2001, 09-14 Permit App: 01007919 Garage Project Number: 01007919 Inv: 1 Application Date: 9/14/2001 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DETACHED GARAGE (WEST 1/2) 11 X 20 Contact: NORTHWEST REGIONAL FACILITATO
Address: 525 E MISSION AVE
C-S -Z: SPOKANE,WA 99202-1824
Setbacks: Front EXI Left: 0 Right: 22. Rear: 13 Phone: (509)484-6733
Group Name:
Site Information: Project Name:
Plat Key: 006123 Name: DISHMAN COMMONS District: F
Parcel Number: 45291.2102 Block: 2 Lot: 1A
SiteAddress: 10104 E 16TH AVE Owner:Name: NORTHWEST REGIONAL FACH.I
SPOKANE,WA USA 00000 Address: 525 E MISSION AVE
Location::SPO SPOKANE,WA 992024824
Zoning: UR-12 Urban Residential-12
Water District: Hold: ❑
Area: 5,239 Sq Ft Width: 42 Depth: 123 Right Of Way(ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings: 1
'ew norm
evt I
f
Department Review ( /�
BUILDING Site Plan Review -Released By. '`! ) 'yi'l ,
Hold Reasons:
Permit Conditions:
Plan Review
BUILDING Relea3e y,I
Hold Reasons:
Permit Conditions:
PLANNING Landuse/Zoning Released By: ' ® + .r ,firsf`
Permit Conditions:
Permits: ...
Project Number: 01007919 Inv: 1 Application Date: 9/14/2001 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: NORTHWEST REGIONAL Firm: NORTHWEST REGIONAL FACILI
Address: 525 E. MISSION AVE Phone: (509)484-6733
SPOKANE,WA 99202
Building Characteristics
Const Category: New Group: U-1 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: 13 Stories: 1
Bldg W x D: 11 x 20 Building Sq Ft: 220 Sprinklers: El
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 220 $2,640.00 220 $2,640.00
Totals: 220 $2,640.00 220 $2,640.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $75.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $16.61
Permit Total Fees: $96.61
Operator: MKC Printed By: MKC Print Date: 9/14/2001
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $96.61 $96.61 $0.00 $96.61
$96.61 $96.61 $0.00 $96.61
Notes: :.;;::.;;::::.;:.::.::.;;:::.::.:::.;::::::::::::::::::...... :.�::::::::::............::::::..,::::::::::::.�:::...-..::,::::::::::::::.... :::::...................................................................................................................
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PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
SPO COUNTY 509 477-3675
Project Description: W G� E ( ) TYT7OAJ
�� TYPE OF APPLICATION
(a Building Permit 0 Change in Use O Grading O Manufactured Home Permit
O Relocation O Sign El Tenant(New/Change) O Other
SPECIFIC SITE INFORMATION
Street Address: v O g // ,7-
Assessor's Tax Parcel Number(s): L0
r C=O n�C o /? - antEMIIIIIII
Legal Description: cfc ,J
�"N ,•
4�. k'hi �� & 1 t .' v ,< � i 4- , Mit, t3L . , 4#tir `+ � ,�rT -4,--,-,-,-,-:----:-,,
ys 8 �!. ,` rg "2f- a #k - o- ' , teatea.: x . .., k 0ar.a:"'4 -Xpy '''.-:-.?'"- 414 ''' 1Wi_ _a,.. . . 1,2 .. +_..
OWNER/APPLICANT INFORMATION
,..,� El Indicate who should be conlaTed rrgarding this fir jed
(!J Owner. Phone. (.jni-L 7 33 ❑Applicant Phone:
Ai
D/1T�/Gv[s f l t v 4 f-r9lC�G 4 > W3v3 415' '?�Ryvl�.. Fax:
Haling Address: Mailing Address:
52.5" G• ///13-3,4.v
City,State,Zip City,State,Zip
/-',/4Wt— j441. ?r920,2_
❑Contractor Phone ❑Architect/Engineer Phone
55.0r,vti. Fax Fax
Mailing address Mailing address
City,State Zip City,State Zip
WA State Conj`'cmr license# Contact name
NQ2T�� R./-- o? 707
PROJECT INFORMATION
..
Building Information
Building height to peak #of stories / Main floor sq.ft. Unfinished basement sq.ft.
/3 -- —
Dimensions r O/ Total habitable space 2"t floor sq.ft. Finished basement sq.ft.
r/Xa
Occupancy group Construction type
Garage eq.ft. 0701°
�0 Deck sq.ft.
Cost of project I Teat source(electric,gas.etc.)
r tiro ':£-.r i.:' 41..1,s.,.AVa...�'.m � ,Na. y s-
�;.J �ra '',,:,..: ' k.�.r%f..k , :.roy�,�-. �"`.x
Ixngth: What is the square footage of the sign How high is the sign?
face?
Year. Make: #of signs Area of existing signs
i$ Ei ? 'LL 5 s'.Cs' ��3 ' � z
ts • :r�
Previous address Fire Sprinkler
Tent
Paint booth— Fire Alarm Fireworks display
Proposed use Value
,. ,yds ...ems rgr+z^�.;r r\x�- hr. f' ;� .i _ _
,�f� R fr t o i.;.��w3atuRttr $`�' Lwx4 l• p •
5 ' � G �i I `` g ..y t t�
Firm Name Phone z.s ..,ys a. •. . _.. ah.,.a�axx;F w �.. ._._.4
Plans Examiner Phone
Inspectors:
Address
Inspector Phone
O Concrete 0 Welding 0 Bolting 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on thero ? t_9'Yes O No
P PertY What is L�' �
the current property size? /�
Ifyes,identi�on site plan (square feet or acres) Taj
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
Ifyes,identO,on site plan CI w
Yes .. o
Is your property in a designated wildlife habitat area?�/ Will the site be served by a septic system?0 Yes O�No
0 Don't know 0 Yes I No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the ?
Ifyes,ident on site plan property.
PeriY
Ifye identtn on the site plan 0 Yes eV No
0 Maybe 0 Don't know 0 Yes 13 No
Are there any wetlands,streams or ponds within 2001pet of the property? Is there evidence of fill or excavation on the property?
Ifyes,identify on rite phrn 0 Yes t9'No
0 Yes No _
Are there slopes greater than 30%on the property?(30 ft tie in 100 ft) Are critical or hazardous materials used or stored on site?
O ,/
Yes Co O Yes B'No
DEPARTMENT USE ONLY
the ptopailio a designated 1p.pO iiiater Control Area? �ptil�3ic sewe �'
t$i :. �:: .O 105':..:,: 0 NO. Ryz' � » ,'
the p"roperty inside the ASA'' 0• Yes Cl No = 1s public ova x "
O Yes C] No: ,
'hi the piopexty inside the PSSA C7 Yes. O No Is tfie rproperty a#e' tliiti s t t ag ,G� ., •x` '?N:
t - r r ,.
Date Received: Staff Representative:
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