2001, 11-06 Permit App: 91009842 Storage BldgProject Number: 01009842 Inv: 1 Application Date: 11/6/2001 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for cdmmencing work without a permit
Proiect Information:
Revi
Site
Plan
Floo
Septi
Permits:
Operator: MKC Printed By: MKC Print Date: 11/6/2001
Project Number: 01009842 Inv: 1
Contractor:
Address:
Application Date: 11/6/2001 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
PACIFIC METAL BUILDINGS Firm: PACIFIC METAL BUILDINGS INC
101 N STONE ST Phone: (509) 534-4304
SPOKANE, WA. 99202
1,440 $17,280.00
Building Characteristics
Const Category:
New Group: U-1 Type: VN
Nbr Of Dwellings:
Occupant Load: Building Height: 20
Bldg W x D: 36
x 40 Building Sq Ft: 1440 Sprinklers: ❑
Req Parking:
Handicap Parking: Critical Materials:
This Application:
Description
Grp Type Notes Sg Ft Valuation
STORAGE
U-1 VN 1,440 $17,280.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes
Totals:
1,440 $17,280.00
Units
Unit Desc
1
Y OR BLANK
1
Y OR BLANK
1
Y OR BLANK
Stories: 1
Total Project:
Sg Ft Valuation
1,440 $17,280.00
1,440 $17,280.00
Fee Amount
$263.00
$4.50
$57.86
Permit Total Fees: $325.36
Payment Summary: _ __ _ .
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $325.35 $325.35 $0.00 $325.35
$325.35 $325.35 $0.00 $325.35
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: MKC Printed By: MKC Print Date: 11/6/2001
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST' BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address:3 3 2P
14v e
Assessor's Tax Parcel Number(s): r
Legal Description: i /
&-fS R
Project Description: _b9EWC 3&
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation 10 Sign 10 Tenant (New/Change) ❑ Other
OWNER/APPLICANT INFORMATION
13 Owner:
y4c� ��Z—
Phone: f f (� �j
Fax: I
C3 Applicant: Phone:
Fax:
Mailing Address: �^
Mailing Address:
23 G _ .3 J
C-
CiState, Zip �)
tyr/U n��
J
IBJ
City, State, Zip
Contractor
Phone S 3 _ Y' 3 0 L7 '
❑ Architect/Engineer Phone
C
( Ft JU I C � . �1/ �
Fax f
Fax
Mailing address
Mailing address
0 A). -4F
1 4;10
Dimensions
City, State Zip
SPb9 E- l A
City, State Zip
tate Contractor license N
2"d floor sq. f .
Contact name:
T;
T;
PROTECT INFORMATION
BuIriformatioa
Building height to peak Y
N of stories
Main floor sq. ft.
Unfinished base
nt sq. ft.
r
N/4
1 4;10
Dimensions
(
Total habitable space
2"d floor sq. f .
Finished bas n sq. ft.
t
3(1 lG
Occupancy group
Cons ction type
Garage sq. ft. ,,{
Deck sq. ft.
C
/ LI
Cos a roect
Heat sourceectric, gas, etc.)
t
Year:
7hat is the square footage of the sign How high is the sign?
ce?
of sigr„s Area of existing signs
Previous address Fire Sprinkler _ Tent
Paint booth _ Fire Alarm _ Fireworks display _
Proposed use Value
AT)T)TTTONAT. QTF. INFC)RMATTON
Are there structures on the property? 1P Yes O No
What is the current property size?
1 yes, identify on site plan
(square feet or acres
Is any part of the property within 250 feet of a shoreline?
What is the curr nt use of this property?
1 yes, identify on site plan O Yes 1W No
- 0tW
Is your property in a designated wildlife habitat area?
Will the site be served by a septic system?Yes O No
O Don't know O Yes 1P No
Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the property?
If yes, identify on site plan
If yes, identijy on the site plan O Yes 0 No
O Maybe O Don't know O Yes Q2 No
Are there any wetlands, streams or ponds within 200 feet of the
Is there evidence of fill or excavation on the property?
property?
Cl Yes No
I yes, identify on site plan O Yes fo 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 0 No
O Yes No
DEPARTMENT USE ONLY
Date Received: Staff Representative:
METHOD OF PAYMENT
❑ CASH ❑ CHECK ❑ E1.9','. ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
Date
Planning
Bigh mm -('b
#Am"
Utilities
Other
Jack Carpenter
9623 E. 43rd Ave.
Th!s S tP iHn ;s te,ng for 'he purpose of
F, a huddin_q per'It ands and correct
- m
representation of the proposal All known property
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are Wet!ands.
bodies of water, steep s I es or other cnt;,:a: areas.
Signed: /151
Date