2001, 08-02 Permit App 01006377 Pole BldgProject Number: 01006377 Inv: 1
Application
Date: 8/2/2001 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 40 X 60 POLE BUILDING FOR STORAGE
Setbacks: Front 60 Left: 64 Right: 12 Rear: 99
Site Information:
.....................................
Plat Key: 002748 Name: VERA
Contact: COVEY, MICHAEL L
Address: 119 N FLORA RD
C - S - Z: GREENACRES, WA 99016-9527
Phone: (509) 921-7736
Group Name:
Project Name:
District: F
Parcel Number: 45134.1775 Block:
SiteAddress: 119 N FLORA RD
GREENACRES, WA USA 99016
Location:: GRE
Zoning: B-2 Community Business
Water District:
Area: 39,225 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: :.
Lot:
Owner: Name: COVEY, MICHAEL L
Address: 119 N FLORA RD
GREENACRES, WA 99016-952
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Department Review
BUILDING Site Plan Review Released By: j 1
`
Hold Reasons: \[�'_ ate)
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
HEALTHDISTRICT
Hold Reasons:
Permit Conditions:
PLANNING
Permit Conditions:
Septic System Review
Released By:
Landuse/Zoning Released By:
CA ppkt,lstb,V OF Ok -�,t4iivy
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Project Number: 01006377 Inv: 1
r
Application
Date: 8/2/2001 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000,00 000000
Const Category: New
Nbr Of Dwellings:
Bldg W x D: 40 x
Req Parking:
Building Characteristics
Group: U-1 Type: VN
1 Occupant Load: 0 Building Height: 21
60 Building Sq Ft: 2400 Sprinklers:
0 Critical Materials:
0 Handicap Parking:
Stories: 1
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Su Ft Valuation
GARAGE U-1 VN 2,400 $28,800.00 2,400 $28,800.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Payment Summary:
Operator: R M B
Permit Type
Building Permit
Totals: 2,400 $28,800.00 2,400 $28,800.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Printed By: RMB
Fee Amount
$388.00
$4.50
$85.36
Permit Total Fees: $477.86
Print Date: 8/2/2001
Fee Amount Invoice Amount Amount Paid Amount Owing
$477.86 $477.86
$0.00 $477.86
$477.86 $477.86 $0.00 $477.86
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: /U, / I Tiara R1
Greenacres 04-
Assessors Tax Parcel Number(s): 17 3 Y r / 7 7 5
Legal Description: Vero. Traci- j( Ea$+ Except AtarTH 47fce4 aAI EXCept Scefk /goCert (Ike( CACeprHcrfilLCtt'tef if
Saul-h q9L. ` rev& OC £ sf Moic?et 5'.'tuated ,a Cfaka* e co, 5f o_4eof Oa
Project Description: "/O X 40 Zie 1Bcz t iral, n9
® Building Permit
O Change in Use
CI Grading
O Manufactured Home Permit
O Relocation
O Sign
0 Tenant (New/Change)
O 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
14 Owner.
771, cha e/Cm/ay
Phone: (SQf) 9a/- 773(v
Fax:
® Applicant:
7"1;'10 e l CO ✓ e '
Phone: (szi?) 921-7736'
i :,.
Mailing Address:
N. //9 Fora
Rri,
Mailing Address:
il%. /I9 Flora A,i
City, State, Zip
City, State, Zip
0 Contractor
Phone
❑ Architect/Engineer
Ph,mc
.1.
Mailing address
Mailing address
City, State Zip
City, State Zip
WA State Contractor license #
Contact name:
Building Information
Building height to peak
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
Total habitable space
2..1 floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
I leaf source (electric, gas, etc.)
Manufactured Home
Sip
\\ hlih:
Length:
What is the square footage of the sign
face?
I low high is the sign?
s.,,,,.
Make:
# of signs
Area of existing signs
Relocation
Fire 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
flans I -:x:nnincr
Phone
Inspectors:
\ddress
Inspector
Phone
❑ Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
Ly v
Are there structures on the property? IA Yes 0 No __ VWhat
Ifyes, identify on site plan
is the current property size?
(square feet or acres) 37 f 00 S„ rF ap9 coy kd of 'Acre
Is any part of the property within 250 feet of a shoreline?
Ifyes, ident6, on site plan ❑ Yes ® No
What is the current use of this property?
S', nail e . fam i it ► ; d ext I 1 a 1
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes $I No
Will the site be served bSr a septic system? Yes 0 No
Is any part of the property within a 100 yr flood plain?
Ifyes, identify on site plan
❑ Maybe NI Don't know 0 Yes 0 No
Are or will there be wells located on the property?
Ifyes, bient6, on the site plan ❑ Yes ® No
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, identify on site plan 0 Yes 18 No
Is there evidence of fill or excavation on the property?
0 Yes ,® No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( l °A)) 0 Yes ® No
Are critical or hazardous materials used or stored on site?
0 Yes ® No
the property in a designated Stormwater Control Area?
❑Yes
A. y.
Ly I ya .M.Is
❑No
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA? 0 Yes
❑Yes
0 No
❑No
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?
❑Yes ❑No
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
0 CASII 0 CHECK ❑ .� ❑ S ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: 1•:xPIRI S:
BANKCARD NUMBER:
AUTHORIZED SIGNATURI:
SttBIOTA]
.
TOTAL FEE
MINIMUM PERMIT FEE IS $35.00PLEASE
M.' ECIIECKSPAYAISLETOSPOKANE
COI'ti lY PERMIT CEN°FER
Parcel: 45134.1775
Owner: COVEY, MICHAEL L
CoOwner:
Owner Address
119 N FLORA RD GREENACRES WA 99016-9527 USA
Site Address
119 N FLORA RD GREENACRES
Legal Description
VERA TR 16 E1/2 EXC N67FT & EXC S420FT & EXC N6OFT OF
S496
.6FT OF
E120FT
1
41134 0729 44134.072745134.0836 1
5134102
5134 1014 134.401
134.1671
45241.9008
5134 167
45p3 45 34 045 04 09064.0
4.1015
45134.0905
5134.1776 4
4164 4 13417
45241 9147
41"14HMV,
45134.0901
45134.0902
45134 0911
45134 0912
45134.0910
45134.0909
45134 0908
134.17
8
45134.1774
5134.177
45241.9105
45134.1773
4
4
241.90
24190
183.0817
183.081
183.081
5192 905
183.081
5183 082
55192 9058
55192 9060
183.08
183.08
55183 0838
5192 905
1£
192.901
92.00
Notice: This is not a legal document. Data depicted on this map is general & subject to constant revision. It is intended
for reference use only. Legal documents should be obtained from the appropriate agency.
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ROAD M�,ENiS
REVIEWED 8Y
This site plan is being submitted for the purpose of
obtaining a building 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,
bodies of water, steep slopes or other critical areas.
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