2000, 10-19 Permit App: 00009557 Finish Basement Project Number: 00009557 Inv: 1 ' Application Date: 10/19/2000 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: FINISH BASEMENT-FAMILY ROOM Contact: INTEGRITY REMODELING
STORAGE ROOM Address: P.O.BOX 8556
C-S-Z: SPOKANE,WA 99209
Setbacks:Front Left: Right: Rear: Phone: (509)455-4395
Group Name:
Site Information: Project Name:
Plat Key: 001230 Name: HILLCREST ACRES 7TH ADD District: F
Parcel Number: 45273.3010 Block: Lot:
SiteAddress: 12522 E 27TH AVE Owner:Name: HOFMEISTER,WENDY
SPOKANE,WA 99216 Address: 12522 E 27TH AVE
Location::SPO SPOKANE,WA 99216
Zoning: UNKN Unknown
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: �.
Department Review
BUILDING Plan Review '
®<=• 1 ? `C �
Hold Reasons:
Permit Conditions:
Permits: { .
Project Number: 00009557 Inv: 1 Application' Date: 10/19/2000 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: INTEGRITY REMODELING Firm: TODD KUBICEK-INTEGRITY RM
Address: PO BOX 8556 Phone: (509)455-4395
SPOKANE,WA 99203
Building Characteristics
Const Category: Remodel Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: El
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RESIDENCE R-3 VN REMODEL 0 $3,727.00 0 $3,727.00
Totals: 0 $3,727.00 0 $3,727.00
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: RMB Printed By: RMB Print Date: 10/19/2000
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $111.86 $111.86 $0.00 $111.86
$111.86 $111.86 $0.00 $111.86
Notes:
fib— 955-1
it
l , t PROJECT APPLICATION WORK SHEET
i� SPOKANE COUNTY BUILDING&CODE ENFORCEMENT
alt
1026 WEST BROADWAY AVENUE
> SPOKANE,WA 99260
509-477-3675
SPOT COUKTY
SPECIFIC SITE INFORMATION
Street Address: 12 S 2Z �, 2`7 crit
Assessor's Tax Parcel Number(s):
Legal •Description:
Project Description: ��f��-z o `� s'4
Fr Building Permit O Change in Use O Grading O Manufactured Home Permit
O Relocation O Sign O Tenant(New/Change) O Other
WaterDtstn tf u veyn� s• ® im ��`, t� •heAF:Ntweirk'ittAiii:0-11.14111.1
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tNr. .�
School District �0 � rare Df t, ,i e r
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OWN•
ER/APPLICANT INFORMATION
0 Indicate who should be contacted regarding this project
❑ Owner: Phone: ''']6,7-764
El Applicant:
Phone:
w� D f6--e.,'ste-4-
i„) Fax: Fax:
Mailing Address: Mailing Address:
l 2 5- 2 L E- .2_,...7
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City,State,Zip City,State,Zip
n qq2(e
Contractor �/ // Phone ' S'S-_�.els ❑ Architect/Engineer Phone
�••d'€f r 7 I�f l..��C. 7 Fax Fax
Mailing ad ress / f Mailing address
6. ().ox 5SS-C
City,State Zip City,State Zip
,C1,skw..'-/ wA y4 2 o3
WA State Contractor license# Contact name:
y k n4- i err .:fl-
PROJECTINFORMATION g
t>KI1111''''''''''''''''''''''''''''
i'3 D n
Buildingbei ht to eak #of stories Main floor
g p sq.ft. Unfinished basementsq.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.)
F d $ .[3` Ri.. S' ;z 'S?5 . ".xb' ky' ;Y °$�.SQ`94 M'¢ A
Width: Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: #of signs Area of existing signs
ra", .-..-e sa IIT »-.1,,. < tom,... .,i.. .r..x, y ice ler Fw. iy� r, ,:,s. n.s. �'.
Previous address Fire Sprinkler Tent
Paint booth_ Fire Alarm Fireworks display
Proposed use Value
� : •�' - ,� r Yom, c ..t' .; ' c
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• -ti'''''t
�-. s .` ,T -A °&a' Aw re: mac.,. „ m•%�,c�»�<"' i
Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes O No What is the current property size?
If yes,identib 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 O No
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,identify on site plan If yes,identify on the site plan O 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
If yes,identib on site plan O Yes Cl 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
I DEPARTMENT
ES.,PA4ARTMENXT U
SE ONLY
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Date Received: Staff Representative:
METHOD OF PAYMENT
VISACft.-i.
sI tib,; SUBTOTAL
❑ CASH 111 CHECK 0 ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES: :TOTAVFf o
BANKCARD NUMBER: P F E1SthGJ sE
MttECT CKSPA°YABIETCSPOKAN*, ,.
AUTHORIZED SIGNATURE: CoiJrriyPEKIvir1`CETTiR