2001, 05-02 Permit App: 01003145 Partial Finish BasementProject Number: 01003145 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 5/2/01 Page 1 of 2
Permit Use: PARTIAL BASEMENT FINISH (REC RM, SEWING
RM) & GAS FIREPLACE
Contact: DAVID HILLMAN HOMES
Address: 16813 N DEAN RD
C - S - Z: NINE MILE FALLS, WA 99026
Setbacks: Front Left: Right: Rear: Phone: (509) 465 -0720
Group Name:
Site Information: Project Name:
Plat Key: 005419 Name: DHAENENS SQUARE PHASE 1
Parcel Number: 45224.918OPTN Block: Lot:
SiteAddress: 1516 S AVALON LN
VERADALE, WA USA 99037
Location:: VER
Zoning: UR -7
Water District:
Urban Residential -7
Area: 5,810 Sq Ft Width: 75
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department
BUILDING
Hold Reasons:
Permit Conditions:
Permits:
Review
Plan Review
District:
Owner: Name: PLESHA, RITA
Address: 1516 S AVALON LN
VERADALE, WA 99037
Hold: ❑
Depth: 90 Right Of Way (ft): 30
Released By:
F
Project Number: 01003145 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/2/01 Page 2 of 2
Building Permit
Contractor: D H S PAINTING Firm: DAVID HILLMAN/D H S PAINTIN
Address: 16813 N DEAN RD Phone: (509) 465 -0720
NINE MILE FALLS, WA 99026
Building Characteristics
Const Category: Remodel Group: R -3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: 492 Sprinklers: El
Req Parking: Handicap Parking: Critical Materials: 0
This Application: Total Project:
Description Gm 'km Notes Sq Ft Valuation Su Ft Valuation
BASEMENT R R -3 VN PARTIAL 0 $492.00 0 $492.00
BASEMENT
FINISH
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 0 $492.00 0 $492.00
Units Unit Desc Fee Amount
1 Y OR BLANK $35.00
1 Y OR BLANK $4.50
1 YORBLANK $7.70
Permit Total Fees: $47.20
Mechanical Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000 -0000
000000, 00 000000
Item Description
GAS PIPING
GAS LOG OR GAS INSERT
MINIMUM FEE ADJUSTMENT
Payment Summary:
Operator: CKF
Permit Type
Building Permit
Mechanical Permit
Notes:
OK TO ISSUE SEWER PERMITS TO WOLFCREST ULID /BILLY
941101 /CKF REARYARD SETBACK IS 20 FEET FOR ALL LOTS ON
SOUTH SIDE OF 15TH LANE (EVEN NUMBERED ADDRESSES)
Units Unit Desc
1 # OF UNITS
1 NUMBER OF
1 Select
Printed By: CKF
Fee Amount
$47.20
$35.00
$82.20
Permit Total Fees:
Print Date:
Invoice Amount
$47.20
$35.00
$82.20
Fee Amount
$1.00
$10.00
$24.00
$35.00
Amount Paid
$0.00
$0.00
$0.00
5/2/01
Amount Owing
$47.20
$35.00
$82.20
AMR
SPOKAW COURTY
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: 15f t) S, /4 tiu l o ye_ r. cod le„ `
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: Pc if. cc. i �3 ;, yet.. -I e tit bI' -,,.t j S b
Building Permit
O Change in Use
O Grading
O Manufactured Home Permit
O Relocation
O Sign
O Tenant (New /Change)
O Other
OWNER /APPLICANT INFORMATION
0 Indicate who should
117 llwner:
(� `�
t J ;fa_ i_ P I e5 b C
Phone: 922 � 1 � 1 3
Fax:
❑Applicant:
Phone:
Fax,
Mailing Address:
(5r , 5, 6- vceIon --
Unfinished basement sq. ft.
Mailing Address:
Total habitable space
City, State, Zip
` f ✓'(4C / I /'t \/A
Finished basement sq. h.
City, State, Zip
Construction type
CI Contractor / ctor
J C 1P
Phone
Fax
❑ Architect/Engineer
Phone
Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
WA State Contractor license #
Contact name-
PROTECT INFORMATION
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r �..• . 4 .S.i? �y� r•- `a-' =f•�4 �y _fin. ;Y "Wi53' °
-. b, __..r�.'.�X�.. . :r,"+t�;m'm"�..•k -. .- 5� ..an. �.: ��.Ft ....Wa ���_ �4
ormaton �..
u�'R 'a ; L y e:... " S r yiY. s%
b -'. <. � ..' _ 3�,+ � 4"114�%.�YF'�k�. � . .
Building height to peak
Al of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
Total habitable space
2 °d floor sq. ft.
Finished basement sq. h.
Occupancy group
Construction type
Garage sq. ft_
Deck sq. ft.
Cost of project -
Heat source (electric, gas, etc)
Width:
Year:
Length:
What is the square footage of the sign
face?
Make:
1 of signs
How high is the sign?
Area of existing signs
Previous address
Proposed use
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
Value
Firm Name
Inspectors:
Plans Examiner
Address
0 Concrete 0 Welding 0 Bolting 0 Reinforcement
Inspector
Phone
Address
Are there structures on the property? 0 Yes 0 No
Ifyes, identify on site plan
Is any part of the property within 250 feet of a shoreline?
Ifyes, identify on site plan 0 Yes 0 No
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes 0 No
ADDITIONAL SITE INFORMATION
Is any part of the property within a 100 yr flood plain?
Ifyes, identify on site plan
D Maybe 0 Don't know 0 Yes 0 No
What is the current propeny size?
(square feet or acres)
What is the current use of this property?
Will the site be served by a septic system? O Yes 0 No
Are there any wetlands, streams or ponds within 200 feet of the
property?
Ifyes, identh on site plan
O Yes O No
Are or will there be wells located on the property?
Ifyes, identify on the site plan O Yes 0 No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(— %) O Yes O No
Is there evidence of fill or excavation on the property?
O Yes O No
eWa
Are critical or hazardous materials used or stored on site?
O Yes O No
DEPARTMENT USE ONLY
or�I .2eI
Date Received:
Staff Representative:
METHOD OF PAYMENT
IA CASH El CHECK ED intiniM
VlSK ❑
i IIw COVE €a
•
+ •,
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
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