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2001, 04-03 Permit App: 01002088 Garage AdditionProject Number: 01002088 Inv: I A—Vp lication Date: 4/3/01 Page I of 2 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Permit Use: GARAGE ADDITION Contact: GARY COMPTON/ALL PHASE Address: 16710 W LAUREL C - S - Z: MEDICAL LAKE WA 99022 Setbacks: Front Left: Right: 10 Rear: Phone: (509) 299-7285 Group Name: Site Information: Project Name: Plat Key: 005170 Name: THE ESTATES AT SOUTHWOOD PINES District: F Parcel Number: 45272.3415 Block: 1 Lot: 15 SiteAddress: 12514 E 21ST AVE Owner: Name: FORD, CHRIS SPOKANE, WA 99206 Address: 12514 E 21ST Location:: SPO SPOKANE WA 99206 Zoning: UR -3.5 Urban Residential 3.5 Water District: Hold: El Area: 18,084 Sq Ft Width: 100 Depth: 210 Right Of Way (ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: NO Department Review BUILDING Site Plan Review Hold Reasons: %me 111L�� Permit Conditions: Released5111 B P= BUILDING Hold Reasons: Permit Conditions: ENGINEER (]Ed Reasons: Permit Conditions; Permits: Plan Review Approach / Drainage 3y: r Project Number: 01002088 Inv: I Application ' Date: 4/3/01 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit - - — - - Building Permit -- - - - Contractor: ALL PHASE CONSTRUCTION Firm: ALL PHASE CONSTRUCTION Address: 16710 W LAUREL Phone: (509) 299-7285 MEDICAL LAKE, WA 99022 Building Characteristics Const Category: Addition Group: U-1 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: Stories: 1 Bldg W x D: 15 x 22 Building Sq Ft: 330 Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: ❑ This Application: Total Project: Description Grp Type Notes Sa Ft Valuation Scl Ft Valuation GARAGE U-1 VN 330 $3,960.00 330 $3,960.00 Totals: 330 $3,960.00 330 $3,960.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $88.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $19.36 Permit Total Fees: $111.86 Payment Summary: Operator: JAS Printed By: JAS Print Date: 4/3/01 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owine Building Permit $111.86 $111.86 $0.00 $111.86 $111.86 $111.86 $0.00 $111.86 Notes:„ten a DRAINAGE EASEMENTS - SEE ADDRESS & PLAT FILES a ! 1 PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE i��! SPOKANE, WA 99260 SPO 509-477-3675 SPECIFIC SITE INFORMATION Street Address: �� L/ r7 r Assessor's Tax Parcel Number(s): 3 Legal Description: Project Description: - C, %`c�� J4 b ( Veor—, O Building Permit O Change in Use =13 Grading O Manufactured Home Permit O Relocation O Sign I O Tenant (New/Change) O Other s�MYr".xr`..' $p� -W 3` �'1t V ' 'a. R✓i:k�rT.: AWN ��5'���..q ri'�'„:: Asn ..:.�. A,x�,"Y'� a z�, �g�'' .s», `'^�µ`i"�'^ ' fT �.z-` 3, ..:vK,®`-. .. ..�.�z'yx�k.'a?Y. y: ,'- s.a...� �- r=' ria x s V.. x x § a z — s, a ��. .,�"'gow�Ea' -- w �7 x x' -;a. - -- w-.,-. '£{� sL �. _ -. '�- W ^rte%: . .?�'P��sr"a-{ 3"Ef �• rl Gt. �.rlriSEv` �W�j a,a�ri� t� � 3^`Ml `d'�S"`Sv �-+'\s Y' r4 -.: 'i9 ? .i f �.w�° D'.ise,L',t,- t 45 �'`$�y.a� `u �.{s� 2,,,N+ x .' -`3 717, m3g, 1 f •^ V L. �'��r� �1Ja� _'. hi' ✓�'',�'°IcS •-i ' ys '°Fi.S i f'} "R'1. : k g „£ x��� v*py •,i'f'L� �" L ss "imp L Rrgfit 3 OWNER/APPLICANT INFORMATION 1�1 Inilirnry raihn c%nuld %v rnnfarfad rvonrdino r{iic nrnivrr ❑ Owner: �� Phone:[) -/ 4 ��� C3 ApplicantPhone: \ Fax: Unfinished basement sq. ft. &1: �� Z Fax: Mailing Address: q S 2"d floor sq. ft. Finished basement sq. ft. Mailing Address: City, State, Zip (e -C 0� City, State, Zip e ❑ Co tnctor Phone c7 2 b ZG2 �- `! ❑ Architect/Engineer Phone 31-/ 4/0 IZ/ r 2 Fax Z 3- 8 6 2 J� / Vet Fax Z7/ -? 2 Mailing address / 1 W ,2 /Y t-} e !s Mailing address I Gi -3 ' %1 City, State Zip �e �L'G e- City, State Zip GL©Z WA State Contractor license X Contact name: PROTECT INFORMATION -91w x„{¢ Y '.� � � R 01 &... L ��� i` J` ..d:p. .Y g Bu�Ic nQQ� Informat�nn Building height to peak N 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. h. Cost of project heat source (electric, gas, etc.) s t, '¢�✓'] i ii -pea+'e.. , rr. _,.- »', .x. --x ._ r.. .. ...-� w+.?`kT",�'°s Mg { V ,.F3^..� : �,..,.;31� +' -gf''E e u_`s�., i�➢.,` ,., �'... P.. , ve . -..� 4° ... > .s d'xFW ,,`�,+,''f'> 3ro.. .. ` .. , .tea '-�'.y'^ ;SK, s,..,i�. Width: Length: What is the square footage of the sign face? How high is the sign? Year: Make: N of signs Area of existing signs Will the site be served by a septic system? O Yes O No Firm Name xn f 1 �,'.g WN �� i' .,:'.„'NL1i. Previous address MIN N' m Fire Sprinkler Tent (square feet or acres Paint booth Fire Alarm Fireworks display Proposed use Value ADDITIONAL. SITF INFORMATION Are there structures on the property? O Yes O No What is the current property size? I 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? I es, identify on site plan O Yes O No ubLc wateiaYfaale its the situ' " r Ts gi Is your property in a designated wildlife habitat area? Will the site be served by a septic system? O Yes O No Firm Name Phone Are or will there be wells located on the property? Plans Examiner Phone Inspectors: Are there any wetlands, streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property? Address O Yes O No I es, identify on site lan O Yes O 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? Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL. SITF INFORMATION Are there structures on the property? O Yes O No What is the current property size? I 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? I es, identify on site plan O Yes O No ubLc wateiaYfaale its the situ' " r Ts gi Is your property in a designated wildlife habitat area? Will the site be served by a septic system? O Yes O No O Don't know O Yes O 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, ident ijy on site plan If yes, identify on the site plan D Yes O No O Maybe O Don't know O Yes O No Are there any wetlands, streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property? property? O Yes O No I es, identify on site lan O Yes O 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 O No O Yes O No DEPARTMENT USE ONLY sheb� Tsprt per a destgnated Stor�nw�ter x ntrl l Areas Is p>i sewer tY�t able tat C ❑�;...nW,;�".N�,aX?' Is the property tnstde the ASA D Yes L 7 No ubLc wateiaYfaale its the situ' " r Ts gi '64- �n II;;Yes Q Now.;.. Is the piroperty�usxde tie P�SA� ;Ye( �Nv Ts t�iepropertylocated artthtn 1 feet of aNarural Res3urreArea��' Date Received: Staff Representative: METHOD OF PAYMENT Y/SA":. ❑ CASH ❑ CHECK ❑ ❑ ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE SUBTOTAL 3� B >l� W —5CZ91 _ / 1 Q W I + I e 0 o f + S I W • wI I LU O C-41 1 1 i