2002, 02-12 Permit App: 02000834 Pole Bldg1
Project Number: 02000834 Inv: l kpplicat1011 Date: 2/12/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Parcel Number: 45273.0805 Block: Lot:
SiteAddress: 12818 E 29TH AVE
SPOKANE, WA 99206
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
Owner: Name: EDGERY, KEN
Address: 12818 E 29TH AVE
SPOKANE, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review Information: _
Review
Site Plan Review Released By:
_ -- �- ?--� _ - --- - -
Plan Review
Septic System Review
1�CT IV Sit -&D CDAJn! TD
Released By:
LReleased By:
Permits: - -
Operator: RMB Printed By: RMB Print Date: 2/12/2002
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Project Number: 02000834 Inv: 1 Application Date: 2/12/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: COCHRAN BUILDING INC Firm: COCHRAN BUILDING INC
Address: 12815 E 29TH AVE Phone: (509) 892-1231
SPOKANE, WA 99216
Building Characteristics
Const Category: New Group: U-1 Type: VN
Nbr Of Dwellings: I Occupant Load: 0 Building Height: 14
Bldg W s D: 24 x 30 Building Sq Ft: 720 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application:
Description Grp Tyne Notes Sg Ft Valuation
GARAGE U-1 VN 720 $8,640.00
Item Description
RESIDENTIAL VALUATION
STATESURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Pavment Summa
Totals: 720 $8,640.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees
Stories: 1
Total
Project:
Sq Ft
Valuation
720
$8,640.00
720
$8,640.00
Fee Amount
$150.50
$4.50
$33.11
$188.11
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $188.11 $188.11 $0.00 $188.11
$188.11 $188.11 $0.00 $188.11
niselaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: RMB Printed By: RMB Print Date: 2/12/2002
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1 PROJECT APPLICATION WORK SHEET
iSPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
SPOK
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: t ,/-
Z�/$ C. 9M 5 o4nP A 9�.2/
Assessor's Tax Parcel Number(s):,5 7 3 09015 --
Legal
0Legal Description:
Project Description: �S� X30 X/D� iso% LIA-el
(X Building Permit O Change in Use O Grading O Manufactured Home Permit
O Relocation O Sign 1 O Tenant (New/Change) O Other
OWNER/APPLICANT INFORMATION
Cil Indicate who should he contacted reoardino this oroiect
11 Owner:
Phone: �ZZ — r� g�
C]Applicant: Phone:
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/C cl T
Fax:
Fax:
Mailing Address:
Mailing Address:
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S &E 20A
City, State, Ztp
City, State, Zip
w A
921
5 A 2/
Contractor
Phone '941 13)
Architect/Engineer Phone
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W`
S Fax z —1'15-7
to Ke Fax
Mailing address
Mailing address
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City, State Zip
City, State Zip
S
k-�, A
2J to
S 4 -, to -n
WA gute Contractor license A
Contact name:
PKUIEC 11NFOKMAIIUN
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Proposed use
�— Fire Sprinkler
Paint booth . Fire Alarm
Value
Tent
Fireworks display _
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes O No
What is the current property size?
I yes, identify on site plan
(square feet or acres /0,79610
Is any part of the property within 250 feet of a shoreline?
What is the current use of this property?
I yes, identify on site plan Cl Yes X No
/P 'el
4 t
Is your property in a designated wildlife habitat area?
Will the site be served by a septic system? O Yes
No
O Don't know O Yes Af 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
No
O Maybe O Don't know O Yes 4 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
;0 No
I es, identify on site plan Cl Yes A 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 X No I
O Yes
Af No
DEPARTMENT USE ONLY
Date Received: Staff Representative:
METHOD OF PAYMENT
W'-4 CASH ❑CHECK❑ � ❑❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
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