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2002, 09-10 Permit App 02007808 DeckProject Number: 02007808 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: COVERED DECK (BUILT WITHOUT PERMITS) Setbacks: Front 45+ Left: 85 Right: NA Rear: Site Information: Plat Key: 999999 Name: RANGE Parcel Number: 45142.9045 Block: SiteAddress: 14323 E BROADWAY AVE SPOKANE, WA 99216 Location:: SPO Zoning: UR-3.5 Urban Residential 3.5 Water District: Area: 1.00 Acres Width: 0 Nbr of Bldgs: 3 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Plan Review Permits: Date: 9/10/02 Page 1 of 2 Contact: AVERILL, KENNETH G. Address: 14323 E BROADWAY AVE C - S - Z: SPOKANE WA 99216 Phone: (509) 893-2705 Group Name: Project Name: District: F Lot: Owner: Name: AVERILL, KENNETH G. Address: 14323 E BROADWAY AVE SPOKANE WA 99216 Ilold: [ 1 Depth: 0 Right Of Way (ft): 0 r Released By: Released By: Operator: CKF Printed By: CKF Print Date: 9/10/02 Project Number: 02007808 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: OWNER Const Category: Nbr Of Dwellings: Bldg W x D: Req Parking: Description COV DECK Addition Building Permit Firm: OWNER Phone: Building Characteristics Group: Occupant Load: x Building Sq Ft: Handicap Parking: Type: Building Height: Sprinklers: ❑ Critical Materials: This Application: Grp Type Notes Sci Ft Valuation R-3 VN 339 $3,413.73 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Notes: Payment Summary: Permit Type Building Permit Totals: 339 $3,413.73 Units Unit Desc 1 1 1 Y OR BLANK Y OR BLANK Y OR BLANK Permit Total Fees: Fee Amount Invoice Amount $111.86 $111.86 $111.86 $111.86 Date: 9/10/02 Stories: Total Project: Sq Ft Valuation 339 $3,413.73 339 $3,413.73 Fee Amount $ 88.00 $4.50 $19.36 $111.86 Amount Paid Amount Owing $0.00 $111.86 $0.00 $111.86 Page 2 of 2 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 construed 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: CKF Printed By: CKF Print Date: 9/10/02 SPOKE COUN IY 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: 432 3 ARoAcitwxy Assessor's Tax Parcel Number(s): Legal Description: Project Description: te1C(44bee,64 % -he S O Building Permit O Change in Use O Grading 0 Manufactured Home Permit O Relocation O Sign O Tenant (New/Change) El 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 0 Indicate who should be 1onladed reeardinp 1bi.r Droieet ❑ Owner. J/�\ Phone: �1.— e43 ^ .2lc* KeA44beT G. A J �� t H Fax: ❑ Applicant: Phone: Fax: Mailing Address: / 32-3 E. 8/2.,..eJwi.-/ Mailing Address: City, State, Zip Sp kve (4//6 `e, `'Z11‘' City, State, Zip ❑ Contractor Phone Fax ❑ Architect/Engineer Phone Fax Mailing address Mailing address City, State Zip City, State Zip \VA State Contractor license # Contact name: PROTECT INFORMATION Building Information Building height to peak # of stories Main floor sq. ft. Unfinished basement sq. ft. Dimensions "Total habitable space 2nd floor sq. ft. Finished ba, m t sq. ft. Occupancy group Construction type Garage sq. ft. Dec sq. f Cost of project }feat source (electric, gas, etc.) 39 Manufactured Home Sign Width: length: What is the square footage of the sign face? How high is the sign? Year: Make: # of signs Arca of existing sigma Relocation Fire Safety Previous address Paint booth Fire Sprinkler Tent Fire Alarm Fireworks display Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Firn Name Phone Plans Examiner Phone Inspectors: Address Inspector Phone ❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address ADDITIONAL SITE INFORMATION Arc there structures on the property? ❑ Yes ❑ No If yes, ;dentin, on site plan AA/hat is the current property size? (square feet or acres) Is any part of the property within 250 feet of a shoreline? Ifyes identify on .riteplal ❑ Yes ❑ No What is the current use of this property? Is your property in a designated wildlife habitat area? ❑ Don't know 0 Ycs 0 No Will the site be sersfed by a septic system? ❑ Ycs ❑ No Is any part of the property within a 100 yr flood plain? Ifyes, hientib on site plan ❑ Mavbc 0 Don't know ❑ Yes ❑ No ;Are or will there be wells located on the property? Ifye, identtfy on the site plat 0 Ycs ❑ No Are there any wetlands, streams or ponds within 200 feet of the property? Ifyes, ideattfy Ore site plan 0 Yes 0 No Is the evidence of till or excavation on the property? 0 Ycs 0 No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) (/%) ❑Yes 0 No .Arc critical or hazardous materials used or stored on site? ❑Ycs ❑ 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 AS A? 0 Yes ❑Yes ❑ No ❑No Is public water available to the sire? ❑ Yes 0 No Is the property inside the PSSA? 0 Yes ❑ No Is the property located within 1000 feet of a Natural Resource Area? ❑Yes ❑No Dote Received_ Staff Repress]evn.c METHOD OF PAYMENT VISA ❑ CASI I ❑ CI IICK ❑ DIKE WR telleleteetitteitieMll FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DAITi: BANKCARD N EXPIRI:S: AUTHORIZED SIGNATURIS. SUBTO'iV1, TOTAL FEE MINIMUM PERMIT FEE IS $35.00 PLEASE_ MAKE CHECKS PAYABLE A1BLE to SPOKANE COUNTY PERMIT CENTER 11:3R9A �- 7 AJ 2ci eY tV\CI, i)9Lfio) ADDRESS ZONE ROAD 'ID T FLAN G FROM EN COMMENTS BY �c r c-16- bui .+ pmA 5 This site pan is being submitted for the purpose of obtaining a building permit and is a true and correct representation of the proposal. All known property lines/dimensions, curb lines, structures and easements have been identified. Also indicated are wetlands, bodies of water steep slo s or other critical are Signed: Date: io v�