2002, 05-07 Permit App 02003408 Patio Roof CoverProject Number: 02003408 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: ROOF COVER OVER EXISTING PATIO Contact: HOKKANEN, VOSI
Address: BOX 866
C - S - Z: GREENACRES WA 99016
Setbacks: Front Left: Right: Rear: Phone: (509) 921-5594
Group Name:
Site Information: Project Name:
Plat Key: 005823 Name: RIVERWALK 2ND ADD District: G
Date: 5/7/02 Page 1 of 2
Parcel Number: 55083.0903 Block: 2 Lot: 3
SiteAddress: 19116 E INDIANA AVE Owner: Name: HOKKANEN, VOSI
GREENACRES, WA 99016 Address: BOX 866
Location:: GRE GREENACRES WA 99016
Zoning: UR-3.5
Water District:
Area: 7,597 Sq Ft
Urban Residential 3.5
Hold: ❑
Width: 53 Depth: 108 Right Of Way (ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Permits:
Contractor: OWNER
Released By:
Building Permit
Firm: OWNER
Phone:
Building Characteristics
Const Category: Addition Group: R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
Stories:
Operator: JAS Printed By: JAS
Print Date: 5/7/02
Project Number: 02003408 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/7/02 Page 2 of 2
Notes:
OK TO ISSUE SEWER PERMITS PER GENE REPP 6/3/97 CKF
Payment Summary:
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 of the code or of any other state or local laws or ordinances.
Signature:
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Operator: JAS Printed By: JAS
Print Date: 5/7/02
'
1-1-
SPOKANE COUNTY
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: / i / 4 / / Cr = } d t a
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: j9 CL 1-
J Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Depaiutient Use Only
Water District/Purveyor.
Sewer District/Purveyor
Road width
Setbacks
Front Rear
Lek Righr
School District
Fire District
Zoning
OWNER/APPLICANT INFORMATION
Induate who should be contacted rePardinn this Droiect
Owner: . ?,
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Phone: q rl ' - J j (? (4
❑ Applicant
YL `L
�Phon[e::
Mailing Address:
V V / to
Mailing Address:
,, State, Zip
Pen � a-
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GPI &
City,State, Zip
Contracto
r
Phone
FaX
❑Architect/Engineer
Phone
Fax
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 sy. ft.
Dimensions
'Total habitable space
2d floor sq. ft.
finished basement at. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
I feat source (electric, gas, 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
relit ___
Fireworks display _ __
Paint booth _ Fire Alarm
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
Phone
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
❑ Concrete
0 Welding
0 Bolting
0 Reinforcement
Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? N Yes 0 No
Ifyes, identft on site plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a sh r line?
If yes, identtfit on site plan 0 Yes No
What is the current use of this property?- -)
7-1 c i
Is your property in a designated wildlife habitat area.
❑ Don't know 0 Yes A No
Will the site be served by a septic system? 0 Yes No
Is any part of the property within a 100 yr flood plain? '
Des, Ydentij on site plan
0 Maybe 0 Don't know 0 Yes No
Are or will there be wells located on the property?
Ifyes, ident?fr on the site plan ❑ Ycs No
Are there any wetlands, streams or ponds within 20 eet of the property?
Ifyes identify on site plan 0 Yes C No
Is there evidence of fill or excavation on the property?
❑ Yes No
Are there slopes greater than 30% on the property? (30 rise in 100 ft)
( / %) 0 Yes No
Are critical or hazardous materials used or stored on sit ‘?,
0 Yes et No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
❑ Yes ❑ No
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No
❑Yes. ❑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
❑ CASII ❑ CHECK ❑ ❑ .
DIIC OVER
�sc`srmrc
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE:
EXPIRES:
BANKCARD NUMBER:
AUTIIORIrI?D SIGNATURE:
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT FEE IS $35.00PIE1SE
• MAKE CHECKS PAYABLE TO SPOKANE
. .COUNTY PERMIT CENTER
This site plan is being submitted for the purpose of 0 0 41c 9
obtaining a building permit and is a true and correct i
representation of the proposal. All kn r r-4"
lines/dimensions, curb lines, structure and easements , �
have been identified. Also indicated re wetlands, i
bodies of ater, stee• ,opes •r oth: critical areas. 1
Signed:
Date:
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ROAD WIDTH Cocj
FRONT2_FLANKING
COMMENTS
REVIEWE
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