HomeMy WebLinkAbout1984, 05-15 Permit: 00000223 GarageSIGNATURE OF
APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS:
1:306 N ARTIER CT
OWNER:
PERKES, REX W
ADDRESS:
1306 N ARTIES CT
CITY: ST: ZIP:
C. REENACRES WA 99016-0000
APPLICANT:
PERKES, REX W
CONTRACTOR:
ADDRESS:
CITY: ST: ZIP:
PH. LICENSE*:
ARCH /ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PARCEL*:
1(35514205
CENSUS TR:
0131
INSPECTOR:
PLAT#:
001218
LOT & BLOCK
005 004
FINAL
PLAT NAME:
UPPER COLUMBIA ADD
ZONE#:
ZONE FSB
SFR 035
5-1
000
5-2
007
R5B
000
MOD
USE CF PERMIT:
ATTACHED GARAGE
JOB ADDRESS:
1306 N ARTIES CT
DATE:
0000175
05/15/84
PROJ*:
00000223
Structures FPe
$61.00
FEES:
$61100
COUNTER APP:
(PAID BY:
PLANS EXAM:
CA
CK CG NC
X
DATE:
05/1/84
S T R U C T U R E
P E R M I T
STRUCTURE
Description N PRI GAR WF Group M-1 Type Vii
Square feet 000576 Occupancy Load 0000
Est Pin Chk $0100 Actual Piri Chk $0,00 Var
r
0'!5 X 15 t4
TOTAL. FEES $61 , 00
$0100
4215.62 *61,006
OFFICE COPY
SIGNATURE OF 3t APPLICATION
OWNER OR AGENT DATE _
JOB ADDRESS: SEO. *: DATE: [PROJ*:
OWNER:
ADDRESS:
CITY: ST: ZIP:
APPLICANT:
CONTRACTOR:
ADDRESS:
CITY: ST: ZIP:
PH: LICENSE*:
ARCH/ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PARCEL*: CENSUS TR: INSPECTOR:
PLAT.: LOT& BLOCK FINAL
PLAT NAME:
ZONES: ZONE FSB S-I S-2 RSB MOD
{4^
USE OF PERMIT: FEES: PAID BY LA C KJ
JOB ADDRESS: COUNTER APP: PLANS EXAM: DATE:
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2 FTGS& FORMS
,
3 STEEL |
4 PROGRESS ] / /
5 BOND BEAMS
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�y 6 ROOF DECK � co
^Y ~ C 7 FRAMING
1�- _
8 INSULATION� r-
0
9 SPECIAL INSP ._ --
10 ASSEMBLY 6-.)
11 FIREPLACE
—12 EXTERIOR FINISH
13 DRYWALL ___L___ .
+4_,_
-- |
14 EXT. GRADING
15 FINAL
16 GRD. PL8G. |
w��� — '
~ `' VVATERP|P|NG
18 DWV TEST IIIIIIIIMIEZ
19 FIXTURES ' f--
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' 20 SEVVA8EDISP. ~~ r C
21 N / %
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38 ■ENTILATION SYS.
39 PLENUM &DUCT
40 GAS TEST
|
/ ��
41 FURNACE | }
__.
42 DAMPERS N,._.--,-/
--~
m
' 43 INLET/OUTLET r)
44 COMPBUSTION AIR ��
]�
45 COMPRESSOR ��
46 APPLIANCE
ml ��47 F|HEDAK0PER ��
48 SMOKE DETECTOR
49 HOODS |
50 PROGRESS
51 FINAL
52 FINAL INSP.
0
53 FIRE PREVENT. | � 0
54 OCCUPA0CY/TEK4P. ^'
_ C
55 REQUESTED -,c,
. 56 OCCUPANCY/FINAL ---un
57 OCCUPANCY/OTHER 'V
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58 PLA|NT/ZONE 0
59 ` 5 1PLA{NT/8LDG.
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On tOMPLA|NT7OTHER
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^
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
(Please return this original and your building plans to the Department of Building and Safety)
1 Owner's Na `j (last) (first) (m)
6��C 6� �C (1v
Department ,UseOnly
Res. I., /{ Comm
2 PI Address (not Mailing Address) crr Road Name Space Zip
/ :656 X iE' 't< e_4 .
3 City /Community
(�e 4e�
State
,1 .
Subdivision /Plat Name
uppg (..4---1), i A-.II 4 1.-. --`
4 Assessor Pa I No.
/ `— / — va C)-5
J
Lot
Block /
,i,„.
/
1r * * DEPARTMENT USE ONLY * * 1r
5 Sic Codejj
Zone Act. #
Zone
Project No.
6 Dwell #
i
No. of Buildings
l
Sq. Ft. /Acre
Depth
)f
Frontage
g1- /
7 Set Back - Front) (L)S -1
C X(5)
`
(R)S -2 f
7
Rear
C
X t dr`
Census Tract
Module No.
Initials
J UPI 0 _
16 Architect Firm Name
t 1
frC
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone if different than above
( )
Contractor Firm Name
Street Address
Zip
City I
State
Phone
( )
Contact Person
License No.
Phone if different than above
( )
8 Owner /Agent (if different than #1 above)
Business Address
9 Zip
City
State
Phone
( )
12 Review Required
Plan Check (YIN)
Other (Y/ ) I
SEPA Exempt (Y /N)
Date
15 Type Work Bldg
❑ Fire
❑ MH
❑ Demo
❑ New
Add /Alter
❑ Replace
❑ Move
❑ Other
14 Describe Work
7--4 /A( ` I 1 f ' x'40 & �l� -am ■
/
10 Applicant Name
^
Street Address
11 Zip
City
State
Phone
( )
Lender
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone if different than above
( )
Additional Infoion !
C):;
-7 mot'
1
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
DEPARTMENT APPROVALS
This is not a Permit
(Indicated approvals required in either "release" or "release with conditions"
space prior to permit issuance.)
Environmental Health
W. 1101 College
Room 200
❑ Commercial;
❑ New Construction;
❑ Additional structure;
❑ Residential
❑ Bldg alteration /addition
Release
Release
w /cond 1
Hold 2
Js /y�
APPLICATION #
Conditions/Comments:
Planning /Zoning: ❑ Commercial; ❑ Cert. of Exemption; ❑ Frontage;
N. 721 Jefferson ❑ Setbacks; ❑ lot w /d; ❑ lot size; ❑ use /zone;
❑ CU, variance, zone change; shoreline; ❑ fence;
❑ Other
Conditions/Comments:
Engineers:
N. 811 Jefferson
Conditions /Comments•
❑ Commercial;
❑ drainage
❑ road improvements
❑ Residential;
Poi new access /approach;
❑ Flood Plain;
❑ fence;
Utilities:
N. 811 Jefferson
Conditions /Comments•
Other:
Plan Exam
Fire Prev.
Conditions /Comments•
i
Project Representative Telephone
Agencies Performing Special Inspection:
1
2
3
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for hold
Cu
__
MIND' MINIM.
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