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2001, 10-12 Permit App 01009043 Deck, Cover Project Number: 01009043 Inv: 1 Application Date: 10/12/01 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: MNA Permit Use: MANUF HOME ADD-COV DECK&ROOF Contact: CARPENTIER,NEAL COVER OVER EXISTING DECK Address: 1111 S DISHMAN RD C-S-Z: SPOKANE,WA 99206-3115 Setbacks:Front Left: Right: Rear: 15 Phone: (509)926-9137 Group Name: Site Information: Project Name: Plat Key: 002378 Name: SIESTA MOBILE PARK ADD District: F Parcel Number: 45203.0518 Block: Lot: SiteAddress: 1111 S DISHMAN RD Owner:Name: CARPENTIER,NEAL SPOKANE,WA USA 00000 Address: 1111 S DISHMAN RD Location::SPO SPOKANE,WA 99206-3115 Zoning: UR-7 Urban Residential-7 Water District: Hold: ❑ Area: 7,020 Sq Ft Width: 78 Depth: 90 Right Of Way(ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released By: ° 4 Originally Released: 10/12/01 By: jshatto Plan Review Released By: Originally Released: 10/12/01 By: jshatto Permits: , : : Operator: JAS Printed By: JAS Print Date: 10/12/01 Project Number: 01009043 Inv: 1 Application Date: 10/12/01 Page 2 of 2 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: Addition 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: Ill This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation CANOPY R-3 VN 96SQFTRO 0 $432.00 0 $432.00 OFCOVER COV DECK R-3 VN 20 $189.20 20 $189.20 Totals: 20 $621.20 20 $621.20 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $35.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $7.70 Permit Total Fees: $47.20 NoteS: w 3,i v 3 M ,J' z 33333 tin tea au mom,K'4lu^,s, PaymentSummary: , ,,a,,,,,,,,, �.,,RIAVOr..,-. . -- , nw PRm0. , ....._. - %svgf, , ___ �ArtZttr Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $47.19 $47.19 $0.00 $47.19 $47.19 $47.19 $0.00 $47.19 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 corn-plied w h. Subsequent issuance of ' hall not be contrued to be a permit for,or an approval of,any violation of any of the provisions o�t code or of any other st or local ws or ordinances. Signature: Operator: JAS Printed By: JAS Print Date: 10/12/01 t PROJECT fkPPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 "l-9 509-477-3675 SPECIFIC SITE INFORMATION Street Address: � �^ l f�I ) . alQ t 2l�_t.[.(Qto Assessors Tax Parcel Numbcr(s): Legal Description: Project Description: G Building Permit ❑Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation I ❑ Sign ❑ Tenant (New/Change) ❑ Other Department Use Only Water District/Punevor: Sewer District/Purveyor Road width Setbacks Mailing Address: City, State "Lip q Front Roar: School District Fire District: Zoning Mailing ad rens (.u,t o6project �� Left Righc OWNER/APPLICANT INFORMATION R1 Indi,nle n.,hn M—Al hr ,nn/-*,1—di— thi t rm l CTvner: ', Phonc:-7 / t Fax: ❑ Applicant: Phonc: Pas: Mailing Address: Unlutishcd basement sq. ft. Mailing Address: City, State "Lip q Cine, State, Zip ❑ .ontreetor Phone Fax ❑ Architect. 1 [nPncer Phnne Fas Mailing ad rens (.u,t o6project �� Mailing address Cite, State Zip Citc, State Zip \C A State Contractor license # Contact name: PROTECT INFORMATION Building Information Building height to peak # of stories Main Floor sq. ft. Unlutishcd basement sq. ft. Dimensions Total habitable space 2114 floor sq. ft. finished basement sq. ft. (>ccupancy group Construction type Garage sq. ft. Dee sy. ft. t (.u,t o6project �� heat 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 1'cnt 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 0 Concrete 0 Welding 0 Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? 0 Yes 0 No What is the current property size? If yes,identz'on site plan (square feet or acres) Is any part of the property within 250 feet of a shoreline? What is the current use of this property? If yes,ident 'on site plan 0 Yes 0 No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes No o Don't know 0 Yes 0 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,identyy on site plan If yes,ident f on the site plan 0 Yes 0 No 0 Maybe 0 Don't know 0 Yes 0 No Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property? If yes,identib'on site plan 0 Yes 0 No 0 Yes 0 No Arc there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site? ( /%) 0 Yes 0 No 0 Yes 0 No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? - Is public sewer available to the site? Yes 0 No ) ) 0 Yes VOILA No ti'f ��•C - !` .,( Q o . _/7/-` I/AC Is the property inside the ASA? Yes 0 No Is puh liic water available to the site? Yes 0 No 0 es 0 No Is the property inside the PSSA? Yes 0 No Is the pr pc located within 1000 feet of a Natural Resource Area? 0 Yes No Date Received: Staff Repr sentative: METHOD OF PAYMENT MEM c-e'~w• VISA SUBTOTAL ❑ C-1SII 0 CIU?CK ❑ .- ❑ ❑ - FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: TOTAL FEE MINIMUM PERMIT FEE IS$35.00 BANKC\RDNUNI3LR: PLEASE:MAKE CIIECKSPA1 MILE TO SPOK%NE.COUNTY PERoIIT CENTER .\UTI IOR1/.I{D SIGNATURE: i I 1. I RJ r VT F�''dKltyG EVI WD 8 - This sitC)-J—apis bein obtains n of the g submitted Mr, ry a -- - -- represen, ,- A6rrrtt and Is a the of - lines,d nq.�ons, p' `Pc&al. All k -r ' in ar_q corms-� knes ha44;-- " \atert f ed-AiSo in ica a e� �e�!aSenleneebodie dre r� +Signed:, scores or +`er cr r an eas. _ Date_ a _ Fact Sheet for Property Number 45203.0518 Reportl Data As of 10/6/01 Site Address 1111 S DISHMAN RD TCA 1400 Parcel Status Active Owner CARPENTIER, NEAL&SHELLEY Taxpayer CARPENTIER, NEAL&SHELLEY Owner 1111 S DISHMAN RD Taxpayer 1111 S DISHMAN RD Address Address SPOKANE,WA 99206-3115 SPOKANE,WA 99206-3115 2000 Market Values Acreage Land 10000 Exempt 0 Land Sq Feet 7020 Value Impvmts 11500 Current Use Code 18 Other Residential Personal 0 Total Value 21500 Property Active Exemption milmmummummummi Legal Description SIESTA MOBILE PARK ADD N1/2 OF LT 5&ALL LT 4 BLK 5 MO BILE EXEMPTION#34 880540 Sales Sale Date Sale Price Sale Instrument Excise Number 05/27/1999 $43,500.00 Statutory Warranty Deed 990007739 i Sales History (prior to 1999) Qualified/ Vacant/ Sale Date Sale Price Sale Instrument Unqualified Improved Transfer Verification 12/03/1996 $24,975.00 WARRANTY DEED Unqualified Improved SALE PRICE 0 UNKNOWN 12/02/1996 $24,975.00 WARRANTY DEED Unqualified Improved SALE--LAND UNKNOWN 09/21/1993 $0.00 QUITCLAIM DEED Unqualified Improved RESIDENTIAL VERIFIED 07/10/1991 $20,000.00 WARRANTY DEED Unqualified Vacant LAND ONLY S ASSIGNMENT 07/10/1991 $17,000.00 WARRANTY DEED Qualified Improved NORMAL SALE VERIFIED 11/15/1986 $9,000.00 CONVERTED FROM SCM Unqualified Improved LAND ONLY S VERIFIED 07/01/1983 $23,500.00 CONVERTED FROM SCM Unqualified Improved LAND ONLY S VERIFIED Improvements Unit of Improvement ID Improvement Type Improvement Description Year Built Size Measure M Mobile Home Manufactured Home 1968 1080 SF Page 1 of 2 Report Date Thursday,October 11,2001 Fact Sheet for Property Number 45203.0518 Report1 Data As of 10/6/01 04 Other Carport Flat Roof 1966 268 SF ,Features Unit of Improvement Type Improvement Description Size Measure Feature Concrete Patio 170 SF Feature Upper Roof Extension Canopy 170 SF Page 2 of 2 Report Date Thursday,October 11,2001