/19/2003 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: S&P CONSTRUCTION Firm: S &P CONSTRUCTION Address: 3420 E 44TH Phone: (509)993-8338 SPOKANE WA 99223 Building Characteristics Const Category: Addition Group: Type: Nbr Of Dwellings: Occupant Load: Building Height: Stories: Bldg W x D: x Building Sq Ft: Sprinklers: LI Req Parking: Handicap Parking: Critical Materials: El This Application: Total Project: Description Grp Type Notes Su Ft Valuation Su Ft Valuation • RES ADD R-3 VN 660 $43,560.00 660 $43,560.00 Totals: 660 $43,560.00 660 $43,560.00 Item Description Units Unit Desc Fee Amount STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $115.06 RESIDENTIAL VALUATION 1 Y OR BLANK $523.00 Permit Total Fees: $642.56 Mechanical Permit Contractor: S &P CONSTRUCTION Firm: S &P CONSTRUCTION Address: 3420 E 44TH Phone: (509)993-8338 SPOKANE WA 99223 Item Description Units Unit Desc Fee Amount GAS PIPING 1 #OF UNITS $1.00 VENTILATING FANS 1 NUMBER OF $10.00 GAS LOG OR GAS INSERT 1 NUMBER OF $10.00 MINIMUM FEE ADJUSTMENT 1 Select $14.00 Permit Total Fees: $35.00 Plumbing Permit Contractor: S&P CONSTRUCTION Firm: S&P CONSTRUCTION Address: 3420 E 44TH Phone: (509)993-8338 SPOKANE WA 99223 Item Description Units Unit Desc Fee Amount TOILETSBIDETS 1 NUMBER OF $6.00 SINKS 1 NUMBER OF $6.00 TUBS 1 NUMBER OF $6.00 MINIMUM FEE ADJUSTMENT 1 Select $17.00 Permit Total Fees: $35.00 Operator: JAS Printed By: JAS Print Date: 2/19/2003 Project Number: 03000972 Inv: / • Application Date: 2/19/2003 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit a met umma P n S Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $642.56 $642.56 $0,00 $642.56 Mechanical Permit $35.00 $35.00 $0.00 $35.00 Plumbing Permit $35.00 $35.00 $0.00 $35.00 $712.56 $712.56 $0.00 $712.56 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: JAS Printed By: JAS Print Date: 2/19/2003 i . l PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE _-_= SPOKANE,WA 99260 509-477-3675 SPOKANE Coui n SPECIFIC SITE INFORMATION Street Address: , 2 2 Z 5 /� "rA 5�4/Ly '? - Assessor's Tax Parcel Number(s): Legal Description: Project Description: b et I1 E l3 ed trc©,n-` 0 e ., "Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other Department Use Only Water District/Purveyor: Sewer District/Purveyor Road width Setbacks Front Rear: School District: Fire District: Zoning Left: Right OWNER/APPLICANT INFORMATION 0 Indicate who should be contaaeel rryardirtg ibis project ❑ Owner: Phone: ❑ Applicant: Phone: S h-eran L 1IIte I:ax:SO9' 927- 7,:— Fax: Mailing Address: Mailing Address: /0 ZZ Z 6 / City,State,Zip / City,State,Zip .JPOo k4,r-e Wa ❑Contractor I Q �-( Phone p (' LTJ ,Architect`::I.ngineer / /� �/ Phone 5 `f' / CI0 n�y1e lax q I 3 -ZS 33� E/ 1.1 C hili e / 7C 1I, lax Mailing address � Mailing address / 3c-12O �` 97 City,State Zip City,State Zip 5 � ci l l 6 LAI o f W A Slue Contractor license# Contact name: s-Peo N '`4 oq9 2 c4 PROJECT INFORMATION Building Information Building height to peak 0. #of Stones ( Main floor sej.ft. Unfinished basement sq.ft. 1 )-- ' 6r Dimensions Total habitable space 2"d floor sq. tt. Finished basement sq.ft. 33 X Z— 6 6 o Occupancy group Construction type i Garage s.f.ft. Deck sq.ft. W C0 Cost of project 1 feat source(electric,gas,etc.) / / 4-1 ��0 gas fir eplac'e - ,,,,,,,(/ 1a �� Manufactured Home Sign Width: Length: i What is the square footage of the sign I low 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? Pian 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? 0 Yes 0 No What is the current property size? If yes,idents'on site plait (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 yet,idem 'on site plan 0 Yes 0 No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes 0 No 0 Don't know 0 Yes 0 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,identi/i'on site plan //yes,identi/j'on the site plan 0 Yes 0 No 0 Maybe 0 Don't know 0 Yes 0 No Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property? If yes,identi/j'on site plan 0 Yes 0 No 0 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? CI Yes 0 N 171 Yes 0 N DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No DYes 0 N Is the property inside the ASA? 0 Yes 0 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? DYes 0 N Date Received: Staff Representative: METHOD OF PAYMENT Clot SUBTOTAL ❑ CASII 0 Cl ll;CK 0 MM. 0 0 FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: I AMR!lS: TOTAL FEE B.ANKC:ARD NLIMBI'.R: MINIMUM PERMIT FEE IS$35.QOPLEASE MAKE CHECKS PAYABLE TO SPOKANE \I_t'hl IORIZNI)SIC;NA1'URI?: COLNI'Y PERMIT CENTER Li VM `,--1VA. .NSIOdS qL9O—zZ6 60' ►—x.161 ..LSA 7,330L o NOO} VH_L G . '2 '1.11I1 )N.. 1 .. —E 1E10V J )2 NOILIc Z 1.1- . z s - i E v1c�1MPN;MIGP ....., . 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