2001, 10-10 Permit App: 01008899 Remodel. 4
Project Number: 01008899 Inv: I Application Date: 10/10/2001 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Parcel Number: 45274.0202 Block:
SiteAddress: 13712 E 25TH AVE
SPOKANE, WA 99216
Location:: SPO
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 0 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: :.
Revi
Plan
Permits:
Lot:
Owner: Name: SWEENEY, JAMES
Address: 13712 E 25TH AVE
SPOKANE, WA 99216
Hold: ❑
Depth: 0 Right Of Way (ft): 60
Operator: MKC Printed By: MKC Print Date: 10/10/2001
Project Number
01008899 Inv: I Application Date: 10/10/2001
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: Remodel Group:
R-3 Type:
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
Sg Ft Valuation
SU Ft
Valuation
RESIDENCE R-3 VN BASEMENT
0 $1,500.00
0
$1,500.00
REMODEL
Totals:
0 $1,500.00
0
$1,500.00
Item Description Units
Unit Desc
Fee Amount
RESIDENTIAL VALUATION 1
Y OR BLANK
$49.50
STATE SURCHARGE 1
Y OR BLANK
$4.50
RESIDENTIAL SURCHARGE 1
YORBLANK
$10.89
Contractor: OWNER
Address: 0
000000, 00 OOOOOII
Item Description
VENTILATING FANS
MINIMUM FEE ADJUSTMENT
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
SINKS
MINIMUM FEE ADJUSTMENT
Permit Total Fees: $64.89
Mechanical Permit
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc Fee Amount
1 NUMBER OF $10.00
1 Select $25.00
Permit Total Fees: $35.00
Plumbing Permit
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
1 Select
Permit Total Fees:
Fee Amount
$6.00
$29.00
$35.00
Operator: MKC Printed By: MKC Print Date: 10/10/2001
Page 2 of 3
z
L
Project Number: 01008899 Inv: 1 Application Date: 10/10/2001 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes. .. ..
SEWER HOOKUPS AVAILABLE FOR ALL LOTS PER ROGER 11/30/94
Payment Summa
Permit Type
Fee Amount
Invoice Amount
Amount Paid
Amount Owing
Building Permit
$64.89
$64.89
$0.00
$64.89
Mechanical Permit
$35.00
$35.00
$0.00
$35.00
Plumbing Permit
$35.00
$35.00
$0.00
$35.00
$134.89
$134.89
$0.00
$134.89
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: MKC Printed By: MKC Print Date: 10/10/2001
j PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
"Xin SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: 1371Z- 6• Z 5 f h A,14 S d h-,4 N C w4
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: V ' '
Building Pernut O Change in Use 71 Grading O Manufactured Home Permit
O Relocation O Sign O Tenant (New/Change) 0 Other
Department Use Only
Water District/PurvCPOr:
Sewer District/Purveyor
Road width
Setbacks
Mailing Address:
Cin', State, Zip
5 �G k.►^r�-�- w�
`�iZI6
14ont Rclr
School District:
fire District:
Zoning
Mailing address
Occupancy group�
4051 Q�.+in I
Mailing address
I ,e Ft
OWNER/APPLICANT INFORMATION
i P1 I—A-f, vvbn rhnvld hr —1 - *d --di— this nrni-1
t hsni r
J WS J R t)ee,vj
Phone: 2 '" 1461
Fax:
❑ Applicant: Phone
5A >r e A S (%v N e k.
I.�dmg Address:
13 7IL c 2 S
Ave
Mailing Address:
Cin', State, Zip
5 �G k.►^r�-�- w�
`�iZI6
Cin•, State, Zip
❑ Contractor . ( p y�
GWPM IJ` t�j Pf�y f 0),
Phonvet
w ax
❑ Architect/ Engineer Phone
Mailing address
Occupancy group�
4051 Q�.+in I
Mailing address
Cin, Stat, zy
z., 6
City, State Zip
VA'A Stare Contractor license #
Contact name:
PROIECT INFORMATION
Building Information
HmIding height to peak 2o I
# of stories ?-
Main floor sq. ft
iG`�G
Unfinished basement sq. ft.
Diu]enS10175J 4 Z'k 1
Total habitable space)
-1 D
2"a floor sq. ft.
S Q
finished basement sq. ft.
Occupancy group�
4051 Q�.+in I
Construction type
W r') e D FR>9n c
Garage sq. R.
z., 6
Deck sq. ft.
Cost of project N0
1 ]cat source (electric, gas, etc.)
GR5
Manufactured Home '"
sign
Width:
Length:
What is the square footage of the sign
face?
I low high is the sign?
Year:
Make:
# of signs
Area of existing signs
O Don't know 13 Yes 13 No
Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the property?
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
I es, identi , on site plan O Yes 13 No
Inspector Phone
O Concrete O Welding O Bolting O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes 0 No
What is the current property size?
If yes, identi on siteplan
(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, identi , on site plan O Yes 13 No
O No
Is your property in a designated wildlife habitat arca?
Will the site be served by a septic system? 73 Yes O No
O Don't know 13 Yes 13 No
Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the property?
I/ l es, iden0i , on site plan
Ifyes, identi, on the site plan Cl Yes O No
O Mavbe O Don't know O Yes O No
O Yes O 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 es, identi ort site last O Yes O No
73 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
Is the property in a designated Stormwater Control Area?
Is public sewer available to the site? O Yes O No
C3 Yes
O No
Is the property inside the ASA? C3 Yes
O No
Is public water available to the site? O Yes 173 No
C3 Yes
O No
Is the property inside the PSSA? O Yes
173 No
Is the property located within 1000 feet of a Natural Resource Area?
O Yes O No
Date Reccivcd:
Staff Representative:
METHOD OF PAYMENT
❑ t..�sl I p ca 1FcK ❑ � ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE:
BANKCAM) NUMBER:
\Ul'l I0R1ZFI) SIGNATURI?:
F XPIRF.S:
SUBTUI'AI .
TOTAL FEE
MINIMUMPERMITFEEB JI3K P
I'll- A>i ( NrAKF„ CHECKS PAYABId> To
>P( 4. ASIQ)t'N'IY 1TRMITCEN'rF_.R