2002, 11-13 Permit App: 02010167 Addition Project Number: 02010167 Inv: 1 Application Date: 11/13/2002 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RES ADD-FAMILY ROOM Contact: RON OLFS CONSTR INC
Address: 6507 N WHITEHOUSE
C - S -Z: SPOKANE WA 99208
Setbacks: Front Left: Right: Rear: Phone: (509)466-7636
Group Name:
Site Information: Project Name:
Plat Key: 005828 Name: MIDILOME EAST 1ST District: F
Parcel Number: 45342.0204 Block: 1 Lot: 4
SiteAddress: 12715 E 33RD CT Owner: Name: DREW, SCOTT&MARIEN
SPOKANE,WA 99216 Address: 12715 E 33RD CT
Location::SPO SPOKANE WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released By:
Originally Released: 11/13/2002 By: jshatto
Plan Review Released By:
Originally Released: 11/13/2002 By: jshatto
Permits:
Operator: JAS Printed By: JAS Print Date: 11/13/2002
Project Number: 02010167 Inv: 1 Application Date: 11/13/2002 Page 2 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: RON OLFS CONSTRUCTION INC Firm: RON OLFS CONSTRUCTION INC
Address: 6507 N WHITEHOUSE ST Phone: (509)466-7636
SPOKANE WA 99208
Building Characteristics
Const Category: Addition 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: El
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RES ADD R-3 VN 145 $9,570.00 145 $9,570.00
Totals: 145 $9,570.00 145 $9,570.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $163.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $35.86
Permit Total Fees: $203.36
Mechanical Permit
Contractor: RON OLFS CONSTRUCTION INC Firm: RON OLFS CONSTRUCTION INC
Address: 6507 N WHITEHOUSE ST Phone: (509)466-7636
SPOKANE WA 99208
Item Description Units Unit Desc Fee Amount
DUCT SYSTEMS 1 NUMBER OF $10.00
MINIMUM FEE ADJUSTMENT 1 Select $25.00
Permit Total Fees: $35.00
Operator: JAS Printed By: JAS Print Date: 11/13/2002
Project Number: 02010167 Inv: I Application Date: 11/13/2002 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
DO NOT ISSUE SEWER PERMITS WITHOUT APPROVAL OF UTILITIES PER ROGER 12/3/97
OK TO ISSUE SEWER PERMITS FOR PORTIONS OF PLAT- SEE MAP IN PLAT FILE PER
BILLY 4/24/98
OK TO ISSUE SEWER PERMIT FOR LOT 2 -BLOCK 3 ONLY PER MIKE FLUGEL 9/30/98
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $203.36 $203.36 $0.00 $203.36
Mechanical Permit $35.00 $35.00 $0.00 $35.00
$238.36 $238.36 $0.00 $238.36
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 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: JAS Printed By: JAS Print Date: 11/13/2002
•
! l PROJECT APPLICATION WORK SHEET
ii SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675
SPOKE COtiry
SPECIFIC SITE INFORMATION
Street Address: i 71 6, 3 rc7( C-7;
Assessor's Tax Parcel Number(s): J 3 a C 3_0
Legal Description: J ,
M G q`�/-e 6,r�,� E,�-�S 7` / S 7— CL-7t`( tev k
a.c1.1 l
Project Description: ��� ! /� 00 Building Permit O Change i se El Grading 0 Manufactured Home Permit
El Relocation CI Sign 0 Tenant(New/Change) 0 Other
Department Use Only
Water District/Purveyor. Sewer District/Purveyor Road width Setbacks
Front Rear.
School District Fire District Zoning
Left: Right:
5c el / -...4A`..r .eP` OWNER/APPLICANT INFORMATION
PP -LI./ 0 Indica[e who should he coniaded r ardinp ihir pr jed
n O ner: Phone: l .J- .2._%,5 Z 171 Applicant:: 'j^ Phone: b 6-76 3 6
l)'` 7/ -77 Er )te( Cr;Fax: 1<•t2�l " 1-F5 C 4 T, C/ l.ax:
Mailing Address: Mailing Address:
t5 ka,,i_c_ L . 7 % 2-0 E, ‘5-0 7ILe.,.:77-( 5 e i
(:in,State,Zip / City,State,Zip I
Phone Phone
Contractor 7 �7�� `J- C,, ������/ ❑ Architect�1=.ngnnecr
/I/ 6.� O 4,.`/CAA 4.0 5,e Fax b Fax
r
Mailing address Mailing address
SNF( `1")--ok
Cote,State Zip "...IPrA. City,State Zip
tA
VA.A State Contractor license# il1 Contact name:
1Q4,lt 01—Crc, 7--(/-b',8
1
�_PROJECT INFORMATION
�� Building Information
Building height to peak #of stories Stain floor sq.ft. Unfinished basement sq.ft.
Dimensions i, `e 'Total habitable space 2'rt floor sq.ft. Finished basement sq.ft.
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project I!eat source(electric,gas,etc.)
Manufactured Home sign
Width: Length: What is the square footage of the sign 1 low 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
❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? ❑ Yes O No What is the current property size?
Ifyes,ident/f 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,identz'on site plan ❑ Yes ❑ No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?❑ Yes ❑ No
❑Don't know ❑ Yes ❑ No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identr on site plan Ifyes,identf'on the site plan ❑ Yes ❑ No
❑Maybe ❑Don't know ❑ Yes ❑ 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,identifi,on site plan ❑ Yes ❑ No ❑ Yes ❑ 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 ❑ No O Yes ❑ No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? ❑ Yes ❑ No
❑ Yes ❑ No
Is the property inside the ASA? ❑ Yes Cl No Is public water available to the site? ❑ Yes ❑ No
❑ Yes ❑ No
Is the property inside the PSSA? ❑ Yes Cl No Is the property located within 1000 feet of a Natural Resource Area?
❑ Yes ❑ No
Date Received: Staff Representative:
METHOD OF PAYMENT
MOM
..f(IiK SUB'l'O'l'A1,
VISA
0 CASH 0 Cll{CK 0 0 . 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DA't'L: EXPIRES: TOTAL FEE
BANKCARI)NUM1B1.R: MINIMUM PERMIT FEE IS$35.6OPLEASE
MAKE CIIECKS PAYABLE TO SPOKANE
\U'fllORl'/.1?l)SlGNA1'URI'.: COUNTY PERMIT CENTER
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Sodded earth berm a'ross a
swale of stu. 25+86 _-- -- --- _
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Sta. 26+06 , 1) /0.;� o
Future Acquisition Area ., 6),s/aols. °� 0 N
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' '4' yC� '\ . f O - Spokane County Standard 3
�,T 0 �' �� D �' Stn. 1. 52, 25' Rt. 33rd Court
" �,, y` % �T_� ' Top of Grate Elevation 2024.21
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SS _�ONAL� �•�'G \-"="' 0• \ \\ 4' wide and 8" deep
° 14 §1 //r
[EXP CDATE 101-4/ q ., \ j,. o� \\
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GRAPHIC SCALE (IN ET) ,LQ- \ \
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MARCH 22, 1996 f 2/.5--c ,1- N \
A A'S'r� rouna•e 1944
LOT ' This is not on os-built drawing. ib
BLOCK Any modifications to this plan after impson Engineers, Inc.
I the date on the En stompCIVIL ENGINEERS & LAND SURVEYORS
IUDILOfV E EAST 1ST AUDI f!0NEngineer's
9 N.909 ARGONNE ROAD
VOIDS the Engineer's stamp, SPOKANE. WA 99212 PH 926-1322