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2002, 04-30 Permit App: 02003120 CarportProject Number: 02003120 Inv: 1 .---�A'pplication Date: 4/30/2002 Page 1 of 2 THIS JS NOT A PERMIT Penalties will be assessed for commencing work without a permit SiteAddress: 1308 S LIMERICK DR VERADALE, WA 99037 Location:: VER Zoning: UR -7 Urban Residential -7 Water District: Area: 1.00 Acres Width: 0 Nbr of Bldgs: 2 Nbr of Dwellings: 1 Review ':. 'ew Information: a Review Site Plan Review Plan Review Septi Permits: Owner: Name: PAYNE, GILES B Address: 1308 S LIMERICK DR VERADALE, WA 99037 Hold: ❑ Depth: 0 Right Of Way (ft): 0 ME all •�. operator: RMB Printed By: RMB Print Date: 4/30/2002 Project Number: 02003120 Inv: 1 Application Date: 4/30/2002 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Totals: 1,620 $7,290.00 Units Building Permit Contractor: OWNER Firm: OWNER 1 Phone: 1 Building Characteristics Const Category: Addition Group: U-1 Type: VN Nbr Of Dwellings: 1 Occupant Load: Building Height: 16 Bldg W x D: 30 x 54 Building Sq Ft: 1620 Sprinklers: El Req Parking: 0 Handicap Parking: 0 Critical Materials: El This Application: Description Grp Type Notes So Ft Valuation CARPORT U-1 VN 1,620 $77290.00 Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Totals: 1,620 $7,290.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Stories: 1 Total Project: Sa Ft Valuation 1,620 $7,290.00 1,620 $7,290.00 Fee Amount $138.00 $4.50 $30.36 Permit Total Fees: $172.86 Notes: ent umma Pam S Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $172.86 $172.86 $0.00 $172.86 $172.86 $172.86 $0.00 $172.86 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 contrued 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: 4/30/2002 l PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE Mul SPOKANE, WA 99260 �ni 509-477-3675 SPECIFIC SITE INFORMATION Stre Address: 0�i I' 0 Assessor's Tax Parcel Number s): Legal Description: 0 �� / „ -A � � ^ / A Project Description: �� z uilding Permit ❑ Change in Use ❑ Grading ❑ Relocation ❑Sign ❑ Tenant (New/Change) Department Use Only Road width Setbar Water Distract/Purveyor. Sewer District/Purveyor. Front School District Fire District: "Zoning ,wJQ�^��/+�. Left: OWNER/APPLICANT INFORMATION ❑ Manufactured Home Permit Rear. Right: IJ lnAri(ate unn si�ouiW ne aintuaeu ,r mo�� • �,,., (iia phone �� T 1 ��Z., ❑ Applicant: phone: cr: J / I'as: Dimensions / / l (/ Mailin-gAddress Q Mailing Addres s: City,tatc, lip Cin-, State, Zip Phone ❑ Contra for � Z �� i Phone ❑ ;Architect/I Ln�nnccr Fax Pas Mailing address Mailing address Cin', State Zip Cin', State Zip WA State Contractor license # Contact name - R A T7l1AT Building Information LBuild2in, hcg}� [o peak # of stores ;`lain floor sq. ft. Unfinished basement sq. ft. Dimensions / / l (/ "Total habitable s ace a'Ili Floor sq. ft. finished basement sq. ft. Occupancy group Constructi ty C P ' Garage sq. ft. Deck sq. ft. Cost of project 3 ✓ DO� 1 Icat source (electric, gas, etc.) Manufactured Home Sign Width: Length: What is the square footage of the sign face? ' I low high is the sign? Year: Make: # of signs Area of existing signs Inspector Phone ❑ Concrete ❑ \Velding ❑ Bolting ❑ Reinforcement Address Relocation Fire Safety Previous address Fire Sprinkler 'Cent Paint booth Fire Alarm Fireworks display Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? firm Name Phone plans Examiner Phone Inspectors: Address I yes, tdentt y on site plan C3 Yes ly Inspector Phone ❑ Concrete ❑ \Velding ❑ Bolting ❑ Reinforcement Address ADDITIONA1. SITE INFORMATinN Are there structures on the property? C'Yes ❑ No What is the current property size? I yes, idenlift on site plan (square feet or acres) Is any part of the property within 250 feet of a Shorcl/ij�e? Co' What is the current use of this property? I yes, tdentt y on site plan C3 Yes ly ❑ No Is your property in a designated wildlife habitat arca? Will the site be served by a septic system? ❑ Yes ❑ No ❑ Don't know ❑Ycs No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? - If yes, ident on site plmt Oes, ident� on the site plan ❑ Yes Lel No W ❑ Nlavbe ❑ Don't know ❑ Yes No ❑ Yes M No Are there any wetlands, streams or ponds within 200 t of the property? Is there evidence of fill or excavation on the property? lfjes, identi , on site plan ❑ Yes No ❑ YesNo Are there slopes greater than 30°'x, on the property? (30 ft _<'e in 100 ft) Are critical or hazardous materials used or stored on site? % ❑ Yes No ❑ Yes No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? ❑ Yes qr No ❑ Yes ❑ No Is the property inside the ASAI ❑ Yes ❑ No Is public water available to the site? Yes ❑ No ❑ Yes ❑ No Is the property inside the PSSA? ❑ Yes ❑ No Is the prope Gated within 1000 feet of a Natural Resource Area? ❑ Yes M No llatc Rccciced: Staff Rcprescnti icr: METHOD OF PAYMENT VISA C:1SI1 ❑ CIIFCK ❑ ❑ ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATF: I(YPIM.'s: BANKCARD NU\1BFIZ: \UTI IOKIXFD SIGNATUKI(: SUBTOTAL, TOTAL FEE MIMMUM PERMIT FEE IS f iS.W 111-F ASE MAKE Cl1ECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER This site p„rpcse of obtainin,, -j representation of the prc)pDSaj All known -,fy lines/dimensions, curb lines. L11d Easements have been identified. Aigo irdG'--Ited al'(' w"', bodies of ter, ste pes r ei. Cr;L I t areas. Date: ADDRESS "�6 ZONE ROAD WIDTH 5o FRONT 90-t- NKiNG COMME11 REVIEW