1999, 05-28 Permit App: 99004703 BarnProject Number: 99004703 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/28/99 Page 1 of 2
Proiect Information:
Pennit Use: 30 X 60 BARN
Setbacks: Front 190 Left: 16 Right: 50 Rear: 74
Site Information:
Plat Key: 002752 Name: VERA
Contact: KELLEY, MARK
Address: 1710 S MAMER RD
C - S - Z VERADALE, WA 99037
Phone: (509) 891-9375
District: F
3:1 RW.R,e3
Parcel Number: 45271.1019
SiteAddress: 1710 S MAMER RD Owner: Name: KELLEY, MARK
VERADALE, WA 99037 Address: 1710 S MAMER RD
Location:: VER VERADALE, WA 99037
Zoning: UR -3.5
Water District:
Area: 0 Sq Ft
Urban Residential 3.5
Hold: ❑
Width: 130 Depth: 300 Right Of Way (ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information: •::„.,::<:„::.::<::::-
Department
BUILDING
Comments:
Review
Site Plan Review
S' c q9
BUILDING Plan Review
Comments:
Permits:
i
Project Number: 99004703 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/28/99 Page 2 of 2
Contractor: OWNER
Address: 0
000000, 00 000000
Building Permit
Finn: OWNER
Phone: (000) 000-0000
Building Characteristics
Const Category: New
Nbr Of Dwellings: Occupant Load:
Bldg W x D: 30 x 60 Building Sq Ft:
Req Parking: Handicap Parking:
DescriptionGtr Type Notes'
BARN U-1 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Payment Summary:.,"
Operator: CKF
Permit Type
Building Permit
Notes: ;< . , �„ Y:Y,::Yz.;.
"\N
Totals:
Units
Building Height: 19
1800 Sprinklers: E
Critical Materials: 0
This Application:
Sq Ft Valuation
1,800 $21,600.00
1
1
1
1,800
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
$21,600.00
Stories: 1
Total Project:
Sq Ft Valuation
1,800 $21,600.00
1,800 $21,600.00
Fee Amount
$313.00
$4.50
$68.86
$386.36
(nm— sxrao ^sx",:ex xa`as ,.;;srta r3,.tx;a;:; ' r su+s a`=IPM2
Printed By: CKF Print Date: 5/28/99
Fee Amount Invoice Amount Amount Paid Amount Owing
$386.36 $386.36 $0.00 $386.36
$386.36
$386.36 $0.00
$386.36
m
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel numbers
f`7/a S. M/9r7r/ 311/4 -;acv,
Legal description as it appears on the property deed '
Tiff 5av7/i zpof THE 5,sTVZ O/= Tf /9C 1°t/
•&p vE-eh \./
OWNER
or OCCUPANT Phone
Ml r ti rF // 5 r /-,-3t-7-5 / 7 (i7)- Y c/ 5-2
Mailing address City, state I Zip
/ —7 / 6 S . - r7/ Al i---71)5 Poi/i,9i✓, w/9 c/a/ &
Who
shouldsh�we contact �regarding this project?rt �� ( Q Phone
11/4/ .,9 1 I / I it �J / 7 E -r', .•6J�. \ J / / El & , r:
What work is being done
C UMS I0",C
undelithis'permit? , ;,� ; -
ye,.. ,p' v,,,4,., ,yam
/ ca, .^, /9 6/,9/ A/ s
Lane
Inspector district ,'- -
Properly size
Hight at way width
Water district -
J'
C
Building ,..''-
Building height
L
#ofstones
Contractor -"Dimensionk
ri/�CIfr'rg//E i
/
10iX 60
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
2nd floor area
Finished basement area
Architect/Engineer .---.-...--..,,.;_..
Garage -area 4_,,,.. _ E;`(/
•
Size of decks, etc.
What is the heat source? ---^_--- — "'
Wfiat'is'the cost of Y oiir.projedt7
,� —
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 #
Wa State Contractor license #
Mailing address
Mailing addrese
Relocation
Fire Safety
Fire Sprinkler,. Tent
Previous address
-
I -_
._ _
Paint booth Fire Alarrn Fireworks display
_
VALUE '/
Contractor
Contractor "s
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address -
Fuel Storage Tanks (Swimming Pool I
(Circle one) Above -ground Underground Size / gallons
Private
Contents of tank(s)
Size / gallons
Public/semi-pnvate
Contractor Contractor
Wa State Contractor license # WA State Contractor license #
Mailing address Mailing address
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
Site Plan
Pi1q-frt\2IL /2.0 -
INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
O All existing & proposed buildings
o Underground utilities
Cl North arrow
O Septic tanks & wells