2002, 04-29 Permit App: 02003066 Storage Bldg Project Number: 02003066 Inv: 1 Application Date: 4/29/02 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 40 X 80 DETACHED STORAGE BLDG(REPLACES Contact: ROUNSVILLE,DALE L
2 DEMOLISHED BLDGS) Address: 17010 E 4TH AVE
C-S-Z: VERADALE WA 99037
Setbacks:Front 76 Left: 24 Right: 35 Rear: 294 Phone: (509)928-6616
Group Name:
Site Information: Project Name:
Plat Key: 999999 Name: RANGE District: F
Parcel Number: 45241.9029 Block: Lot:
SiteAddress: 17010 E 4TH AVE Owner: Name: ROUNSVILLE,DALE L
VERADALE, WA USA 99037 Address: 17010 E 4TH AVE
Location::VER VERADALE WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 99 Depth: 440 Right Of Way(ft): 50
Nbr of Bldgs: 2 Nbr of Dwellings: I
Review Information:
Review
Site Plan Review Released By:
Plan Review Released By: 5 5 M t-Q
Permits:
Operator: CKF Printed By: CKF Print Date: 4/29/02
Project Number: 02003066 Inv: 1 Application Date: 4/29/02 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: NORTHWEST BUILDING Firm: BOB ALLEN/NW BLDG SYSTEMS
Address: PO BOX 1203 Phone: (509)276-1154
DEER PARK,WA 99006
Building Characteristics
Const Category: New Group:U-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: 16 Stories: 1
Bldg W x D: 40 x 80 Building Sq Ft: 3200 Sprinklers:
Req Parking: Handicap Parking: Critical Materials:
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BARN U_3 VN 3,200 $38,400.00 3,200 $38,400.00
Totals: 3,200 $38,400.00 3,200 $38,400.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $478.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $105.16
Permit Total Fees: $587.66
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $587.66 $587.66 $0.00 $587.66
$587.66 $587.66 $0.00 $587.66
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 contrued 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: 4/29/02
, ,
1 l PROJECT APPLICATION WORK SHEET
Ilk SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
SPOKj1F COUNTY 509-477-3675
SPECIFIC SITE INFORMATION
Street Address: ) -76-7/0 !�,� ii
, 4&
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: 4/19 ,7<16) P0 'r f3 0/ id/ i
y �
Building Permit ❑ Change in Use El Grading ❑ Manufactured Home Permit
El Relocation El Sign ❑ Tenant(New/Change) El 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
El Indicate who should be contacted re,gardin,thisprojed
❑ Owner. Phone: 4.,2,p_4 6//A ❑ Applicant:'PP Phone:
26 Ls- 1'04/ASV/ 1,1-, l'ax: Fax
Mailing Address: Mailing Address:
/--70/ -) E -Z9
Cite,State,Zip
Cary,State,Zip
Pc, ,4Ce, 1,e, e— 9go'
El Contractor Phone - Phone
❑ Architect;lingtneer
lax
lax
Mailing address Mailing address
City,State Zip Cin-,State Zip
VC A State Contract license# Contact name:
ND2.j—I- Scj � ( 5
2. 7 c)-) PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
/5—� i / 3t2 cx'
Dimensions Total habitable space 2°d floor sq. ft. Finished basement sq.ft.
tl0xcFp
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project F leat source(electric,gas,etc.)
Manufactured Home I Sign
Width: length: What is the square footage of the sign I-low high is the sign?
face?
Year: Make #of signs Area of existing signs
Relocation Fire Safety
Previous address Fire Sprinkler "fent
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
0 Concrete D Welding O Bolting in Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? Rt.Yes 0 No What is the current property size?
If yes,ident'on site plan (square feet or acres) /,/ )4-(-,r _.,
Is any part of the property within 250 feet of a shoreline? What is the curr t use oft s property?
If yes,ident on site plat 0 Yes r No V QS j 41 nV .
Is your property in a designated wildlife habitat area? Will the site be served by a septic system? Yes
0 No
0 Don't know 0 Yes No J Q 64--
Is
lIs any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identifi on site plat Ifyes,identify on the site plan 0 Yes 110 No
0 Maybe Don't know 0 Yes 0 No
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Ifyes,identfy at site plan 0 Yes iiile No 0 Yes 4 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?
( �e/p) O Yes 0 No D Yes likNo
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No
DYes 0 N
Is the property inside the ASA? D Yes D No Is public water available to the site? 0 Yes 0 No
D 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?
DYes 0 N
Date Received: Staff Representative:
METHOD OF PAYMENT
;1011P11, SUB'tO1':vl,
IINIMI Z,_
❑ C:AslI plz,Clll?CK ❑ 0 0 --
FAXED
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DA'11,:: l:XPIRI?S: TOTAL FEE
BAN KC.ARD NUMBI AZ: MINIMUM PERMIT FEE ISS35.A7PiRASE
MAKE CHECKS PAYABLE TO SPOKANE
Cot TY PERMIT CENt ER
AU'I'I IORI'/.I?D S1GN.�"]'URI?:
This site plan Is being sibmitted for the puma*.Of ADDRESS J7 10 E. 1--P-A-
obfAiiitHi,a stiiiiiding fjatRiii arid IN a true and correct ZON E -__ L.411
rePreiehtitilen tif Rid preddial:All known property
linet'fdimentl ;hit lints.4truatures and easements ROAD WIDTH 5C>
have 1-iien idehtted,Also indideted are wetlands, FRONT li, FLANKING
bodtes of*ateiA' ttWO sio • gt etIver criti , areas. COMMEStS ... ._...
,
Signed:- ZAZed"-/--- _— .. REVtEWth BY
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Iti,
Date: '(i•-• -1q---e'?"7, \ '
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