1994, 01-20 Permit App: 94000488 Finish Basement PROJECT NUMBER= 94000488 APPLICATION DATE= 01/20/94 PAGE= 01
****** THIS• IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 2012 S TIMBERLANE DR PARCEL#= 45252 . 0401
ADDRESS= VERADALE WA 99037
PERMIT USE= FINISH BASEMENT, DRYWALL GARAGE & SPRINKLER SYSTEM
PLAT#= 005187 PLAT NAME= RIDGEMONT ESTATES NO. 4 - 4TH
BLOCK= 1 LOT= 10 ZONE= UR-3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 91 DEPTH= 125 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = VERA
OWNER= ROOS, DANIEL PHONE= 509 922 6435
STREET= 2012 S TIMBERLANE DR
ADDRESS= VERADALE WA 99037
CONTACT NAME= DANIEL ROOS PHONE NUMBER= 509 922 6435
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
r
BUILDING PLAN REVIEW REQUIRED /' c74! "53,-
COMMENTS: yCOMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= STORIES=
BLDG W X D = X SQ FT= SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
BASEMENT F R-3 VN 2000.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 45 . 00
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 8 . 10
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
r
PROJECT NUMBER= 94000488 APPLICATION DATE= 01/20/94 PAGE= 02
ITEM DESCRIPTION QUANTITY FEE AMOUNT
CROSS CONNECTION DEVICES 1 6. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 57 . 60 . 00 57. 60
PLUMBING PERMIT 6. 00 . 00 6. 00
63 . 60 . 00 63. 60
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
******************************** THANK YOU ************************************
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General Information `
Job address Parcel number L
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Phone
Owner 9a a —6-1135'
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Mailingaddress (�
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State Zip
City
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[ Site Information `
Legal Descnption
Property size Water District Number of: 'Dwellings Buildings
Zone Inspector Koad W idth
L Project Information �
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Permit Use riN (5+1 il_-=�^^n0' V 1X I ew I Addition I Remodel I Change of use 1
Building Information ` /A' I jt ' " spiti/v/LE-(1--- 5
Dwelling units Occupant load Building height Stones
Building dimensions Total square tootage leq'd parking I Handicap parking Spnnkler system I Critical Material
Square footage breakdown Heating and insulation information (R—vara)
Main door Uncovered/covered deck Heat source
Second door
Other Hat ceiling Vaulted ceiling Above grade wall
Below grade wall Floor Slab on grade
Finished basement
Unfinished basement Door(u—value) Window Furnace etticency
total window area %of Boor area
C;arage
Contractor Information li
Budding contractor Plumbing contractor
License number
Phone License number Phone
Mailing address Mailing address
City,state,zip City,state,zip
Heating contractor Other/Lender
License number
Phone License number Phone
Mailing address Mailing address
City,state,zip City,state,zip _
PROJECT CONTACT PHONE I
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675