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2000, 06-06 Permit App: 00004626 Remodel Project Number: 00004626 Inv: 1 Application Date: 06/06/2000 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: 2 EGRESS WINDOWS&DRY WALL BEDROOM Contact: THOMPSON,STEVEN Address: 12603 E 15TH AVE C-S-Z: SPOKANE,WA 99216 Setbacks:Front Left: Right: Rear: Phone: (509)939-6230 Group Name: Site Information: Project Name: Plat Key: 001345 Name: JORGENS ADD District: F Parcel Number: 45223.1235 Block: Lot: SiteAddress: 12603 E 15TH AVE Owner:Name: THOMPSON,STEVEN SPOKANE,WA 99216 Address: 12603 E 15TH AVE Location::SPO SPOKANE,WA 99216 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 0 Sq Ft Width: 110 Depth: 136 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: Department Review BUILDING Plan Review By: --1""-"""""".- Hold Reasons: Permit Conditions: Project Number: 00004626 Inv: 1 Application Date: 06/06/2000 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: Remodel Group: Type: Nbr Of Dwellings: Occupant Load: Building Height: Stories: Bldg W x D: x Building Sq Ft: Sprinklers: E Req Parking: Handicap Parking: Critical Materials: El This Application: Total Project: Description Grp Type Notes Sp Ft Valuation Sp Ft Valuation RESIDENCE R-3 VN REMODEL 0 $1,500.00 0 $1,500.00 Totals: 0 $1,500.00 0 $1,500.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $49.50 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $10.89 Permit Total Fees: $64.89 Payment Summary: r ,.. TF Operator: RMB Printed By: RMB Print Date: 06/06/2000 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $64.89 $64.89 $0.00 $64.89 $64.89 $64.89 $0.00 $64.89 lidc1 PROJECT APPLICATION SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE 1911 SPOKANE,WA 99260 SPOI(i COUNTY 509-477-3675 Project Description: TYPE OF APPLICATION gp Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) 99 Other SPECIFIC SITE INFORMATION Street Address: / 2,6 03 c 3/ r ,V/^ Syoepr4A)E- (�4 Assessor's Tax Parcel Number(s): y5 2 Z. 3 C/ 3 s Legal Description: �/IO/ BLO6t Z 7O6R &S l//a/I/ PLR Treca� 1—.2,D vaC.u" /l P�5� 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 contacted regarding tins project gl Owner: Phone:Sa?"'935a-‘230 Applicant: Phone: p 935 62 30 SrEUEA) 7-#04T lSG'v Fax: 5-7-61;e4) - 1/04,/50ti Fax: Mailing Address: Mailing Address: 12 °) E./SY-4 4v&- !24,03 E. 157111 ,9 v E City,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 N Contact name: PROJECT INFORMATION Building Information Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft. Dimensions Total habitable space 2nd floor sq.ft. Finished basement sq.ft. Occupancy group Construction type Garage ss1q.ft. Deck sq.ft. Cost of project H oo Heat so (electric,gas,etc.) 1500 Giet 5 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 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,identify 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? ( / c/o) O Yes O No Cl Yes O No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes O No O Yes O No Is the property inside the ASA? 0 Yes © No Is public water available to the site? ' O Yes O No O Yes; O No Is the property inside the PSSA? O Yes © No Is the property located within 1000 feet of a Natural Resource Area? O Yes 0 No Date Received: Staff Representative: