2001, 08-15 Permit App 01006537 GarageProject Number: 01006537 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DETACHED GARAGE
Setbacks: Front 111 Left: 12 Right: 28 Rear: 12
Site Information:
Plat Key: 000650 Name: DORN'S ADD
Parcel Number: 45182.0707
Date: 8/15/01 Page 1 of 2
Contact: NANCE, GARY
Address: 1104 N DORN CT
C - S - Z: SPOKANE, WA 99212
Phone: (509) 928-2849
Group Name:
Project Name:
District:
Block:
SiteAddress: 1104 N DORN CT
SPOKANE, WA 99212
Location:: SPO
Zoning: UR-3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: NANCE, GARY
Address: 1104 N DORN CT
SPOKANE, WA 99212
Hold: O
Area: 0 Sq Ft Width: 76 Depth: 155 Right Of Way (ft): 50
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
Permits:
Review
Site Plan Review
Released By:
Plan Review
Released By:
Project Number: 01006537
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: 1
Contractor: OWNER
Address: 0
000000, 00 000000
Const Category: New
Nbr Of Dwellings:
Bldg W x D: 32 x
Req Parking:
Building Permit
Date: 8/15/01 Page 2 of 2
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Group: U-1 Type: VN
Occupant Load:
36 Building Sq Ft:
Handicap Parking:
Description Grp Type Notes
STORAGE U-1 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Payment Summary:
Operator: DMD
Permit Type
Building Permit
Notes:
Building Height: 21 Stories: 1
1152 Sprinklers: ❑
Critical Materials: 0
This Application: Total Project:
Sq Ft Valuation Si Ft Valuation
1,152 $13,824.00 1,152 $13,824.00
Totals: 1,152 $13,824.00 1,152 $13,824.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Printed By: CKF Print Date:
Fee Amount
$264.35
Invoice Amount
$264.35
Fee Amount
$213.00
$4.50
$46.86
Amount Paid
$0.00
$264.35
$264.35 $0.00
$264.36
8/15/01
Amount Owing
$264.35
$264.35
iiidc
Attliiii
ri
SPOKA4 COUNTY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address:
A.
Assessor's Tax Parcel Number(s):
m.
Legal Description: p i- 6 TA Siv `$ i
rear -elf A Volhote , of 'I 164.
:
At
Project Description: /3c i J 1 a 3 6'( 32' l e r o l C
® Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
O Sign
O Tenant (New/Change)
O Other
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OWNER/APPLICANT INFORMATION
El Indicate who should be contacted refardinp this project
❑ Owner:
1. - Phone: ? 8 _ 2 641
63 4.0 -i? - 7 z.R3
Fax:
0 Applicant:
Phone:
Fax:
Mailing Address:
! ! } "I /d ..
Mailing Address:
City, State, Zip
City, State, Zip
0 Contractor
Phone
Fax
0 Architect/Engineer
Phone
Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
WA State Contractor license #
Contact name:
PROJECT INFORMATION
Building height to peak
s s/
Dimensions
310 k3 2
Occupancy group
Cost of project
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Total habitable space
Construction type
Po
2nd floor sq. ft.
Garage sq. ft_
1/S2.
Heat source (electric, gas, etc)
Finished basement sq. ft.
Deck sq. ft.
!Mann fact reel ,Hom
Sign
Widt h:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs
Area of existing signs
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
Proposed use
Value
Special
Ions Required?
on Residential.
ner
?.Code
om
Firm Name
Phone
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
D Concrete O Welding O Bolting 0 Reinforcement
Address
ADDITIONAL SITE INFORMATION .
Are there structures on the property? IP Yes 0 No
If yes, identify on site plan
What is the current property size?
(square feet or acres) /) 7 S •' .' I''
Is any part of the property within 250 feet of a shoreline?
If yes, identi& on site plan CIYes ® No
What is the current use o this property?
S > 7 41— d e- / my
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes IN No
Will the site be served by a septic system? 0 Yes Ill No /
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
0 Maybe ® Don't know 0 Yes 0 No
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes @ No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If ye , identify on site plan 0 Yes GI No
Is there evidence of fill or excavation on the property?
0 Yes Oil No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( / %) 0 Yes Iiii No
Are critical or hazardous materials used or stored on site?
O Yes ® No
DEPARTMENT USE ONLY
GIs"the property in a designated Stormwater Control r\rea?
is the property-tnstue rile ASA?
Is the e operty`inside the PSSA`?
METHOD OF PAYMENT
C Yes C
DYes
Yes
�fl
is sewer ad atlahle t.
r Yes Ti No rs i_u ''o icrty ocated within 1000leer of a Na ival"Reseurcfe
EJ Yes
S ff Representative
VISA
❑ CASH ❑ CHECK ❑MEM ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE:
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT' FEE IS $35.00 I'1."EAS P,
MAEE.CHECKS PAYABLE TO SPOKANE
COUNTY PEKhIIT CENTER
ADDRESS U—,( &
�t J ZONE
V ROAD WIDTH
FRONT — : LANIUNG
COMMENTS
REVIEWED BY 1 Z JV
M j 7
S. y`
1�
,
This s'te ;lar, is being submitted for :he pul,ose of
obtaining a building permit and is a true and correct
1 ' representation of the proposal. All known property
N
lines/dimensions, curb Imes, structures and easements
Q have been identified. Also indicated are wetlands,
bodies of wa steep sl or other critical areas.
Signed.
Dar. i� OI