2000, 08-28 Permit App: 00007595 Addition Project Number: 00007595 Inv: 1 Application Date: 08/28/2000 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RESIDENCE ADDITION-REC RM,DEN,DINING Contact: SMITH,ERIK R.
RM,STORAGE RM Address: 16401 E VALLEYWAY AVE
C-S-Z: VERADALE,WA 99037
Setbacks: Front 53 Left: NA Right: 50+ Rear: 50+ Phone: (509)921-6541
Group Name:
Site Information: Project Name:
Plat Key: 000000 Name: UNKNOWN District: F
Parcel Number: 45134.2503 Block: Lot:
SiteAddress: 16401 E VALLEYWAY AVE Owner: Name: SMITH,ERIK R.
VERADALE,WA 99037 Address: 16401 E VALLEYWAY AVE
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): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Department Review
BUILDING Site Plan Review Released By: 1..t._V(1 g D
Hold Reasons:
Permit Conditions:
� _.
BUILDING Plan Review Released By: 02 �� h�M 74JJg, ,may,
Hold Reasons:
Permit Conditions:
HEALTHDISTRICT Septic System Review Released By: CL-
Hold Reasons: �j
Permit Conditions: C11�� �'�' D
Permits:
•
Project Number: 00007595 Inv: 1 Application Date: 08/28/2000 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: Addition Group:R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: 22 Stories: 1
Bldg W x D: 42 x 26 Building Sq Ft: 1092 Sprinklers:
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RES ADD R-3 VN 1,092 $67,704.00 1,092 $67,704.00
Totals: 1,092 $67,704.00 1,092 $67,704.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $692.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $152.35
Permit Total Fees: $849.35
Mechanical Permit
Contractor: BARTON HEATING&A/C INC Firm: BARTON HEATING&A/C INC
Address: 11401 E MONTGOMERY AVE#3 Phone: (509)922-5000
SPOKANE,WA 99206
Item Description Units Unit Desc Fee Amount
MINIMUM FEE ADJUSTMENT 1 Select $12.00
DUCT SYSTEMS 1 NUMBER OF $10.00
GAS APPLIANCE<=100,000BTU 1 NUMBER OF $12.00
GAS PIPING 1 #OF UNITS $1.00
Permit Total Fees: $35.00
Payment Summary:
Operator: CKF Printed By: CKF Print Date: 08/28/2000
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $849.35 $849.35 $0.00 $849.35
Mechanical Permit $35.00 $35.00 $0.00 $35.00
$884.35 $884.35 $0.00 $884.35
Notes:
•
I 1 PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
45k41026 WEST BROADWAY AVENUE
IRO- SPOKANE,WA 99260
SPOKE COU1.1, 509-477-3675
Project Description:
TYPE OF APPLICATION
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other
SPECIFIC SITE INFORMATION
Street Address: ' LI 0 f E �/ ��
Assessor's Tax Parcel Number(s): 4.4 5
i5 jJ-z/4 z so.?
Description:
Department Use Only
Water District/Purveyor: Sewer District/Purveyor Road width Setbacks
Front: Rear:
School District: Fire District: Zoning
Left: Right:'
OWNER/APPLICANT INFORMATION
lZI Indicate who should be contacted regarding this project
❑ Owner: Phone: 2 )- 05H 1 ❑ Applicant: Phone:
. S M Fax: 9 2- -(05 ti I Fax:
Mailing Address: Mailing Address:
2. 3 Ji Slot
City,State,Zip City,State,Zip
(2_ 0k, k„t ' 5\a el6037
❑ Contractor Phone ❑ Architect/Engineer Phone
Fax Fax
Mailing address Mailing address
City,State Zip City,State Zip
WA State Contractor license# Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
Dimensions Total habitable space 2'floor sq.ft. Finished basement sq.ft.
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project Heat source(electric,gas,etc.)
ManufacturedHome - Sign
Width: Length: What is the square footage of the sign How high is the sign?
face?
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 O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? ' Yes O No What is the current property size?
If yes,identify on site plan (square feet or acres) / Ac(2 ej
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 O Yes 1,3 No 1
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?,C_I Yes O No
l Don't know O Yes No
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 ,,O/No
O Maybe Don't know O Yes O No
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property?
property? O Yes
If yes,identify on site plan O Yes P/No
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?
( /%) O Yes /No O Yes -0 l o
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes 0 No
J Yes 0 No
Is the,property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
0 Yes 0 No
Is the property inside the PSSA? 0 Yes 0'No Is the property located within 1000 feet of a Natural Resource
Area? 0 Yes 0',No
Date Received: Staff Representative:
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l•-- 30' PRIVATE ROAD
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APPRC
204' SIDE c
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EXISTING
ti: IMPROVEMENTS
�+-1 TO REMAIN
o 0,41k6A LOT 3
5 42,432 SQ FT
SEPTIC TANK
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F 30'
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5' FUTURE
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25' FRONT YARD SETBACK ACQUISITION
10' RIGHT OF WAY
F.H. P Q• — P 7—DEDICATION
(� 27' 1 k. 204' 0 95'
105' 1.1b
VALLEY NWA Y
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2-01-1 ______
This site plan is being submitted for the purpose of
il
obtaining a build.rig permit and is a true and correct
representation of the proposal.All known property ._ ... ,(_, eC)4 — ' Litv.xicky
lines/dimensions,curb lines,structures and easements ..',.'` 7 .:-.4'.4 )
have been identified.Also in.' -ted are wetlands, 1.,.1 i''''.C._ .,___LeL -- ---C------ I
bodies of wa • steep slop- r other critical areas. RO,";' - ,.. I tif i il I
Signed: ,
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