2002, 11-26 Permit App: 02010614 GarageProject Number: 02010614
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Contact:
Address:
C - S - Z:
Setbacks: Front 30 Left: 6 Right: 30+ Rear: NA Phone:
Group Name:
Project Name:
Date: 11/26/2002 Page 1 of 2
Permit Use: 22 X 24 GARAGE
Site Information:
.........................................................
Plat Key: 005236 Name: ARMSTRONG EST
CASEY, CAROL
16603 E NIXON CT
VERADALE, WA 99037
(509) 993-3801
District: F
Parcel Number: 45134.2309
Block: 2
SiteAddress: 16603 E NIXON CT
VERADALE, WA USA 99037
Location:: VER
Zoning: UR -3.5
Water District:
Area: 10,935 Sq Ft
Nbr of Bldgs: 2
Urban Residential 3.5
Width: 0
Nbr of Dwellings: 1
Lot: 9
Owner: Name: CASEY, CAROL
Address: 16603 E NIXON CT
VERADALE, WA 99037
Hold: ❑
Depth: 0 Right Of Way (ft): 50
Review
Site Plan Review
Released By -7./tAdk_
II 24 - 02_
Plan Review
Permits:
Released By:
Operator: CKF Printed By: CKF
Print Date: 11/26/2002
Project Number: 02010614
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/26/2002
Contractor: OWNER
Const Category: New
Nbr Of Dwellings:
Bldg W x D: x
Req Parking:
Description
GARAGE
Building Permit
Page 2 of 2
Firm: OWNER
Phone:
Building Characteristics
Group: Type:
Occupant Load: Building Height:
Building Sq Ft: Sprinklers: El
Handicap Parking: Critical Materials: 0
G_r Type Notes
U-1 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
This Application:
Sq Ft Valuation
528 $6,336.00
Totals: 528 $6,336.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
Stories:
Total Project:
Sq Ft Valuation
528 $6,336.00
528 $6,336.00
Fee Amount
$125.50
$4.50
$27.61
$157.61
BUILDINGS RESTRICTED TO 14 UNITS UNTIL PROPOSAL IS CONNECTED TO PUBLIC
SEWER. BUILDING SETBACKS SHALL BE MEASURED 25 FEET FROM THE EDGE OF THE
RESERVED FUTURE AQUISITION AREA.
Payment Summary:
Permit Type
Building Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$157.61 $157.61
$157.61 $157.61
$0.00 $157.61
$0.00 $157.61
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and fords 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 construed 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: CKF Printed By: CKF
Print Date: 11/26/2002
2;f147,4
SPoKANE COMY
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 Addres : ('t-2 9?
4403 `"2 C a-Q� 3
7
Assessor's Tax Parcel Number(s): 34573 — Z3 07
Legal Description:
60r a /o 7 9 le#15--
Project Description: etA nei14/Lt fir '"T LS
X Building Permit
0 Change in Use
El Grading
71 Manufactured Home Permit
O Relocation
0 Sign
O Tenant (New/Change)
O OtherG'a.rekqe,
Department Use Only
Water District/Purveyor
Sewer District/Purveyor
Road width
Setbacks
Front Rear:
Left: Right:
School District
Fire Distnct:
Zoning
OWNER/APPLICANT INFORMATION
Indicate who rbould be , onlahied re urdn, /bu prtnr:Y
o Owner: -r0 ''. 993 3 4a /
OaRo/ eases' I ax:
o Applicant
dasea/ eaS Y
3-993.3e6 /
Fax:
Mailing Address:
/, 03 A' x04/
Mailing Address:
/4663 E /.r6,01/
e.%
Cin', State, /,p
!/ems a../e ,CAi 917a 7
Cin', State, Zip
ag,t9ad4r1e_
Glia
7743 7
❑ Contractor �� % _/ Phoryt+o q-, 5il/�_ [/.I/
A/176 Wit L/ ��I Fax
❑ Architect/1 nginccr
Deck sq. ft.
Phone
Ilan
Mailing a" ddre_ss l I/
,-?e/A,/ smy le A'
Mailing address
Cin', State Gip
5:1540/11-e., . 99 z.2.
Cin, State Gip
WA State Contractor license #
'/4 ale E=G-0ea? eo c
Contact naive:
PROTECT INFORMATION
Building Information
Building height to peak
12_
# of stories
/
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
'Total habitable space
2"u1 floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
/C/f /lice
Garage sq. ft.
5o28
Deck sq. ft.
Cost of project
1 leat source (electric, gas, etc.)
Manufactured Home `
Sign
Width:
Length:
What is the square footage of the sign
face?
1 low high is the sign?
Year:
Make:
# of signs
Area of existing signs
Fireworks display
Are critical or hazardous materials used or stored on site?
0 Yes (a No
Address
Proposed use
Relocation
Fire Safety
Firm Name
What is the current use of this property?
Previous address
Will the site be served by a septic system? 0 Yes 0 No
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
Are critical or hazardous materials used or stored on site?
0 Yes (a No
Address
Proposed use
Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Firm Name
What is the current use of this property?
Phone
Will the site be served by a septic system? 0 Yes 0 No
Plans Iixaminer
Phone
Inspectors:
Is there evidence of fill or excavation on the property?
0 Yes rd No
Are there slopes greater than 30°% on the property? (30 ft rise in 100 ft)
( / %) 0 Yes m No
Are critical or hazardous materials used or stored on site?
0 Yes (a No
Address
Inspector
Phone
0 Concrete
0 Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 7 Yes 0 No
Ifyes, identy 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?
Ifyes, identifi, on site plan 0 Yes 0 No
What is the current use of this property?
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes 171 No
Will the site be served by a septic system? 0 Yes 0 No
Is any part of the property within a 100 yr flood plain?
I f yes, identi on site plan
0 Maybe 0 Don't know 0 Yes JO No
Are or will there be wells located on the property?
If yes, ideate on the site plan 0 Yes ' No
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, ideuti on site plan 0 Yes Ja No
Is there evidence of fill or excavation on the property?
0 Yes rd No
Are there slopes greater than 30°% on the property? (30 ft rise in 100 ft)
( / %) 0 Yes m No
Are critical or hazardous materials used or stored on site?
0 Yes (a No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
OYes 0 N
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No
OYes 0 N
Is public water available to the site? 0 Yes 0 No
Is the property inside the PSSA? 0 Yes 0 No
Is the property located within 1000 feet of a Natural Resource Area?
0 Yes O No
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
❑ CASH ❑ CI IFCK ❑IIIIIIIIIIIII .
0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
I?\PIRI?S:
BANK -CARL) NUMBI?R:
AUTI 10121''/.I?D SIGN;A'1'UKI::
SUBTOTAL
TOTAL FEE
MINIMUM PERMIT FEE /S $3550 PLEASE
MAKE CHECKS PAYABLE 10 SPOKANE
COUNTY PERMIT CENTER
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