1993, 08-06 Permit App: 93006743 Garage 7la
PROJECT NUMBER= 93043 APPLICATION DAT 08/06/93 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 16321 E VALLEYWAY AVE PARCEL#= 45134 . 0520
ADDRESS= VERADALE WA 99037
PERMIT USE= DETACHED GARAGE (EXISTING FOUNDATION)
PLAT#= 002756 PLAT NAME= VERA
BLOCK= LOT= ZONE= UR-3 .5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 133 DEPTH= 210 R/W=
# OF BLDGS= 2 # DWELLINGS= 1 WATER DIST =
OWNER= GLAZA, BOB & DEBBIE PHONE= 509 926 3537
STREET= 16321 E VALLEYWAY AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= DON GREENWOOD PHONE NUMBER= 509 624 1803
BUILDING SETBACKS: FRONT= 155 LEFT= NA RIGHT= 18 REAR= 15
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
1
BUILDING PLAN REVIEW REQUIRED \\I0 4101
Oft
COMMENTS: —� • Watil i
BUILDING SETBACK REVIEW REQUIRED
COMMENTS: L 4
451112?
IN R��E IN LOT COVERAGE f �J 7;-�'�`t 7
EALT4pIT �� I �eQl
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= 8 STORIES= 1
BLDG W X D = 20 X 40 SQ FT= 800 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
GARAGE M-1 VN 800 6400. 00
PROJECT NUMBER= 93006743 APPLICATION DATE= 08/06/93 PAGE= 02
ITEM DESCRIPTION QUANTrrY FEE AMOUNT
RESIDENTIAL VALUATION Y 90. 00
STATE SURCHARGE Y 4 .50
RESIDENTIAL SURCHARGE Y 16.20
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 110.70 . 00 110.70
110. 70 . 00 110.70
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** THANK YOU ************************************
� i1?PLICATION WORKSHEET 11
LGeneral Information ai
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L Site Information
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LProject Information
-- New (.ddtllon Remodel Change at use
'error 9 u - '
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I Building Information
Dwelling units •• upan kid--• l
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Building dunenstonsiiiiiMaliiiiiiiiiiirliiiiii i.
o a square oo age -
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Heamad insulation information (R-value:)
tram footage breakdown :erting
o cr covesed�kHet•stn ••r
_ Plat ceiling Vaulted ceiling Abovegradewan
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Below grade wall Floor Slab on grade
ants e. . cement
Door(u-value) Window Furnaceelltoency
•n mac•e• •:cement
Total window area %of lloor area
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LContractor InformationII
Plumbing contractor
Building contractor
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License PhoneLicense number Phone
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a Mailing address
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Other!Louder
lioattngcootnctor
License number
Phone License number Phone
Mailing address
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q/1, PROJEcr CONTACT' PHONE
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AUG-09-'93 MON 08:56 ID:TUMWATER LOCATION. • TEL NO:206 239 5461 #140 P01
Department of Labor dr Industries ,,,,k REGISTRATION VERIFICATION
Contractor Registration seam j t I. ?..9 -9-3
PO Box 44450. ',,i ,'' (206)956-5226
Olympia WA 98504.4450 scAN 269.5226
FAX(206)956.322E
% Olympia Headquerterr
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Contractor:
ontractor: Your Certificate of Registration will sent from
until Olympia receiveieyour
should be received within 2 to 3 weeks. Please keep this recordY
Certificate of Registration. TThank. you
P625-036.000 i,$lM 4 dion 4-93
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