2002, 06-12 Permit App: 02004712 Addition Project Number: 02004712 Inv: 1 Application Date: 6/12/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 30 X 30 ADDITION TO EXISTING STEEEL Contact: WAGONER,SHIRLEY DENNIS
BUILDING Address: 15505 E 14TH AVE
C - S -Z: VERADALE,WA 99037
Setbacks: Front 90+ Left: EX Right: 16 Rear: 90 Phone: (509)922-1039
Group Name:
Site Information: Project Name:
Plat Key: 002316 Name: ROTCHFORD ACRE TRACTS . District: F
Parcel Number: 45243.0218 Block: Lot:
SiteAddress: 15505 E 14TH AVE Owner: Name: WAGONER,SHIRLEY DENNIS
VERADALE,WA 99037 Address: 15505 E 14TH AVE
Location::VER VERADALE,WA 99037
Zoning: UR-7 Urban Residential-7
Water District: Hold: ❑
Area: 0 Sq Ft Width: 150 Depth: 300 Right Of Way(ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
1111116
Site Plan Review Released By: ► t A e
//
Plan ReviewReleased 1� 1,
Septic System Review Released By:
�� Uy
Permits:
Operator: RMB Printed By: RMB Print Date: 6/12/2002
Project Number: 0200-1712 Inv: I 'Application Date: 6/12/2002 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: Addition Group: U-1 Type: VN
Nbr Of Dwellings: 1 Occupant Load: 0 Building Height: 12 Stories: 1
Bldg W x D: 30 x 30 Building Sq Ft: 900 Sprinklers:
Req Parking: 0 Handicap Parking: 0 Critical Materials:
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VN 900 $10,800.00 900 $10,800.00
Totals: 900 $10,800.00 900 $10,800.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $175.50
INVESTIGATION FEE 1 Y OR BLANK $175.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $38.61
Permit Total Fees: $394.11
Notes
STOP WORK ORDER ISSUED BY D. HOWARD FOR AN ADDITION TO A POLE BUILDING
WITHOUT A PERMIT.
INVESTIGATION FEES REQUIRED. D. TRUAX
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $394.11 $394.11 $0.00 $394.11
$394A1 $394.11 $0.00 $394.11
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: RMB Printed By: RMB Print Date: 6/12/2002
i ( PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
1111 SPOKANE,\VA 99260
SPOKE CW (FY 509-477-3675
` SPECIFIC SITE INFORMATION
li
Street Address: i5 / sS-0
S /
Assessor's Tax Parcel Number(s): L7kca 4/3 , O Z 1
Legal Description:
•
Project Description: K%g/f-/7-/Q it) lc X (S T ret' ' £[,,) 6
Building Permit ❑ Change in Use 0 Grading 0 Manufactured Home Permit
0 Relocation 0 Sign 0 Tenant(New/Change) 0 Other
Depailnient Use Only
Water District/Purveyor. Sewer District/Purveyor - • •Roadwidth. „SctbacEs
Front Rear. .. - .
School District. Fire District: - Zoning
Left Right
OWNER/APPLICANT INFORMATION
El lndr<o!e who should be:on/ocred rrizrndin,g!his payed
firthencr: Phone: q
-- ❑Applicant: Phone
05-0 NL1 a Pa SKJ✓u�z 1 Fay
Mailing:WJre5 `r' 6-0/t/ i'v Mailing Address
r inns ic( 5"'\?..Of
Cin,Stare,Lip City,State,Zip ^ '
1)6e. it-La.
0 Contractor Phone ❑Architect/Fngincer Phone
]ITi� Fax Fax
Madintq address - Marling address
City,Stare Zip Cir",State I p
WA State Contractor license= Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stones Main floor sq.ft_ Unfinished basement sq.ft.
I)irri nsit,ns Total habitable space 2"d floor sq.ft. Finished basement sq.ft.
Occerp:uue group Construction ape Garage sq.ft. Deck sq.ft.
(asst of projea I k-at source(cketnc.gas.etc.)
irr7L/0. W a read Set d / licJO c d-07
awe �0r�eer t,A9 SS (:t - but
Cs) ( t ( iteuC Id n1,
Manufactured Home Sign
Width: Length: What is the square footage of the sign How high is the sign?
face?
Year. Make: #of signsi
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
0 Concrete 0 Welding 0 Bolting 0 Reinforcement • Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? 0 Yes 0 No What is the current property size?
Ifyes,/dent on rile pla!/
(square uare feet or acres)
Is any part of the property within 250 feet of a shoreline?
What is the current use of this property?
f yrs,rdelitOf o!!site plan 0 Yes 0 Na
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? Arc or will there be wells located on the property?
Ifyes,identdy on site plan f yes identift on the site plan
0 Maybe 0 Don't know O Yes 0 No 0 Yes 0 No
Arc there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
fyes,identyy on site plan 0 Yes 0 No
Are there slopes greater than 30%on the property?(30 ft rise in 100 It) 0 Yes 0 No
P pAre critical or hazardous materials used or stored on site?
0 Yes 0 No
O Yes 0 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
Is public sewer available to the site? 0 Yes 0 No
O Yes O No
Is the property inside the ASA?- 0 Yes 0 No Is public water available to the site? O Yes O No
OYes 0 No
Is the property inside the PSSA? O,Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
0 Yes 0 No
Date Rcca•i.c-J_ Staff Rcprescntati.c
METHOD OF PAYMENT
MINIM >' r�.ri' SUBl(YF i. •
❑ CASH ❑ c:lllic:l: ❑ ❑ . 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: I{\PII:I:S:
TOTAL FEE
BANKCIRD NUMBER:
MINIMUM PERMIT PEELSS3S.ODPt.CA F
\lnlIORIZ :D SIGN-\CURL_: \r+tr.clIccl�cP:�y.�lsltrosrol:int=
COUNTY Pt7t\ti.1 CENTER
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-.-t This site plan is being submitted for the purpose of
*obtaining a building permit and is a true and correct.
• representation of the proposal.All known property
lines/di ' ns,curb lines,structures and easements
h been ide tified.Also indica .d are wetlands,
't odies of wat r,steep slopes olther critical areas.
• ..Signed: 6 • •---1-"V"-- W
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Date
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ADDRESS: •
ZONE: 'r= �
ROAD WIDTH: <Q(
FRONT*1.•• (..... b1 .../3,r2-Ce--
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