2002, 07-17 Permit App 02006006 Pole Bldg' Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Project Number: 02006006 Inv: 1
................. .
Permit Use: 24 X 30 POLE BUILDING
Setbacks: Front EXI Left: 8 Right: 14 Rear: 18
Site Information:
Plat Key: 001288 Name: HUTCHINSON'S ADD
Date: 7/17/2002 Page 1 of 2
Contact: SKI CONSTRUCTION
Address: 5403 N STEVENS
C - S - Z: SPOKANE, WA 99205
Phone: (509) 995-4168
Group Name:
Project Name:
.........................................................................................
....................................................
District: F
Parcel Number: 45183.0246 Block:
SiteAddress: 8004 E BROADWAY AVE
SPOKANE, WA 99212
Location:: SPO
Zoning: UR-3.5
Water District:
Urban Residential 3.5
Area: 7,130 Sq Ft Width: 46
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Lot:
Owner: Name: WOODS, LYNN
Address: 8004 E BROADWAY AVE
SPOKANE, WA 99212
Hold: ❑
Depth: 155 Right Of Way (ft): 30
Review
Site Plan R
7417)1/4
Plan Review
Operator: RMB Printed By: RMB
Print Date: 7/17/2002
Project Number: 02006006 Inv: 1
Application Date: 7/17/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: SKI CONSTRUCTION Firm: MIKE KAMINSKI/SKI CONSTRUC
Address: 5403 N STEVENS ST Phone: (509) 995-4168
SPOKANE, WA 99205
Building Characteristics
Const Category: New Group: U-1 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 13 Stories: 1
Bldg W x D: 24 x 30 Building Sq Ft: 720 Sprinklers: 0
Req Parking: 0 Handicap Parking: 0 Critical Materials: 0
This Application: Total Project:
Description Grp Type Notes So Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 720 $8,640.00 • 720 $8,640.00
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Summary:
Permit Type
Building Permit
Totals: 720 $8,640.00 720 $8,640.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$150.50
$4.50
$33.11
$188.11
Fee Amount Invoice Amount Amount Paid Amount Owing
$188.11 $188.11
$0.00 $188.11
$188.11 $188.11 $0.00 $188.11
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 he 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:
Operator: RMB Printed By: RMB Print Date: 7/17/2002
vik
•
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: cy_,,, „ r 0e
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: ?124..)
O Building Permit
• Change in Use
O Grading
O Manufactured Home Permit
• Relocation
O Sign
O Tcnant (New/Change)
D 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
()wncr Phone:
G*w (/SKI Fax:
In— ir. ?4
plicant: Phone:
i (cir�G 1 1 /3:3 Fax:
�`_7��}
9'MadingA
Address:
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MailingAddress:0
a
' -le, - - ci r)�iC�' .
City, statcC ICity,
State ap
Phone 0 Contractor
Fax
ElArchitect;'I•:ngineer
Phone
Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
WA State Contractor license #
Contact name:
Building Information
Building height to
cak
# of stores
}
Main floor sq. ft.
Unfinished basement sq. ft.
"['oral habitable
e space
2x1 floor sq. ft.
Finished basement sq. ft.
Occupancy group
P
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
1 Teat source (electric, gas, etc.)
ter
'M
Manufactured Home
Sigr\ `
Width:
Length:
What is the square footage of the sign
face?
i-low high is the sign?
fear:
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
('hone
Plans I.xaminer
Phone
Inspectors:
Address
Inspector
Phone
❑ Concrete
❑ Welding
0 Bolting
0 Reinforcement
Address
ION
Are there structures on the property? NOLYes 0 No
Ifyes, identifr on site plan
What is the current property size?
(square feet or acres) 6f
Is a art of the property within 250 feet of a s re ne?
vs, identify on site plan 0 Yes O
What is the current use of this property?
(
Is your property in a d signated wildlife habitat area?
Don't know ❑Yes Nol
Will the site be served by a septic system? 0 Yes o
l
Is any part of the p perry within a 100 yr flood plain?
Ifyes, identify on site Il
0 Maybe Don't know 0 Yes ❑ o
Are or will there be wells Located on the property?
fyes, identii on the site plan 0 Yeso
Are there any wetlands, streams or ponds within 00 eet of the property?
Ifyes, ident' on site plan 0 Yes o
Is there evidence of fill or excavation on the property?
0 Yes K.No
ft
Arc there slopes greater than 30% on the propc (3 'se in 100 ft)
(,.. %) 0 Yes i No
Are critical or hazardous materials uscd or stored on si
0 Yes Vo
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
❑ Yes ❑ No
Is the property inside the ASA?
❑ Yes ❑ No
❑ Yes ❑ No
Is public sewer available to the site?
Is public water available to the site?
O Yes ❑ No
0Yes ONo
Is the property inside the PSSA? 0 Yes 0 No
Date Received:
Staff Representative:
Is the property located within 1000 feet of a Natural Resource Area?
❑ Yes O No
METHOD OF PAYMENT
VISA
0 CAS! I ❑ cl ❑ CK 0 r ❑ 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DAT! EXPIRES:
BANK(:ARD NUMBER:
AU'1'I IOR1ZE1) SIGNATURE:
SUB'lO.1 VI.
TOTAL FEE
MINIMUM PERMIT FEE IS $35.00PLEASE
MAKE CHECKS PAYABLE TO SPOKANE
COUNTY PERMIT CENTER
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