1995, 12-05 Permit App: 95010117 Addition PROJECT NUMBER= 95010117 APPLICATION DATE= 12/05/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL-BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1911 S TIMBERLANE DR • PARCEL#= 45252 . 0401PTN
ADDRESS= VERADALE WA 99037
PERMIT USE= UNHEATED SUNROOM ONTOP OF EXISTING DECK
PLAT#= 005178 PLAT NAME= RIDGEMONT ESTATES NO. 4 - 5TH
BLOCK= 3 LOT= 3 ZONE= UR-3.5 DIST#= F
AREA= 00011151 F/A= F WIDTH= 87 DEPTH= 125 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = VERA
OWNER= COOK, CLIFFORD PHONE= 509 921 1681
STREET= 1911 S TIMBERLANE DR
ADDRESS= VERADALE WA 99037
CONTACT NAME= CLIFFORD COOK PHONE NUMBER= 509 921 1681
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= 17 REAR= 34
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
APPROVAL: ICBG # 5207 DATE: 12/05/95
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 12 STORIES= 1
BLDG W X D = 10 X 20 SQ FT= 200 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
DECK COVER R-3 VN 1800. 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 41. 00
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 8 . 61
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
•
PROJECT NUMBER= 95010117 APPLICATION DATE= 12/05/95 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 54 . 11 . 00 54 . 11
54 . 11 . 00 54 . 11
*******************************************************************************
* PROJECT NOTE: TOPIC = GENERAL DEPT = BUILDING
*******************************************************************************
ICBO NUMBER # 5207 / GLAZING - ANSI: Z 97. 1
FLAMABILITY 94-HB
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
******************************** THANK YOU ************************************
APPLICATION INFORMATION
'What is the JOB SITE address? ASSESSOR'S tax parcel number?
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Phone
Legal d cription as it appears on the property deed
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Water districts
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Building Building height #of stories
Contractor Dimensions TOTAL SQUARE FOOTAGE
WA State Contractor license# Main floor area Unfinished basement area
Mailing address 2nd floor area Finished basement area
Architect/Engineer Garage area Size of decks,etc.
What is the heat source? What is the cost of your project?
Manufactured Home
Sign
Width: Length: What is the square footage of How high is the sign?
the sign face?
Year: Make:
Installer Contractor
Wa State Contractor license# Wa State Contractor license#
Mailing address Mailing address
Relocation Fire Safety
Previous address Fire Sprinkler _ Tent
—
Paint booth_ Fire Alarm _ Fireworks display _
VALUE
Contractor Contractor
A State Contractor license# WA State Contractor license#
Mailing address Mailing address
Fuel Storage TanksSwimming Pool
(Circle one) Above-ground Underground Size/gallons Private
Contents of tank(s) Size/gallons
Public/semi-private
Contractor Contractor
Wa State Contractor license It WA State Contractor license#
Mailing address Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
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