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
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ADDRESS
ZONE
ROAD 'ID T FLAN G
FROM EN
COMMENTS
BY
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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�