2000, 10-16 Permit App: 00009421 Pole BldgProject Number: 00009421 Inv: I Application Date: 10/16/2000 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: 24 X 36 POLE BUILDING Contact: DREHER, RICH
Address: 10820 E 30TH AVE
C - S - Z: SPOKANE, WA 99206
Setbacks: Front 50+ Left: 50+ Right: 5 Rear: 5 Phone: (509) 926-7334
Group Name:
Site Information: Project Name:
Plat Key: 001393 Name: KOKOMO TOWNSITE District: F
Parcel Number: 45283.5201 Block: Lot:
SiteAddress: 10820 E 30TH AVE Owner: Name: DREHER, RICH
SPOKANE, WA 99206 Address: 10820 E 30TH AVE
Location:: SPO SPOKANE, WA 99206
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 13,000 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Permit Conditions:
Permits:
Project Number: 00009421
Inv: I Application
Date: 10/16/2000 Page 2 of 2
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: New
Group: U-1 Type: VN
Nbr Of Dwellings: 1
Occupant Load: 0 Building Height: 14
Stories: 1
Bldg W x D: 24 x 36
Building Sq Ft: 864 Sprinklers: El
Req Parking: 0
Handicap Parking: 0 Critical Materials: 11
This Application:
Total Project:
Description Grp
Tyne Notes Sa Ft Valuation
Sq Ft Valuation
GARAGE U-1
VN 864 $10,368.00
864 $10,368.00
Totals: 864 $10,368.00
864 $10,368.00
Item Description
Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK
$175.50
STATE SURCHARGE
1 Y OR BLANK
$4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK
$38.61
Permit Total Fees:
$218.61
Payment Summary
, v
Operator: RMB
Printed By: RMB Print Date: 10/16/2000
Permit Type
Fee Amount Invoice Amount Amount Paid
Amount OWinS
Building Permit
$218.61 $218.61 $0.00
$218.61
$218.61 $218.61 $0.00
$218.61
Notes:
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PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: E N V%
Assessor's Tax Parcel Number(s): tom'
Legal Description:
t y �,tc i �? n `21.. _ 1 // A C::1-,) l�r 1�L (\vinr\ -W v t ll�l
Project Description:
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑Sign ❑ Tenant (New/Change) ❑ Other
OWNER/APPLICANT INFORMATION
r7t 1 - _.. 1 - L__..,J------ J;--st.:"n....:.,.�e
❑ Owner:
Phone: C0(1. 1315H
❑ Applicant: Phone:
_
t Fax:
Fax:
Mailing Address:
Mailing Address:
`
Z N
City, State, Zip
City, State, Zip
L
A
❑ Contractor
PhongZ)a f o , 2•? �(
\O l W 1
❑ Architect/Engineer Phone
y (A
Fax
Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
WA State"Contractor license #
Contact name:
1 N F()KMA 110fN
Building he(iigg�`ht to peak # of stories Main floor sq. ft. Unfinished basement sq. .
Dimensions , 1 Total habitable space 2°d floor sq. ft. Finished basement —4 --
sq. ft.
l + 4-- -tom
Occupancy group Construction type Garage sq. ft. i5 r N , Deck sq. ft.
Y L
Cost of projectHeat source (electric, gas, etc.)
I3
�+23 W,�'i...Ls'��r,�,F •'; ori, J., ..`,5�ir.
.,,;, ...., . « .: - ...•' .,.:,
Width: Length:
,,. �e, w 3.
_ 4, , n. . „ . �.,.
What is the square footage of the sign
t rr Fae' C i y s •�
How high is the sign?
(square feet or acres
Paint booth _ Fire Alarm _
Fireworks display
face?
Is your property in a designated wildlife habitat area?
Will the site be served by a septic system? O Yes O No
Year:
Make:
Is any part of the property within a 100 yr flood plain?
# of signs
If yes, identify on site plan
Area of existing signs
O Maybe O Don't know O Yes D No
Previous address
el` z�f% INj S
$" 'x4B 3';.
"MIN f
--.- - .. _...
Y_
Fire Sprinkler Tent
I yes, identify on site plan
(square feet or acres
Paint booth _ Fire Alarm _
Fireworks display
I es, 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
Proposed use
Value
Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the property?
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?
I yes, identify on site plan
(square feet or acres
Is any pan 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
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 D 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 plan 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
Date Received: Staff Representative:
METHOD OF PAYMENT
❑ CASH ❑ CHECK ❑ ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
This s
to p!a
;G' Bing submitted for the purpose of
obtain
ng a luilding
permit and is a true and correct
repres
antation
of the proposal. All known
lines/
men
property
ons, curb lines, structures and easemei
have b
Den ic
erltifled. Also indicated are wetlands,
bodies
et, steep r other critical areas.
Signed
_
Bate.
A#iiy> #> 1_CUcs � L � �T
ZONE��
ROAD WIDTH
FRONT � � rtFLANKING
COMMENTS-
REVIEWtD BY
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