1997, 04-09 Permit App: 97002076 AdditionPROJECT NUMBER= 97002076 APPLICATION
PROJECT NUMBER= 97002076 APPLICATION
DATE= 04/09/97
DATE= 04/09/97
PAGE= 01
PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1306 S MARIGOLD ST
ADDRESS= VERADALE WA 99037
PERMIT USE= RESIDENCE ADDITION -
PLAT#=
BLOCK=
AREA=
# OF BLDGS=
000715
1
00000000
2 #
PLAT NAME=
LOT=
F/A=
DWELLINGS=
OWNER= CHAVEZ, ROBERT
STREET= 1306 S MARIGOLD ST
ADDRESS= VERADALE WA 99037
PARCEL#= 45234.2604
DINING ROOM
ELDORA ADD
4 ZONE= UE -3.5
F WIDTH= 106
1 WATER DIST =
DIST#= F
DEPTH= 197 R/W= 50
PHONE= 509 924 9886
CONTACT NAME= ROBERT OR SHIRLEY CHAVEZ PHONE NUMBER= 509 924 9886
BUILDING SETBACKS: FRONT= NA LEFT= 3 RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
PLANNING INADEQUATE SIDE YARD SETBACK
COMMENTS:
v �=
Ratko `i o/tel - orK
• qA%7
c1z4.e -/61-9 7 % 5/.
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
1 OCCUP. LD=
22 X 26 SQ FT=
#HANDICAP=
PHONE=
ADDITION= X CHANGE OF USE=
BLDG HGT= 8 STORIES= 1
572 SPRINKLER= N
CRITICAL MAT= N
PROJECT NUMBER= 97002076 APPLICATION DATE= 04/09/97 PAGE= 02
DESCRIPTION GROUP TYPE SQ FT VALUATION
RES ADD R-3 VN 572 33748.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 433.00
RESIDENTIAL SURCHARGE Y 95.26
STATE SURCHARGE Y 4.50
******************************* MECHANICAL PERMIT *****************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
GAS LOG OR GAS INSERT
GAS PIPING
QUANTITY FEE AMOUNT
1
1
10.00
1.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT
MECHANICAL PRMT
532.76
11.00
543.76
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
.00
. 00
532.76
11.00
. 00 543.76
******************************** THANK YOU ************************************
APR -10-1997 07:45
1r7i777
PERMIT NO
SPOKANE COUNTY HEALTH DISTRICT -
--- 'E. O. PLOEGER, M. D. M.P.H., HEALTH OFFICER, .
N. 819 Jefferson Strt
Spokane, Washington 201
1
r.ni
7it.
DATE c A 777-4—
No. A 15254
APPLICATION FOR PERMIT TO INSTAL OR RECONSTRUCT SEWAGE DISPOSAL FACILITIES
Nameaf-lteeeiga'��— Address /&' ' Phone 99 g
Address of Proposed Site
4/
Type of Use
Number of Bedrooms 3 Building Capacity Camp Capacity
Water Supply t,t2-za (City, Well. Spring). Drywell !
Septic tank capacity 900 0 gals. Style of tank
length of disposal field / 6v0
Is basement for b!ding planned?
Other
•
Rl 5bew relative location M. Raposad Mesa. *stela last,
disposal fiel& well. derail end other out bYlldlnn-
12) Mals note el say News slope or s.ampy was ar enf
char Imperraat lepoefaphle details.
Absorption Pits , ; %� 4 b Bad
r
WIMP
• T,
installer -
Final Inspection Date
Vel
1
FORM See ILY. CEM711
For Spokane County Health District
TOTAL P.01
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