2002, 08-14 Permit App: 02006962 Shed Project Number: 02006962 Inv: 1 Application Date: 8/14/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DETACHED 10 X 16 SHED Contact: ANDERSON,VICTOR& LORI
Address: 11321 E 32ND AVE
C - S -Z: SPOKANE,WA 99206
Setbacks:Front NA Left: 16 Right: NA Rear: 35 Phone: (509)928-5853
Group Name:
Site Information: Project Name:
Plat Key: 000000 Name: UNKNOWN District: F
Parcel Number: 45283.5610 Block: Lot:
SiteAddress: 11321 E 32ND AVE Owner: Name: ANDERSON,VICTOR& LORI
SPOKANE,WA 99206 Address: 11321 E 32ND AVE
Location:: SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 13,000 Sq Ft Width: 103 Depth: 165 Right Of Way(ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings: I
Review Information: ..
Review
Site Plan Review Released Telgrin" Laidi3 /
AWE
Plan Review Released : : ►f - Asr,2
Permits: .. .
Operator: DMD Printed By: DMD Print Date: 8/14/2002
Project Number: 02006962 Inv: 1 .ppli�ation Date: 8/14/2002 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
Phone:
Building Characteristics
Const Category: New 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: 0
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 160 $1,920.00 160 $1,920.00
Totals: 160 $1.920.00 160 $1,920.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $63.25
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $13.92
Permit Total Fees: $81.67
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $81.67 $81.67 $0.00 $81.67
$81.67 $81.67 $0.00 $81.67
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and fmds 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 construed 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: DMD Printed By: DMD Print Date: 8/14/2002
I I PROJECT APPLICATION WORK SHEET
Ilk SPOKANE COUNTY DIVINON OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675
SPOMIV Coin
SPECIFIC SITE INFORMATION
1 StreetAddress //3 2 3... ..,`,e)
Assessor's Tax Parcel Number(s): L/ ,2 -3 ,—yam 1-0
Legal Description:
'�( Project Description:
❑ Building Permit ❑ Change in Use El Grading ❑ Manufactured Home Permit
❑ Relocation El Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water Distnct/Purveyor: Sewer District/Purveyor Road svidth Setbacks
Front Rear.
School Distract: Fire District Zoning
Left Right:
OWNER/APPLICANT INFORMATION
/� 0 Indicate:rho f horrid be ronlrided re5ardiri lhir pcayert
?(
❑ isv,aer: Phone 902 5 5'e ❑ Applicant Phone:
/1K 7 le r � 5 Iov: Pay:
\taitng Address: ✓ C- C/V Mailing Address,
7 /(3..2—/ :3 02 ,-o
Circ,State,7ip Cin-,State,Zip
❑ Commence Phone - Phone
/' ❑ Architecrylfn�,nnccr
/( Pas l-as
Mailing address Mailing address
Cin,State 7ip Cite,State Zip
\\:1 State Contractor license# Contact name:
PROJECT INFORMATION
1 "' Building Information
Building height to peak 1 0 #of stones Slain floor sq. ft,. Unfinished basement sq.ft.
q -(0 iD ft/
Dimcocions tip Dotal habitable space 2nd floor sq. ft. Finished basement sq.ft.
Occupancy group Construction type Garage sq. ft. Deck sq.ft.
Cost of protect I lent source(electric,gas,etc.)
Manufactured Home Sign
Width: Length: What is the square footage of the sign 1 low high is the sign?
face`?
y,
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
❑ Concrete in Welding ❑ Bolting ❑ Reinforcement , Address
ADDITIONAL SITE INFORMATION
Are there structures on the property_? Yes ❑ No \Vhat is the current property size?/� yIf yes,identify on site plan (square feet or acres) �[' (���5
Is any part of the property within 250 feet of a shoreline? What is the current use of this proper I tr
Ifj•es,identi/y on site p/an ❑ Yesyv No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?❑ Yes
❑Don't know ❑ Yes 174
Is any part of the property-within a 100 yr flood plain? Are or will there be wells located on the property?
If yes,identO,on site p/an If yes,identi/y on the site plan ❑ Yes No
❑;Maybe ❑Don't know ❑ Yes a No
Are there any wetlands,streams or ponds within 200 jtet of the property? Is there evidence of fill or excavation on the property?
Ifjes,ident ,onsiteplan ❑ Yes 7 No ❑ Yes No
Are there slopes greater than 30"o on the property?(30 ft se in 100 ft) Are critical or hazardous materials used or stored on site?
( °"o) ❑ Yes No ❑ Yes Ail No
DEPARTMENT USE ONLY
Is the property un a designated Stormwater Control Area? Is public sewer available to the site? ❑ Yes ❑ No
❑ Yes 0N
Is the property inside the ASA? ❑ Yes ❑ No Is public water available to the site? ❑ Yes ❑ No
❑ Yes 0N
Is the property inside the PSSA? ❑ Yes ❑ No Is the property located within 1000 feet of a Natural Resource Area?
CI Yes CI No
Date Received, Gaff Representative:
METHOD OF PAYMENT
IMMO :j:2 IIC+IiVE _
SUBTOTAL
❑ C:ASII p CIII[CK p ❑ • ❑ --
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I):171:_ I:S1'llzlt : TOTAL FEE
B\NIiC\Rld Nl1 MB1•az: MINIMUM PERMIT FEE 15$35.06 PLEASE
MAKE CHECKS;P:AY sBLE TO SPOKANE
ATV!"IORI/liD SIGN,AIURI•:: COUNTA PEttynTCEylFts
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ADDRE
ZONE
ROAD
FRONT
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REVIEWED�SY
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fihis �' rlan is being submitted for thepurpose of
j .,. ; .and is a true and correct
represer' aM,on of t e proposal. All known property
linesid Tc sans, urb lirfes. structures and easements
have bee dlentifl d !,'s :dlca re wetlands,
bodies of .vater, teep slope of er critical areas.
Signed:
Date
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