2000, 09-21 Permit App 00008494 AdditionProject Number: 00008494 Inv: 1
Application
Date: 09/21/2000 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 10 X 16 RESIDENCE ADDITION
Setbacks: Front NA Left: 20+ Right: 20+ Rear: 30+
Site Information:
Plat Key: 001296 Name: ILLER 1ST ADD
Parcel Number: 44051.1703 Block:
SiteAddress: 10518 E FERRET DR
GREENACRES, WA 99016
Location:: GRE
Zoning: SR-1
Water District:
Area:
Suburban Residential 1
0 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department Review
BUILDING Site Plan Review
Hold Reasons:
Permit Conditions:
BUILDING Plan Review
Hold Reasons:
Permit Conditions:
HEALTHDISTRICT Septic System Review
Hold Reasons:
Permit Conditions:
Permits:
Contact: PACIFIC NORTHWEST CONSTRUCTIO
Address: 4121 N GLENN RD
C - S - Z: SPOKANE, WA 99206
Phone: (509) 921-1601
Group Name:
Project Name:
District: F
Lot:
Owner: Name: KUNIN, STEPHEN & SUSAN
Address: 10518 E FERRET DR
GREENACRES, WA 99016
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released By: e,1 Qh q - - 06
Released By:
Released By:
tpL40,$
Project Number: 00008494 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/21/2000 Page 2 of 2
Building Permit
Contractor: PACIFIC NORTHWEST Firm: PACIFIC NORTHWEST CONSTRU
Address: 4121 E GLENN RD Phone: (509) 921-1601
SPOKANE, WA 99206
Building Characteristics
Const Category: Addition Group: R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories: 1
Bldg W x D: 10 x 16 Building Sq Ft: 160 Sprinklers:
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sci Ft Valuation Su Ft Valuation
RES ADD R-3 VN 160 $9,920.00 160 $9,920.00
Totals: 160 $9,920.00 160 $9,920.00 •
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Plumbing Permit
Contractor:. JERRY'S PLUMBING Firm: JERRY'S PLUMBING
Address: 14414 E MAIN AVE Phone: (509) 926-5610
SPOKANE, WA 99216
Fee Amount
$163.00
$4.50
$35.86
Item Description
SINKS
MINIMUM FEE ADJUSTMENT
Payment Summary:
Operator: CKF
Permit Type
Building Permit
Plumbing Permit
Notes: _.
Units Unit Desc
1 NUMBER OF
1 Select
Printed By: CKF
Fee Amount
$203.36
$35.00
$238.36
Permit Total Fees:
$203.36
Fee Amount
$6.00
$29.00
$35.00
Print Date: 09/21/2000
Invoice Amount
$203.36
$35.00
$238.36
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$203.36
$35.00
$238.36
! l
SPOKA4 COUNTY
/
Project Description: SOU
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
E OF APPLICATION
fl Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
SPECIFIC SITE INFORMATION
Street Address:
1 DS 1 Eccsr (—�rre. isJr.
Assessor's Tax Parcel Number(s): cam'
Legal Description:
Department Use Only
Water District/Purveyor:
Sewer District/Purveyor
Road width
Setbacks
Front: Rear:
Left: Right:
School District:
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted reeardinQ this proiect
❑`Owner: Phone:O, 1 - ct �c- -(,t,
J-t- f% - -ln- 1, K_t s911K.._ Fax: Q1-11 - a3c0.-_
❑ Applicant:
Phone:
Fax:
Mailing Address:
1051 VS. ►-4,cet as.
Mailing Address:
City, State, Zip
City, State, Zip
Contractoro� e(ex�- `, (Jan1�,5 Phone C�1. t( -
❑ (r
t 0..L41. cG at .rn� C170,i 5<rU, Fax C (^ le) ' q
❑ Architect/Engineer
Phone
Fax
Mailing address
14t2- t vac- b(-ems..- .
Mailing address
City, State Zip
41 1 QQ2-(a)1
City, State Zip
r WA State Con t acttoor license +¢
\fk4kt$ACr� \2 cE
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
4" 1
# of stor es
Main floor sq. ft.
u.,c) Ste, '
Unfinished basement sq. ft.
)
Dimensions
1&'Xctb'
Total habitable space
1Gb..�fr•
2"d floor sq. ft.
Finished basement sq. ft.
Occupant roup
Construction type „
ULagf�
Garage sq. ft.
Deck sq. ft.
Cost of prole
yC
Heat source (electric, gas, etc. )
Manufactured Home ' '
Sign;,
Width:
Length:
1 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
Proposed use
V
Paint b
Fire Sprinkler
Fire Alarm
Tent
Fireworks display
Special Inspections Required?
Non- esidential Energy Code Compliance?
Firm Name
Phone
flans Examiner
Phone
Inspectors:
Address
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ITIONAL SITE INFORMATION
Are there structures on the property? Ts O No
If yes, identi on site lan
What is the current property size? C ?
(square feet or acres) ,
Is any part of the property within 250 feet of a shoreline??
If yes, identify on site plan O Yes o
What is the current use of this property? "—��
c=xR—
Is your property in a designated wildlife habitat areas? �
O Don't know O Yes iIVo
Will the site be served by a septic system? O es o
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
O Maybe O Don't know 0 Yes 1.1-1V
Are or will there be wells located on the property?
If yes, identify on the site plan O Yes Li'
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan 0 Yes ArNo
Is there evidence of fill or excavation on the property?
0 Yes cfricrir
Are there slopes greater than 30% on the property? (30 ft
( / %) O Yes o
0 ft)
Are critical or hazardous materials used or stored on site?
O Yes PJ'
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
0Yes 0No
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA?
0 Yes
OYes
0 No
ONo
Is public water available to the site? 0 Yes 0 No
Is the property inside the PSSA?
0 Yes
0 No
Is the property Located within 1000 feet of a Natural Resource Area?
O Yes D No
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
❑ CASH ❑ CHECK ❑
❑ ❑
OIICSVEkk
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE:
BANKCARD NUMBER:
EXPIRES:
AUTHORIZED SIGNATURE:
SUBTOTAL
TOTAL FEE
MINIMUM PERMTF FEE IS S35.00 PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
COUNTY PERMIT CF.NCFR
Silo lak%_
.c K
This site plan is being submitted for tt,e purpose of
obtaining a bai d,ng permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines. structures and easements
have been identified Also indicated are wetlands,
o water. steep slopes or Other-srittcal areas.
Signed:
r‘i
tZ—I0KNin+s.
f
DRESSIO0
ROAD 'MD -Fa i.
FRONT _,_Fi INKING
COMME TS __
RFVTFWFI`r
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