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
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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 ************************************
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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