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2002, 05-15 Permit App: 02003718 Addition Project Number: 02003718 Inv: 1 Application Date: 5/15/02 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: FAMILY ROOM ADDITION OVER EXISTING Contact: WORLEY,STEVE M GARAGE Address: 6415 E 18TH AVE C- S-Z: SPOKANE,WA 99212 Setbacks: Front Left: Right: 13. Rear: Phone: (509)477-7657 Group Name: Site Information: Project Name: Plat Key: 002720 Name: VALLEY VIEW HILLS 1ST ADD District: D Parcel Number: 35252.0314 Block: 3 Lot: 14 SiteAddress: 6415 E 18TH AVE Owner: Name: WORLEY,STEVE M SPOKANE,WA 99212 Address: 6415 E 18TH AVE Location::SPO SPOKANE,WA 99212 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 14,000 Sq Ft Width: 140 Depth: 100 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: Review SitePlan Review Released °)1, Plan Review Release y. Permits: Operator: JAS Printed By: JAS Print Date: 5/15/02 • • Project Number: 02003718 Inv: 1 Application Date: 5/15/02 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:R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: Stories: Bldg W x D: x Building Sq Ft: Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: El This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RES ADD 2F R-3 VN 504 $33,264.00 504 $33,264.00 Totals: 504 $33,264.00 504 $33,264.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $433.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $95.26 Permit Total Fees: $532.76 Notes: Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $532.76 $532.76 $0.00 $532.76 $532.76 $532.76 $0.00 $532.76 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 contrued 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: 5/15/02 ! 1 PROJECT APPLICATION WORK SHEET Ik SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT Ak 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 I 509-477-3675 SPox Coves SPECIFIC SITE INFORMATION Street Address: 6:,z' f 5- E /B -7.- -- 6- pc,K �� �j A 999/ Z Assessor's Tax Parcel Number(s): l Legal Description: Lr2-r- 14 / (, uoc K- > V rt-L-LF-- / Vu I E I i_t _ I��- Project Description: FA1AA l L.\ IZCWC)WI A-12_2 177 —1 Pt- oV cE &X f Sr. C Nf-12,}&6 jgi 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 LeftRight. OWNER/APPLICANT INFORMATION 121 Indicate who should be contacted re,garding Ihirprooject ini Owner: y� Phone: 47-7- ---/L.,57 ❑C) Applicant./ ��j Phone: G'� "7—�(r,-S 2 l__..�I ��e. t� i ©'R-l--c Pax: �/ G 1V l , ko r L Fax: Mailing Address: Mailing Address: Cite,State,Zip"Lr/� � r 14.- /v�/" r City,State,Zip ❑ Contractor Phone ❑ Architect/Engineer Phone Fax Fax Mailing address Mailing address City,State Zip Cite,State Zip \C':A State CoOtractor license Contact name: PROJECT INFORMATION Building Information Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft. 14' 20 Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft. ZX Z� Zia I-S " LD Occupancy group Construction type Garage sq.ft. Deck sq.ft. 6T7 C1L F'2-PriA4 Cost of project I leat source(electric,gas,etc.) Manufactured Home Sign Width: Length: -� WiSat is the square footage of the sign 1 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? Firm Name Phone Plans Examiner Phone Inspectors: Address Inspector Phone O Concrete 0 Welding 0 Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? Yes 0 No What is the current property size? Ifyes,dent on site plan (square feet or acres) d00 <7F Is any part of the property within 250 feet of a shoreline? What is the current use of this property? Ifyes,identifr on site plan 0 Yes p,No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?4 Yes 0 No 0 Don't know 0 Yes sikNo cu f � Is any part of the property within a 100 yr flood plain? Are or will there be wells located on th property? Ifyes,identify on site plan Ifyes,identifi on the site plan 0 Yes frgt 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? If yes,ident on site plan 0 Yes No 0 Yes .0 No Arc there slopes greater than 30°%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site? ( Off) O Yes No O Yes A No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No OYcs 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? O Yes 0 No Is the property located within 1000 feet of a Natural Resource Area? 0 Yes 0 No Date Received: Staff 12epresentatice: METHOD OF PAYMENT MEM ;t #\1k' SUBTOTAL VISA 0 CAslI 0 CI l:CK ❑ 0 0 -- FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: I?\PIRI"S` TOTAL FEE B:ANKC:AKD NU IRI.R MINIMUM PERMIT FEE IS$35.00PIF_lclt MAKE CHECKS PAYAI3LE TO SPOKANE AU'11IOR1'ZFD SIGN:ATURI:: couNTYPERMIT CENTER S89'53'00'E 100.00ft '9Q0 41g reP�pd c cm 9�4p� �\ Jbm\ eatsa`��ON�tto2a e�eo�s L,O�9O��D�ti 1S \� o' ake �l ate 1%11414,f,4 Fti/7. Y �a� .oA oQ C.' 61-.,,e ��.a\ FQ 4:).?e Lid 1 \c)c‘s.' e6. •ii 6 ° i Pfr"/ .� of �d 1eP� d\�eo\de����0000 / `� 4 \�a�ebsoE�a: / � 57.1'odoe I ,0060s S\9�ea . 6 ,��, Oahe. z S�nC r�o 0 ra.i TAPE p TdiPl 8 UPPER I N DECK LOWER o o ill � • IECK o o 18.9 47.3 20.6 13.2 o � e GARAGE d I 1.o HOUSE I \N,1 ,.-j i (PRO ED ADDITION ' 0 C3 * ko I c 42.4' nsrvane 0 0 0 0 * / S89.53'00' --e E 100,OOft �BTH AVENUE 20 0 20 Scale 1" = 20 ft DRAWN BY: SMS PROJECT SHT. NAME SHT. NO. DATE: 3/7/02 6415 E 18th Avenue DWG. NO.: SPOKANE, WA 99212 SITE PLAN APPROVED BY: