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1996, 08-08 Permit App: 96006406 Relocate Shed c PROJECT NUMBER= 96006406 ZPPLICATION DATE= 08/08/96 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 1116 S JOYCE LN PARCEL#= 45233.1509 ADDRESS= VERADALE WA 99037 . PERMIT USE= RELOCATE STORAGE SHED (18 X 30/UNHEATED) C�\ \ PLAT#= 005797 PLAT NAME= ADAMS COURT C a �j BLOCK= 1 LOT= 4 ZONE= UR-3.5 DIST#= F it ll / 0 ` AREA= 00013669 F/A= F WIDTH= 193 DEPTH= 171 R/W_ 24 0 OF BLDGS= 2 # DWELLINGS= 1 WATER DIST = 3 C4Q: r � OWNER= STACHOFSKY, SAM & JAN PHONE= 509 891 1452 "�- ` STREET= 1116 S JOYCE LN r ADDRESS= VERADALE WA 99037 CONTACT NAME= SAM STACHOFSKY PHONE NUMBER= 509 891 1452 BUILDING SETBACKS: FRONT= NA LEFT= /1 EFT= RIGHT= JH , REAR= 5 A H ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING PLAN REVIEW REQUIRED APPROVAL: J SHATTO DATE: 08/08/96 BUILDING SETBACK REVIEW REQUIRED APPROVAL: J SHATTO .+ J3_' DATE: 08/08/96 BUILDING PRE—RELOCA ION INSPECTION COMMENTS: H[EALTHDI INC ASO N LOT COVERA D - 6 I' r tr Fil>-t-&., /3 lft& 1 COMMENTS: ******************************* BUILDING PERMIT ******************************* CONTRACTOR= OWNER PHONE= NEW= X REMODEL= ADDITION= CHANGE OF USE= DWELL UNITS= OCCUP. LD= BLDG HGT= 8 STORIES= 1 BLDG W X D = 18 X 30 SQ FT= 540 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N FAI.1 f/ie /fb CCS Teo PROJECT NUMBER= 96006406 APPLICATION `-"` ` DATE= 08/08/96 PAGE= 02 DESCRIPTION GROUP TYPE SQ FT VALUATION FOUNDATION U-1 VN 540 1080.00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 35.00 STATE SURCHARGE Y 4.50 RESIDENTIAL SURCHARGE Y 7.70 ******************************* RELOCATION PERMIT ***************************** CONTRACTOR= OWNER PHONE= PREVIOUS ADDRESS: STREET= 1116 S ADAMS RD ADDRESS= VERADALE WA 99037 ITEM DESCRIPTION QUANTITY FEE AMOUNT RELOCATION INSPECTION 1 50.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 47.20 .00 .20 RELOCATION PRMT 50.00 .00 50.00 97.20 .00 97.20 PROCESSED BY: JULIE SHATTO PRINTED BY: JULIE SHATTO ******************************** THANK YOU ************************************ a� m D a N 0 APPL)C";ATION INFORMATION What is the JOB SITE address? ASSESSOR'S tax parcel number? Legal description as it appears on the property deed OWNER or OCCUPANT �r Phone 56 .K! fy5�z- Mailing address City, state Zip Who should we contact regarding this project? Phone 1:5c1 „, c4A4-fl Y/ -/SZ What work is being done under this permit? Re, �-Vl of Zone Inspector district Property size Right of waywidth Water district Building Building height # of stories Contractor Dimensions TOTAL SQUARE FOOTAGE A State Contractor license # Main floor area Unfinished basement area Mailing address 2nd floor area Finished basement area Architect/Engineer Garage area Size of decks, etc. What is the heat source? What is the cost of your project? Manufactured Home Sign idth: Length: What is the square footage of the sign face? How high is the sign? Year: Make: Installer Contractor We State Contractor license # Wa State Contractor license # Mailing address Mailing address Relocation Fire Safety Previous address /" a %%1_, f c J+r 03] Fire Sprinkler _ Tent Paint booth _ Fire Alarm Fireworks display VALUE Contractor Contractor A State Contractor license # WA State Contractor license # Mailing address Mailing address Fuel Storage Tanks ISwimming Pool (Circle one) Above -ground Underground Size / gallons Private Contents of tank(s) Size /gallons 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. Q. Site Man' or z y INCLUDE THE FOLLOWING: EJ All roadways, driveways & easments Distances from center of roads, right of ways, private roads & property lines 0 All existing & proposed buildings ❑ Underground utilities 8 North arrow ,,0 Septic tanks & wells 0 %. REQUEST FOR (6 MONTH) EXTENSION OF PERMIT THE 5 -SPEP PROCESS WE NEED TO FILL OUT THIS FORM UPON RECEIPT OFA REQUEST FOR AN EXTENSION. STEP 1: DATE REQUEST RECEIVED: �D ( % INSPECTOR DISTRICT: REQUESTED BY:—� PHONE #: a Ll.6 nn AL ADDRESS: f ' (d PROJECT NO:P �7 — LL! 0 PERMIT USE: REASON FOR REQUEST: MAE STEP 2: (IF INSPECTOR RECEIVED DIRECIZYFROMAPPLICANT- SKIP TO STEP 3) FORWARDED TO: DATE: Codes Administrator STEP 3: GIVEN FOR CONSIDERATION TO: FA42 DATE: Inspector ENTERED "00000" APPROVED EXTENSION IN HANDHELD ON: IF NOT APPROVED, REASON FOR DENIAL: STEP 4: RETURNED FOR REVIEW TO: STEP 5: SENT FOR LETTER TO: Codes Administrator Office Assistant CONFIRMATION LETTER SENT ON: EXPIRATION DATE: ORIGINAL: NEW: DATE: DATE: WHEN STEPS 1-5 ARE COMPLETE, THIS FORM & A COPY OF THE CONFIRMATION LETTER _ NEEDS TO BEBE PLACED IN THE ADDRESS FILE. extensiolim 127/94 ACTION: R SCREEN: APPL USERID: MSTI -,- --- BUILDING PERMIT SYSTEM APPLICATON SCREEN -------------------------------------------------------------------------- JURISDICTION= 11 PROJECT= 96006406 APPLICATION DATE: 960808 STATUS: A LOCATION: VER PARCEL: 45233.1509 SITE STREET: 001116 S JOYCE LN ADDRESS: VERADALE WA 99037 OTHER JURISDICTION: WITHIN BNDRY? APPLICANT: STACHOFSKY, SAM & JAN PHONE: 509 891 1452 STREET: 001116 S JOYCE LN ADDRESS: VERADALE WA 99037 CONTACT NAME: SAM STACHOFSKY PHONE: 509 891 1452 PERMIT USE: RELOCATE STORAGE SHED (18 X 30/UNHEATED) REPORTING CODE: 0000000023 NON-RESIDENTIAL PERMIT TYPE: BU RE RES/COM: R INITIALS: JAS BUILDING SETBACKS => FRONT: NA LEFT: NA RIGHT: 14 REAR: 5 PRINT DATE: 960808 BY: JAS PRINT REASON: APPL O1-M830W DISTRICT IMPACT AREA (MPCT). S P O 1< A N E DEPARTMENT OF BUILDING AND PLANNING JAMES L. MANSON, C.B.O., DIRECTOR Sam Stachofsky 1116 S. Joyce Ln. Veradale WA 99037 k C O u r -4N -r Y • A DIVISION OF THE PUBLIC WORKS DEPARTMENT DENNIS M. SCOTT, P.E., DIRECTOR January 17, 1997 RE: Extension of Permit - 1116 South Joyce Lane To Whom It May Concern: Per your telephone conversation with our office on January 6, 1997 your request for an extension of your permit number 96006406 for the above -referenced property is approved through July 6,'1997. If inspections to verify progress have not been requested within the above time frame, a new permit must be filed, and appropriate fees paid. Should you have any questions, please contact our office weekdays between the hours of 8:00 a.m. and 4:00 p.m. tab Sincerely yours, Theresa A. Bidowski Office Assistant 1026 WEST BROADWAY AVENUE • SPOKANE, WASHINGTON 99260 BUILDING PHONE: (509) 456-3675 • FAX: (509) 456-4703 PLANNING PHONE: (509) 456-2205 • FAX: (509) 456-2243 TDD: (509) 324-3166