2002, 10-07 Permit App 02008797 Add, Roof, Win, Siding, EtcProject Number: 02008797 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RES REM/ADD-NEW ROOF
SYSTEM,WINDO WS,SIDING&RE S
EXTENSION&CARPORT
Setbacks: Front 32 Left: 11 Right: Rear: 53
Site Information:
Plat Key: 001630 Name: MIDWAY ADD
Block: 4
Parcel Number: 35241.0414
Date: 10/7/02 Page 1 of 3
Contact: BLYTHE, JAMES A
Address: PO BOX 141994
C - S - Z: SPOKANE, WA 99214-1994
Phone: (509) 926-4761
Group Name:
Project Name:
District: D
Lot: 17
SiteAddress: 7405 E 2ND AVE Owner: Name: BLYTHE, JAMES A
SPOKANE, WA USA 99212 Address: PO BOX 141994
Location:: SPO SPOKANE, WA 99214-1994
Zoning: UR-7
Water District:
Area: 7,620 Sq Ft
Urban Residential-7
Hold: ❑
Width: 60 Depth: 120 Right Of Way (ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: �,.�e.r...
Review
Site Plan Review
Plan Review
Released By:
evfew5 94-& Released By:
Permits:
aqe system a s�signeid
1111bieint-colt',
Operator: JAS Printed By: JAS
Print Date: 10/7/02
Project Number: 02008797 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
CARPORT
RES ADD
RESIDENCE
Building Permit
Firm: OWNER
Phone:
Building Characteristics
Addition Group:
Occupant Load:
x Building Sq Ft:
Handicap Parking:
Grp Type
U-1 VN
R-3 VN
R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Type:
Building Height:
Sprinklers: ❑
Critical Materials:
Date: 10/7/02 Page 2 of 3
Stories:
This Application: Total Project:
Notes So Ft Valuation Sq Ft Valuation
384 $1,728.00 384 $1,728.00
150 $9,900.00ez 150 $9,900.00 ,c
REMODEL 0 $18,00fJ 0 , 6
Contractor: OWNER
Item Description
VENTILATING FANS
CLOTHES DRYER
Contractor: OWNER
Item Description
TOILETS/BIDETS
SINKS
TUBS
DISH WASHERS
CLOTHES WASHER
ELECTRIC HOT WATER TANK
Operator: JAS
Totals: 534 $29,628.00 534 $29,628.00
Units Unit Desc
1
1
1
Y OR BLANK
Y OR BLANK
Y OR BLANK
Fee Amount
$397.00
$4.50
$87.34
Permit Total Fees: $488.84
Mechanical Permit
Firm: OWNER
Phone:
Units Unit Desc
4 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Plumbing Permit
Firm: OWNER
Phone:
Units Unit Desc
1 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Fee Amount
$40.00
$10.00
$50.00
Fee Amount
$6.00
$12.00
$6.00
$6.00
$6.00
$6.00
Permit Total Fees: $42.00
Printed By: JAS Print Date:
10/7/02
Project Number: 02008797
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: 1
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Plumbing Permit
Disclaimer:
Fee Amount
$488.84
$50.00
$42.00
Invoice Amount
$488.84
$50.00
$42.00
Amount Paid
$0.00
$0.00
$0.00
Date: 10/7/02 Page 3 of 3
Amount Owing
$488.84
$50.00
$42.00
$580.84 $580.84 $0.00
$58
4
Submittal of this application certifies the owner (or person(s) authorized by the owner) has bh 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: JAS Printed By: JAS Print Date: 10/7/02
SPOKE CURVY
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: E f� VI
5
Assessor's Tax Parcel Number(s): .� l t' O 4161
Legal Description:
1.05 Dad( y MzawIA.,7 f L1 'V ▪ d L " r'
1-yS
Project Description:
❑ Building Permit
❑ Relocation
Heft& tPib6
O Change in Use
❑ Grading
O Manufactured Home Permit
O Sign
❑ Tenant (New/Change)
O Other
Department Use Only
Water District/Purveyor:
Sewer District/Purveyor
Road width
Setback
I ront: Rear:
I .eft: Right:
School District:
Hire District:
Zoning
OWNER/APPLICANT INFORMATION
LA Indicate who should be contacted regarding this project
Owner. Phone: p1+= 4,' 41 `)
2 `
3&mIS V'\4 Fax:
❑ Applicant:
Phone:
Fax:
Mailing Address: 1
PA. (fi)C iLaIq°)y
Mailing Address
City, State, Zip
`, Qt'(� (�
3 L'4 ! `V`t. �lc�l1 — )99Li
City, State, Zip
r
_______________________________________________________________________________________________
0 Architect/ l.:ngineer
Phone
Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
WA State Contractor license #
Contact name:
Building Information
Building height to peak
h. '
# of stories
Main floors n
�i�
Unfinished basement sq. ft.
N4
Dimensions
Total habitable space
2nd floor sq. ft.
N6
Finished basement sq. ft.
NA
Occupancy group
Construction type
1 JtEJ 1iC� !/i t
11- .ti . fq t.� otk sq. ft. N 4
Cost of project 4...1
}teat source (electric, gas, etc.)
eIi f-f,c
�
Manufactured Home
Sign " • ,
Width:
length:
What is the square footage of the sign
face?
I low 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
V.1iti`
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name Phone
Plans I(xaminer Phone
Inspectors:
Address
Inspector Phone
0 Concrete 0 Welding 0 Bolting 0 Reinforcement
Address
Arc there structures on the property? IR Yes 0 No
If identify on site plan
What is the current property size? /
(square feet or acres) 4 D ( 0.6
yes,
Is any part of the property within 250 feet of a shoreline?
If ident f on site plan 0 Yes 0. No
What i- the current useproperty?
t t t at e itllr'• of this
yes,
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes tit No
Will the site be served by a septic system? O Yes Pit No
Is any part of the property within a 100 yr flood plain?
Ifyes, identf on site plan
0 Maybe 0 Don't know 0 Yes IX No
Are or will there be wells located on the property?
Ifyes, identz on the site plan 0 Yes pik No
Are there any wetlands, streams or ponds within 200 feet of the property?
Ifyes, identify on site plan 0 Yes 7 No
Is there evidence of fill or excavation on the property?
0 Yes )4 No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
( oho) 0 Yes PA No
Are critical or hazardous materials used or stored on site?
0 Yes No
_a .___- _v
Is the property in a designated Stormwater Control Area?
0 Yes 0 No
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No
0 Yes 0 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?
0 Yes 0 No
Date Received:
Staff Representative
METHOD OF PAYMENT
VISA
11.111110 IA •
SUB1()l'\I.
❑ CASH ■ CHECK IN .
WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
FAXED PERMITS
DATE: EXPIRES:
TOTAL FEE
BANKCARD NUMBER:
MINIMUM PERMIT FEE IS$35.00PLEASE
,T , ,,1nr•icr1 crr'ni ATt 1Ar.
MAKE CHECKS PAYABLE TO SPOKANE
COUNTY PERMIT CENTER
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