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2000, 09-15 Permit App: 00008313 RemodelProject Number: 00008313 Inv: 1 4 Application Date: 09/15/2000 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: FINISH BASEMENT - FAMILY RM, COMPUTER Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 005148 Name: H.A.V. ADDITION (1992) Parcel Number: 45234.0610 Block: SiteAddress: 1112 S MARIGOLD CT VERADALE, WA 99037 Location:: VER Zoning: UR -3.5 Water District: Urban Residential 3.5 Contact: YAN, EDWARD Z. Address: 1112 S MCDONALD CT C - S - Z: VERADALE, WA 99037 Phone: (509) 922-8906 Group Name: Project Name: District: Lot: Owner: Name: YAN, EDWARD Z. Address: 1112 S MCDONALD CT VERADALE, WA 99037 Hold: ❑ Area: 0 Sq Ft Width: 80 Depth: 150 Right Of Way (ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Department BUILDING Hold Reasons: Permit Conditions: Review Plan Review HEALTHDISTRICT Septic System evie`�w 81 p.n C ca 1 Hol �V Reasons: ej Permit Conditions: Permits: Released By: F Released By: _ J 2 Project Number: 00008313 Inv: 1 r r Application Date: 09/15/2000 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: OWNER Address: 0 000000, 00 000000 Building Permit Firm: OWNER Phone: (000) 000-0000 Building Characteristics Const Category: Remodel Group: Nbr Of Dwellings: Occupant Load: Bldg W x D: x Building Sq Ft: Req Parking: Handicap Parking: Description BASEMENT F Grp Type R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Payment Summary: Operator: CKF Permit Type Building Permit Notes: Notes FINISH BASEMENT Totals: Type: Building Height: Sprinklers: El Critical Materials: ❑ Stories: This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 0 $1,000.00 0 $1,000.00 0 $1,000.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Printed By: CKF Fee Amount $48.12 $48.12 Permit Total Fees: 0 $1,000.00 Fee Amount $35.75 $4.50 $7.87 $48.12 Print Date: 09/15/2000 Invoice Amount $48.12 $48.12 Amount Paid $0.00 $0.00 Amount Owing $48.12 $48.12 Afri6ki; SPOKE COUNCY Project Description: 1 PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 li Ta%e rl14,v TYPE OF APPLICATION Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other SPECIFIC SITE INFORMATION i l a S. Mar 01 0( Cgwyi , tin i -e , W 6110.-7 Assessor's Tax Parcel Number(s): Street Address: Legal Description: OWNER/APPLICANT INFORMATION 0 Indicate who should be contacted reeardin2 this proiect V) Owner: Phone: 9 2- FO �1ard Z. lam Fax 2-s-106 ® Applicant: n LeffPhone: gaiii t 0.g Fax: Mailing Address: / 1 ! 2 S - Mac j -oto( et - Mailing Address: City, State, ZipVerada(Je UM 9 O S �/ City, State, Zip ❑ Contractor Phone Fax ❑ Architect/Engineer Phone Fax Mailing address Mailing address City, State Zip City, State Zip WA State Contractor license # Contact name: PROJECT INFORMATION Building height to peak # of stories Main floor sq. ft. Unfinished basement sq. ft. Dimensions Total habitable space 2"I floor sq. ft. Finished basement sq. ft. Occupancy group Cost of project Construction type (ov', cry 142, Garage sq. ft. Deck sq. ft. Heat source (electric, gas, etc.) • Width: Length: What is the square footage of the sign How high is the sign? face? Year: Make: # of signs Area of existing signs Previous address Fire Sprinkler Paint booth Fire Alarm Tent Fireworks display Proposed use Value Firm Name Phone Plans Examiner Phone Inspectors: Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes O No If yes, identify on site plan What is the current property size? (square feet or acres) Is any part of the property within 250 feet of a shoreline? If yes, identify on site plan O Yes O No What is the current use of this property? Is your property in a designated wildlife habitat area? O Don't know O Yes O No Will the site be served by a septic system? O Yes O No Is any part of the property within a 100 yr flood plain? If yes, identify on site plan O Maybe O Don't know O Yes O No Are or will there be wells located on the property? If yes, identify on the site plan O Yes O No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, identify on site plan O Yes O No Is there evidence of fill or excavation on the property? O Yes O No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( / %) O Yes O No Are critical or hazardous materials used or stored on site? O Yes O No DEPARTMENT USE ONLY Is the property in a designated Stormwater Cocttrol Area? Yes Is publicsew �r available° to _ eL e? l f _Ei yi � �' IS she property inside the ASA? _ I Yes , Yes 0 No " Q No. Is Lilic wates � iter t �.{ Is the property inside the PSSA?" 0 Yes O No . Is the property. located wit, '+®® feet of _ eat Date Received: Staff Representative: METHOD OF PAYMENT VISA ❑ CASH ❑ CHECK ❑ ❑ ',� '" ❑ ,10 0111: FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: BANKCARD NUMBER: EXPIRES: AUTHORIZED SIGNATURE: SUBTOTAL