2000, 07-05 Permit App 00005623 Shop, BathroomProject Number: 00005623 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/05/2000 Page 1 of 2
Project Information:
Permit Use: SHOP (36 X 28 X 14) W/R-IN BATHROOM Contact: OMLOR, PHILLIP & MARILYN
Address: 502 N GREENACRES RD
C - S - Z: GREENACRES, WA 99016
Setbacks: Front Left: Right: 12 Rear: 12 Phone: (509) 927-0089
Group Name:
Project Name:
Site Information:
Plat Key: 000500 Name: CORBIN ADD TO GREENACRES District:
Parcel Number: 55184.0907 Block:
SiteAddress: 18403 E COWLEY AVE
GREENACRES, WA 99016
Location:: GRE
Zoning: UR-3.5 Urban Residential 3.5
Water District: 010 VERA
Area: 23,540 Sq Ft
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Department
BUILDING
HoReasons:
Pe t onditions:
FA - 3f
BUILDING
Hold Reasons:
41i,
ermit Conditions:.
HEALTHDISTRICT geptic System Review
Review
Site Plan Review
' -ff
Hold Reasons:
Permit Conditions:
BUILDING Special Reviews
Permit Conditions:
Permits:
Lot:
Owner: Name: OMLOR, PHILLIP & MARILY
Address: 502 N GREENACRES RD
GREENACRES, WA 99016
Hold: ❑
Width: 106 Depth: 210 Right Of Way (ft): 40
d
Project Number: 00005623
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Address: 0
000000, 00 000000
Const Category: New
Nbr Of Dwellings:
Bldg W x D: 36 x 28
Req Parking:
Description Grp
STORAGE U-1
Inv: 1
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Group: U-1 Type: VN
Occupant Load: Building Height: 20 Stories: 1
Building Sq Ft: 1008 Sprinlders:
Handicap Parking: Critical Materials:
This Application: Total Project:
Su Ft Valuation Sq Ft Valuation
1,008 $12,096.00 1,008 $12,096.00
Totals: 1,008 $12,096.00 1,008 $12,096.00
Type Notes
VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: OWNER
Address: 0
000000, 00 000000
Units Unit Desc Fee Amount
1 Y OR BLANK $200.50
1 Y OR BLANK $4.50
1 Y OR BLANK $44.11
Payment Summary:
Operator: JAS Printed By: JAS
Permit Type Fee Amount
Building Permit $249.11
$249.11
Notes:
Permit Total Fees: $249.11
Plumbing Permit
Firm: OWNER
Phone: (000) 000-0000
Print Date: 07/05/2000
Invoice Amount
$249.11
$249.11
Amount Paid
$0.00
$0.00
Amount Owing
$249.11
49:11'
Date: 07/05/2000 Page 2 of 2
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project Description:
TYPE OF APPLICATION
Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
O Relocation
O Sign
D Tenant (New/Change)
O Other
SPECIFIC SITE INFORMATION
Street Address: (.c1Qi, co- L-�1
Assessor's Tax Parcel Number(s)5 s-i r}- j O �j O 7
L�..s egal Description: C`t isJ I., t,.Ti?— A - f16QOt NC 2€ -
AAC.
L.:�+ O nuoa`
U�.: ' F...-Qc- cur" (N SAID f3Lbac— c
AS. 5
--'Ai
Department Use Only
Water District/Purveyor:
Sewer District/Purveyor
Road width
Setbacks
Front: Rear:
Lett: Right:
. -.
School District:
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
0 Indicate who should be contacted regarding this project
❑ Owner: Phone: 4-9,9/ Z% oz,0
PktIl---LI P ftA ivy AQ-A c.t1 pnittgl_
Fax:
❑ Applicant:
Phone:
Fax:
a
Mailing Address:
Sb Z IJ GTI_ -t3Q Cr(C-
Mailing Address:
`-
City, State, Zip
C��Aeit.-5
q,
u0 9 /00/
Ciry, State, Zip
VV
r
❑ Contractor
Phone
Fax
❑ Architect/Engineer
1 Phone
0 Fax
r
l
Mailing address
Mailing address
\\\.\\7)
City, State Zip
City, State Zip
WA State Contractor license #
Contact name:
PROJECT INFORMATION
Building Information
Building height to peak 2,0
# of stories 1
Main floor sq. ft.
roo&
Unfinished basement sq. ft.
Dimensions 3 X Z x /
/ al habitable space
2"d floor sq. ft.
Finished basement sq. ft.
Occupancy group
onstruction type
STZ—S S
Garage sq. ft.
Deck sq. ft.
Cost of projec 1 O t ,
Heat 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
Area of existing signs
Relocation
Previous address
Fire Sprinkler
Paint booth _ Fire Alarm
Tent
Fireworks display
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
Phone
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
❑ Concrete 0 Welding 0 Bolting 0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? lg1 Yes 0 No
If yes, identify on site plan
What is the current property size? O S - l
(square feet or acres) 3 S-Ll 1 `/
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan 0 Yes R No
What is the current use of this property? _
� I N (r't,G 't t—A ," I `-/ t,..4..., s.
Is your property in a designated wildlife habitat area?
❑ Don't know 0 Yes N No
Will the site be served by a septic system? Et, Yes 0 No
Is any part of the property within a 100 yr flood plain?
If yes, identi on site plan
0 Maybe 0 Don't know 0 Yes ® No
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes Xi No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan 0 Yes PI No
Is there evidence of fill or excavation on the property?
0 Yes i No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( -%) 0 Yes 51 No
Are critical or hazardous materials used or stored on site?
0 Yes V( No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
0 Yes A No
Is public sewer available to the site? 0 Yes Lf No
Is the property inside the ASA?
, Yes
0 Yes
. 0 No
0 No
Is public water available to the site? 'Q' Yes 0 No
'I,_..., i _%� _'
Is the property inside the PSSA?
Yes
0 No
Is the property located within 1000 feet of a Natural,R9source
Area? ❑ Yes 0 No
Date Received:
Staff Representati:
Jul 26 00 10:16a
Budinger & Assoc. Inc. 509-535-9589 p.2.
#1 SPECIAL INSPECTOR AND TESTING LAB
EMPLOYMENT ACKNOWLEDGMENT FORM
Please complete one for of each INDIVIDUAL performing Special Inspection or Testing work
on each project.
Date: July 5, 2000
Project Address: 18403 East Cowley
Project Name:
Omlar Shop Project Number:
Inspection or Lab Firm Name: Budinger & Associates, Inc.
Address: 3820 E. Broadway Avenue, Spokane, WA 99202
Phone: 509-535-8841
Name of individual performing work: Raymond Pearson - High Strength Bolting
ICBO Number: 70300 - Steel, 72109 - Concrete
STATEMENT OF UNDERSTANDING
T, Ray Pearson , hereby affirm that I have been employed
by Phillip Omlor for a duration of (hours, days, weeks) project
to perform special inspection of High Strength Bolting
relating to the above stated project and that I am
aware that in performing these inspections, I am acting as an agent for the jurisdiction and responsible to
the Building Official. I am aware that my duties include assurance of compliance with the approved
plans, specifications, the Uniform Building Code and recognized construction practices which do not
conflict with any of the aforementioned documents. I will submit written reports to the Building Official
as required. 1 also agree to immediately notify the Building Official I) any discrepancies, corrected or
uncorrected, are observed on this project, and 2) my employment as it relates to this project is modified in
any way or terminated prior to submittal ofmal report.
Individual's Signature:
14
�XISj (NG
i Y1is site p•,!Fr': trT1i`:,ri,S O 'lac purpose of
ar, .. is r imp and correct
.?f eSentation of the,proposal. All kr �own propel ly
IEru=c;ldirnens'nr};._ . cuib iint-s ,-n..!=,'.'ture j and f:asement have been identified. Also I'+cilcated are w t ands,
bodies 61 via $f t ep s!o 5 s Or Csl`i e Critical areas.
Signed:
3-12-013-0
2J 0
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36'
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