1996, 03-26 Permit App: 96001779 GaragePROJECT NUMBER= 96001779 APPLICATION•
******
DATE= 03/26/96 PAGE= 01
THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 17705 E BOONE AVE PARCEL#= 55182.1520
ADDRESS= GREENACES WA 99016
PERMIT USE= GARAGE W/2ND STORY REC ROOM (28 X 28)
PLAT#= 000129 PLAT NAME= BACON'S ADD TO GREENACRES
BLOCK= LOT= ZONE= UR 3.5 DIST#= G
AREA= F/A= F WIDTH= 100 DEPTH= 90 R/W= 30
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= RUDDACH, KARLA & JOE
STREET= 17705 E BOONE AVE
ADDRESS= GREENACES WA 99016
CONTACT NAME= JOE RUDDACH
PHONE= 509 927 9993
PHONE NUMBER= 509 927 9993
BUILDING SETBACKS: FRONT= 40 LEFT= 15 RIGHT= NA REAR= NA
*************************
REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
BUILDING LABOR & INDUSTRY REVIEW
COMMENTS:
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS: tjy\ arkm.,Ans -'yylOJ /yyl GLw
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******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= 25 STORIES= 2
BLDG W X D = 28 X 28 SQ FT= 1568 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
PROJECT NUMBER= 96001779
C
APPLICATION
DATE= 03/26/96 PAGE= 02
DESCRIPTION GROUP TYPE SQ FT VALUATION
GARAGE U-1 VN 784 9408.00
RES ADD 2F R-3 VN 784 46256.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 529.53
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 116.50
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 650.53 .00 650.53
650.53
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
.00 650.53
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx THANK YOUxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
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APPLICATION INFORMATION
What is the JOB SITE
address?
4 / 7 ?CO—.- e41,27 -2,( -
Legal description as it appears on the property deed
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ASSESSOR'S tax parcel number?
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OWNER or OCCUPANT
.`Rhone
hone
P C� — . • Sod 147 Pf93
City, state'
x4:'
Mailing address
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Who should we contact regarding this project?
What work is being done under this permit?
sPhone 7- / q
7r2 /g / 3
Zip
Contractor
(AU' eA
WA State Contractor license #
Mailing address
Architect/Engineer
Building height
a r'
Dimensions
266"v)
Main floor area
2nd floor area
Garage area
SVO
ke r
# of stories
TOTAL SQUARE FOOTAGE
0 /VC
Unfinished cement area
Finished basement area
Size of decks, etc.
What is the heat source?
B*ie
What is the cost of your project?
Manufactured,Home
Sign
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
We State Contractor license #
_
Mailing address
Mailing address
F1 3 • •
• .e
Relocation
Fire Safety;
Previous address
Fire Sprinkler
Paint booth .1 Fire Alarm
Tent
Fireworks display _
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
'Fuel Storage Tanks'
Swimming Pool
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities,
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Site Plan
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INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
❑ All existing & proposed buildings
❑ Underground utilities
❑ North arrow
❑ Septic tanks & wells
R 2"
DEPARTMENT OF LABOR AND INDUSTRIES
PLEASE PRINT
RECEIVED FROM
CITY
. -
STATE
(..5,)
$ 7
0 CASH
PURPOSE
- • ,
BUILDING &
0 CONSTRUCTION
INDUSTRIAL
0 INSURANCE
0 EMPLOYMENT STD., APPRENTICESHIP, CRIME VICTIMS
MANAGEMENT
0 SERVICES
11 SAFETY 8. HEALTH
SECTION
LOCATION
WA.
FI 20-036-000 (7-85)
L81 RECEIPT BOOK
RECEIVED BY (SIGNATURE)
CLIENT COPY
No. A126738
AMOUNT
$ -
I
DATE
-'- -.7 i
• '
./
LOCATION NUMBER
AGENT NUMBER
TRANSACTION NUMBER
OFFICE USE ONLY
FUND SOURCE SUB'
DEPOSIT DATE