2002, 01-22 Permit App: 02000390 Pole Barn Project Number: 02000390 Inv: 1 Application Date: 1/22/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
1'rojc'( t Ill formation
Penial Use: 30 X 36 POLE BARN Contact: DAVE MCCAIZRICK
Address: 11922 E 25TH AVE
C- S -Z: SPOKANE,WA 99206
Setbacks: Front EXI Left: 20+ Right: 8 Rear: 8 Phone: (509)926-7435
Group Name:
Site Information: Project Name:
Plat Key: 002392 Name: SKYVIEW ACRES ADD District: F
Parcel Number: 45284.0906 Block: Lot:
SiteAddress: 11922 E 25TH AVE Owner: Name: THOMPSON,DAWN
SPOKANE,WA 99206 Address: 11922 E 25TH 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): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review �, eased By: s�, �. _id!8i :.A.-
PL.400 .,„. eD.
Plan R ReOiñ
sed By: _/t®
t Lf -f`cZ ' r
Permits: .
Operator: RMB Printed By: RMB Print Date: 1/22/2002
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Project Number: 02000390 Inv: 1 Application Date: 1/22/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
RirildinrPcrmil
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000,00 000000
Building Characteristics
Const Category: New Group: U-1 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 18 Stories: 1
Bldg W x D: 30 x 36 Building Sq Ft: 1080 Sprinklers: 0
Req Parking: 0 Handicap Parking: 0 Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 1,080 $12,960.00 1,080 $12,960.00
Totals: 1,080 $12,960.00 1,080 $12,960.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $200.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $44.11
Permit Total Fees: $249.11
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $249.11 $249.11 $0.00 $249.11
$249.11 $249.11 $0.00 $249.11
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be contrued to be a permit for,or an approval of,any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: RMB Printed By: RMB Print Date: 1/22/2002
i
lil PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
ilik,
509-477-3675
SPOKANE COMP
SPECIFIC SITE INFORMATION
Street Address: i / ci Z? r ? S .7-it
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: 3c.-=, X G Pc A, 0/9�ti
ABuilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor. Sewer District/Purveyor Road width Setbacks
Front Rear
School District Fire District Zoning
Left Right
OWNER/APPLICANT INFORMATION
El Indicate who should he contacted rr arding this prged
1 Owner: Phone 9z In - 7 L/35 TX,Applicant: Phone: /' 9",°../
DO-kJ < P-1 ff fj k f i..c lax: -C,"--7"1 e Fax:
Mailing Address: Mailing Address:
I I 'Zz. r. 1 7-0
City,State,Lip City,State,Zip
- Phone
❑ Contractor Phone ❑ Architect/I:nnneer
l•ax Fax
Mailing address Mailing address
City,State Zip City,State Zip
\CA State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Budding height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
1 S' r I /oPc
Dimensions , Total habitable space 2"1 floor sq.ft. Finished basement sq.ft.
J 0 X 3
Occupancy group Construction type Garage sq. ft. Deck sq.ft.
190 lY ljr4✓4,; / 0 k O
Cost(kroject I Ieat source(electric,gas,etc.)
f�JC'$ ca--a, d-G ek---)69 A✓ZL
Manufactured Home Sign
Width: Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: #of signs t 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 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? CKYes 0 No What is the current property size?
Ifyes,identi,on site plain /40/L4 t (square feet or acres) g 7' X Z_s'
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
Ifyes,identiji on site plan 0 Yes Al No �� 7 z--.09-
Is
.'iIs your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes 2K No
0 Don't know 0 Yes („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 plat Ifyes,identifii on the site plan O Yes $ No
0 Maybe 0 Don't know 0 Yes f 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,identib'on site plan 0 Yes OeNo 0 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?
( °o) 0 Yes a No 0 Yes Pr No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No
OYes 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? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
OYes 0 N
Date Received: Staff Represcntaticc:
METHOD OF PAYMENT
MINIM !C•V ;. SUB'IOlVISA
1l.
c:vsl I 0 CI 11 CK ❑ 0 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
1):1'1'F: � Z? 0 2 l Nl'IRI{S: TOTAL FEE
BANKC:IRD NU IBI'lt' MINIMUM PERMIT FEE IS$35.0011.1c_vSF.
MAKI.CI IECKS P I ABLE SPOK ANL
A UTI IORI%I ill SIGN ATURF --� COUNTY PERJu'f c f NN TER
2-� L If -
purpose of
n a:l.d is a true and correct
representation of the propasal- All known property
lines/dimensions. curb lines. structures and easements
have been, identified. A.iso indicated are wetlands,
bodies of wE steX slopes or other critical ar
j �""P"6 U
Signed:
Ar DF L- E
ZONE
ROAD WIDTH
'TZ '
FRONT FLANKING
COMMENT
REVIEWED,
36`
P? 4, F -