2001, 09-06 Permit App 01007596 ShopProject Number: 01007596
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: 1
Project Information:
Permit Use: SHOP (30 X 40 X 8/REPLACEMENT)
Setbacks: Front 92
Site Information:
Plat Key: 001038 Name:
Right: 48 Rear:
GRANDVIEW ACRES
Date: 9/6/01 Page 1 of 2
Contact: NORWICK, T J & M
Address: 11101 E EMPIRE AVE
C - S - Z: SPOKANE, WA 99206-4569
Phone: (509) 927-0312
Group Name:
Project Name:
District: H
Parcel Number: 45043.0706
Block: 4
SiteAddress: 11101 E EMPIRE AVE
SPOKANE, WA USA 99206
Location:: SPO
Zoning: UR-3.5
Water District:
Area: 20,480 Sq Ft
Nbr of Bldgs: 2
Review Information:
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
ittPermit . onditi
i,t,
ALT i'IISTI1ICT
Hold Reasons:
Permit Conditions:
PLANNING
Hold Reasons:
Permit Conditions:
Permits:
Urban Residential 3.5
Width: 64
Nbr of Dwellings: 1
Review
Site Plan Review
Lot:
Owner: Name: NORWICK, T J & M
Address: 11101 E EMPIRE AVE
SPOKANE, WA 99206-4569
(104 E ci&np
Plan Review
Septic ystem Review
Landuse/Zonin
L,`/I�rL.2�1 L
Ltd LisL MILA+
B't �{
Hold: ❑
Depth: 320 Right Of Way (ft): 40
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Released By: * (A/ 6
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Project Number: 01007596 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/6/01 Page 2 of 2
Building Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000, 00 000000
Building Characteristics
Const Category: New Group: U-1 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: 12 Stories: 1
Bldg W x D: 30 x 40 Building Sq Ft: 1200 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application:
Description Grn Type Notes Sq Ft Valuation
GARAGE U-1 VN 1,200 $14,400.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Payment Summary:
Operator: JAS
Permit Type
Building Permit
Notes:
Totals: 1,200 $14,400.00
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
$279.61 $279.61
Total Project:
Sq Ft Valuation
1,200 $14,400.00
1,200 $14,400.00
Fee Amount
$225.50
$4.50
$49.61
Amount Paid
$0.00
$279.61
9/6/01
Amount Owing
$279.61
$279.61 $279.61 $0.00 $279.61
-474A1
SoxSPoKANE CoUKTY
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:
- i r)
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: [` 1&--e- e- O `A G.a-. 1-A 9 e ) L,3 c9k r�
Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
Water District/Purveyor.
. Sewer District/Purveyor
Road width
Setbacks.
Front Rear
Left Right:
School District
Fire District
Zoning
OWNER/APPLICANT INFORMATION
0 Indicate who should he con/acted rnwrdim this project
Owner. PhonC:of. 7 - 03t Z
\ &
I1 Mn ')' Ala-1/4, 717. Fax:
❑ Applicant:
Phone:
Fax:
o
Mailing Address: `
11(nI q--wc); re e
Mailing Address:
City, State, Zip
o1".e l)A 99z-c,t
City, State, Zip
in Contractor Phone
Fax
❑ Architect/Engineer
Phone
Fax
Mailing address 1
+l , fell,/ C ort.e___La
Mailing address
City, State Zip
r�
City, State Zip
WA State Contractor license # fed ke ic:9 °A `
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
/a
# of stories
l
Main floor sq. ft.
/a0to
Unfinished basement sq. ft.
Dimensions
3oX40
Total habitable space
2"1 floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type py
on
\ 6\42- tAn ti. \ t•-Lq`
Garage sq. ft.
Deck sq. fr.
Cost of project
1-I cat source (electric, gas, etc.)
AJD 12/_
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
Fire Safety
Previous address
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
_
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Finn Name
Phone
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? IT Yes O No
Ifyes, ideate on site plan
What is the current property size?
(square feet or acres) / 11 e 2e_
Is any part of the property within 250 feet of a shoreline?
I/ys, identif, on site plan O Ycs Ft. No
What is the current use of this proper r?
f?....e 5 c t
Is your property in a designated wildlife habitat area?
O Don't know O Yes 1:21-No
Will the site be served by a septic system? O Yes sa No
Is any part of the property within a 100 yr flood plain?
If yes, identi� On site plan
O Maybe 0 Don't know 0 Ycs No
Arc or will there be wells located on the property?
Ifyer, identi' on the site plat O Yes 1, No
Are there any wetlands, streams or ponds within 200 feet of the property?
If ye., ideate on site plan 0 Ycs No
Is there evidence of fill or excavation on the property?
0 Yes No
Are there slopes greater than 30% o on the property? (30 ft rise in 100 ft)
( 0/0 0 Yes 'AEI No
Arc critical or hazardous materials used or stored on site?
0 Yes ig3No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
No
O Yes)(
Is public sewer available to the site? 0 Yes I<No
Is the property inside the ASA? Yes 0 No
Yes O No
Is public water available to the site? >Cf Yes 0 No
Is the property inside the PSSA? Yes 0 No
Is the pre De r located within 1000 feet of a Natural Resource Area?
0 Yes k: No
Date Reeei . . 6, D
Staff Repre e we: 7
i t\`
METHOD OF PAYMENT
VISA
❑ CASH ❑ CHECK ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE:
EXPIRES:
BANKC:ARD NUMBER:
R:
AUTIIORIZED SIGNATURE:
SUBTOTAL
•
TOTAL FEE
" MINIMUM PERMIT FEE IS$3S.00
PLEASE MAKE CHECKS PAYABLE TO
SPOK NE cOuNTV PERMJT CENTER
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