2002, 06-28 Permit App: 02005332 Addition Garage, Patio CoverProject Number: 02005332 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/28/2002 Page 1 of 2
Project Information:
.............................
Permit Use: GARAGE ADDITION AND PATIO COVER
Setbacks: Front NA Left: 8 Right: NA Rear: 60
Site Information:
Plat Key: 005148 Name: H.A.V. ADDITION (1992) District:
Contact: MY FAMILY CONTRACTOR
Address: 8525 N FREYA ST
C - S - Z: SPOKANE WA 99217
Phone: (509) 467-0106
Group Name:
Project Name:
Parcel Number: 45234.5304
Block:
SiteAddress: 1112 S MARIGOLD CT
VERADALE, WA 99037
Location:: VER
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Lot:
Vi tt it 'S
Owner: Name: STANIS, RON
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:
Review
Site Plan Review
Septic System Review
Permits:
Operator: DMD Printed By: DMD
Print Date: 6/28/2002
Project Numbe
Application --
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/28/2002
Building Permit
Page 2 of 2
Contractor: UNKNOWN Firm: UNKNOWN
Address: UNKNOWN Phone: (000) 000-0000
UNKNOWN, WA UNKNOWN
Building Characteristics
Const Category: Addition Group: U-1 Type: VN
Nbr Of Dwellings:
Bldg W x D: 20
Req Parking:
Description
COV DECK
GARAGE
Occupant Load:
x 24 Building Sq Ft:
Handicap Parking:
Grp
R-3
U-1
Tyne
VN
VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Payment Summary:
Permit Type
Building Permit
Building Height: 14
480 Sprinlders:
Critical Materials: 0
This Application:
Notes Sq Ft Valuation
168 $1,691.76
ADDITION 480 $5,760.00
Totals: 648 $7,451.76
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Fee Amount Invoice Amount
$172.86 $172.86
$172.86 $172.86
Stories:
1
Total Project:
Sq Ft 'Valuation
168 $1,691.76
480 $5,760.00
648 $7,451.76
Fee Amount
$138.00
$4.50
$30.36
Amount Paid
$0.00
$172.86
Amount Owing
$172.86
$0.00 $172.86
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: DMD Printed By: DMD
Print Date: 6/28/2002
M/02/2002 11:43 5093241567
PROM T I MBERL INF
ProjectIslumber: f)2005332 Inv: I
SRHD EI -15
PHQW NO. : 5094643977
I r1,11-.
Jul. 31 2002 1101PM P1
Date; 6/28/2002
• THIS NOT A PEIIMIT
. 'Penalties will 'be assessed for couunenciiim work without permit
.V4010t2
Project Information:
Permit Use! GARAGY, AmorrioN AND PATIO COVER dontaeC MY FAMILY CONTRACTOR
ddress; 8525 N FREYA ST
C 5- Z: SPOKANE WA 99217
Setbacks; Front NA Left: 8 Right; NA P.ear: 60 Phone: (509) 467-0106
GrouP Name:
Project Name:
ite Information:
Plat Key: 005148 Name: H.A.V. ADDITION (1992) . District: F
Lot:
Owner: Name: STANIS, RON
Addres: 1112 S MCDONALD CT
VERADALE, WA 99037
Hold: 1..J
Depth: 150 Right Of Way (ft): 50
PaTcel Number: 45234.5304 Block:
SiteAddress: 1112 S MARIGOLD CT
VERADALE, WA 99037
Location:: VER
Zoning; UR -3.5
Water District
Arta: 0 Sq Ft
Nbr of Bldgs:
ReVieW InfOrnifiticln:
Review
Site Plan Review
Urban Residential 3.5
Width: 80
Nbr of Dwellings: 1
114
'4,V471
14, toes,
fr
Septic System Review
Ptritits • •
(=Vara tcv: DMO
Printed By: DMD
LReidiifxi By- •• • • .
Print pate;
6/28/2002
I 1
Alial
SPOK COMFY
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 \VEST BROADWAY AVENUE
SPOKANE, W,\ 99260
509-477-3675
62— 5337
SPECIFIC SITE INFORMATION
Street Address:
/// A 5 t /2`9A12.1 6 o l A
Assessor's Tax Parcel Number(s):
Legal Description:
/ j
Project Description: Ex 7 zi( /,,54 /t„/)'6,4,6 d t 4 2
.e°
Jd(Building Permit
❑ Relocation
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
0 Sign
0 Tenant (New/Change)
0 Other
Depaitinent Use Only
Water District/Purveyor
Sewer District/Purveyor
Road width
School District
lire District:
Zoning
Setbacks
Front
Left
Rear
Right
❑ cr,t
QP)
MaJmg .\JJrc'
s/fI-,v l S
OWNER/APPLICANT INFORMATION
0 Indnale who ,bould'e tonladed neardna go( projeti
Phone :97� 5 y"i 7
I as
❑ Applicant.
Phone -
s.tip
c�,ZrC�aIG
le -44-n) rf 3 7
i
Marling aijures.
/U ae yfr
Circ, State Zip 1
cp6 14-t� N� c.cJA-
\\r\ State mnactur liccasc =
7,2, 7
Mailing.\JJress.
Fac:
CGn, State, Zip
❑ Architect/ Engineer
Phone
Mailing address
Fax
Cin., State Zip
Contact name:
PROJECT INFORMATION
Building height to peak
Uimt nsit ins
Building Information
# of stories
\lam floor sq. It.
Unfinished basement sq ft
l'teal habitable space
z/80
2`l Floor .sq. ft.
Finished basement sq. It.
Cost of rroicct
Construction n-rc
Garage sr. ft.
?(oo
1 Teat source (electric, tas. etc.)
Deck sy Ir. f n
II
AIR
IVlanufactured Home
Sign
\Cidtltt
Length-
What is the square footage of the sign
face?
{low high is the sign?
Year:
Hake:
t# of signs
Arca of existing signs
Arc there slopes greater than 30°0 on thc property? (30 ft rise in 100 ft)
(________...--./0) a YcsNo
Proposed use
Value
Date Rccciced:
Relocation
Fire Safety
1 ,rm Name
What is the current use of this properrv? o \
.S \ J�� Nar'\-4e.__
Previous address
Will the site be served by a septic system? 0 Yes sr No
Paint booth
Fire Sprinkler
Tent
Fireworks display
Fire Alarm __
Arc there slopes greater than 30°0 on thc property? (30 ft rise in 100 ft)
(________...--./0) a YcsNo
Proposed use
Value
Date Rccciced:
1 :'13 11- lt, pr..cnran. e.
Special Inspections Required?
Non -Residential Energy Code Compliance?
1 ,rm Name
What is the current use of this properrv? o \
.S \ J�� Nar'\-4e.__
Phone
Will the site be served by a septic system? 0 Yes sr No
Plans IL aminer
Phone
Inspectors
Is rhos evidence• of fill or e\cavation on the property?
0 Ycs ,No
Arc there slopes greater than 30°0 on thc property? (30 ft rise in 100 ft)
(________...--./0) a YcsNo
,\rc critical or hazardous materials used or stored on site?
a Yes INo
Address
Date Rccciced:
1 :'13 11- lt, pr..cnran. e.
Inspector
Phone
CI Concrete
a Welding
a Bolting
a Reinforcement
Addre«
ADDITIONAL SITE INFORMATION
Are there structures on thc property? Ycs in No
I yes, 7(Ie/ltt' 0// site plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
fires, itient on rite p/an a \cs N0
What is the current use of this properrv? o \
.S \ J�� Nar'\-4e.__
is your property in a designated wildlife habitat arca?
0 Don't know 0 Ycs 1No
Will the site be served by a septic system? 0 Yes sr No
Is any part of the property within a 100 yr flood plain?
If yes, identify on sae plan
0 Maybe a Don't know a Ycs f:2(/No
Are or will there be swells located on the property?
If ref. ide/di15, on the site plan 0 lyes No
Are there any wetlands_ streams or ponds within 200 feetof the property?
flyer, identify 0/r site plan 0 Ycs peNo
Is rhos evidence• of fill or e\cavation on the property?
0 Ycs ,No
Arc there slopes greater than 30°0 on thc property? (30 ft rise in 100 ft)
(________...--./0) a YcsNo
,\rc critical or hazardous materials used or stored on site?
a Yes INo
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
a Ycs
a No
Is public sewer available to the site? 0 Yes o No
Is the property inside the ASA?
0 Yes
a Ycs
0 No
a No
Is public water available to the site? 0 Yes 0 No
Is the property inside the PSS/\?
0 Yes
0 No
Is the property located within 1000 feet of a Natural Resource Arca?
0 Ycs 0 N
Date Rccciced:
1 :'13 11- lt, pr..cnran. e.
METHOD OF PAYMENT
❑ cAslI
❑ CIII{( K
MINIM
VISA
❑MOM ❑ ❑
1ICSVE <.
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
WK(: \RI) NU1\1RI:I2.
I[\PII:I S:
Atli 1101:1/T1) SI(;N \TUIZI::
SURlOt \1.
TOTAL FEE
MINIMUM PERMIT FEE IS $J5.001' IT. : \ SE
,m,‘Kr cJIECI:S P:\y. ust.F lU 'POs:.\\I[
(O1:X Y PERM! f CI \IT.R
ADDRESS
ZONE
ROAD WID17r-
'�
FRONT
ROM� EED B a ker
NG
77- S tic.?
I S1\40,v4 to
getcl
•
2.0
this s''c ,7'71 ;r, ! eing submitted for thepurpose of
obtaa' r._f b..pkd,ng permit and is a true and correct
representation of the proposal. All known property
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bodies of ter,)steep siopes or other critical areas.
Signed:
Date: - - C�``