2002, 06-13 Permit App: 02004752 Tear Off, Reroof Project Number: 02004752 Inv: I Application , Date: 6/13/02 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: TEAROFF/REROOF RESIDENCE W/NEW COMP Contact: MIKE GIRVEN
Address: 24015 E RIVER RD
C- S-Z: OTIS ORCHARDS WA 99027
Setbacks: Front Left: Right: Rear: Phone: (509)226-3448
Group Name:
Site Information: Project Name:
Plat Key: 000382 Name: CHESTER HILLS ADD. District: E
Parcel Number: 45294.1007 Block: Lot:
SiteAddress: 10603 E 32ND AVE Owner:Name: NELSON,EVAN
SPOKANE,WA 99206 Address: 10603 E 32ND AVE
Location::SPO SPOKANE,WA 99206
Zoning: UNKN Unknown
Water District: Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Speial Reviews Released y: 4 1 4- ... *
_ __ \e----,
, _-__--, 0,..„,
Permits:
Operator: JAS Printed By: JAS Print Date: 6/13/02
Project Number: 02004752 Inv: 1 • Application Date: 6/13/02 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: UNKNOWN Firm: UNKNOWN
Address: UNKNOWN Phone: (000)000-0000
UNKNOWN,WA UNKNOWN
Building Characteristics
Const Category: Remodel Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers:
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RESIDENCE R-3 VN REROOF 0 $3,200.00 0 $3,200.00
Totals: 0 $3,200.00 0 $3,200.00
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
Notes:
Payment Summary:
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
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: 6/13/02
i I PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
flit SPOKANE,WA 99260
509-477-3675
SPO AKE G XJNFY
SPECIFIC SITE INFORMATION
Street Address: /0603
Assessors Tax Parcel Number(s):
Legal Description:
•
Project Description: R E
Cl Building Permit ❑ Change in Use Cl Grading Cl Manufactured Home Permit
❑ Relocation Cl Sign O Tenant(New/Change) ❑ Other
Depaitment Use Only
Water District/Purveyor. Sewer District/Purveyor - -Road width . serbaC)s_
Front. Rear.
School District. Fire District: - - Zoning. - - Left Right
OWNER/APPLICANT INFORMATION
.,/ El Indicate ahro;hoNld he tontacted rro,ardi, Ihrsprojtet
>r tTcnet Phone:
6-� A' ! ❑Applicant: Phone:
40J ✓V Y.'f7t_ /J las:
Mailing Address: Pas
labo5 32 -1t2
� Mailing Address:
Circ,'tate,rip City,State,Lip
�'Cuntractor Phone Phone
�jJ �/� //' ❑Architect/Engineer
/'//K 64e tiel l:as �7 Fax
hlailin Mailing address
city,
`//`S��taatt'eeZZip C-n-,State"Lip
State Contractor # Contact name:
PROJECT INFORMATION
Building Information
Building height tit peak #of str>tics Main floor sq.1t. Unfinished basement sq_ft.
t)imrnsittits Tutal habitable space 2"d floor sq.ft. Finished basement sq.ft.
Occupancy group Construction npc Garage sq-ft. Deck sq.It.
Cost of prnjecr I feat source(cit.-ant,gas.ttc.)
Manufactured Home ' Sign
Width: Length: t What is the square footage of the sign How high is the sign?
face?
Year: Make: t#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
Cl Concrete O Welding 13 Bolting O Reinforcement • Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? O Yes Cl No What is the current property size?
Ifyer,itientO,on site plait (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 D No
Is your property in a designated wildlife habitat arca? Will the site be sen-cd 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?
Ifyes,identift on site plan
km,ident f on the site plan O Yes D No
O Maybe O Don't know 0 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?
Ifyes,itlenkfr on site p/an D Yes O No
0 Yes 0 No
Arc there slopes greater than 30%on the property?(30 ft rise in 100 ft) Arc critical or hazardous materials used or stored on site?
l,)
0 Yes O No 0 Yes O No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes O No
Oyes ONo
Is the property inside the ASA?. O Yes D No Is public water available to the site? O Yes 0 No
Is the property located within 1000 feet of a Natural Resource Area?
0 Yes D No
O Yes 0 No
Ts the property inside the PSSA? D,Yes O No
Dale Reccis rd: duff Rr prescntaii�.a..
METHOD OF PAYMENT
VISA
❑ CASH ❑ ClIIU. E) 11111ISSIN
❑ . ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
TOTAL FEE
BANKCARD NUMBER:
MINIMUM PERMIT FEE IS 535.00PLE ISE
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€01:IS Y PERMIT Cl_'1ER