2003, 03-24 Permit App: 03001879 Finish Basement Project Number: 03001879 Inv: I Application Date: 3/24/2003 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: FINISH BASEMENT Contact: SCHMIPF,ED
Address: 15909 E 6TH LN
C - S-Z: VERADALE,WA 99037
Setbacks: Front Left: Right: Rear: Phone: (509)326-2680
Group Name:
Site Information: Project Name:
Plat Key: 005862 Name: SHELLEY LAKE PUD District: F
Parcel Number: 45242.1512 Block: 5 Lot: 12
SiteAddress: 15909 E 6TH LN Owner:Name: SCHMIPF,ED
VERADALE,WA USA 99037 Address: 15909 E 6TH LN
Location::VER VERADALE,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
111111.1110...
Plan Review Released By,
Permits:
Operator: RMB Printed By: RMB Print Date: 3/24/2003
Project Number: 03001879 Inv: 1 Application Date: 3/24/2003 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: Remodel Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: i 1
Req Parking: Handicap Parking: Critical Materials: Li
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT R R-3 VN 877 $3,937.73 877 $3,937.73
Totals: 877 $3,937.73 877 $3,937.73
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $88.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $19.36
Permit Total Fees: $111.86
Notes
OCCUPANCY IS DENIED ON ALL LOTS UNTIL FURTHER NOTICE FROM DIV. OF UTILITIES
PER GENE REPP 3/26/97 CKF OK TO ISSUE SEWER PERMITS FOR: BLOCK 2 - LOTS 3
THROUGH 10 & 1. 2 BLOCK 3 - LOTS 1 THROUGH 7 BLOCK 4 - LOTS 1 THROUGH 4
BLOCK 5 - LOTS 2 THROUGH
6& 19 BLOCK 6 - LOTS 1 THROUGH 10
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $111.86 $111.86 $0.00 $111.86
$I11.86 $111.86 $0.00 $111.86
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 he 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: RMB Printed By: RMB Print Date: 3/24/2003
lAPROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
111- SPOKANE,WA 99260
509-477-3675
SPOKANE COQ
SPECIFIC SITE/ yINFORMATION
a Street Address: /5/5- 10 • -•••• Ze^q . / /%/V6. 1/ ,9I
, 4�,E 11I 99.007
Assessor's Tax Parcel Number(s): j(_,6-'- (A /57
Legal Description:5H L 2---A7<6. 7/O /or /,, z- e/ �
o Project Description: R Et \F_iUT L� \j/i / /U/5 H
'NXBuilding 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
^�.1 Indicate who should be t cntacied,sa ardinb this project
❑ Owner: Phone 1--�- )9 9,v_m..53 ❑ Applicant: Phone:
6 Chi E 11, se_#mirf I: :5719-cb-- 33 S A M r las:
Mailing Address: Mailing Address:
Cin-,State,Zip Cm,State,tip
Phone Phone
71 Contractor ❑ Architect'F:nlnncer
6 -/4?/\71 . lax Fax
Mailing address Mailing address
Cite,State tip City,State tip
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"d floor sq.ft. 46'it fished basement sq.ft.
w77
Occupancy group Construction type Garage sq.ft. Deck Si.].ft.
Cost of role t I kat source(electric,gas,etc.)
Manufactured Home "� 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 Compnance?
firm Name Phone - Plans Examiner Phone
Inspectors: Address
Inspector Phone
O Concrete O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? 0 Yes O No What is the current property size?
If yes,identify on site plan (square feet or acres)
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 0 No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes 0 No
0 Don't know 0 Yes 0 No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
IEyes,
identIfi on site plan Ifyes,ident i on the site plan 0 Yes 0 No
0 Maybe 0 Don't know O Yes Cl No
Arc there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
If yes,identi 'on site plan 0 Yes 0 No 0 Yes 0 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?
( /%) El Yes O No O Yes O No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes O No
OYes 0 N
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
0 Yes O No
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
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f yI SUBlO'1'11,
VISA -
❑ (:ASlI (:HECK 0 0 ` 0 --
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENTOF
N A MAJOR CREDIT CARD
I)VIE: EXPIRES: TOTAL FEE
B:\N KC:\RD NUMBI?R: MINIMUM PERMIT FEE IS$35.00PLE1SE
MAKE CHECKS PAYNELL TO SPOKANE
A U"1'I IORI''/.I:D Sl G N ATURF: COUNTY Peltntrr CENTER