1995, 05-22 Permit App 95003503 AdditionPROJECT NUMBER= 95003503 APPLICATION
DATE= 05/22/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1416 S DAVID ST
ADDRESS= SPOKANE WA 99212
PARCEL#= 35243.0618
PERMIT USE= RESIDENCE ADDITION - EXTEND FAMILY ROOM
PLAT#= 002721 PLAT NAME= VALLEY VIEW HILLS 2ND ADD
BLOCK= 4 LOT= 2 ZONE= UR-3.5 DIST#=
AREA= 00000000 F/A= F WIDTH= DEPTH=
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= GROH, KEN C
STREET= 1416 S DAVID ST
ADDRESS= SPOKANE WA 99212
CONTACT NAME= KEN GROH
BUILDING SETBACKS: FRONT= 25 LEFT= NA
E
R/W= 60
PHONE= 509 535 3327
PHONE NUMBER= 509 535 3327
RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
HEALTI D 'E T INCREAS IN LOT COV RAGE
COMMENTS:
3-9
LcaoA
("1U-Yld Cnb(rci -22 -75 .)fQ
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
1 OCCUP. LD=
9 X 22 SQ FT=
#HANDICAP=
DESCRIPTION
RES ADD
PHONE=
ADDITION= X CHANGE OF USE=
BLDG HGT= 8 STORIES= 1
198 SPRINKLER= N
CRITICAL MAT= N
GROUP TYPE SQ FT
R-3 VN
VALUATION
198 11484.00
PROJECT NUMBER= 95003503 APPLICATION DATE= 05/22/95 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 135.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 24.30
PERMIT TYPE
BUILDING PERMIT
FEE AMOUNT AMOUNT PAID AMOUNT OWING
163.80 .00 163.80
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
163.80 .00 163.80
627
******************************** THANK YOU ************************************
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
4/1: ,o/p/i
Legal description as it appears on the property deed
OWN
Mailing address
ER or OCCUPANT - Phone
/ /6- 6, 44/2& \ 327
state
�� � � h72/
Who should weontact regarding C�rt?
Phone
%
Zip
972 2
What work is being done under his permit?
CZJ 1/ L"t
'Ovary?
d
0.
0
Contractor
WA State Contractor license #
Building height
Dimensions
/)7
Main floor area
# of stories
TOTAL SQUARE FOOTAGE
Unfinished basement area
Mailing address
ArchitecUEngineer
2nd floor area
Garage area
Finished basement area
Size of decks, etc.
What is the fleet source/1 /``�/),
What is the cost of our project?
� sJ
Manufactu
................................
................................
................................
................................
................................
red. Hoi
....................
....................
.....................
.....................
.....................
Width:
Length:
What is the square footage of
the sign face/
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relolcation
Fire Safe#y
Previous address
Fire Sprinkler
Tent
Paint booth _ Fire Alarm _ Fireworks display
VALUE
Contractor
Contractor
1
A State Contractor license #
Mailing address
WA State Contractor license #
Mailing address
Fu.
orage Tan
5wtmming roo
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
Site Plan
INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
O Distances from center of roads, right of ways,
private roads & property lines
O All existing & proposed buildings
❑ Underground utilities
O North arrow
0 Septic tanks & wells
EXISTING
HOUSE
2 .7()'/_od
PROPOSED ADDITIO
KEN GRCH RESIDE C
SCALE: 1
/
/ EXISTING
DRI VEWA
REFERENCE
NORTH
P �o
/
Y
u ss:5. /%I1
ONE:
\__\/; ROAD WIDTH:
FRONT.
� COMMENTS:
�/ REVIEWED BY.
/
D I�