2001, 11-28 Permit App: 01010444 Garage AdditionProject Number: 01010444 Inv: I Application Date: 11/28/01 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: GARAGE ADDITION (24 X 20)
Contact: TODD JURGENS
Address: 12112 E MAXWELL
C - S - Z: SPOKANE WA 99206
Setbacks: Front Left: 5 Right: Rear: 27
Phone: (509) 990-0411
Group Name:
Site Information:
Project Name:
Plat Key: 001742 Name: MYRON ESTATES #6
District: F
Parcel Number: 44042.1720 Block: 3
Lot: 20
SiteAddress: 10808 E 48TH AVE
Owner: Name: DOHERTY, JACK & JOYCE
SPOKANE, WA 99206
Address: 10808 E 48TH AVE
Location:: SPO
SPOKANE, WA 99206
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Hold: ❑
Area: 0 Sq Ft Width: 150
Depth: 170 Right Of Way (ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information: n _ .. • .. „ „c,,�,, ... , . ��� _
Review
Site Plan Review
Released By `
Originally Released:
Plan Review11
11/28/01 By: jshatto
Released By: _
Originally Released: 11/28/01 By: jshatto
Permits:
Operator: JAS Printed By: JAS Print Date: 11/28/01
Project Number: 01010444 Inv: 1 Application Date: 11/28/01 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: JURGENS CONSTRUCTION
Address: 12112 E MAXWELL
SPOKANE, WA 99206
Building Permit
Firm: JURGENS CONSTRUCTION
Phone: (509) 927-0998
Building Characteristics
Const Category: Addition Group:
U-1 Type: VN
Nbr Of Dwellings: Occupant Load:
Building Height: 15
Stories:
1
Bldg W x D: 24 x 20 Building Sq Ft:
480 Sprinklers: ❑
Req Parking: Handicap Parking:
Critical Materials: ❑
This Application:
Total
Project:
Description Gra Tvae Notes
So Ft Valuation
Sci Ft
Valuation
GARAGE U-1 VN
480 $5,760.00
480
$5,760.00
Totals:
480 $5,760.00
480
$5,760.00
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
Notes:-��F��F.t.��..
Payment Summary:� . "',i,�Rrr
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $142.35 $142.35 $0.00 $142.35
$142.35 $142.35 $0.00 $142.35
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: JAS Printed By: JAS Print Date: 11/28/01
.r
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
"ipfih 1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: 167 g -O g"- C
Assessors Tax Parcel Number(s):
Legal Description:
Project Description:
(Building Permit ❑ Change in Use ❑ Grading O Manufactured Home Permit
❑ Relocation O Sign ❑ Tenant (New/Change) ❑ Other
Department Use Only
`Fater District/Purveyor.
Sewer District/Purveyor
Road width
Setbacks
Dimensions
' /I ra.: /
rax:
Front.
School District
I ire District:
'Zoning
Deck sq. ft.
Cost ofproieet
I 'IT
OWNER/APPLICANT INFORMATION
P1tea;.>.,o , 1 ,i M h, ,,, ,,,.,,,d --di,,,, thi, n,,,;a••,
❑
Owne
Building height to peak
• OF
Phone:
❑Applicant: Phone:
/
%C
Dimensions
' /I ra.: /
rax:
Mailing Address:
Occupancy group
Construction type
Xz
Mailing Address:
Deck sq. ft.
Cost ofproieet
City, State, Zip
Cin•, State, 'Zip
_
6
❑ Contractor
PhonePhone
❑ :Nrchitcctilinganccr
,'c
k 5 Fax Q -0 ell/
Fax
Mailing address
Mail ing addnuss
/
�-
4A t.I.T.C- (r
Cin•, State Zip
Citr, State Zip
S 'a'&—
/
(�
C'A State Contractor license #
Contact name:
A
/
19 3O Iclto r1i4I;Ell R"N M_[l]\I
Building Information
Building height to peak
• OF
# of stories
/
Main floor sq. ft.
0
Unfinished basement sq. ft.
Dimensions
Total habitable space
21,11 floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Xz
Garage sq. ft.
Deck sq. ft.
Cost ofproieet
I ]eat source (electric, gas, etc.)
Manufactured Home
'> rn
Width:
length:
What is the square footage of the siren
face?
1 low high is the sign?
fear:
Make:
# of signs
Area of existing signs
O Don't know O Yes 4 No
Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the property?
Relocation
Fire Safety
Previous address
lire Sprinkler _ fent
Paint booth _ Fire Alarm _ Fireworks display
Proposed use
Address
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name Phone
Plans Examiner Phone
Inspectors:
Address
Ifjes, identi , on site plan O Yes 4q No
Inspector Phone
O Concrete O Welding O Bolting 0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? /Q 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?
XX/hat is the current use of this property%
Ifjes, identi , on site plan O Yes 4q No
D No
Is your property in a designated wildlife habitat area?
Will the site be served by a septic system? O Yes 49_No
O Don't know O Yes 4 No
Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the property?
Ifyes, identib, on site plain
Ifyes, idem on site plan O Yes No
O 1fa ybe O Don't know O Yes No
0 Yes ZkNo
;ire 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 0 Yes 0 No
O Yes O No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
%re critical or hazardous materials used or stored on site?
° 0 0 Yes 49LNo
I O Yes X No
DEPARTMENT USE ONLY
Is the property in a designated Storinwater Control Area?
Is public sever available to the site? Yes O No
O Yes
No
k 21
Is the property inside the ASA?Yes
D No
Is public water available to the site? Yes O No
O Yes
O No
Is the property inside the PSSA? Yes
0 No
Is the pr e Y located within 1000 feet of a Natural Resource Area?
0 Yes ZkNo
Date Received: tStaff Repr •ntatic
METHOD OF PAYMENT
V,
e :.
[IC:AS1I ElCIII?CK El❑�. ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DAPI?:
BANKCAM) NUMBF11:
\UTI I0RI%1:D S1GNA'I'URIi:
VXP1RIsS:
SUBTOTAL.
TOTAL FEE
MINIMUM PERMIT FEEIS $35 WPLEA.SE
X1:1 KF_ CIIF.CKS PAYABLE TO SPOKANE
COUNTY PP:RMIT CENTER
oday's
late:
tc address:
ORIGINAL. ITE PLAN
rn proposing to build:
1
Parcel number or
legal description:
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