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2002, 02-14 Permit App: 02000885 Enclose Porch Project Number: 02000885 Inv 1 Application Date: 2/14/2002 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: UNHEATED 12 X 19 ENCLOSED PORCH Contact: JAMES R SMART Address: 9018 N BRUCE RD C- S -Z: SPOKANE,WA 99217 Setbacks: Front EXI Left: 17 Right: 76 Rear: 51 Phone: (509)370-1840 Group Name: Project Name: Site Information: Plat Key: 001393 Name: KOKOMO TOWNSITE District: F Parcel Number: 45282.2812 Block: Lot: SiteAddress: 10821 E 21ST AVE Owner: Name: HERMAN,ALICE SPOKANE,WA 99206 Address: 10821 E 21ST AVE Location::SPO SPOKANE,WA 99206 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released By: td[ Plan Review Rele sed By: Permits: .... Operator: RMB Printed By: RMB Print Date: 2/14/2002 Project Number: 02000885 Inv: 1 ApphcatiOn ..Date: 2/14/2002 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: JAMES R SMART Firm: JAMES R SMART Address: 9018 N BRUCE RI) Phone: (509) 370-1840 SPOKANE,WA 99217 Building Characteristics Const Category: Addition Group: R-3 Type: VN Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 9 Stories: 1 Bldg W x D: 12 x 19 Building Sq Ft: 228 Sprinklers: Req Parking: Handicap Parking: Critical Materials: El This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RES ADD R-3 VN UNHEATED 0 $2,736.00 0 $2,736.00 $12 SQ FT Totals: 0 $2,736.00 0 $2,736.00 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 Notes: Payment Summary: 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 Disclaimer: Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the intOrmation 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: RMB Printed By: RMB Print Date: 2/14/2002 i. e i PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE 26,11k SPOKANE,WA 99260 509-477-3675 SPox'COUNTY SPECIFIC SITE INFORMATION Street Address: © c 21 Z) .5.-r-- 2 �• O`LJ► \.9 Assessor's Tax Parcel Number(s): `'�J Legal Description: Project Description: P.yytbSed, 0)IC. Building Permit CI Change in Use i ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other Department Use Only \\'ater.District/Purveyor. Sewer District/Purveyor Road width Setbacks. Front Rear. School District Fire District Zoning Left Right: OWNER/APPLICANT INFORMATION El Indicate who should be contacted re,ga ding this proje a (Tyner: Phone: ❑ Applicant:7, Phone k ,C ace_M ►1 Iv Fax: l:tx. Mailing Address: Mailing Address: ID.0 1 .-C. 2r 5+" o`k) : City,State,Zip City,State,Zip f°b4 r � Contraeu Phone 3,1.0 'Q LI v ❑ Architect; Phone eftzs PL02 Fax Fax Mailing address Mailing address Cite,State 7ipS O 0 0- 9,6wi n Cin',State lip VA A State Contractor license# Contact name: gmARTC CCcigSCc- . (41°A PROJECT INFORMATION Building Information Building height to peak I II #of stories 1 Main floor sq.ft. Unfinished basement sq.ft. Dimensions Total habitable space 2.1 floor sq.ft. Finished basement sq.ft. Occupancy group Construction type Garage sq. It. Deck sq.ft. Cost of projec I Teat source(electric,gas,etc.) 1A5e10 Manufactured Home Sign-- Width: Length: What is the square footage of the sign I 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 ❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? Yes ❑ No What is the current property size? Ifyes,identify on site plain (square feet or acres) 9j',t1ts�,r t Is any part of the property within 250 feet of a shor ne? What is the current use of this property? , t Ifyes,idem on site plan ❑ Yes "No %`eld\C ,L ).-tQtnCC Is your property in a designated wildlife habitat area? Will the site be served by a septic system?❑ Yes (V No ❑Don't know ❑ Yes No Is any part of the property within a 100 yr flood plan? Are or will there be wells located on the property? Ifyes,identj,on site plan If yes,identify on the site plan ❑ Yes No ❑:Maybe ❑Don't know ❑ 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 identifi on site plan ❑ Yes ` -No ❑ 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? (_------- °%) ❑ Yes No ❑ Yes ( No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? ❑ Yes ❑ No ❑ Yes ❑ No Is the property inside the ASA? ❑ Yes ❑ No Is public water available to the site? ❑ Yes ❑ No ❑ Yes 0 N Is the property inside the PSSA? ❑ Yes ❑ No Is the property located within 1000 feet of a Natural Resource Area? ❑ Yes 0 N Date Received: Staff Representative METHOD OF PAYMENT IIIIMIIIII 1UC•VF-; SuB"T(>T.Al. VISA ❑ C:vSll ❑ CIII:CK 0 0 0 FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD D:\"1'I?: EXPIRES: TOTAL FEE BAN I:C.AIZI)NUMBER: MINIMUM PERMIT FEE IS$35.00PII;VSIV: MAKE CHECKS CHECKS P\Y\I LE TO�POKVNC All I] ORI'/FI).ICN V'I URI:: COLVIY PERMIT CENTER This site plan is being subrn!l-tei ftr'912 purpose of obtaining o ',..i.ii:-,iing pf..:17and is a true and correct representation of the proposal.All known property lines/dimensions,cut lines,structures and easements have beerldentified.Also indicated are wetlands, bodies of ater,steep slerpes or other cri 'cal areas. .. ,. -....., I Signed: •IAA: , Date' s 1C1%1)JCI\CC)'-- w _ 0 7 6 . - r:s ,.. (---- ____ .____ _____ M‘ST --,- "'"'".--- --- ADDRESS ZONE i . 4 r7 -- 1 4 , 1 . , ROAD WIDTH 45° ( I 31F ICk' • , I i C-?3 e,:i'T.t.1(` '4 FRONT C-X FLANKING ...-- 1 ,t - ?0--f-1:AD • . 1,,,,) COMMEt 0 .1-. -- -- _ ,.., -7- _ 0.- REVIEWED Elti.) )1 • (7..... •-----7 /1 6- I- - n i , 1 i t-- ,(,) . ---:---i; 1 'V..) • \11) terMIllii 0 i Ii t i t\I i Q\ 't .,A ---1-- L ,...