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