1997, 10-23 Permit App 97008791 Remodel, AdditionPROJECT NUMBER= 97008791
PROJECT NUMBER= 97008791
APPLICATION DATE= 10/23/97 PAGE= 01
APPLICATION DATE= 10/23/97 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 2019 N FLORA RD
ADDRESS= GREENACRES WA 99016
PERMIT USE= RESIDENTIAL REMODEL
PLAT#=
BLOCK=
AREA=
# OF BLDGS=
002045
14
00000000
1
PLAT NAME=
LOT=
F/A=
DWELLINGS=
OWNER= HALL, MATTIE
STREET= 2103 N FLORA RD
ADDRESS= GREENACRES WA 99016
CONTACT NAME= MATTIE HALL
BUILDING SETBACKS: FRONT= NA
PARCEL#= 45124.0107
& ADDITION / REMAINING 2 BEDROOMS
PLAT"A" GREENACRES IRR.DISTRIC
ZONE= UR 3.5 DIST#= G
F WIDTH= 130 DEPTH= 225 R/W= 60
1 WATER DIST = CONSOLIDATED IRRG #1
PHONE= 509 924 7107
PHONE NUMBER= 509 244 4885
LEFT= 32 RIGHT= NA REAR= 50
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
/0 - z 3-c?
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
1 OCCUP. LD=
X _ SQ FT=
#HANDICAP=
DESCRIPTION GROUP TYPE
REMODEL
RES ADD
R-3 VN
R-3 VN
ITEM DESCRIPTION
RESIDENTIAL VALUATION
RESIDENTIAL SURCHARGE
STATE SURCHARGE
PHONE=
ADDITION= X CHANGE OF USE=
BLDG HGT= 12 STORIES= 1
SPRINKLER= N
CRITICAL MAT= N
SQ FT VALUATION
133
16000.00
7847.00
QUANTITY FEE AMOUNT
Y
Y
Y
338.00
74.36
4.50
PROJECT NUMBER= 97008791 APPLICATION DATE= 10/23/97 PAGE= 02
******************************* MECHANICAL PERMIT***********
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
GAS APPLIANCE<=100,000BTU 1 12.00
CLOTHES DRYER 1 10.00
GAS WATER HEATER 1 10.00
GAS PIPING 2 2.00
VENTILATING FANS 2 20.00
HOOD -TYPE II 1 10.00
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
TOILETS/BIDETS 2 12.00
TUBS 1 6.00
SHOWERS 1 6.00
SINKS 3 18.00
DISH WASHERS 1 6.00
CLOTHES WASHER 1 6.00
WATER PIPING - DWV 1 6.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT
MECHANICAL PRMT
PLUMBING PERMIT
416.86
64.00
60.00
540.86
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
. 00 416.86
. 00 64.00
.00 60.00
.00 540.86
******************************** THANK YOU ************************************
APPLICATION INFORMATION
What is the JOB SITE address?
-'10r-6 /.
Legal description as it appears on the property deed
ASSESSORS tax parcel number?
OWNER or OCCUPANT
Mailing addre s
f. 1 CpGrr-11 O .
Who should we contact regarding this project?
a: a m b1rA (k k
Phone
City, state Zip
H L LaKc 9 901 9
Phone
1 ))any Legs_
What work is being done under/his permit?
f70us e ?n e o
y
Y
Contractor
WA State Contractor license #
Mailing address
Architect/Engineer
What is the heat source?
Building height
Dimensions
Main floor area
2nd floor area
Garage area
What is the cost of your project?
# of stories
TOTAL SQUARE FOOTAGE
Unfinished basement area
Finished basement area
Size of decks, etc.
Manufactured Home
Width:
Length:
year:
Make:
Installer
Wa State Contractor license #
Mailing address
Sian
What is the square footage of
the sign face?
How high is the sign?
Contractor
Wa State Contractor license #
Mailing address
Relocation
Previous address
Contractor
WA State Contractor license #
Mailing address
Fire 'Safety
Fire Sprinkler
Tent
Paint booth _ Fire Alarm Fireworks display
VALUE
Contractor
WA State Contractor license #
Mailing address
Fuel Storage Tanks
Contents of tank(s)
Size / gallons
ontractor
Wa State Contractor license #
Mailing address
Size / gallons
Private
Public/semi-private
Contractor
WA State Contractor license #
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
Site Plan
ZONE:
ROAD WIDTN. %>
FRONT; FLAN NG:_
COMMENTS:
nmerepg
REVIEWED BY
L
I I I
INCLUDE THE FOLLOWING:
0 All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
O All existing & proposed buildings
❑ Underground utilities
❑ North arrow
❑ Septic tanks & wells