2001, 06-21 Permit App 01004994 ShopProject Number: 01004994 Inv: 1
Site Information:
Plat Key: 001648 Name: MISSION ADD District:
Date: 6/21/2001 Page 1 of 2
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 36 X 30 SHOP Contact: CHARLEY, JAMES
Address: 9522 E MISSION AVE
C - S - Z: SPOKANE, WA 99206
Setbacks: Front EXI Left: 36 Right: 8 Rear: 8 Phone: (509) 924-8474
Group Name:
Project Name:
Parcel Number: 45172.0207 Block:
SiteAddress: 9522 E MISSION AVE
SPOKANE, WA 99206
Location:: SPO
Zoning: UR-3.5
Water District:
Area: 0 Sq Ft
Nbr of Bldgs: 2
2 Lot: 7
Owner: Name:
Address:
Urban Residential 3.5
Width: 80
Nbr of Dwellings: 1
CHARLEY, JAMES
9522 E MISSION AVE
SPOKANE, WA 99206
Hold: El
Depth: 140 Right Of Way (ft): 60
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
HEALTHDISTRICT
Hold Reasons:
Permit Conditions:
Permits:
Review
Site Plan Review
Septic System Review
Released By:
/ma / ceoike,/ 5-,5-Ai 5*/
kes
Project Number: 01004994 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Date: 6/21/2001 Page 2 of 2
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000, 00 000000
Building Characteristics
Const Category: New Group: U-1 Type: VN
Nbr Of Dwellings: 1 Occupant Load: Building Height: 18
Bldg W x D: 36 x 30 Building Sq Ft: 1080 Sprinklers:
Req Parking: Handicap Parking: Critical Materials: ❑
Description Grp Type Notes
GARAGE U-1 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Stories: 1
This Application: Total Project:
Sci Ft Valuation Sti Ft Valuation
1,080 $12,960.00 1,080 $12,960.00
Totals: 1,080 $12,960.00 1,080 $12,960.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$200.50
$4.50
$44.11
$249.11
Operator: MKC Printed By: MKC Print Date: 6/21/2001
Permit Type
Building Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$249.11 $249.11
$249.11 $249.11
$0.00 $249.11
$0.00 $249.11
Aiink
SPOKANE COUNTY
ri _ iced
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:
9vSyQ2 e
Assessor's Tax Parcel Number(s):
,fc/F SfD,C — / Grimm¢ 2-2C3�
Legal Description: /\ //
Project Description:
Er Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
O Relocation
O Sign
O Tenant (New/Change)
O Other
Department Use Only
Water District/Purveyor.
n� (� Q
Sewer District/Purveyor
Road width
Setbacks
Front
Left
Rear.
Right•.
SchootDis tl ct:
11 AD)k--+
r/
t_
Fire District
1
Zoning P
�1�
"5-
OWNER/APPLICANT INFORMATION
0 Indicate tzho should be ton/a ded reeardins !bile liroieci
t(d"Owner. Phone: 92 B--v? v
Fax:
❑ Applicant
Phone:
Fax:
Mailing Address: 9 5 2 e ,jyt; ss- ' 0A 4 / f'
S., d, 4 Af6- w A ? 2er,.‘
Mailing Address:
City, State, Zip
City, State, Zip
❑ Contractor Phone
Fax
❑ Architcctj6ngineer
Phone
Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
\\'A State Contractor license #
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak I %/
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimenst ns
3 ‘Xr36 /X /2
Total habitable space
2^hl floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
/ O% 30,1( ! :try
Garage sq. ft.
Deck sq. ft.
Cost of project
Heat 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
Tent
Paint booth _ Fire Alarm
Fireworks display
Proposed use
Value
Special Inspections Required?
Non -Residential Energy. Code Compliance?
Firm Name
Phone
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
O Concrete
D Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 17'Yes O No
If yes, identify on site plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
Ifyes, ident6 on site plan O Yes l"No
What is the current use of this property? /6cfsc-c ,„
Is your property in a designated wildlife habitat area?
0 Don't know 0 Ycs LiNo
Will the site be served by a septic system? O Yes F No
Is any part of the property within a 100 yr flood plain?
Ifyes, identl' on site plan
0 Maybe 0 Don't know 0 Ycs Br No
Are or will there be wells located on the property?
If yes, identi on the site plan 0 Yes I "No
Are there any wetlands, streams or ponds within 200 ffc t of the property?
Ifyes, identii5' on site plan 0 Ycs aNo
Is there evidence of fill or excavation on the property?
0 Yes ErNo
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( / %) 0 Yes 12rNo
Are critical or hazardous materials used or stored on site?
0 Yes Cal No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
O Yes
O No
Is public sewer available to the site?
0 Yes
0 No
Ts the property inside the ASA?
0 Yes
O Yes
0 No
O 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?
OYes ONo
Date Received:
Staff Representative:
METHOD OF PAYMENT
❑ CAS[
VISA
CI-IECK ❑ M ❑
DIIC VER
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE:
EXPIRES:
BAN KCARD NU1\[BER:
AUTHORizED SIGNATURE:
SUB'TO'I'AL.
TOTAL FEE
;IIINIMUM PERMIT FEE IS $35.QOPLEASE
\LUCE CHECKS PAYABLE TO SPOKANE
COUNTY PERMIT CENTER •
Cum_
'
This site pion is being submitted for the purpose of
obtaining a building porn* and is a true and wre a
representation dew proposal. AN (mown property
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of water, steep7 other critical areas.
ors 2 l a
3a