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