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2001, 10-11 Permit App 01008992 Relocate Res on Crawl SpaceProject Number: 01008992 Inv: 1 Application THIS IS NOT,A PERMIT Penalties will be assessed tor commencing work without a permit Project Information: Permit Use: RES ADD - RELOCATE RESIDENCE ON CRAWL Contact: SORAYA HANSON SPACE Address: 19115 E BUCKEYE C - S - Z: OTIS ORCHARDS WA 99027 Setbacks: Front 33.2 Left: 19 Right: 35 Rear: 106 Phone: (509) 927-4417 Group Name: Site Information: Project Name: Plat Key: 002748 Name: VERA Parcel Number: 45154.1314 Block: SiteAddress: 321 N EVERGREEN RD SPOKANE, WA USA 99216 Location:: SPO Zoning: UR-3.5 Water District: Area: 17,889 Sq Ft Urban Residential 3.5 Lot: District: F Owner: Name: SOUALA, AICHA Address: 321 N EVERGREEN RD SPOKANE, WA 99216-0855 Hold: ❑ Width: 105 Depth: 172 Right Of Way (ft): 99 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Plan Review Septic 5 tem Review Permits. Released$.}:... Released By: 0-6 Date: 10/11/01 Page 1 of 2 tblfflENAGNEEME Operator: JAS Printed By: JAS Print Date: 10/11/01 Project Number: 01008992 Inv: 1 Application THIS IS NOT AXERMIT Penalties will be assessed for commencing work without a permit Building Permit Date: 10/11/01 Page 2 of 2 Contractor: CRETE MASTERS FOUNDATIONS Firm: CRETE MASTERS FOUNDATIONS Address: 203 N EVERGREEN Phone: (509) 926-8799 SPOKANE WA 99216 Building Characteristics Const Category: Addition Group: R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: Stories: 1 Bldg W x D: x Building Sq Ft: 1619 Sprinklers: ❑ Reg Parking: Handicap Parking: Critical Materials: El This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Su Ft Valuation FOUNDATION R-3 VN 1,619 $3,238.00 1,619 $3,238.00 Totals: 1,619 $3,238.00 1,619 $3,238.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $88.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $19.36 Permit Total Fees: $111.86 Relocation Permit Contractor: CATLOW PROF MOVERS INC Firm: CRAIG CATLOW PROF MOVERS Address: 1625 S RIDGEMONT DR Phone: (509) 922-2229 VERADALE, WA 99037 Item Description Units Unit Desc Fee Amount RELOCATION INSPECTION 1 NUMBER OF $50.00 Permit Total Fees: $50.00 Notes: Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $111.86 $111.86 $0.00 $111.86 Relocation Permit $50.00 $50.00 $0.00 $50.00 $161.86 $161.86 $0.00 $161.86 .,711111 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 complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the provisions ofthg code or of any other state or local laws or ordinances. Signature: Operator: JAS Printed By: JAS Print Date: 10/11/01 Project Number: 01008992 Inv: 1 Application THIS IS NOT A PERMIT . • Penalties will be assessed Sr commencing work without a permit Project Information: Permit Use: RES ADD - RELOCATE RESIDENCE ON CRAWL SPACE Setbacks: Front 33.2 Left: 19 Right: 35 Rear: 106 Site Information: Plat Key: 002748 Name: VERA Date: 10/11/01 Page 1 of 2 ' -747SEnt,,, Contact: SORAYA HANSON Address: 19115 E BUCKEYE C - S - Z: OTIS ORCHARDS WA 99027 Phone: (509) 927-4417 Group Name: Project Name: " . . District: F Parcel Number: 45154.1314 Block: Lot: SiteAddress: 321 N EVERGREEN RD Owner: Name: SOUALA, AICHA SPOKANE, WA USA 99216 Address: 321 N EVERGREEN RD Location:: SPO SPOKANE, WA 99216-0855 Zoning: UR-3.5 Water District: Urban Residential 3.5 Hold: 111 Area: 17,889 Sq Ft Width: 105 Depth: 172 Right Of Way (ft): 99 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released By: 1\ / Plan Review Septic S tem Review Permits. Released Dy• /TG7 1 [Released By: Cdr. Operator: JAS Printed By: JAS Print Date: 10/11/01 PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DI\ISION OF BUILDING & CODE ENFORCEMENT ] 026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPOKANE COUNT Y Street Address: E 1 goo 9 IC SITE INFORMATION Assessor's Tax Parcel Number(s): Legal Description: Project Description: at! C:C��_2 INf Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Homc Permit Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other Depaiiiiient Use Only Water District/Purveyor. Sewer District/Purveyor Road width Setbacks Front Rcar Left: Hight- School District Fire District: Zoning OWNER/APPLICANT INFORMATION Gn sGorrld lie , nntu fed n cumin r this j'rnja7 ❑ C.hener. Phone: [ 'i.7„(14 17, L G4 ca Q "-L � Fax: [ p/ ❑ Applicant: /� '�% Phone: ]. SO %e 7 4L �- 4173.0K., Fax: `1v l 1411 / 9- . er dr , • a / e t,*cc/v._, Mailing Address: ( > 4 I P 5 city, State, hp -5Ia,,D A 4J 4 9 V �� 6 Cin•, State, , 0 i s Ore r ir` a S, GO A ' d t42 El Con t , r I t ` &4_, PI""". I.:,. 9 2 ' `r' do D' ❑ Architect/ I'.ngineer Phone I:a. Mailing address Mailing address City, State Zip City, State Zip WA State Contractor license # Contact name: PROTECT INFORMATION Building Information Building height to peak # of stories Main floor sq. ft. Unfinished basement sq. fr. Dimensions Total habitable space 2"a floor sq. ft. Finished basement sq. ft. Occupancy group Construction type Garage sq. ft. Deck sq. ft. Cost of project I !eat source (electric, gas, etc.) Manufactured Home Sign Width: Length: What is the syuarc footage of the sign (.ice? flow high is the sign? Year: Make: + of sans Area of existing signs Relocation I'ire Safety Previous address Fire Sprinkler Tent Paint booth _ Fire Alarm Fireworks display _ Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Firm Name Phone Plans I ixarniner Phone Inspectors: Address Inspector Phone ❑ Concrete ❑ Welding 0 Bolting 0 Reinforcement Nddress ADDITIONAL SITE INFORMATION Are there structures on the property? 0 Yes 0 No Ifyes, identify on site plan What is the current property sire? (square feet or acres) Is any part of the property within 250 feet of a shoreline? Ifyes, identify on site plan 0 Ycs 0 No What is the current use of this property? Is your property in a designated wildlife habitat area? 0 Don't know 0 Ycs 0 No Will the site be served by a septic system? 0 Ycs ❑ No Is any part of the property within a 100 yr flood plain? 1 Eyes, ident6, on, site plan, 0 Maybe 0 Don't know 0 Ycs 0 No Arc or will there be wells located on the property? Ifyes, identify on the site plan 0 Yes 0 No Are there any wetlands, streams or ponds within 200 feet of the property? Ilya, idenigy on site plan 0 Ycs 0 No Is there evidence of fill or excavation on the property? 0 Ycs 0 No .1re there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( - %) 0 Ycs 0 No ..1re critical or hazardous materials used or stored on site? 0 Ycs 0 No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? ❑ Ycs ❑ No Is public sewer available to the site? 0 Ycs 0 No Is the property inside the ASA? 0 Yes 0 No ❑Ycs 0 No Is public water available to the site? 0 Yes 0 No Is the property inside the PSSA? 0 Ycs 0 No Is the property located within 1000 feet of a Natural Resource Area? ❑ Yes ❑ No Date Received: Staff Representative: METHOD OF PAYMENT 0 CASII ❑ CIIISCK ❑ VISA 'JOINER FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD I ,;K PI RI iS: B:1NKC:1Rl) NUMBIiR: AV Fl IOR1ZEll SI(lN:VlURl SUB'I'O'I'AJ. TOTAL FEE MINIMUM PERMIT FEE IS $ rx Aj PLEASE MAKE CI IECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER Fact Sheet for Property Number 45154.1314 Data As of 10/6/01 Reportl Site Address 321 N EVERGREEN RD TCA 1400 Parcel Status Active Owner SOUALA, AICHA Taxpayer SOUALA, AICHA Owner 321 N EVERGREEN RD Taxpayer 321 N EVERGREEN RD Address Address SPOKANE, WA 99216-0855 SPOKANE, WA 99216-0855 2000 Market Values Acreage Land 16700 Exempt 55500 Land Sq Feet 17889 Value Impvmts 38800 Personal 0 Current Use Code 11 Single Unit g Total Value 55500 Property Active Exemption Senior/Disabled Level C Legal Description VERA ADD N105FT OF E1/2 OF BLK 123 EXC W130FT THEREOF AND EXC CO. RD Sales Sale Date 11/27/1998 I, 03/02/2000 02/23/2000 02/13/1999 Sale Price $65,500.00 $0.00 $0.00 $0.00 Sale Instrument Special Warranty Deed Statutory Warranty Deed Statutory Warranty Deed Quit Claim Deed Sales History (prior to 1999) Sale Date 02/13/1999 11/27/1998 03/20/1998 03/20/1998 10/25/1996 11/01/1990 Sale Price Sale Instrument $0.00 $65,500.00 $52,479.00 $52,479.00 $72,000.00 $34,900.00 Improvements QUITCLAIM DEED WARRANTY DEED TRUSTEE'S DEED WARRANTY DEED WARRANTY DEED WARRANTY DEED Excise Number 980018275 200103361 200002680 990003765 Qualified/ Unqualified Unqualified Unqualified Qualified Qualified Unqualified Qualified Improvement ID Improvement Type Improvement Description Page 1 of 2 Vacant/ Improved Improved Improved Improved Improved Improved Improved Transfer RESIDENTIAL RESIDENTIAL RESIDENTIAL RESIDENTIAL RESIDENTIAL NORMAL SALE Year Built Size Verification UNKNOWN UNKNOWN UNKNOWN UNKNOWN UNKNOWN VERIFIED Unit of Measure Report Date Thursday, October 11, 2001 Fact Sheet for Property Number 45154.1314 Data As of 10/6/01 Reportl 01 02 Page 2 of 2 Other Residential Detached Garage 1943 280 SF Other Residential Detached Garage 1963 500 SF Dwelling Dwelling 1943 628 SF Report Date Thursday, October 11, 2001 a cej /157.59. 8/4 - .41111b SctaJa AJ. 3,W t-terp-eei,_ 4/00k_y / ”c)/C Fa2 — 41z/0- r-) eO i ‘ti. ‘0011 4 . a oiled _ bc6kkeditY 1\ e9 it,•A '' ' _ , „ -It 06t vat 811 000 ploperti Wtk\tihki\ ‘10 0',, Vizsli\., d easerrert 400004$ 4.33' ntis. 3024' /1/ 4/8,i/ itleo gaeid:///6„. ce,_c___L/8-Lc4tstd_ ez.,c 1-P/51V tk,)