2002, 04-15 Permit App: 02002586 Garage Project Number: 02002586 Inv: 1 Application Date: 4/15/2002 Page 1 of 2
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THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DETACHED GARAGE Contact: MY FAMILY CONTRACTOR
Address: 8525 N FREYA ST
C-S -Z: SPOKANE WA 99217
Setbacks: Front 120 Left: 25 Right: Rear: Phone: (509)467-0106
Group Name:
Site Information: Project Name:
Plat Key: 999999 Name: RANGE District: F
Parcel Number: 45241.9069 Block: Lot:
SiteAddress: 503 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 Sy Ft Width: 200 Depth: 200 Right Of Way(ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released By: ,.
Plan Review Released By: •
^
Septic System ReviewReleased By:
Permits: ._.
Operator: RMB Printed By: RMB Print Date: 4/15/2002
_. .._,.. .. W .
Project Number: 02002586 Inv: I Application Date: 4/15/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit —
Contractor: MY FAMILY CONTRACTOR Firm: MY FAMILY CONTRACTOR
Address: 8525 N FREYA ST Phone: (509)467-0106
SPOKANE WA 99207
Building Characteristics
Const Category: New Group: U-1 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: 17 Stories: 1
Bldg W x D: 30 x 40 Building Sq Ft: 1200 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sp Ft Valuation
GARAGE U-1 VN 1,200 $14,400.00 1,200 $14,400.00
Totals: 1,200 $14,400.00 1,200 $14,400.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $225.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $49.61
Permit Total Fees: $279.61
Notes:
Payment Summary
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $279.61 $279.61 $0.00 $279.61
$279.61 $279.61 $0.00 $279.61
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 he
complied with. Subsequent issuance of a permit shall not he contrued 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: 4/15/2002
. I fit
i PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING& CODE ENFORCEMENT
MI
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
Som Cou u 509-477-3675
SPECIFIC SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s): e✓s^�9/ , ,9
Legal Description: rJ
Project Description: /Q/�19--,6 c
Building Permit " ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation 0 Sign ❑ Tenant (New/Change) ❑ Other
Depatti -tent Use Only
Water District/Purveyor. Sewer Distnct/Pun-eyor Road width Setbacks
Front Rear
School District Fire District: Zoning
Left Right
OWNER/APPLICANT INFORMATION
EI Indr.u!c who,-horld be con a,fed reAardr,/hip prole,"
❑3G.5."--7//t/e—ner �f/Phone: 9, 7,6j ❑ \PPhcanu Phone:
S'77-4 -/Yh Fa.: Fa,.
Mailing.\ddtr :
Ji\IaJinG:\JJres.
Jam,' S, 5 it) g
(7 /P Cm,Stec,lip
1/0)4— r7,. 7
❑ Contractor Phone u'/ ^'7
� / � /''�/ Ofv ❑ Architect,' {ng,--neer Phone
NiYiyin.,,,..,;i,
NfaiGng aJJres>
as-.7.2_5--. .oc e-7/."-
(]n,State Lip (.o State/ip
3/204 - / � 7I / 7
\\:\State int ractor license Contact name:
yt ( /(r 2
PROJECT INFORMATION
Building Information
Building height topcak ft[,[stories \lain,lour sq.hi. Unfinished basement sq.ft.
/ 7 /
Dnnensions ��AX,O - Total habitable space :?"4(S tors ft
4 . Finished basement<y,ft.
(3 0/Y ye) a..04,„yemirieo o
Occupancy group Construct i (iarage sm. It. Deck sq. tt.
Cost of pi-oleo I Ica[source( Iccine,ga<,etc)
---..._.
•
Manufactured Home .Sig-n •
width: I-ength: What is the square footage of the sign Hose high is the sign?
face?
Year
Year stake: II of signs Arca of existing signs
Relocation Fire Safety
Previous address Fire Spnnkler Tent
Paint booth Fire Alarm Fireworks display
Proposed use Value
Special Inspections Required? Non-Residential Energy Code Compliance?
Finn Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 'Yes O No What is the current property size?
fjes,identify on site plan (square feet or acres)
Is any part of the property within 250 feet of a sho cine? What is the current use of this propem?
If yes,identifyon site plan O Yes
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?,cs O No
O Don't know O Yes No
Is any part of the property within a 100 yr flood plain? \re or will there be wells located on the property?
Ifyes.identifyon site plan If yes,idend_b!on the site plan O Yes O No
O Maybe O Don't know O Yes
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
If yes,ident j,on site plan O Yes O No O Yes No
;\re 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) O Yes to O Yes CO
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes O No
O Yes O No
Is the property inside the ASA? O Yes O No Is public water available to the site? O Yes O No
OYes CI No
Is the property inside the PSSA? O Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
O Yes O No
Date Iteeeiced: Staff Representauve:
METHOD OF PAYMENT
• IXOVI:r<.
VISA
❑ (..\`II ❑ CIII{Ck ❑ MEOW ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D:\TI•:: EXPIRES: _ TOTAL FEE
Ii\Nl:(:-\RD NUMBER: MINIMVAI PERMIT FEELS SJS.00PI i SSE
'I.lkr-CIILC es PAY(111.117()SPOk.\\}`
\UTI IORl/,I:I)SIGN.\'IL'RI:: COc\7A 11.5511tCiVIFR
SPOKANE COUNTY �`
HEALTH DISTRICT
ENVIRONMENTAL
FINAL INSPECTION HEALTH DIVISION
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fill out plat or section �'
to in heavy dark
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YweII, orotherrement with a
on-site well n°n-site sewagecfaci ual location of septic position occurs
be referenced toPalcable facilities, property tank, drai
known}fixed surfaceriveway, and road fro lines closest nto eld
NORTH
structure mage Septic tandkaa�
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