2002, 04-02 Permit App: 02002138 Addition Project Number: 02002138 Inv: '1 Apprication Date: 4/2/02 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 2ND FLOOR ADDITION OVER EXISTING Contact: VARNO CONSTRUCTION
GARAGE Address: PO BOX 923
C-S-Z: NEWPORT WA 99156
Setbacks: Front Left: 10 Right: Rear: Phone: (509)447-5541
Group Name:
Site Information: Project Name:
Plat Key: 003776 Name: HILLVIEW ESTATES REPLAT NO. 1 District: F
Parcel Number: 45273.1818 Block: 17 Lot:
SiteAddress: 12920 E 31ST AVE Owner:Name: FALK,SHERRY
SPOKANE,WA USA 99216 Address: 12920 E 31ST AVE
Location::SPO SPOKANE,WA 99216-0106
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 11,250 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 2
Review Information:
Review
Site Plan Review Released By:
Originally Released: 4/2/02 By: jshatto
Plan Review '
Released By:
Originally Released: 4/2/02 By: jshatto
Permits:
Operator: JAS Printed By: JAS Print Date: 4/2/02
Project Number: 02002138 Inv: 1 Application ' Date: 4/2/02 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: VARNO CONSTRUCTION Firm: VARNO CONSTRUCTION
Address: PO BOX 923 Phone: (509)447-5541
NEWPORT WA 99156
Building Characteristics
Const Category: Addition Group:R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories: 1
Bldg W x D: 22 x 15 Building Sq Ft: 330 Sprinklers:
Req Parking: Handicap Parking: Critical Materials:
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RES ADD R-3 VN 330 $20,460.00 330 $20,460.00
Totals: 330 $20,460.00 330 $20,460.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $300.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $66.11
Permit Total Fees: $371.11
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $371.11 $371.11 $0.00 $371.11
$371.11 $371.11 $0.00 $371.11
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: JAS Printed By: JAS Print Date: 4/2/02
•
i PROJECT APPLICATION WORK SHEET
Iliilk SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
Atk
SPOKANE,WA 99260
SPOKANEITU
COUNTY509 477-3675
SPECIFIC SITE INFORMATION
Street Address: / ;)9 O AS J'/ St- u
o.
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description:
Building Permit ' O Change in Use D Grading O Manufactured Home Permit
El Relocation 0 Sign O Tenant(New/Change) CI 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
G 11 Indrrrlu–tc who should
ldd he contacted re untinn ibr_r preeect
yt cr /22_ / v 74
�/)� �/ Q-L. Phone: /� ❑ tApplicant Phone
�L. / r w�/ ! 1. las: r7 "s:
Sliding:\ dress: y �� Sliding Address:
l/2900 (,// /9St. . / A vQ
P,Sn e,tip City,State,Zip
oone
U Q 9 9 //
': (..ontr(cn Phone CO*-4/47.'MS-6Y/ ❑ Architect/Engineer sneer Phone
'14-
/ (2"190
(2"1 ))0 Fax Fax
Marlin,address Mailing address
° 60x 67.2> E"...,
City,Smte/.ii Cir`-,State Zy
rE e &. ,
.2(.1, 66 1v0
VA-�A Stare(:otic: for license= Contact name:
ArZn0C_ * (;C)71gS C;r�
PROJECT INFORMATION
Building Infoiination
Building height lir peak #nt stones Blain floor sq. ft. Unfinished basement sq. It.
Dimensiron 'poral habitable space 2"1 floor sq. ft. Finished basement sq. ft.
Occupancy group Construction type Garage sq.ft. Deck sq. It.
Cost of project I leaf source(electric_gas.etc.)
Manufactured Home Sign
Width: Length: What is the square footage of'the sign How high is the sign?
face?
Year: Make: #of signs 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? O Yes O No What is the current property size?
Ifyes,identi_ 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?
Ifyes,identf on site plan O Yes 0 No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes 0 No
0 Don't know 0 Yes 0 No
Is any part of the property within a 100 yr flood plain? Arc or will there be wells located on the property?
Ifyes,identi('on site p/an If yes,identi5'on the site plan 0 Yes 0 No
0 Maybe 0 Don't know 0 Yes 0 No
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Ifj'es,identify on site plan 0 Yes 0 No 0 Yes 0 No
Arc there slopes greater than 30°'0 on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
0 Yes 0 No 0 Ycs 0 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Con of A ea? Is public sewer available to the site? Yes 0 No
0 Yes No
Is the property inside the ASA? Yes 0 o Is public water available to the site? es 0 No
Yes 0 No
Is the property inside the l'SSA? Yes • No Is the p pe ocated within 1000 feet of a Natural Resource Area?
n ° 0 Yes No
Date Rcccn d: - Matt Its pre.'elan
i
01.E
METHOD OF PAYMENT
IiClV sum(Yl'.vl.
VISA
❑ c.\SlI ❑ cnlcc:h D D D
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
U.A'I'1•:: EX Yl RES: TOTAL FEE
B:ANKC.ARI)Nf1\IBJ:R: _ MINIMUM PERMIT FEE IS$35Ot P1.E_AsE
\1\KE CI IECL,P_1]A131.P.7 )SPOK_A1E
\t Il lo)Rl/I(I)SIGN.ATURF: ctn_yI1 Pt R\lJt(IylI S
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 6< C.C'
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set-back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner xi(�Z't kr T-....2.
;. . . Address -�tir j� ,j am a,•:.,"74. < ,4c Phone "'� :-- .
Architect Address __ Phone
Engineer Address Phone
Contractor /64.11‘, zf 7_ -;;;,--/-, Address �� d� / �� Phone -", ,--,
Legal Description of Pr perty (Gia complete descri. ion from deed, to tece'ptetc.) .—
B
DESCRIPTION OF WORK: New z�' _ A.dition Remodel Moving—_ BIT Zone / Fire Zone—)Size of Lot ; Cie' /Xt.)5 Sewage System,:,.„. Const.
(Fr., Conc., Br., etc.)
/ �" c
_I`
Stories � Dimensions !7.''s� � .�7�� '��`f �"%ti.� _Total Sq. Ft �-�l �='� Valuation �� ���L� �
Rooms 7Baths Basement (,%;2',,f7 Foundation Const. G=%'tii "/ __ Chimney ,f<?C. Fireplace
(lull, part, none / (Kind) (Number zi
Heat. System: n LLType of Roofing !.w'o 1" '' Ext. Finish .�h*'� Int. Wall Finish .2- 7:'/ 6,-"
Use of,B41. t f� „"7,0 ," L'� RAE'^ No. of Units Bedrooms r-^,-1
> � t
::t'�di�(:.r �r'�'� �` a' PLOT PLAN -4241-til-'t.4:'64 1�, /C11-11'1
Draw sketch with dimensions showing: (1) property lines; (2) " r road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets;i�iditngtons of buildings; (6) location of sewage sys-
tem and water supply lines. 6'-1 �i.,- 4, d4:74,-
1%
��
NORTH6" 6° ' 'D`' State License No.
� "
\, .di, O- i `j
Ind. Ins. Acct. No.k� � d
CX f i < q0.-
s A° d 0,
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eiw - uf � i , �;S /s°'„ �y �° ,'7.s; y� ,e, •°�0
i l z gm �4 r4�l • " "
_) ` a•ePermito N
'' Al Pl:. Received
`,- Plans Checked
Plans Returned
i 1, Plans Picked Up
/ Plans Mailed
'
SOUTH ' Adce
L - -)'
I herebyc ify information submitted is correctiin a ere re no other structures located th' progerty except
as shown.n .,...i:
s E .e.7,, ,,,,....7„,
� � oT
Owner or Agent Date
A LAND USE STRUCTURE PERMaT MUST BE ON THg-P• MISES BEFORE CON RUCTION COMMENCES.
THIS IS NOT A PERMIT.
((,vr (ctI ) DO NOT WRITE BELOW THIS LINE
Your street address will be 7 14 - ''_ii / .dL A ./1 /. The zone isR '-....50'' f 74.x+ `-'`
Sewage Permit Number Issued___ Building Permit d Receipt 7 F!,3 Issued
Remarks _— ACA - - ,
\DDRESS
ZONE
ROAD WiDT_H
[-HUN i ~� ?\ FLAPiNG ,
COMMENTS ' i
Form 523 Bldg. Code �TZ �V
r:Ev17.' ' '7-n 1f�