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2001, 05-02 Permit App: 01003152 Pole BldgProject Number: 01003152 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/2/01 Page 1 of 2 Project Information: Permit Use: 30 X 48 POLE BUILDING Setbacks: Front 50+ Left: 100 Right: 10 Rear: 50+ Site Information: Plat Key: 000000 Name: UNKNOWN Contact: THOMPSON, JOHN Address: 15105 E MISSION AVE C - S - Z: VERADALE, WA 99037-9553 Phone: (509) 892-0872 Group Name: Project Name: District: F Parcel Number: 45141.0215 Block: SiteAddress: 15105 E MISSION AVE VERADALE, WA USA 99037 Location:: VER Zoning: UR -3.5 Water District: Area: 0 Sq Ft Urban Residential 3.5 Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Lot: Owner: Name: THOMPSON, JOHN Address: 15105 E MISSION AVE VERADALE, WA 99037-9553 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Department BUILDING Hold Reasons: Permit Conditions: BUILDING Hold Reasons: Permit Conditions: HEALTHDISTRICT Hold Reasons: Permit Conditions: Permits: Review Site Plan Review Plan Review Septic System Review Project Number: 01003152 Inv: 1 • Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/2/01 Page 2 of 2 Building Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000) 000-0000 000000, 00 000000 Building Characteristics Const Category: New Group: U-1 Type: VN Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 18 Stories: 1 Bldg W x D: 30 x 48 Building Sq Ft: 1440 Sprinklers: Req Parking: 0 Handicap Parking: 0 Critical Materials: ❑ Description Grp Type Notes GARAGE U-1 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Payment Summary: Operator: RMB Permit Type Building Permit Notes: This Application: Total Project: So Ft Valuation Su Ft Valuation 1,440 $17,280.00 1,440 $17,280.00 Totals: 1,440 $17,280.00 1,440 $17,280.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Printed By: RMB Print Date: Fee Amount $263.00 $4.50 $57.86 $325.36 5/2/01 Fee Amount Invoice Amount Amount Paid Amount Owing $325.36 $325.36 $325.36 $325.36 $0.00 $325.36 $0.00 $325.36 SPOx W Cowry PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: Assessor's Tax Parcel Number(s): Legal Description: Project Description: 1R)" Building Permit 0 Relocation O Change in Use O Grading O Manufactured Home Permit O Sign O Tenant (New/Change) O Other .0Ow OWNER/APPLICANT INFORATION El Indicate who should be contacted regarding this Project ner. M Phone: 442. 4412)-7Or l Fax: SZ`? x!21 n5 -a_ Mailing Address: 5-7().5" City, State, Zip 0 Contractor Mailing address City, State Zip Applicant: Phone: Mailing Address: Fax: Phone Fax City, State, Zip ❑ Architect/Engineer Phone Mailing address Fax WA State Contractor license 1 City, State Zip Contact name: Building height to peak rg/ Ditnensions 14(X 36 Occupancy group 1 of stories PROJECT INFORMATION Main floor sq. ft. Unfinished basement sq. ft. Total habitable space 2°d floor sq. ft. Finished basement sq. ft. Cost of project . C_-[) ) Construction type Garage sq. ft. Deck sq. ft. Heat source (electric, as etc) Width: Year: Length: Make: 4 What is the square footage of the sign face? Hof signs How high is the sign? Area of existing signs 0 Concrete 0 Welding 0 Bolting 0 Reinforcement ADDITIONAL SITE INFORMATI Are there structures on the property? QT Yes 0 No If yes, identify on site plan What is the current propeny size? (square feet or acres) 1 4C ((S Is any part of the property within 250 feet of a shoreline? If yes, identifyon site plan 0 Yes .r No What is the current use of thisroperty? /6� 5 Is your property in a designated wildlife habitat area? 0 Don't know 0 Yes 21No Will the site be served by a septic system? 0 Yes ,-0' No Is any pan of the property within a 100 yr flood plain? If yes, identify on site plan 0 Maybe 0 Don't know O Yes Ei No Are or will there be wells located on the property? lfyes, identify on the site plan 0 Yes J3'No Are there any wetlands, streams or ponds within 200 feet of the property? lfyes, identify on site plan 0 Yes ®' No Is there evidence of fill or excavation on the property? 0 Yes 0 No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( / %) 0 Yes Ia' No Are critical or hazardous materials used or stored on site? 0 Yes El No DEPARTMENT USE ONLY Due Received: Staff Representative: METHOD OF PAYMENT 9 CASH El CHECK 9 Yomme ❑ : 'COVE: FAXED PERMITS WILL ONLY BE ACEPTED WITI-I PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: SUBTOTAL �-t .-ha._ vly., roomy.1S'1 5f3tT3' 1 a -i c45 -5P A$Tt OSLbKJ4 «'':' it 3 . aI 'SG' ORiYkikig CETitat' s ` This sitepi;n is being liril, a build" ue"rnit and is a true and correct presbr)f=-iion of I�e Proposal. Ali known property ines/dIrnensionS) urb lines, structures and easements have been idenfifj4d, Also indicated are wetlands, teep slopes or other critical areas. Sign bd: ADDRESS-. 51 ZONE ROAD WIDTH Sz, FRONT COMMeEN FLANKING REVIEVV FT CD CD CLI to CO