2001, 11-08 Permit App 01009930 Mech ShedProject Number: 01009930 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
.......................................................................
Permit Use: MECHANICAL SHED 90% COMPLETE
Setbacks: Front Left:
Site Information:
.....................
......................
Right: Rear:
Plat Key: 000344 Name: CENTRAL PARK ADD
Date: 11/8/2001 Page 1 of 2
Contact: HICKS, MITCHELL & LUCENETTE
Address: 5920 E 9TH AVE
C - S - Z: SPOKANE, WA 99212
Phone: (509) 535-7817
Group Name:
Project Name:
District:
Parcel Number: 35243.0729
SiteAddress: 5920 E 9TH AVE
SPOKANE, WA 99212
Location:: SPO
Zoning: UR 3.5
Water District:
Area: 0 Sq Ft
Nbr of Bldgs: 0
Review Information:
Review
Plan Review
4
Site Drainage Review
Landuse Review
Block:
Urban Residential 3.5
Lot:
Owner: Name:
Address:
HICKS, MITCHELL & LUCENETT
5920 E 9TH AVE
SPOKANE, WA 99212
Hold: ❑
Width: 69 Depth: 135 Right Of Way (ft): 60
Nbr of Dwellings: 1
;Released
Operator: DMD Printed By: DMD
Print Date:
11/8/2001
Project Number: 01009930 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Date: 11/8/2001 Page 2 of 2
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000, 00 000000
Const Category: Addition
Building Characteristics
Group: S-2 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: 7 Stories: 1
Bldg W x D: 10 x 5 Building Sq Ft: 50 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: 0
This Application: Total Project:
Description Gru Type Notes Sq Ft Valuation Sq Ft Valuation
WAREHOUSE S-2 VN 50 $1,135.00 50 $1,135.00
Totals: 50 $1,135.00 50 $1,135.00
Item Description Units Unit Desc Fee Amount
COMMERCIAL VALUATION 1 Y OR BLANK $41.25
PL I REVIEW Ems\ 1 Y QR BLANK - �.$26+
COMMERCIAL SURCHARGE 1 Y OR BLANK $14.97
STATE SURCHARGE 1 Y OR BLANK $4.50
Permit Type
Building Permit
Disclaimer:
Permit Total Fees: $87.53
Fee Amount Invoice Amount Amount Paid Amount Owing
$87.53 $87.53
$87.53
$0.00 t
$87.53 $0.00
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 of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: DMD Printed By: DMD Print Date: 11/8/2001
Aginhk
SPOKANE COUNTY
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: q
// G J 2 v r c7
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: 514e9 /4-DJ 5 c So/1-4A-74-(e-"?,ti1,7-)204._1
❑ Building Permit
❑ Relocation
vim`t/`yv
❑ Change in Use
❑ Sign
❑ Grading
❑ Manufactured Home Permit
❑ Tenant (New/Change)
❑ 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 Indiarle who shoreld be conlaled regarding !hie projec!
❑ O�wnner.
/vl fly . L 0
Phone: 'o S cis" % 1/ 7
g( S' Fax: /
El Applicant:
Phone:
Fax:
Mailing Address:
.e'i 2-0r<i 5' �J pf „11r G
{ailing�7/� Addres ,_
City, State, Zip
Spec. wA-
'Q Y zi 1.—
City, State, Zip
❑ Contractor
Phone
Fax
❑Architect/Engineer
Phone
Fax
Mailing address
Mailing address
City, State Zip
Cite, State Zip
WA State Contractor license #
Contact name:
PROJECT INFORMATION
Building Information
Building heigbt to peak
# of stories
Main floor sq. ft.
Unfinished basement sq. Ft.
Dimensions 1'1'otal
It' VI 1572_
habitable space
2°a floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction hype
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
Paint booth
Fire Sprin klcr
Tent
Fire Alarm
Fireworks display
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Finn Name
Phone
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
❑ Concrete
❑ Welding
❑ Bolting
❑
Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? ❑ Ycs ❑ No
If yes, ;dentin 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?
If ye., iderdifj' on site plan ❑ Yes ❑ No
What is the current use of this property?
Ts your property in a designated wildlife habitat area?
❑ Don't know ❑ Ycs ❑ No
Will the site be served by a septic system? ❑ Yes ❑ No
Is any part of the propery within a 100 yr hood plain?
Ifjes, dentin, on site}Vali
0 Maybe ❑ Don't know ❑ Ycs 0 No
Arc or will there be wells located on the property?
If yes, identj5 on the site plan ❑ Yes ❑ No
Arc there any wetlands, streams or ponds within 200 feet of die property?
If yes, identify on site plan ❑ Ycs ❑ No
Is there evidence of fill or excavation on the property?
❑ Yes 0 No
Are 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 ❑ No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
❑Yes
❑No
Is public sewer available to the situ 0 Yes ❑ No
Is the property inside the ASA?
❑ Yes
❑Yes
0 No
❑No
Is public water available to the sire? 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?
❑ Yes ❑ No
Dare Received:
Staff Representa
METHOD OF PAYMENT
❑ CASH ❑ CI IFCK
RK*.VEI
FAXED PERMIT'S WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I_XPIRIiS:
BAN KC.UtD N
AHD 101217.1(D SIGN .ATUII1!:
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT FEE IS $35INIPLEASE
MAKE CHECKS PAYABLE TO SPOKANE
COON I PERMIT CENTER
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