2002, 09-18 Permit App: 02008063 Storage ShedProject Number: 02008063 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/18/2002 Page 1 of 2
Project Information:
Permit Use: 20 X 20 STORAGE SHED
Setbacks: Front 30+ Left: 30+ Right: 5 Rear: 5
Site Information:
Plat Key: 003136 Name: VERA CREST SUB
Contact: AZAR, CYRUS
Address: 2213 S BURNS RD
C - S - Z: VERADALE, WA 99037
Phone: (509) 999-6637
Group Name:
Project Name:
District:
F
Parcel Number: 45261.2206
Block: Lot:
SiteAddress: 2213 S BURNS RD
VERADALE, WA 99037
Location:: VER
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Owner: Name: AZAR, CYRUS
Address: 2213 S BURNS RD
VERADALE, WA 99037
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
3 \.:\<
Releases By:
Plan Re ew
t1t
Permits:
Operator: RMB Printed By: RMB
Print Date: 9/18/2002
Project Number: 02008063
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/18/2002
Contractor: MY FAMILY CONTRACTOR
Address: 8525 N FREYA ST
SPOKANE WA 99207
Const Category: New
Nbr Of Dwellings:
Bldg W x D: x
Req Parking:
Description
GARAGE
Grp
U-1
Building Permit
Page 2 of 2
Firm: MY FAMILY CONTRACTOR
Phone: (509) 467-0106
Building Characteristics
Group:
Occupant Load:
Building Sq Ft:
Handicap Parking:
Type Notes
VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Summary:
Permit Type
Building Permit
Type:
Building Height:
Sprinklers: E
Critical Materials: E
This Application:
Sq Ft Valuation
400 $4,800.00
Stories:
Total Project:
Sq Ft Valuation
400 $4,800.00
Totals: 400 $4,800.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
400 $4,800.00
Fee Amount
$100.50
$4.50
$22.11
$127.11
Fee Amount Invoice Amount Amount Paid Amount Owing
$127.11 $127.11
$0.00 $127.11
$127.11 $127.11
$0.00 $127.11
Disclaimer:
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 construed 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: RMB Printed By: RMB
Print Date: 9/18/2002
Ailikik
SPOKANE Coves
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: L 3 S t ui J S 2,G VE/Wk LE , W t 1 qci
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description:
s-I-ogi 6 suE, O
Building Permit
❑ Change in Use
In Grading
In Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
El 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
• ,q
4 _ u'ha chnuld Gc niche ted re an•dim ibis i ro eel
lD thcnnrr �/1 Phone: Cj ...
C: YR YOS /�(Z%t�Q \ las: q--2,1
6 6, 37
- y 9
❑ :\pphcant
5 ilAlE
Phone
I.:t.:
Mailing Address:
Zz /3 s, 8ue<P3 r D
Dimensions
za' x Za i0
'Total habitable space
Mailing Address:
Finished basement sq. ft.
(:in., State, Zip
Li pA LE , in/ A G 9 03 )
Construction type
PO2 -E 6 uiLiiiNG
Garage sq. ft.
Cm, State, Zip
Cost of project
Phone
4-14:,
N ^Contractor �/� A^ y' �1/�t'
M y �Am) LY C ON / Rfiov —a.
- 0 / 0
%
70
❑ Archrtcct;'I:ntnnccr
Phone
l a.
Mailing address
' 525 Al, PgE Al
I\ failing address
City, State Zip
:-;P,))</14 .nl g) v\/1 Yt 1 Lo—)
(,m, State Zip
\\'A State Contractor license #
M `/ F4/1/1 G i 022* 12 0
Contact naive:
FORMATION
Building Information
Building height to peak
# of stones
1
1\lain floor sq. ft.
Unfinished basement sq. ft.
Dimensions
za' x Za i0
'Total habitable space
2"d th>or sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
PO2 -E 6 uiLiiiNG
Garage sq. ft.
Deck sq. ft.
Cost of project
I !cat source (electric, gas, ctc.)
Manufactured Home
Sign
Width:
Length:
\Y'hatys the square footage of the signs
pace?
I low high is the signs
Year:
(Make:
# of signs
.\rca of existing signs
fent
Fire :Mann
Fireworks display
Are critical or hazardous materials used or stored on site?
❑ Yes @'No
Relocation
Fire Safety
Firm Name
What is the current use of this property?
Previous address
Will the site be served by a septic system? ❑ Yes fT/No
Paint booth
Etre Sprinkler
fent
Fire :Mann
Fireworks display
Are critical or hazardous materials used or stored on site?
❑ Yes @'No
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
What is the current use of this property?
Phone
Will the site be served by a septic system? ❑ Yes fT/No
Plans Examiner
Phone
Inspectors:
Is there evidence of fill or excavation on the property? _/
❑ Yes LU' No
Are there slopes greater than 30° o on the property? (30 ft_rise m 100 ft)
( /°'°) ❑ Yes Cgd No
Are critical or hazardous materials used or stored on site?
❑ Yes @'No
Address
Inspector
Phone
❑ Concrete
❑ Welding
❑ Bolting
❑ Reinforcement
Address
ADDITIONAL SITE INFORMATIO
Are there structures on the property? L3/ Yes ❑ No
If yes, identi on .rite plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shore e?
If yes, identi,fi on site plan ❑ Yes 4A No
What is the current use of this property?
Is your property in a designated wildlife habitat area? /
❑ Don't know ❑ Yes T" No
Will the site be served by a septic system? ❑ Yes fT/No
Is an: part of the property within a 100 yr flood plain?
I f yes, ident, on site plan
❑ Maybe 7 Don't know ❑ Yes ❑ No
Are or will there be wells located on the property? ./
I f yes, identib' on the site plan ❑ Yes Dir No
Are there any wetlands, streams or ponds within 200 jket of the property?
Des, identj, on site _plan ❑ Yes INo
Is there evidence of fill or excavation on the property? _/
❑ Yes LU' No
Are there slopes greater than 30° o on the property? (30 ft_rise m 100 ft)
( /°'°) ❑ Yes Cgd No
Are critical or hazardous materials used or stored on site?
❑ Yes @'No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
❑Yes
CI No
Is public sewer available to the site? Il ces ❑ No
Is the property inside the ASA?
❑ Yes
❑ Yes
❑ No
❑ No
Is public water available to the site? fJ Yes ❑ No
Is the property inside the PSSA?
❑ Yes
❑ No
Is the properylocated within 1000 feet of a Natural Resource Area?
❑ Yes C➢I No
Date Received
Staff Representance
METHOD OF PAYMENT
VISA
0 c:.\s1I 0 (:111.x:1% ❑ ❑ 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
108\11
DATE:
BAN IKC.\RD NUMBE It:
I?XPI121?S:
.\U11 IOR1/.I:D SIGN.\TORI?:
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT FEE IS $35.00 PLEASE
NI. \KE CHECKS PAYABLE TO SPOKANE
COUNTS PERMIT CENTER
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