2001, 09-19 Permit App: 01008110 Garage Project Number: 01008110 Inv: 1 Application Date: 9/19/2001 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: 45291.2106 Block: 2 Lot: 3A
SiteAddress: 10120 E 16TH AVE Owner: Name: NORTHWEST REGIONAL FACILI
SPOKANE,WA USA 00000 Address: 525 E MISSION AVE
Location:: SPO SPOKANE,WA 992024824
Zoning: UR-12 Urban Residential-12
Water District: Hold: ❑
Area: 5,245 Sq Ft Width: 42 Depth: 123 Right Of Way(ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings: 1
v'ew In
orma
tion: :. ........ ........... ............ ............... .... .......................
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Department Review
BUILDING Site Plan Review Released By: ANI.
Hold Reasons:
Permit Conditions:
BUILDING Plan ReviewLk,
Released By: :/ L~ � .
Hold Reasons:
Permit Conditions:
PLANNING Landuse/Zoning Released By: o ,� [4Ikz-L,
Permit Conditions:
Project Number: 01008110 Inv: 1 Application Date: 9/19/2001 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: ❑
Req Parking: Handicap Parking: Critical Materials: El
This Application: Total Project:
Description Grp Type Notes Sp Ft Valuation Si 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: 9/19/2001
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
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PROJECT APPLICATION
�' SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
,■ 509-477-3675
SPOKAINT COWIY�Jt ,,G-/, i .
Project Description: W (A�E cofv S IAC C T)04
� TYPE OF APPLICATION
{a Building Permit 0 Change in Use 0 Grading ❑ Manufactured Home Permit
0 Relocation ❑ Sign ❑ Tenant(New/Change) 0 Other
SPECIFIC SITE INFORMATION
Street Address: 0 - 1 6_ /T I AAssessors Tax Parcel Number(s): L O 7- 3A �( /34.0C ka 0 ,/+
R( .
Legal Description: '
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OWNER/APPLICANT INFORMATION
� / 0 Induule who should be contacted regarding this preyed
El .:107 Phone: zip$1-f/7 33 ❑Applicant Phone.
•/1�carfkN[ff Re,,',1,44. ,Qc/GjV s 5113-a 5A-44(.. Fax:
Mailing Address: Mailing Address:
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City,State,Zip City,State,Zip
_ vo1 e•-•. lit/%• ??.20,2_
0 Contractor Phone ❑Architect/Engineer Phone
5,0%444 Fax Fax
Mailing address Mating address
City,State Zip City,State Zip
VA State Contractor license# Contact name:
,t1 Tib kr- O? 107
PROJECT INFORMATION
• Building. formation
Building height to peak , #of stones / Main floor sq.ft. Unfinished basement sq.ft.
/3 -
Dimensions r / Total habitable space 2"d floor sq.ft. Finished basement sq.ft.
//)(d° _ --
Occupancy group Construction type Garage sq.ft. ��o y� Deck sq.ft.
�/J
Cost of project I Icat source(electric,gas.etc.)
Man—
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�;; - -`�,rr,',. n,.r`.,.Fy, . .rand. E tet.--.*���- 'Y, ���� � i •. � �
Width: Length: _
gt : What is the square footage of the sign How high is the sign?
face?
Year. Make: #of signs n Area of existing signs
RNA � �� " �`'6 rfiS a 'tf ' 'F'r � • $ � °� ,', s ',:s k a y.. As,
Previous address >.• .- � " tt� { :Y �a z? � ? � v' a� u _ _ _ v.
Fire Sprinkler Tent
Paint booth_ Fire Alarm Fireworks display
Proposed use Value
•
a7l.?S;t? `}5� %
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l $St }
Finn Name Phone Plans Examiner
Phone
Inspectors: Address
Inspector Phone
❑ Concrete ❑ Welding CI Bolting Cl Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? ls3'Yes Cl No What is the current property size? `�Q
Ifyer,identify on site plan (square feet or acres) 4J L(�
Is any part of the property within 250 feet of a shoreline?_ What is the current use of this property?
Ifyes ideatrfy on site plan Cl Yes (tYo
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?CI Yes El4o
❑Don't know ❑ Yes No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identi on site plan p PertY
CI Maybe ❑Don't know ❑ Yes (9'No Ifyes,identify on the site plan Cl Yes Wo
Are there any wetlands,streams or ponds within 2000 Spet of the property? Is there evidence of fill or excavation on theP ro ?
Ifyes,identify on site plan CI Yes (9' No P o
CI Yeess W.-No
Are there slopes greater than 30%on the property?(30 ft risein 100 ft) Are critical or hazardous materials used or stored on site?
( -% () ❑ Yes No ❑ Yes .W-No
DEPARTMENT USE ONLY
0 t ie Oiler `#f a designated$t#� mavatei Control Area? public sewe# i�ap iE�f `t t r R ah ;q aj
t F ❑ Yes ❑ No S.E fit. "�
*s the property;tiiside the ASA? LI
.;, Yes ❑ No rpbc�atC116.`� #�,�� �� �� �� �
O ❑ No �,
AU the propertyinside the PSSA Cl Yes ❑ No Is tfie mAy `
propert}%�ocalci artl3tnl� � r ;
Date Received: Staff Representative:
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