2002, 05-17 Permit App 02003814 Relocate ResidenceProject Number: 02003814 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information: ....... • •
Permit Use: RELOCATE RESIDENCE ON BASEMENT Contact: andrey's construction service
Address: 306 w 31st ave
C - S - Z: spokane wa 99203
Setbacks: Front 45 Left: 5 Right: 14 Rear: 91 Phone: (509) 456-5936
Group Name:
Project Name:
....... " " " " " ' • "• • .............. .
000000 Name: UNKNOWN District: F
Site Information:
Plat Key:
Date: 5/17/2002 Page 1 of 3
Parcel Number: 45161.1132
Block: 1
SiteAddress: 11719 E BROADWAY AVE
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR-3.5
Water District:
Area: 17,406 Sq Ft
Nbr of Bldgs: 1
Urban Residential 3.5
Lot: 4
Owner: Name: CHUMOR, ANDREY
Address: 306 W 31ST AVE
SPOKANE, WA 9203
Hold: 0
Width: 83 Depth: 207 Right Of Way (ft): 50
Nbr of Dwellings: 1
Review
Site Plan Review 1 eleased By:
71--t4C1
Plan Review
Released B :
Special Reviews
PRE. R,EtzciarTtb /is)SPer-110t
Approach / Drainage
T2,010sed:By::::
Sewer Review Released By:
tilitrnes tiPt- ea- 3511
Operator: RMB Printed By: RMB
Print Date: 5/17/2002
Project Number: 02003814 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: ANDREY"S CONSTRUCTION
Address: 306 W 31ST AVE
SPOKANE, WA 99203
Const Category: New
Nbr Of Dwellings: 1 Occupant Load:
Bldg W x D: 26 x 63 Building Sq Ft:
Req Parking: Handicap Parking:
Description Grp Type Notes
BASEMENT F R-3 VN
BASEMENT U R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
---------------------------------------------------------------
Building Permit
Firm: ANDREY"S CONSTRUCTION SER
Phone: (509) 456-5936
Building Characteristics
Group: R-3 Type: VN
0 Building Height: 8 Stories: 1
1610 Sprinklers: ❑
Critical Materials: ❑
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
406 $6,804.56 406 $6,804.56
1,204 $14,809.20 1,204 $14,809.20
Totals: 1,610 $21,613.76 1,610 $21,613.76
Contractor: ANDREY"S CONSTRUCTION
Address: 306 W 31ST AVE
SPOKANE, WA 99203
Item Description
GAS WATER HEATER
GAS APPLIANCE<=100,000BTU
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
Units
1
1
1
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Fee Amount
$313.00
$4.50
$68.86
Permit Total Fees: $386.36
Mechanical Permit
Units
1
1
2
2
1
Operator: RMB Printed By: RMB
Date: 5/17/2002 Page 2 of 3
Firm: ANDREY"S CONSTRUCTION SER
Phone: (509) 456-5936
Unit Desc
NUMBER OF
NUMBER OF
# OF UNITS
NUMBER OF
NUMBER OF
Permit Total Fees:
Fee Amount
$10.00
$12.00
$2.00
$20.00
$10.00
$54.00
Print Date: 5/17/2002
Project Number: 02003814
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: 1
Contractor: ANDREY"S CONSTRUCTION
Address: 306 W 31ST AVE
SPOKANE, WA 99203
Item Description
TOILETSBIDETS
SINKS
TUBS
MINIMUM PEE ADJUSTMENT
Contractor: ANDREY"S CONSTRUCTION
Address: 306 W 31ST AVE
SPOKANE, WA 99203
Item Description
RELOCATION INSPECTION
Notes:
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Relocation Permit
Plumbing Permit
Date: 5/17/2002 Page 3 of 3
Firm: ANDREY"S CONSTRUCTION SER
Phone: (509) 456-5936
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 Select
Permit Total Fees:
Relocation Permit
Fee Amount
$6.00
$6.00
$6.00
$17.00
$35.00
Firm: ANDREY"S CONSTRUCTION SER
Phone: (509) 456-5936
Units Unit Desc
1 NUMBER OF
Fee Amount
$386.36
$54.00
$35.00
$50.00
Permit Total Fees:
Invoice Amount
$386.36
$54.00
$35.00
$50.00
$525.36 $525.36
Fee Amount
$50.00
Amount Paid
$0.00
$0.00
$0.00
$0.00
$50.00
Amount Owing
$386.36
$54.00
$35.00
$50.00
$0.00 $525.36
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 ot, 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: 5/17/2002
110c I
Aink
SPoxi CouNTY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
a-746,4-e-S ' 77--3CO/
SPECIFIC SITE INFORMATION
Street Address: C (, I q l�l--ohcc A4 A�
Assessor's Tax Parcel Number(s): //576/ 7/-3t2
Legal Description:4 gL //c7
Project Description: 4,--' X E Sr%ieG �l/SPI
Ar Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
Water District/Purveyor.
Sewer District/Purveyor
Road width
Setbacks,
FrontRear:
Lcfr. Right:
School District•.
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
Er Indicate who .rhoHld be conlacled reiardine lfiir firoieel
❑ Owner: Phona09i 99l —7d', 1
,t-d e y OAcaMoi 09)' '6 09.Jd1
Fax:
0 Applicant:
-S'Q' "h-P
Phone:
Fax:
Mailing Address:
O601-3( ,b.A
Mailing Address':
tty, State, Zip
sj m,. - o3
City, State, Zip
0 Conctor.L Phone'9t ,_ 7:
t er5 �/J��i Fax —o&Qe/
❑ Architect/Engineer
I Oli-e
Phone
Fax
Mailing address
2(96' u.- 3/5± y
Mailing address
City, St 7 ria?C 164 g --03
City, State Zip
WA State Contractor license #
/AV Ee S`D77JR
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
# of stories
Main floor sq. ft.
Unfinished basements ft.
C.7
Dimensions
'Total habitable space
2" floor sq. ft.
Finished baselrte s ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
I lent source (electric, gas, etc.)
Manufactured Home
Si'
Width:
Length:
What is th . square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs
Area of existing signs
Relocation
Fire Safety
Previous address /) logoLi . C._ ef9,S/0j€1 4...e
SAit Qf/�P 464 gJ a /�
Paint booth
Fire Spnnkler
'rent
Fire Alarm
Fireworks display
Proposed use Sot vie. fophr Ly £2-e j rc•t' #-e-,e
Value
Special Inspections Required?
Non -Residential
Energy Code Compliance?
Firm Name
Phone
Plans Examiner
Phone
Inspectors;
Address
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Addreee
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes 0 No
If yes, ident' on site plat
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
Ifyes, identib, on site plan 0 Yes 0 No
What is the current use of this property?
Is your property in a designated wildlife habitat area?
O Don't know 0 Yes 0 No
Will the site be served by a septic system? O Yes 0 No
Is any part of the property within a 100 yr flood plain?
yips, identen, on site plan
0 Maybe 0 Don't know ❑ Yes O No
Are or will there be wells located on the property?
Ifyes, ideat4, on the site plan 0 Ycs 0 No
Arc there any wetlands, strcams or ponds within 200 feet of the property?
lisps, identify on site plan 0 Yes 0 No
Ts there evidence of fill or exetvation on the property?
0 Ycs 0 No
Arc there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( / %) 0 Ycs 0 No
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
O Yes ❑ No
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No
O Yes ONo
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?
O Ycs O No
Date Received
Staff ltepresen tarts
METHOD OF PAYMENT
V�
❑ CASH ❑ CIi FCK ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DA'11[:
BANKCARD NUMB! tit:
FXPIItES:
AUI1 iORIZIEtD SIGNATURE:
SLIBTOT:U.
TOTAL FEE
MINIMUM PERMIT FEE IS £3540 PLEASE
MAKE CHECKS CSYAI3IF. TO SPOKANE.
COUNTY PERMIT CENTER
Aporiess
ZONE
ROAD WIDTH 5-0
FRONT
COMME
REVIEW
•
NKING
Th's -'-n is !,cirri subr.:i:'sd for the purpose of
obte'n'in j r+,:rmit ano is a true and correct
representation of the proposal All known property
lines/bin-tensions. curb lines. structures and easements
have been identified. Also indicated are wetlands,
bodies of water, step slopes or other
critical areas.
Signed:
Date: ` /Ce
NO P6 S'e c/
GC/RC/GC
! S' To pephc
/�RL1 ioD s g d ,/-BO/se
//?/ L E BREW ChVa v
/3 o ve_