2002, 10-14 Permit App: 02009057 Deck Project Number: 02009057 Inv: 1 Application Date: 10/14/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 10 X 37 FREESTANDING DECK (q\YFcdz Contact: STRALKA,SUSANNE C
A-cc4L) Address: 503 S STEEN RD
C-S -Z: VERADALE,WA 99037
Setbacks: Front EXI Left: 52 Right: 99 Rear: 300 Phone: (509)924-2376
Group Name:
Site Information: Project Name:
Plat Key: 999999 Name: RANGE District: F
Parcel Number: 45241.9069 Block: Lot:
SiteAddress: 409 S STEEN RD Owner:Name: STRALKA,SUSANNE C
VERADALE,WA 99037 Address: 503 S STEEN RD
Location::VER VERADALE,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 40
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released B : 4 L- C�1C'cL❑
Plan Review Released By: faaSkfclaile
/G C e)--
Septic System Review Released By: � Z
Permits:
Operator: RMB Printed By: RMB Print Date: 10/14/2002
Project Number: 02009057 Inv: 1 Application Date: 10/14/2002 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:
Building Characteristics
Const Category: New Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: El
Req Parking: Handicap Parking: Critical Materials:
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
DECK R-3 VN 370 $2,897.10 370 $2,897.10
Totals: 370 $2,897.10 370 $2,897.10
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $75.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $16.61
Permit Total Fees: $96.61
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $96.61 $96.61 $0.00 $96.61
$96.61 $96.61 $0.00 $96.61
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: 10/14/2002
li;l PROJECT APPLICATION WORK SHEET
ii
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
AA
1026 WEST BROADWAY AVENUE
1= SPOKANE,WA 99260
509-477-3675
SPOKANE COUNTY
SPECIFIC SITE INFORMATION
Street Address:
r`• L\Oc( SCDk.tkVI 54E,U ZOCtCl iefCdate_ (J "nO S]-
°6 a
Assessor's Tax Parcel Number(s): 4 I ' ` g o , GI
Legal Description: '1
1 D y\ al aecK , c re e �sk-UtAci; in
Project Description: d ec \'S
❑ Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
\1'aterDistrict/Purveyor. SewerDistrict/Purveyor Road width Setbacks
Front Rear.
School District Fire District Zoning
Left: Right.
OWNER/APPLICANT INFORMATION
0 Indicate who should be contacted reeardui'this project
❑Owner:DU not Sick1KO Phone:cia(4-6-67(0 ❑ Applicant: Phone:
Fax: lax:
X Mailing Address: Mailing Address:
�{OQ E o. S eN La
City,State,/ip City,State,Zip
-NJ erodale. W A gclo)i - 1 a
11 Contractor Phone ❑ Architect'Engineer
Phone
" O is, ND' C Fax lax
/X` Mailing address Mailing address
Cite,State"/.ip City,State Zip
\\A State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
Dimensions 'Total habitable space 2,5 floor sq.ft. Finished basement sq.ft.
X 10X'31
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project I leat source(electric,gas,etc.)
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?
Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? ❑ Yes ❑ No What is the current property size?
Ifyes,identfr on site plan (square feet or acres)
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
Ifyes,identi,on site plan ❑ Yes ❑ No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?❑ Yes ❑ No
❑Don't know ❑ Yes ❑ No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
I fyef,ident/'on site plan Ifyes,identify on the site plan ❑ Yes ❑ No
❑Maybe ❑Don't know ❑ 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?
Ifyes,identify 0 I site plan ❑ Yes ❑ No ❑ Yes ❑ No
Are there slopes greater than 30°'0 on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( °/o) ❑ Yes ❑ No in Yes ❑ No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? ❑ Yes ❑ No
❑ Yes No
Is the property inside the ASA? ❑ Yes ❑ No Is public water available to the site? ❑ Yes ❑ No
❑ Yes ❑ No
Is the property inside the PSSA? ❑ Yes ❑ No Is the property located within 1000 feet of a Natural Resource Area?
❑ Yes No
Date Received: Staff Representative:
METHOD OF PAYMENT
SUB"I'OI':Al,
VISA
0 C.\Sll 0 Cl NCK ❑ 0 • 0 ..
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
ll:A'1'I?: 1{ PIRIiS: TOTAL FEE
B:\NKC:\RD NUN1BI',R: MINIMUM PERMIT FEE IS$35.00 PLEASE
MAKE CHECKS PAYABLE"r0 SPOKANE
AU"fl TORI/FD SIGNATURE: CouNTY PERMIT CENTER
T _ ;;:).g s;e` `.::,r 111c i.urpose of
oi}taitl;4,4 ', 0 t,: r -ricins-aitr and -correct;
c sal. Ail
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repre$ent,UtiorI of the • •
liOs/di nsgns, .I'
have 13.$e, idertifid: iii
bpdie$ of Harte#tpep
Signric1.
DEti
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sand easements
r wetlands i......._L.
r critical ar
This.$ite 4rlan .s betng(subrnitte
obtarhir ,ia u�, .! rj� p�rm arc
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hl3ve bee identified. Also !ndi
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Signed:
Dete:-1
for the purpose) of -._.�
a tnrr and correct
11"known property
ct.ures; and, easements _,..
ted are wetlands,
er Oritice' areas.
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