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2002, 09-04 Permit App: 02007588 Pole Bldg • • Project Number: 02007588 Inv: 1 Application Date: 9/4/02 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project In formation: Permit Use: 32 X 36 DETACHED STORAGE BUILDING W/8 X Contact: KAISER,MICHAEL 12 CANOPY WI ) - -j Wejakt (jti J.� Address: 16304 E VALLEYWAY AVE `� C-S-Z: VERADALE,WA 99037 Setbacks:Front 100 Left: 7 Right: 71 Rear: 30+ Phone: (509)891-6167 Group Name: Site Information: Project Name: Plat Key: 002756 Name: VERA District: F Parcel Number: 45134.1225 Block: 12 Lot: SiteAddress: 16304 E VALLEYWAY AVE Owner: Name: KAISER,MICHAEL VERADALE,WA 99037 Address: 16304 E VALLEYWAY AVE Location::VER VERADALE,WA 99037 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 0 Sq Ft Width: 110 Depth: 200 Right Of Way(ft): 40 Nbr of Bldgs: 3 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Released By: (71" '4`1 ...1 ct` t Plan Review Released By: C44CA J r�I ' , 97 Septic S stem eleased By: ‘ etft-it#6Z, , _4016„,/,..0 e7fle. Permits: Operator: CKF Printed By: CKF Print Date: 9/4/02 • Project Number: 02007588 Inv: 1 Application Date: 9/4/02 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: 0 Req Parking: Handicap Parking: Critical Materials: 0 This Application: Total Project: Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation CARPORT U-1 VN CARPORT 96 $432.00 96 $432.00 STORAGE U-1 VN 1,168 $14,016.00 1,168 $14,016.00 Totals: 1,264 $14,448.00 1,264 $14,448.00 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 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: CKF Printed By: CKF Print Date: 9/4/02 1 1 PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE ___= lik SPOKANE,WA 99260 509-477-3675 Sox Cow ' SPECIFIC SITE INFORMATION Street Address: // ' ,, tle r A Set ic- 1-04 q 0 7 7 Assessor's Tax Parcel Number(s): / Legal Description: j I I ID Project Description: N( 3 b i2, Le 1-?,..,.. ,1,1'iLi. wilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other Department Use Only Water District/Purveyor. Sewer District/Purveyor Road width Setbacks Front Rear. School District Fire District Zoning Left: Right: OWNER/APPLICANT INFORMATION 0 Indicale who should be mnladed rgardzni Ibi.tprojed ❑ Owner: Phone /— G/L2 ❑ Applicant Phone PA G C�'/ 7�c� � Kai y�r'�� Ia.: 85 1— // 7a Fa.: Mailing Address: Mailing Address: /636y E 0a-(il City,State,Zip n / City,State,Zip Ver'G,ciaic 15-637 ❑ Contractor Phone Phone ❑ Architect/I ii sneer S'1.. las El Mailing address Mailing address City,State Gip City,State Zip \C A State Contractor license# Contact name PROJECT INFORMATION \ Building Information i Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft. / L1 1 1 I Dimensions, Total habitable space 2' floor sq.ft. Finished basement sq.ft. 3? X3L `tiawc Occupancy group Construction type Garage sq.ft. Deck sq.ft. Pak i .i S? 5,6- Cost of project I leat source(electric,gas,etc.) I G'�s Manufactured Home Sign Width: Length: - What is the square footage of the sign 1 low high is the sign? lacer 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 O Concrete 0 Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? s O No What is the current property size? / 1 / If yes,identz on site plan (square feet or acres) /d-0 )( o/06 Is any part of the property within 250 feet of a shoreline?� What is the current use of this property? I f yes,identf on site plan O Yes L�YN oid-Mai t Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes L9'No O Don't know O Yes Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? Ifyes,identify on site planIfyes,ident'on the site plan O Yes L9'No O Maybe O Don't know 0 Yes CiJ'No Are there any wetlands,streams or ponds within 200 feet �f the property? Is there evidence of fill or excavation on the property? If yes,ident on site plan 0 Yes o O Yes a< 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? ( °0) O Yes L(d-iV c� O Yes 1711--\1:— DEPARTMENT 7 NoDEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes O No OYes 0 N Is the property inside the ASA? O Yes O No Is public water available to the site? O Yes O No OYes 0 N Is the property inside the PSSA? 0 Yes O No Is the property located within 1000 feet of a Natural Resource Area? OYes 0 N Date Received: Staff Representative: METHOD OF PAYMENT ;IClti SUBTO1':U VISA ❑ CAsl I 0 CI Il(CK ❑ 0 < 0 ._ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD D:1"1'I:: I{SPIRI?S: TOTAL FEE BANKC,ARI)NUSAIBI{R: MINIMUM PERMIT FEE IS$35.00 PLEASE MAKE CHECKS PAYABLE TO SPOKANE AUCI IO121/I(D SIGN:ATURN: COUNTY PERMITCENTER b. y �VI'i es�.rw nwwa w�r�rmer��n siwr�s�r �_ �� � +- J O Pest 651. "34 ' d 045 ( gi ' D''1 .P aril+ 1(11.45 '�4ir�� 564 weL • c,. e \ • ' Pao) ) Ct45-4 — ci X° 1 t � 4\s Y 0 � � �, 1 It 30 Li _ I)S4 Viol ''y -1.4.-7 gAcA0,4 / 4 1 h 3 lick- 66.0n (?' tOil r . 1 )4 1 e) ' 3' 2 1 51,(-‘ 1. _.pc( 14 1 1 BA i2. 8. I 64),A4:151____11 el I -7---_--__ __ -- , This site plan is being submitted for the purpose of ADDRESS I ��©L�- V 1 � c:;taining a building permit and is a true and correct y / , � representation of the proposal.All known property ZONE l./�J� •t. lines/dimensions,curb lines,structures and easements ROAD 'WIDTHhave been identified.Also indicated are wetlands, 11-0 50C) FRONT 1 EL r�i Ci bodies of wale ,stee slopes•r• riticai a s. COMMENTS g� ,, Signed: .L- oA REVIEWEn F '_ _,�- �- ! # Cate: — L c 4 I. i/15