1999, 08-16 Permit App: 99007521 StorageProject Number: 99007521 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/16/99 Page 1 of 2
Project Information:
Permit Use: 40 X 60 STEEL BUILDING
Setbacks: Front 109 Left: 40 Right: 20 Rear: 40+
Contact: YAPP, RODNEY L
Address: 18416 E ALKI AVE
C - S - Z GREENACRES, WA 99016 -93
Phone: (509) 993 -6634
Site Information: :......: ..:.:.:.....:.....:...:..:..:,.
Plat Key: 000498 Name: CORBIN ADD TO GREENACRES District: G
Parcel Number: 55184.0915
SiteAddress: 18416 E ALKI AVE Owner: Name: YAPP, RODNEY L
GREENACRES, WA USA 99 Address: 18416 E ALKI AVE
Location:: GRE GREENACRES, WA 99016 -937
Zoning: UR -3.5
Water District:
Area: 24,700 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Urban Residential 3.5
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Department
BUILDING
Comments:
Review
Site Plan Review -" 7 13ilbict9
Ccxc-
BUILDING Plan Review
Comments:
HEALTHDISTRICT
Comments:
tee. fi,i, pAa.ns
Septic System Review
Gis
Vhs
Project Number: 99007521 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Date: 8/16/99
Contractor: OWNER
Address: 0
000000, 00 000000
Const Category: New
Nbr Of Dwellings:
Bldg W x D: 40 x
Req Parking:
Firm: OWNER
Phone: (000) 000 -0000
Building Characteristics
1 Occupant Load:
60 Building Sq Ft:
0 Handicap Parking:
Description Grp Type Notes
STORAGE U -1 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
0 Building Height: 21
2400 Sprinklers: "
0 Critical Materials:
This Application:
Sq Ft Valuation
2,400 $28,800.00
Totals: 2,400 $28,800.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
PaymentSummary: ,....,,,.,,....,..,,,.,......,, , .............,,,...,,..,..,...
Operator: RMB
Permit Type
Building Permit
Permit Total Fees:
Stories: 1
Total Project:
Sq Ft Valuation
2,400 $28,800.00
2,400 $28,800.00
Fee Amount
$388.00
$4.50
$85.36
$477.86
Printed By: RMB Print Date: 8/16/99
Fee Amount Invoice Amount
$477.86 $477.86
$477.86
$477.86
Amount Paid Amount Owing
$0.00 $477.86
$0.00 $477.86
Page 2 of 2
SPECIAL INSPECTOR AND TESTING LAB
EMPLOYMENT ACKNOWLEDGMENT FORM
Please complete one for each INDIVIDUAL performing Special Inspection or Testing work on each project.
Date: �1 " 1 b41
Project Address: 1 R t . AIK► GceerrC,cr4�4 UJFi O1b
Project Name: Lid X (DO 5k' Qk ,), \61(2)
AGRA Client: R ney L . Yaps
Inspection or Lab Firm Name: AGRA Earth & Environmental, Inc.
Address: E 520 North Foothills Drive, Suite 600, Spokane WA 99207
Project Number: CriOO-1 ` l
Phone: (509) 482 -0104
Name of Individual performing work: Tim Shatto
ICBO Number(s): #90997(steel) ❑ Non- Certified Trainee
Supervisor (if Trainee): ICBO #:
(must be Certified Special Inspector)
STATEMENT OF UNDERSTANDING
Tim Shatto , hereby affirm that I have been employed
by AGRA Earth & Environmental, Inc for a duration of (hours, day, weeks)
to perform special inspections of Structural Steel Welding and Bolting
relating to the above stated project and
that 1 am aware that in performing these inspections, 1 am acting as an agent for the jurisdiction and
responsible to the Building Official. I am aware that my duties include assurance of compliance with the
approved plans, specifications, the Uniform Building Code and recognized construction practices which do
not conflict with any of the aforementioned documents. I will submit written reports to the Building Official
as required. I also agree to immediately notify the Building Official if '1) any discrepancies, corrected or
uncorrected, are observed on this project, and 2) my employment as it relates to this project is modified in
any way or terminated prior ubmittal of my final report.
Individual's Signature:
Supervising Special Inspector's Signature:
(Required if individual is Trainee)
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This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
Ilnes/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of ater, steep slopes or other critical areas.
Signed:
ADDRESS - E,l?)4(4;) 4�c1
ZONE .5
ROAD WIDTH so
FRONT__i _FLANKING
COMMENT
REVIEWED �=
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PCS
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