2001, 12-06 Permit App: 01010675 Finish Basement Project Number: 01010675 Inv: 1 Application Date: 12/6/2001 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: FINISH BASEMENT Contact: ROSE,TOM
Address: 12217 E 38TH AVE
C-S -Z: SPOKANE,WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 922-2026
Group Name:
Site Information: Project Name:
Plat Key: 005026 Name: MIDILOME 6TH ADD District: F
Parcel Number: 45331.4107 Block: Lot:
SiteAddress: 12217 E 38TH AVE Owner:Name: ROSE, TOM
SPOKANE,WA 99206 Address: 12217 E 38TH AVE
Location::SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 84 Depth: 130 Right Of Way(ft): 50
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Revrew Inform o
Review
Plan Review � 6/
Releasedy:
ermits: _......_...._...............
P
Operator: DMD Printed By: DMD Print Date: 12/6/2001
Project Number: 01010675 Inv: 1 Application Date: 12/6/2001 Page 2 of 3
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: Remodel Group: R-3 Type: VN
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
BASEMENT R R-3 VN FINISH 0 $6,000.00 0 $6,000.00
BASEMENT
Totals: 0 $6,000.00 0 $6,000.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $113.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $24.86
Permit Total Fees: $142.36
Mechanical Permit
Contractor: OWNER Finn: OWNER
Address: 0 Phone: (000)000-0000
000000,00 000000
Item Description Units Unit Desc Fee Amount
VENTILATING FANS 1 NUMBER OF $10.00
MINIMUM PEE ADJUSTMENT 1 Select $25.00
Permit Total Fees: $35.00
Plumbing Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000)000-0000
000000,00 000000
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 1 NUMBER OF $6.00
SINKS 1 NUMBER OF $6.00
SHOWERS 1 NUMBER OF $6.00
MINIMUM FEE ADJUSTMENT 1 Select $17.00
Permit Total Fees: $35.00
Operator: DMD Printed By: DMD Print Date: 12/6/2001
Project Number: 01010675 Inv: 1 Application Date: 12/6/2001 Page 3 of 3
THIS IS NOT.A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: ..
208 DRAINAGE REQUIRED
Payment Summary
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $142.35 $142.35 $0.00 $142.35
Mechanical Permit $35.00 $35.00 $0.00 $35.00
Plumbing Permit $35.00 $35.00 $0.00 $35.00
$212.35 $212.35 $0.00 $212.35
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 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: DMD Printed By: DMD Print Date: 12/6/2001
i PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVIS,ION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
__ = SPOKANE,WA 99260
509-477-3675 - r b�,7S
SPOKc COUNTY L
SPECIFIC SITE INFORMATION
Street Address: ;;7.0.7/ 7 I 3
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: (?AS,€Aihr✓T
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
El Relocation El Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor. Sewer District/Purveyor, Road width Setbacks
Front: Rear.
School District FireDistrict: Zoning
Left Right:
OWNER/APPLICANT INFORMATION
Indicate who should be eonlacied rrrardint lbisprojec/
❑ Owner: Phone:
��yf C�"' 972•�d ❑ Applicant: Phone:
/r ;v (n 0 51E- lax: lax:
Mailing Address: Mailing Address:
i;47/7 fC- 32( r A r/fc.
City,State,Zip City,State,Zip
S POkwef.f.. pu/i. 9?2o
❑ Contractor Phoneb Phone
❑ Architect,'lin unser
Fax Fax
Mailing address Mailing address
Cite,State Zip Cin-,State Zip
WA State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stones Main floor sq.ft. Unfinished basement sAiftieir 4.45.14,1N
10P -Ca FT A®/WA'
Dimensions Total habitable space 2st floor sq.ft. Finished basement sq.ft.
Occupancy group Construction type Garage sq.ft. Deck sq. ft.
Cost of project I teat source(electric,gas.etc.)
Manufactured Home Sign
Width: Length: What is the square footage of the sign I 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
O Concrete O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? 71 Yes O No What is the current property size?
Ifyes,identU'on site plan (square feet or acres)
Is any part of the property within 250 feet of a shoreline?�yWhat is the current use of this property?
Ifyes,identif'on site plan O Yes 4 No #0.44-
Is
p 4-Is your property in a designated wildlife habitat arca? Will the site be served by a septic system?O Yes No
Don't know O Yes No
Is any part of the property within a 100 yr flood plain? .1re or will there be wells located on the property?
If yer,identi/,on site plan Ifyes,identyY on the site plan O Yes el No
O Maybe ,Don't know O Yes O No
Arc there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
If yes,ident/Y on site plan O Yes kri No 8 Yes O No
Are there slopes greater than 30°b on the property?(30 ft rise in 100 ft) Arc critical or hazardous materials used or stored on site?
( °%) O Yes ,i No O Yes 8 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes O No
OYes 0 N
Is the property inside the ASA? O Yes O No Is public water available to the site? O Yes O" No
OYes 0 N
Is the property inside the PSSA? O Yes O No Is the property located within 1000 feet of a Natural Resource Area?
O Yes 0 No
Date Received: Staff Representative
METHOD OF PAYMENT
MEMIC®VE SLTBTOT.V
❑ (:ASII 0 CI II{CK ❑ 0 ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D 1 :: ICNPIRI:S: TOTAL FEE
BANkCARD NUNIB1(R: MINIMUM PERMIT FEE IS$35.cASPLEASE
Vt4KE CHECKS P:1S.A73LE TO SPOKANE
.W11I(»2I%I:D SI GN ATL'RN: COUNTY PERMIT CENTER R