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2000, 09-22 Permit App: 00008555 Remodel Project Number: 00008555 Inv: I Application Date: 09/22/2000 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: ENLOSE EXISTING PORCH TO ENLARGE Contact: DUCAR, ED KITCHEN & BATHROOMS Address: 10911 E 20TH AVE C- S-Z: SPOKANE. WA 99206 Setbacks: Front EXI Left: EX Right: EX Rear: EX Phone: (509)921-1126 Group Name: Site Information: Project Name: Plat Key: 002393 Name: SKYVIEW ACRES 1ST ADD District: F Parcel Number: 45282.4208 Block: Lot: SiteAddress: 10911 E 20TH AVE Owner: Name: DUCAR,ED SPOKANE,WA 99206 Address: 10911 E 20TH AVE Location::SPO SPOKANE,WA 99206 Zoning: 1R-3.5 Urban Residential 3.5 Water District: Hold: [] Area: 0 Sq Ft Width: 90 Depth: 140 Right Of Way(ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: I Review Information: Department Review BUILDING Site Plan Review _y: /1)/ L f N Hold Reasons: Permit Conditions: BUILDING Plan Review Released By= Hold Reasons: Permit Conditions: Permits: Project Number: 00008555 Inv: 1 Date: 09/22/2000 Page 2 of 3 Application 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: Addition Group: Type: Nbr Of Dwellings: Occupant Load: Building Height: Stories: Bldg W x D: x Building Sq Ft: Sprinklers: L1 Req Parking: Handicap Parking: Critical Materials: E This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RES ADD R-3 VN REMODEL 0 $4,500.00 0 $4,500.00 Totals: 0 $4,500.00 0 $4,500.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $100.50 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $22.11 Permit Total Fees: $127.11 Mechanical Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000)000-0000 000000,00 000000 Item Description Units Unit Desc Fee Amount DUCT SYSTEMS 2 NUMBER OF $20.00 VENTILATING FANS 2 NUMBER OF $20.00 Permit Total Fees: $40.00 Plumbing Permit • Contractor: OWNER Firm: OWNER Address: 0 Phone: (000)000-0000 000000,00 000000 Item Description Units Unit Desc Fee Amount SINKS 1 NUMBER OF $6.00 SHOWERS 1 NUMBER OF $6.00 DISH WASHERS 1 NUMBER OF $6.00 MINIMUM FEE ADJUSTMENT 1 Select $17.00 Permit Total Fees: $35.00 Y c if Project Number: 00008555 Inv: 1 Application Date: 09/22/2000 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summon': Operator: RI\lB Printed By: RMB Print Date: 09/22/2000 Permit Type Fee Amount Invoice Amount Amount Paid Amount Ov,'mg Building Permit $127.11 $127.11 $0.00 $127.11 Mechanical Permit $40.00 $40.00 $0.00 $40.00 Plumbing Permit $35.00 $35.00 $0.00 $35.00 $202.11 $202.11 $0.00 $202.11 Notes: o • 1 I PROJECT APPLICATION SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WERDV SPOKANEST BOA ,WA WAY 99260AENUE HU SPOKAM C,u i'ry 509-477-3675 Project Description: TYPE OF APPLICATION O Building Permit O Change in Use O Grading O Manufactured Home Permit 0 Relocation 0 Sign 0 Tenant (New/Change) 0 Other SPECIFIC SITE INFORMATION Street Address: / // 20 7-A4 .s PU/(l/7 e, Assessor's Tax Parcel Number(s): 9 a 8 a. 4 Legal Description: Si;`/V1 Ek) Ia'C J ST' !0 FT t.7; W d0 FT 1-8 •aterEt rt atkt,„0111.15„,Z47! e ttdc Put br Roadaridth Setbacks Front Rear: School Di ct 'Fire District :Zoning I,eEt. Right. OWNER/APPLICANT INFORMATION El Indicate who should be contacted regarding this project 0 Owner:7� Phone: 9 a/ // (P 0 Applicant: Phone: O Da_C le Fax: Fax: Mailing Address: Mailing Address: /4 // 20 City,State,Zip City,State,Zip 5f0/J1-A/ , 40/+. 9 9.94 0 Contractor Phone 0 Architect/Engineer Phone Fax Fax Mailing address Mailing address City,State Zip City,State Zip WA State Contractor license# Contact name: PROJECT INFORMATION Building Information` Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft. Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft. Occupancy group Construction type Garage sq.ft. Deck sq.ft. Cost of project Heat source(electric,gas,etc.) 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 El 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 gl No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes g No O Don't know O Yes At 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 gl No O Maybe O Don't know O Yes 0 No Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property? property? 0 Yes No If yes,identify on site plan O Yes 0 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? O Yes ca No O Yes a No DEPARTMENT USE ONLY Ia tete propertyln a destgnated*rinwater Gantr©I'Area :Is pu ili ,0wer4vaflabl0 to the Bite?,, Yes T ktc, MiYes ti No Ish rd ert inside he ASA? � p p �. � Q Y�;s° ;tt `cs `xIs p'�blic�ava�er,a�a���b1e xa� �stt�? i��'�s �"J 06. C7' des t .x the pro ert�r tnstde h PS$A.> ©.yes 1 Nig I tlae s rti`perty liteas ed tthiri 1000 fiat of,"„ � � ;�natural �au�� Date Received: Staff Representative: