2000, 05-26 Permit App 00004274 GarageProject Number: 00004274 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: ATTACHED GARAGE (24 X 24)
Setbacks: Front 31 Left: NA Right: NA Rear: NA
Site Information:
Plat Key: 005493 Name: SP-904-93
Parcel Number: 55073.1138 Block:
Date: 05/26/2000 Page 1 of 2
Contact: ROGERS, STACEY & LISA
Address: 17602 E INDIANA AVE
C - S - Z: GREENACRES, WA 99016
Phone: (509) 891-5687
Group Name:
Project Name:
Lot:
District: G
SiteAddress: 17602 E INDIANA AVE Owner: Name: ROGERS, STACEY & LISA
GREENACRES, WA 99016 Address: 17602 E INDIANA AVE
Location:: GRE GREENACRES, WA 99016
Zoning: UR-3.5
Water District:
Urban Residential 3.5
Hold: ❑
Area: .00 Acres Width: 165 Depth: 190 Right Of Way (ft): 30
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Department
BUILDING
Hold Reasons:
Permit Conditions:
Review
Site Plan Review
BUILDING Plan Review
Hold Reasons:
e 't Con. 'tio . :
H THDIS
Permits:
Hold Reasons:
Permit Conditions:
Project Number: 00004274
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Address: 0
000000, 00 000000
Inv: I
Date: 05/26/2000 Page 2 of 2
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Const Category: New Group: U-1 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height:
Bldg W x D: 24 x 24 Building Sq Ft: 576 Sprinklers: LI
Req Parking: Handicap Parking: Critical Materials:
This Application:
Description Grp Type Notes Su Ft Valuation
GARAGE U-1 VN 576 $6,912.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Payment Summary:
Operator: JAS
Permit Type
Building Permit
Notes:
Totals: 576 $6,912.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Stories: 1
Total Project:
Sq Ft Valuation
576 $6,912.00
576 $6,912.00
Fee Amount
$125.50
$4.50
$27.61
$157.61
Printed By: JAS Print Date: 05/26/2000
Fee Amount Invoice Amount
$157.61 $157.61
Amount Paid
$0.00
$157.61 $157.61
Amount Owing
$157.61
$0.00 $157.61
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SPOKE COUNTY
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project Description: P EA-€-rO
TYPE OF APPLICATION
C Building Permit
0 Change in Use
0 Grading
0 Manufactured Home Permit
0 Relocation
0 Sign
0 Tenant (New/Change)
0 Other
SPECIFIC SITE INFORMATION
Street Address: [i1>4
99O(„
W r ,1A- (J
`
— C' r,A(ClApc_ 63its,s,ficit_crj
Assessor's Tax Parcel Number(s):
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 regarding this project
T Owner: �o �. /� Phone:C-1—S7 7 �
SOcilPLX v�.1'—i�Al�Fact:bP �J�C��
0 Applicant:
Phone:
Fax:
Mailing Address:,Mailing
i ?(Coar.0 itr1iCIAA
Address:
City, State, ip
ka_ceff.s, 40A-- g9nllr
City, State, Zip
0 Contractor Phone
Fax
0 Architect/Engineer
Phone
Fax
Mailing address
Mailing address
City, State Zip
Ciry, State Zip
WA State Contractor license #
Contact name:
PROJECT INFORMATION
Building Information
Building height to peak ^ t
S�T
# of stories i
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions \J/"`
C�/"'l
Total habitable space (�
I
2,d floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction ype
sCitpt.
Garage sq. ft.
Deck sq. ft.
Cost of project
Heat source (electric, gases, etc.)
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
Fire Sprinkler
Tent
Paint booth _ Fire Alarm _
Fireworks display
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
Phone
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
0 Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? r Yes 0 No
If yes, identify on site plan
What is the current property size?
(square feet or acres) , 7saCI-e>
Is any part of the property within 250 feet of a shoreline?
If yes, identify on site plan 0 Yes p No
What is the current Ilse of this property?
f Z.e5( Que.9
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes 11 No
Will the site be served by a septic system? 0 Yes IS( No
Is any part of the property within a 100 yr flood plain?
1f yes, identify on site plan
0 Maybe 0 Don't know 0 Yes IS( No
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan 0 Yes No
Is there evidence of fill or excavation on the property?
0 Yes CII., No
Are there slopes greater than 30% on the property? 0 ft rise in 100 ft)
( / %) 0 Yes tp No
Are critical or hazardous materials used or stored on site?
0 Yes 6t No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
El Yes ❑No
Is public sewer available to the site? ❑ Yes ❑ No
Is the property inside the ASA?
0 Yes
❑ Yes
0 No
❑ No
Is public water available to the site? 0 Yes ❑ No
Is the property inside the PSSA?
0 Yes
El No
Is the property located within 1000 feet of a Natural Resource
Area? ❑ Yes ❑ No
Date Received:
Staff Representative:
N89°59'56'W-
T
N89°59156"W 65.97
i
I d Jtitify: Ecisernent
ADDRESS:
ZONE:
ROAD WIDTH:_ e
FRONT• FLA
COMMENTS:
REVIEWED BP(' _
165r•97. .
10 Additional
Dedication.
Umsqg c)
50gT3
mrzv
rit
.<
m,
N89°59`Sf�N
ING:
This site plan is being subm
obtaining a building permit
representation of the propo
Tines/dimensions, curb lines,
have been dent' ied: Also i
bodies of wat steep. - ope
ed for the purpose of
d is a true and correct
. All known property
ructures and easementt
mated are wetlands,
other critical areas.
Signed' ,
Date: ! __