2003, 03-04 Permit App: 03001287 Garage Project Number: 03001287 Inv: 1 Application Date: 3/4/2003 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 24 X 24 GARAGE ADDITION Contact: ROSS,ED & DEANNA
Address: 13305 E 15TH AVE
C -S -Z: SPOKANE,WA 99216
Setbacks: Front EXI Left: EX Right: 5 Rear: 6 Phone: (509)924-7031
Group Name:
Site Information: Project Name:
Plat Key: 002753 Name: VERA District: F
Parcel Number: 45224.2462 Block: Lot:
SiteAddress: 13305 E 15TH AVE Owner: Name: ROSS,ED &DEANNA
SPOKANE,WA 99216 Address: 13305 E 15TH AVE
Location::SPO SPOKANE,WA 99216
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .00 Acres Width: 130 Depth: 142 Right Of Way(ft): 50
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Rel se By:
Plan Review Released By
Permits: .
Operator: RMB Printed By: RMB Print Date: 3/4/2003
Project Number: 03001287 Inv: 1 Application Date: 3/4/2003 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: Addition 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
GARAGE U-1 VN 576 $6,912.00 576 $6,912.00
Totals: 576 $6,912.00 576 $6,912.00
Item Description Units Unit Desc Fee Amount
STA FE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $27.61
RESIDENTIAL VALUATION 1 Y OR BLANK $125.50
Permit Total Fees: $157.61
Payment Summary: .. -
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $157.61 $157.61 $0.00 $157.61
$157.61 $157.61 $0.00 $157.61
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 he 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: 3/4/2003
i PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026-WEST BROADWAY AVENUE
I
_= SPOKANE,WA 99260
509-477-3675
SPox<COUNT'
SPECIFIC SITE INFORMATION
Street Address:
Ei3305 / 5 A ✓.r 5' Pa/(aril w.. 99z/e
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: .2 y x .2 4' ' S T rc IC /'^-er--.t L. /3,,,,--41 /),\,,y
a Building Permit El Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation El Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor.. Sewer District/Purveyor Road widthSetbacks
Front Rear.
School District Fire District: Zoning
Left Right
OWNER/APPLICANT INFORMATION
El Indicate who should be cm/ac/ed n,;ardisg thin project
50 (teener: Phone: (c'0`7)- 9.zw- 7E IT, 3 Applicant: /� Phone: Co 9 9.2 9- 70 3 /
L-"0 L.--A, 2CS S lax: G D a,u ,e® /Z i Sf Fax
Mailing Address: Mailing Address:
�'i33o5 /5T'`°,g /�
ve i33Q5 /5 '`l
�' / ,
Cin,State,Zip (:fry,State,tip
❑ Contractor Phone ❑ Architect,Engineer Phone
Fax Fax
Mailing address Mailing address
City,State Zip (:its,State lip
WA State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stones Main floor sq.ft. Unfinished basement sq.ft.
/1 '
Dimensions Total habitable space 2'"I floor sq.ft. Finished basement sq.ft.
.2 4/X a y '
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
5' 7 7 c k
Cost of project 1 Tear source(electric,gas,etc.)
Manufactured Home 'Signer
Width: Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: #of signs Area of existing signs
r+ s
Relocation Fire Safety
Previous address Fire Sprinkler 'fent
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 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? Yes 0 No What is the current property size?
Des,identi 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,identii on site plan 0 Yes Ca No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes Pt No
0 Don't know 0 Yes j No
Is any part of the property within a 100 yr flood plain? Arc or will there be wells located on the property?
Ifyes,ident?b,on site plan IEyes,identz,on the site plan 0 Yes No
0 Maybe 0 Don't know 0 Yes ® 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,ident f on site plat 0 Yes No 0 Yes ® 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?
( %) 0 Yes No 0 Yes Et No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No
OYes 0 N
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
0 Yes 0 No
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
METHOD OF PAYMENT
BIW SUBTOTAL
VISA
0 CAslI 0 CHECK 0 ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
TOTAL FEE
BANKCARD NUMBER: MINIMUM PERMIT FEE IS$35.00PLEASE
'L'iKE CHECKS PAYABLE TO SPOKANE
API!IORIZI I)SIGN A UR1:: COUNTY PERMIT CENTER
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ROAD WIDTH: 6
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representation of the propcsal At known;roperty —row .
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lines/dimensions, curb!mos structures end easements ,air VWD
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have be-orii iLtentified. Aso indicated no ',.:::: incis,
bodies of water,steep slopes or other crii,iz:ii areas.
Signed:.____
Dr.:o ____. .Ti::- •iii,7i, i-7_