2003, 06-27 Permit: BLD-03-02004 Addition �/�"�\ THIS IS NOT A PERMIT
Sn'y<o I"'' �wr+� Penalties will be assessed for
pd�ne commencing work without a permit
�,,,r•'�Valley ACCESSORY BUILDING
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Application#: BL• 03-02004
Job Address: 1112 N WOODWARD RD Applied: 06/27/2003
SPOKANE VALLEY WA 99206 Issu= :
Description: 200 SF CARPORT ADDITION TO EXIST GARAGE E :ires: 12/24/2003
OWNER CONTRACTOR
Subdivision: FIELDSTAD SUBDIVISION Lot No: 4
Owner: RHOADES,ALVAH R&PEGGY M
Applicant: RHOADES,ALVAH R&PEGGY M Phone:
Address: PO BOX 816
OLYMPIA,WA 98507
Contractor: Phone.
Address: 'c No:
General Information: Fe•s:
VALUATION 3,10 AN CHECK FEE 9.73
BUILDING HEIGHT TO PEAK(FT) 8 :ASIC PERMIT FEE 97.25
DIMENSIONS lo X 20 WSBCC SURCHARGE 4.50
#OF STORIES
FRONT SETBACK N Total Calculated: 111.48
REAR SETBACK 5 Deposits/Receipts: 0.00
LEFT SETBACK NA Total Due: 111.48
RIGHT SETBACK 50
FLANKING SETBACK NA A
OCCUPANCY GROUP u-1
CONSTRUCTION TYPE wood
STRUCTURES ON PROPERTY yes
CURRENT PROPERTY SIZE' 89 143
CURRENT PROPERTY USE ''S
SERVED BY SEPTIC SYSTEM ,es
•
THIS IS NOT A RECEIPT
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06/27/2003 13:05 5093241567 SRHD EHS PAGE 01
/01<AN E COUNTY HEALTH DEPARI`MEN1" .
ARTHUR•1. URN,-M.D.M.RI4.. Health OMeer
Division of Sanitation,
f' • . N. 819 Jefferson DATE- �_ " FA sf�
i' ) Spokane 1, Washington .
PERMIT NO !16-.
•
.N? ; 11813 .
APPLICATI N FOR PERM... TO NSTALL OR RECONSTRUCT SEWAGE OSAL 4ILITIE,S),
/•
Name -Ll/ l
.Address 4e:.;2,(')
�'�v�
«.. ... ..«. ...««« .... ......
Address of Proposed Site....I./ I, ,,-/ .. , . _ f :ew� .«Size of Property.p�t./ 3( /..0-0
"
Type of Use........... ° Other
i
Number of Bedroo L.. ,4'' -�--
---- a.-_... x ding Capac ty.__ Camp Capacity... :...«_._...___•Other .
Is property below grade of streets or alleys?«__...,,,,-,__-„,,,•» fie streets graded in?«
Is basement for building Dia a ?„ --_,,,_ Haw much e#:cevation or fill prop Z _ «
Water Supply. (Ci, ell, Spring). Drywell.. ,
•
Septic tank capacit2.... Q..o..... • : .Style of teak.. rfn.,Q�r
Length of disposal fiel .. ../L.......-_«...-.:_....»...._.................Leaching Bed -Dist. Box «
Y,
(1) Draw in property area to scale;
(2) Show relative location of: Proposed house, septic tank, A
disposal field, well,,garage, and other out buildings. ,f
(3) Make note of any heavy slope or swampy area or any ''`' ' d t ,
other important topographic details. C3t L
cow'
Date when test hole will be.ready for S{(t
s... ,40
P 'I,
R /
inspection_»»._w........._......««.......-._....... S,0'�� 0,4 S.:(-.-0
.;i.• -
Date installation will be read tion (that is,
�4 V4t PE'S`O`Qik00 ' `�•'.
before backfilling)....__-.�«,.IS,- 1.'-nt' «... .__
`y RGA /97y
•
. . •
SANITARIAN'S REPORT AND RECOMMENDATIONS: Dates_of Ins ectlon
. Topography.........««.... _._... p » �”
C3rovnd.Water ».««.`»�.._
... .
•
Soil Condition. Percolation tests: Minutes.
NIFilk
Special Recommendations. �/
Final inspects n e _- �iP - / ” —. '.---1'7.
,� „—r `��'
• Remarks (j;- '} .,. j) ..l•i�.(•.:- eir( / .? . �' / «.........
:�� fT ��-•";2 { tis. �!. ..«.......:. «iN'�:•. . � :� `'..«_»« ' �� ....«.... r/
•.� .....ifi:,..Y. :. �..,+�1.,,.i ...... --1..(.,,,. CEJ,,, _le. ,e.,.i c,. i? .k,� y._ .(,../--
-«.. I .
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CONTRACTOR_.. .i..'
RECO NDED PERMIT BE....«.»_...—..•---..««»---....,...».«_..... ....,.N •
.,,
f'''; • Sanitarian ',.....y. •
(form ade—Resitli-104.-2-66) By.
I
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JUN 24 2003 13:05 5093241567 PAGE.01