2001, 03-26 Permit App: 01001834 Storage Project Number: 01001834 Inv: 1 Application Date: 3/26/01 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: STORAGE UNIT 10 X 16 Contact: HENRY,MARK&ANNA
Address: 2414 S TIMBERLANE DR
C-S-Z: VERADALE,WA 99037
Setbacks: Front EXI Left: 20+ Right: 5 Rear: 5 Phone: (509)927-3285
Group Name:
Project Name:
Site Information:
Plat Key: 002646 Name: TIMBERLANE ADD District: F
Parcel Number: 45253.0102 Block: Lot:
SiteAddress: 2414 S TIMBERLANE DR Owner:Name: HENRY,MARK&ANNA
VERADALE,WA 99037 Address: 2414 S TIMBERLANE DR
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): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department Review
BUILDING Site Plan Review eased By: ___
- -- --- ----
Hold ReasonsPermit Conditions:
BUILDING Plan Review Relea - ' � _
Hold Reasons:
Permit Conditions:
HEALTHDISTRICT Septic System Review Released By: jr_ /`j
Hold Reasons: � /DJ J
Permit Conditions:
Permits:
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Project Number: 01001834 Inv: 1 Application Date: 3/26/01 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
Address: 0 Phone: (000)000-0000
000000,00 000000
Building Characteristics
Const Category: New Group:U-1 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 11 Stories: 1
Bldg W x D: 10 x 16 Building Sq Ft: 160 Sprinklers: ❑
Req Parking: 0 Handicap Parking: 0 Critical Materials: 0
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
STORAGE U-1 VN 160 $1,689.60 160 $1,689.60
Totals: 160 $1,689.60 160 $1,689.60
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $55.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $12.10
Permit Total Fees: $71.60
Payment Summary:
Operator: RMB Printed By: RMB Print Date: 3/26/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Peanut $71.60 $71.60 $0.00 $71.60
$71.60 $71.60 $0.00 $71.60
Notes: .
•
1 1 PROJECT APPLICATION WORK SHEET
A
SPOKANECOTYDIVISIONOFBUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
SPOKANECOUNTY 509-477-3675
SPECIFIC SITE INFORMATION
Street Address: ///�Jr' 77/7X4",e-z 7/./
Assessor's Tax Parcel Number(s)://
Legal Description:
Project Description: t4k/ii / //7-
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other
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OWNER/APPLICANT INFORMATION
Indicate who should bbe con acted regarding this project
07,r:
Phon i/W7'2°() 1 ❑Applicant:
Phone:
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Fax Fax:
M Address: �- Mailing Address:
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71,te,,,,,,,)„,,,,_Zip City,State,Zip
❑ Contractor Phone ❑Architect/Engineer Phone
Fax Fax
Mailing address Mailing address
City,State Zip City,State Zip
Vratieit
WA State Contractor license H Contact name:
PROJECT INFORMATION
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. _tea.." >a c ._r �a�a. ' fit' w .. ..., n€*, 4 _ K, - er-a,4.t. _
Building berg tto peak Hof stories Main floors h. Unfinished basement sq.ft.
/� / /or .sDiinensi n� / / Total habitable space2"d sq.h. Finished basement sq.ft.
O cupancy group Construction type Garage sq.h. Deck sq.ft.
Cost of project Heat source(electric,gas,etc.)
4-Y.,4 ,14,I CAVI f cAmN V € 0a bid
Width: Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: #of signs Area of existing signs
Previous address Fire Sprinkler Tent
Paint booth Fire Alarm Fireworks display
Proposed use Value
Firm Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete O Welding O Bolting 0 Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? lutes 0 No What is the current propey se? /J�
If yes,identify on site plan square feet or acres) / X/52 (/ 5/
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
If yes,identify on site plan 0 Yes O'o
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes to
0 Don't know 0 Yes CD<CTo
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
If yes,identify on site plan If yes,identify on the site plan O Yes p'No
0 Maybe O Don't know 0 Yes l No
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property?
property? 0 Yes I<�No
If yes,identifyon site plan 0 Yes QYNo
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on--site
( /%) 0 Yes Pr-No 0 Yes 19/No
DEPARTMENT USE ONLY
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Date Received: Staff Representative:
METHOD OF PAYMENT
SIC VEc., SUBTOTAL
Y/S4
❑ CASH ❑ CHECK ElIMIN ❑ .. ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER: • ,yrMtfptt7� >SE3S�ai' #
MAKE C.t-IEQ M?ASIttl: ANE
AUTHORIZED SIGNATURE: C)U iI YFERMI&CErrt k
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r . rycr�actale,vic„. . 99037
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ADDRESS - / -
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ROAD WipTH
FRONT �: _ I.ANKING _--
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REVIEW �c'X ser'
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This ste plan is bir•,g submitted for the purpose of
obtaineig a building permit and is a true and correct
representation of the proposal.All known property
lines/d mensions,curb lines,structures and easements
have been identified.kf,9'o indicated are wetlands,
bodies )f w. -f • - ,, slopes or other critical areas.
Signed: _: p--�
Date: .i "-i---3G-6-i)'
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