2003, 05-16 Permit App: 03003421 Addition P oject Number: 03003421 Inv: 1 Application Date: 5/16/2003 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: UNHEATED HOBBY ROOM ADDITION TO Contact: DASSOW,DARIN
RESIDENCE Address: 15417 E SALTESE
C- S-Z: VERADALE,WA 99037
Setbacks: Front 32.5 Left: EX Right: 5 Rear: 20+ Phone: (509)922-3405
Group Name:
Site Information: Project Name:
Plat Key: 005636 Name: CELTIC ADD District: F
Parcel Number: 45264.2602 Block: Lot:
SiteAddress: 15417 E SALTESE RD Owner:Name: DASSOW,DARIN
VERADALE,WA USA 99037 Address: 15417 E SALTESE
LocationVER VERADALE.WA 99037
Zoning: UR Urban Reserve
Water District: 010 VERA Hold:
Area: 1,353.00 Acres Width: 0 Depth: 0 Right Of Way(ft): 45
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By: C `t r C
r �7C477,6)
Plan Review Released By J47c2
4-2
Permits:
Operator: RMB Printed By: RMB Print Date: 5/16/2003
Project Number: 03003421 Inv: 1 Application Date: 5/16/2003 Page 2,of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER Firm: OWNER
Phone:
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
STORAGE U-1 VN 572 $6,864.00 572 $6,864.00
Totals: 572 $6,864.00 572 $6,864.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $125.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $27.61
Permit Total Fees: $157.61
Notes:
OK TO ISSUE SEWER PERMIT PER GENE REPP 2/17/98 CKF
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $157.61 $157.61 $0.00 $157.61
$157.61 $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 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 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: RMB Printed By: RMB Print Date: 5/16/2003
•
f,
i
lk
il PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
SPOKANE COWY 509-477-3675
SPECIFIC SITE INFORMATION
t
Street Address: y i / 7 `S4G7j
Assessor's Tax Parcel Number(s): .4 5 2& '. 2&C, 2
Legal Description:
4r .7 - 2 .c,7'C ,4ii9, 7iCr✓ c/Z. Z 1
Project Description: /�L'/30 f _L--'/->IO , ,r4.0 / 7-/z A/
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other
e _
at -§ru 1?;oa dtl% �3 72 -' Y �
R zt� +. K^"- .. r `
-"^-
. ...-',;:;•: ,'-':. & ?.irt.T t- s — . Ya 0 3 Fbf' a 3 H - Ni t ' 'ate'
.,," s,iSC6I3cG - ° AjPal �, zi i3 ` " i � `K
a
rettSm*m* - P!ve:,--.-R.425
K -7, �z . e fila t+ .,,," rrjF1 - r14Z**. . , 4
r.:
OWNER/APPLICANT INFORMATION
El Indicate who should be contacted regarding this project
`2I Owner: Phone: '7'L Z - 3 9G-:5— ❑ Applicant Phone:
,.2,/)/2/ ,rSS0a: Fax: /?2 - OHO -Aal E /95 (,)LC>.lJ- /'L Fax:
MailingJAddress: Mailing Address:
5-,y�7 ,/-/C.7-E S /t /i
/
City,State,Zip City,State,Zip
0e/c'%4`ef [to, ,f---7)s/-zcrA-' " ,
❑ Contractor Phone ❑ Architect/Engineer Phone
Fax --- Fax
Mailing address Mailing address
City,State Zip City,State Zip
WA State Contractor license# Contact name:
PROJECT INFORMATION
is. 'y' :t � a-- a.'- _ .-.' ' . , - -- � " s- .-----.--',-
-�.,. 'ate ' 6 "
--% � � e �x6. 0Il � � � `� �x
x _h. . . _ . _ ' � - . s �- . "� _;.,f� _ ._ k _ , -,._
. ,f.
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
C t, e" -S7Z .5.7 /j1o(, I(- _,
Dimensions Total habitable space 2aa floor sq.ft. Finished basement sq.ft.
0-
Occupancy group Constructiop type Garage sq.ft. Deck sq.ft.
. /(:',1.7 •! 7/ _u.1.,
'Cost of proje �J Heat source(electric,gas,etc.)
Manufac>n_M Nome ILOOM _ ' .Y•
Sign; r
Width. Length: What is the square footage of the sign Flow high is the sign?
face?
Year: Make: H of signs Area of existing signs
y-x,N raS.t;,' v a_-: '� e- cr--�""`�rs,rW .e+" "'° aha F' r r i t
_ sz, f_s-`'�-��'w. `&...r ��., � � vE� li s �*�...,:" h-s^x -r `zs
' *
Previous address
Fire Sprinkler Tent
Paint booth Fire Alarm Fireworks display
Proposed use Value
{
1106,10111*
Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete 0 Welding 0 Bolting 0 Reinforcement Address
`�/ ADDITIONAL SITE INFORMATION
XI
Are there structures on the property? Yes O No What is the current property size?
If yes,identify on site plan / (square feet or acre /X/!.5 ., 4.)_/?
Is any part of the property within 250 feet of a shorel- e? What is the current use of this property?
Ifyes,identifyon site plan 0 Yes JNo
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes ,1!(..,No
X0 Don't know 0 Yes ,�No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
If yes,identify on site plan If yes,identify on the site plan O Yes X No
0 Maybe 0 Don't know 0 Yes %No
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the propert ?
property?
0 Yes No
Ifyes,identify on site plan O Yes S.No
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( /%) O Yes )4 No 0 Yes I'No
DEPARTMENT USE ONLY
@ 'a i C- rA&. a y- "b Ld SJis"gym s _,. `Y i '2
1/4�
e i o`�T a ie Vv4ee .3-�t�"�3 *g 0 bs :Ey,t'� ia `:rte fo- a 9 tgk Ck s*
A
,
Date Received: Staff Representative:
METHOD OF PAYMENT
MEM
fCCIIE A SUBTOTAL
❑ CASH ❑ CHECK ❑ ❑ _ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES: ��a yrs� r s � 7
A4 -U
' nBANK CARD NUMBER: rtir**rfjt txtsott=4 re
• MAGIIESAeti)W:AE
AUTHORIZED SIGNATURE: GflcINTYPF.itT�ttFCEltrt 2 {
4- e B X 14 o P // L t 1'101,s
-ro t-\r2.c. � tk-N p_.s L)-43\ e..1 ra P Fi s.c o ko s
E -c> LD C.A-z r, A-7.-
/
T/S4/ 7 E , ✓_T t✓ E ?O AO
-- 50 -- C EC-zl�L
el
11 f Zo#RL�"AR [YARD S6r9, Oc Lb T it. 2 TRA �CEc.TIc ADDS)
1242e GvLA1. s441:4)e
—I — — 4I D, - 5--3 S,-F.
I
'FA(2-c-E ` 45Z,64 Z60L
t.
cr Nk0
SMB , „
cot -20¢biasMuai7ATEs
- rur Nil 40 Oe 0
- VTS l O is
AZ - ( /`� U2R0E
N -
I�I ;P. L1/i�/ I , v . oPPOSED CC" . . pr.. *k 4- RA.rzS.
ToP 4s, 60T-ro kg.
I,,f -/, ,ilk s�>;
CMI 22=o" ,r, I a"
-j._ — M PERI 1t:L,o-r ,,r.,a g SLC.,13 DE-rai L
2,S-PRo -.- I
---..- --_UE
-- 1;•--___11.......3.z.„2.3
PLOT PLAN
1 "z 40'-0y,
SPED.,( Ft C RT t O NS
/, ALl_ pLu fa-.?ea- Tb BE' 2 A PET't`-E't'L. D0UG,LAS Ft( OfZ sco t 4t
lA3.r'7
Z.' 1_Ty` /Zq1 Sp. -t-T,At SEA t-fJ p EN A,#.4-1.,00, co; A S' ,T---E Tri-t- t c rJ !.,i/2''>,./0,',Aix Atr
3, o r r t rz_ z a -to M.er & SA-e- li4 , rZ. C6/,-,to-All-,&VD CC
4 . Sc.P,' 43 V R-C•1,., F-o.2..4 C 1-) (J-i/ 4140 ISE Pa^ z4" o L
E, o T , Nit S -t-o .r3 E Z 4 " (3 e&P ' EK'S—"c Girl-ADE-
4,
rr -ADE4, 20-0 V l n+Z. 1 ) r-+4 v e- 1 o k v N O e-/2-.,--`/ c T L J/ rf a 3 TA 3 A-s P 4-4 4T
lt, M 1 c• pct s-r1,v 01 ,
2, S 1 D I►S< iv 3 E T-I=%% '1'-t:. MP--7c-44 Etc4 ••n 14 ti to, /10,456 eu,elo, ,9 ,t
ts, p.a-®F R./�F7 rt_.:s , 2X4,. >c tp'' (6a(3c.c (4I0 caNs-ovc�ri4,--)Gv//xG„PCS-It EA,
q, ►2oc,r' SN-dA-r4rNw To l3€ /4. C4?<
1b , (A)ALL F/2eixi,W4 : 27c4cept b" ac , j co., 13,4,6 r 0 P PGA1 riS, e 2(4 fUO PZ;ArLI
11. F?P c.,1_ t,P G o oil- TO /3E ms TA GG E!! L.,g 7-4--.C'.
E3 dionect
c I
5 1 rC e ;rl f th p 7'J All H JN rtY
ZC r- I��Apr- i ! _ N_1('_,a,
r ��easements
l- line/ � _ons.c��_; �,�i t.�
RQ< L d' 1J� bothLs 01 4+ +: f steep cc+ht C - I areas. DA-So6J #o 01oto
7
L o