HomeMy WebLinkAbout2001, 06-20 Permit App: 01004906 AdditionProject Number: 01004906 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RES ADD - SUN ROOM
Setbacks: Front
Site Information:
Plat Key: 001566 Name: MATHER'S SUB.TR.4&5 ASSES.PLAT # 1
Block:
Left: Right: 10 Rear: 100
Parcel Number: 35124.0607
SiteAddress: 2220 N COLEMAN RD
SPOKANE, WA 99212
Location:: SPO
Zoning: UR-3.5
Water District:
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
CLARK, CARLINE & GLEN
2220 N COLEMAN RD
SPOKANE, WA 99212
(509) 924-9384
Urban Residential 3.5
Area: 0 Sq Ft Width: 85
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: .,._ r.,:. tayomm
Department Review
BUILDING Site Plan Review
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
E
'itio�
t Con. �i.
HHDIST
Permits:
Plan Review
C — epti ystem Review
Hold Reasons:
Permit Conditions:
Lot:
District:
Date: 6/20/01 Page 1 of 2
H
Owner: Name: CLARK, CARLINE & GLEN
Address: 2220 N COLEMAN RD
SPOKANE, WA 99212
Hold: ❑
Depth: 184 Right Of Way (ft): 40
Released By:
I Released By:
Project Number: 01004906 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/20/01 Page 2 of 2
Building Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000, 00 000000
Const Category: Addition
Building Characteristics
Group: R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories: 1
Bldg W x D: 18 x 14 Building Sq Ft: 252 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Gar Type Notes Su Ft Valuation Su Ft Valuation
RES ADD R-3 VN 252 $15,624.00 252 $15,624.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Payment Summary:
Operator: JAS
Permit Type
Building Permit
Notes: .ffelomagivommv4,,,,-
Totals: 252 $15,624.00 252 $15,624.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Printed By: JAS
Permit Total Fees:
Print Date:
Fee Amount Invoice Amount
$294.86 $294.86
Fee Amount
$238.00
$4.50
$52.36
Amount Paid
$0.00
$294.86
6/20/01
Amount Owing
$294.86
$294.86
$294.86
$0.00
$294.86
SPox<CouNrY
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:
Assessor's Tax Parcel Numbcr(s):
Legal Description:
Project Description:
Building Permit
0 Change in Use
El Grading
El Manufactured Home Permit
Relocation
CI Sign
O Tenant (New/Change)
O Other
Department Use Only
Water District/Purveyor.
Sewer District/Purveyor
Road width
Setbacks
I ront: Rcar:
I.clt Right:
School District:
fire District:
Zoning
OWNER/APPLICANT INFORMATION
Indriute who should be ,ontacted reeardine this b)oiea
11 1 O wne : ( Phone:
//�
(/e/A �i fi e.. C/ar
ElApplicant:
Phone.
u
ar ing Address: 1 /
c (- 0 0 , Ca cevs,_
Mailing Address:
City, State, Zip
okc>-v-e-_
C-)4
7�d l d
City, State, Zip
ElContract r
I
Phone
I ax
❑Architect/Engineer
Phone
Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
WA State Contractor license #
Contact name:
PROTECT INFORMATION
Building Information
Buildin , hcigh toreak
# of stories
Nla in floor sq. ft.
lintinishcd basement sq. ft.
Dimc�nsio s /l"
'Total habitable space
2nd floor sq. ft.
I finished basement sq. ft.
()ccp. cy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of pro ect
1 kat source (electric, gas, etc.)
Manufactured Home
Sign
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs gn,
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 I xaminer
Phone
Inspectors:
Address
Inspector
Phone
0 Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? I Yes 0 No
Ifyes, identify on site plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shore c?
' 'files, ident f on site plan 0 Yes o
What is the currentpse ohthis prpperty?
/ -e S/ i o-1
Is your property in a designated wildlife habitat ar a?
0 Don't know 0 Yes No
Will the site be served by a septic system? 0 Yes lizNo
Is any part of the property within a 100 yr flood plain.
Ifyes, identj on site plan
0 Maybe 0 Don't know 0 Yes No
Are or will there be wells located on the property?
Ifyes, ident61 on the site plan 0 Yes No
11re there any wetlands, streams or ponds within 20 ect of the property?
Ifyes, ident on site plan 0 Yes No
Is there evidence of fill or excavation on the property?
0 Yes
o
Are there slopes greater than 30% on the property? (30 ft se in 100 ft)
( / %) 0 Yes o
Are critical or hazardous materials used or stored on s t ?
0 Ycs
No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
0 Yes
( No
Is public sewer available to the site? 0 YesNo
Is the property inside the ASA?
Yes
Yes
0 No
0 No
Is public water available to the site? XYes 0 No
Is the property inside the PSSA?
Yes
0 No
Is the p ope located within 1000 feet of a Natural Resource Area?
O Yes No
Date Recei -ed:
Staff Rcprc nt
METHOD OF PAYMENT
VISA
❑ CASI1 ❑ CI IECK ❑ ❑
CIL
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
EXPIRES:
B.-1NKCARD NUMBER:
AU'fl IORIZl 1) SIGNATURE:
SU BTOTA I ,
TOTAL FEE
MINIMUM PERMIT FEE IS $35.0?PLF: \SE
MAKE CHECKS PAYABLE TO SPOKANE
COUNTY PERMIT CENTER
Cm
C
:uCi :3N>
S0-D�OX
�pmX
m U)
o� o
z
1
GOpMSV�spr10Fcq G 0 ANG.
Ove®�o NG�P��pMc,
� �O SStiMSQ��pR
SyS�E
Fv00kG,��otk5
N I'
N. �d�d �i,SP a�4e9sG6
syso'as osd � so.�,
odfa °��,,f�o �a o�,•
d .O
0 d O
I ,
I
� I �
I
18
v °4