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2002, 10-10 Permit App: 02008964 Remodel Project Number 02008964 Inv: 1 Application Date: 10/10/02 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: KITCHEN/DINING ROOM REMODEL Contact: STRALKA,DAVID&DANA Address: 503 S STEEN RD C-S-Z: VERADALE,WA 99037-8912 Setbacks: Front Left: Right: Rear: Phone: (509)228-9496 Group Name: Site Information: Project Name: Plat Key: 999999 Name: RANGE District: F Parcel Number: 45241.9066 Block: Lot: SiteAddress: 503 S STEEN RD Owner:Name: STRALKA,DAVID&DANA VERADALE,WA USA 99037 Address: 503 S STEEN RD Location::VER VERADALE,WA 99037-8912 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: .91 Acres Width: 200 Depth: 200 Right Of Way(ft): 0 Nbr of Bldgs: 2 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released By: Originally Released: 10/10/02 By: jshatto Plan Review Released By: Originally Released: 10/10/02 By: jshatto Permits: Operator: JAS Printed By: JAS Print Date: 10/10/02 Project Number: 02008964 Inv: 1 Application Date: 10/10/02 Page 2 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: OWNER Firm: OWNER Phone: Building Characteristics Const Category: Remodel Group: Type: Nbr Of Dwellings: Occupant Load: Building Height: Stories: Bldg W x D: x Building Sq Ft: Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: D This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation RESIDENCE R-3 VN REMODEL 0 $5,500.00 0 $5,500.00 Totals: 0 $5,500.00 0 $5,500.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $113.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $24.86 Permit Total Fees: $142.36 Mechanical Permit Contractor: OWNER Firm: OWNER Phone: Item Description Units Unit Desc Fee Amount VENTILATING FANS 1 NUMBER OF $10.00 MINIMUM FEE ADJUSTMENT 1 Select $25.00 Permit Total Fees: $35.00 Plumbing Permit Contractor: OWNER Firm: OWNER Phone: Item Description Units Unit Desc Fee Amount SINKS 1 NUMBER OF $6.00 DISH WASHERS 1 NUMBER OF $6.00 GARBAGE DISPOSAL 1 NUMBER OF $6.00 MINIMUM FEE ADJUSTMENT I Select $17.00 Permit Total Fees: $35.00 Operator: JAS Printed By: JAS Print Date: 10/10/02 Project Number'.: 02068964 Inv: 1 Application Date: 10/10/02 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $142.36 $142.36 $0.00 $142.36 Mechanical Permit $35.00 $35.00 $0.00 $35.00 Plumbing Peiniit $35.00 $35.00 $0.00 $35.00 $212.36 $212.36 $0.00 $212.36 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: JAS Printed By: JAS Print Date: 10/10/02 a • 1 i PROJECT APPLICATION WORK SHEET ilk SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026\VEST BROADWAY AVENUE SPOKANE,WA 99260 509-477-3675 SPOKANE Cooney SPECIFIC SITE INFORMATION Street Address: 3-02 5. S',— w "c/, l%.E'AJ)4ZE, t'% O3 7 Assessor's Tax Parcel Number(s): ,y`/ 4'S r.V5r ._ 'ln 6 Legal Description: Project Description: 47;.r-c,- --4/ .e /77c),Da-1 gBuilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other Department Use Only Water District/Purveyor: Sewer District/Purveyor Road width Setbacks Front Rear_ School District Fire District: Zoning LeftRight.. OWNER/APPLICANT INFORMATION 0 InJ ;j'r n bn I oo,lrl be,vmhi l d Ii*i Iv:!:IGfr projeci (1,,,,er: Phone (.5-e 9) 22e -949 Cl \pplt „t. 11h„nt: -L�%lv/.O F'0,2iv4 S;Se ' eA I,• I-A• Ar.uhn,,:\ddre..: n \la,hng:\,1Jt : .5-e,.5' S: _S>e=z A/ iC t Cite,'talc,Zip (:rt,.Stale,/tp l . /.',. ...L6:" 4C/9. ,996`5'J CI Contactrx Phone CI \rchncct I ,e ne,r ° I%mc LIN I a1, VTanking addre,s Mailing addres. Cur,~tete tip (;in,Stale Zip \\ \State(.nnirletor license n Contact name PROJECT INFORMATION Building Information Building height to peak #of stunts Main floor sq. It. Unfinished basement se It. /f—• / t/life) m"4/.r> t Nev I)inacnsiuns .Fled habitable space " d floor sq.ft. Finished basement,e. It. t30.7% A .Z,.9-D ' f 1295'e 54,cr � Occupancc,roup Cunstructi(tn tcpc ( Crap. sg. ft. -leo sq. It. .� Al/UOZ) -leo. C)/=7 ./ (.e l of project oil I Ica/source(cluctne.gas,etc.) d.5-5 ev Cs>S �ewcz-27 Xi2 Manufactured Home Sign • Width: length: What is the square footage of the sign 1 low high is the sign? face? Year: Make: :#of signs Area of existing signs Relocation Fire Safety Previous address Fire Sprinkler Tent Paint booth Fire Alarm Fireworks display Proposed use Value Special Inspections Required? Non-Residential Energy Code Compliance? Pian Name Phone Plans Examiner Phone Inspectors: Address Inspector Phone O Concrete O Welding D Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there strictures on the property? AYes O No What is the current property size? I f yes.identif'on site plan (square feet or acres) `PYj�x Is any part of the property within 250 feet of a shoreline? What is the current use of this property? If per.idents on site plan 0 Yes No C - ?//l C Is your property in a designated wildlife habitat area? ili1.11.6 site be served by a septic system?, Yes O No O Don't know 0 Yes )(No J S Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? irlenezii on site p/an J[yes,ident'fronthe site plan 0 Yes No O Maybe O Don't know D Yes No Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property? /./yes,identity on site plan D Yes XNo O Yes No Are there slopes greater than 30's on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site? ( °e) o Yes X No 0 Yes JXNo DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes 0 No 0 Yes 0 No Is the property inside the ASA? O Yes O No Is public water available to the site? 0 Yes 1] No 0 Yes 0 No Is the property inside the PSSA? O Yes O No Is the property located within 1000 feet of a Natural Resource Area? OYes ONo Date Received: Staff Representative: METHOD OF PAYMENT SURT( VISA — lJC VEli >'h.\I. 0 CASH (111%(,k ❑ ❑ ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD D.\TE: !AMR h : TOTAL FEE R.ANRC\RD NUMBER: MINIMUM PERMIT FEE IS$35.0011 VIAI:IS CHECKS PAYAIBLE TUSPOKANE AUTIIORl%I(DS1 ;NATURE:: COUNTY PERAIrfCENTER ,� Existing .�•�.C.C.C. U- -_ ' �D r2 Jcp°se°e°� 30' x 30,4._ .6+a-4.4-4,T1 ._ .` t D — ��A ,�� � jJ! � '�'�eJ�o\v anpc��e�r�s yp Barn C:�..t � 1 13C:14. `u'C' Q�& `QC S�bM �a�s k�°� ,6e, 'ads, -l � �► �n9 a p�� es a `ao y, L7LtJ � o G�-Q._,� \& ecR • . `� ye c,a \ 9Cj j , -44-d4-.L. p\oo\'�dc9p PcoP° s`c�c dace �i�oa\aO�'9i��,/ U , '121't)-1.44,z,1 ihcs \�c e as oa°iS��cb�Ps° c." oc 0,,c° C q©9 ss /� °ePce`'d me°�d aici eeQ^s�oPe 14, O q���Q • \xaa ebeeo avec s �%c r�,�s `e -.7-®1 b°dies ��/�i/ ,. `� Sc9�ea � r' By �i'ti page. C �� -�,1,G' _ �, Approx, Drain Held Location S, +/- 20'- 1" ��� / Approx. Septic Tank Location 200 0„ _�/ v . `,.= i PeS Power . •j�• , gOt - --1 --livir"-r 0 Gas Prosed Addition //;PV:X•17 . ,A4P 0 --1 . . (::::17:- l0" r--- Driveway Parcel Nunber: 45241—N0u0 een :\,0a( David rand Dana Stra l ka 503 S Steen Rood 200 VeradOle, Wo. 00057