2000, 07-19 Permit App: 00006133 Addition Project Number: 00006133 Inv: 1 Application Date: 07/19/2000 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RES ADD-GARAGE,BATH,BEDROOM Contact: LEE,ROBERT E
EXPANSION,COV PATIO,&FRONT PORCH Address: 015620 E 14TH AVE
C-S-Z: VERADALE,WA 99037
Setbacks: Front 35 Left: 14 Right: 29 Rear: Phone: (509)891-1610
Group Name:
Site Information: Project Name:
Plat Key: 002316 Name: ROTCHFORD ACRE TRACTS District: F
Parcel Number: 45243.0304 Block: Lot:
SiteAddress: 15620 E 14TH AVE Owner:Name: LEE,ROBERT E
VERADALE,WA USA 9903 Address: 015620 E 14TH AVE
Location::VER VERADALE,WA 99037
Zoning: SR-1 Suburban Residential 1
Water District: Hold: ❑
Area: 45,000 Sq Ft Width: 150 Depth: 300 Right Of Way(ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information: P-.
Department Review
_
/c?
BUILDING Site Plan Review Released y r'' S`� `
Hold Reasons:
Permit Conditions:
BUILDING Plan Review ft(Releasedy
�.ti
Hold Reasons:
Permit Conditions:
HEALTHDISTRICT Septic System Review+ Released By:
Hold Reasons: kJ lam
Permit Conditions: •
t !7 f de)
Perm its:
Project Number: 00006133 Inv: 1 Application Date: 07/19/2000 Page 2 of 3
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: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials:
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
CANOPY R-3 VN 500SQFT 0 $2,250.00 0 $2,250.00
GARAGE U-1 VN 700 $8,400.00 700 $8,400.00
RES ADD R-3 VN 218 $13,516.00 218 $13,516.00
Totals: 918 $24,166.00 918 $24,166.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $350.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $77.11
Permit Total Fees: $432.11
Mechanical Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000)000-0000
000000,00 000000
Item Description Units Unit Desc Fee Amount
VENTILATING FANS 3 NUMBER OF $30.00
CLOTHES DRYER 1 NUMBER OF $10.00
Permit Total Fees: $40.00
Plumbing Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000)000-0000
000000,00 000000
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 1 NUMBER OF $6.00
SINKS 3 NUMBER OF $18.00
SHOWERS 1 NUMBER OF $6.00
TUBS 1 NUMBER OF $6.00
CLOTHES WASHER 1 NUMBER OF $6.00
Permit Total Fees: $42.00
JUL-21-2M 08:45 P. 1
. . . _
Project Number 4°466213-f ' -In*: 1 z Application -t-lpitur 07/19/2000. Page 1 of 3
..._........_-____
. ._
. = •-- THIS IS NOT A PERMIT-
Penalties-will be assessed for-coinmencing,work without...a:permit
Project Information: ; . 7.
=i111101MalmINIIMIr L 7'
Permit use: RES ADD- ARAGE,BATH,BEDROOM -/..' . . Contact: LEE,ROBERT E .::.•- , ••
EXPANSION,COV PATIC!,8z.FRONT PORCH -, Address: 015620 E 14TH AVE
. ..__ " • • C-S-Z:"VERADALEi.NVA"-99037-7-,
•
Setbacks:Front' 35 Left 14 Rigid: - 29' Rear: r::....Le..tx:rPhan!: (5-09)891-4616
.Gioup Name: - :i:-'....- ....... ... •
Site Information: . - • 7 Project Name:. - :
Plat Key 002316 Name: ROTCHFORD ACRE tRACTS ..,.... _ District: F • • ,
•
Parcel Number,4524 -9304. 1pelc: Lot:
. ..
.SitcAddress: 156,20 E 14TH AVE -; Owner.Name: LEE,ROBERT E
VJRADALE,WA USA 9903 . Address: 01:562SLR JADI AVE
ii - ER VERADALLAVA 99037
Zoning:SR-1 'Suburban Residential 1 - -
Water District: . . . . Hold: D
Area: 45,000 Sq Ft _• Width: 150 Depth:, 300 Right Of Way(ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings: 1 -.--
.. .
Review Information:
.. ...
rtrnent • Review ..atilg,
BUILDING ilte:Plan Review ' - -. :.
4
Hold Reasons:
. _ . , .,,,'•
Permit Conditions: . .
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BUILDING Plan Review
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Hold Reasons: ' --
r'''' .')t. ' • -. '. 1:• . ;-- ' ' -
Permit Conditions:
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HEALTI3DIS'IRICT Septic System Review. . .,, ::.....-:' . . _ -. ,'''''••'•• - ,._ . .
Hold Reascms: • .....•._.. _
Permit Conditiong"-Wiffir-4pPa-faleff am. =1%4 i" • ,
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Piiillr ; :- ....-. ?I'')- •;-,.. :
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Project Number: 00006133 Inv: 1 Application Date: 07/19/2000 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Operator: JAS Printed By: JAS Print Date: 07/19/2000
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $432.11 $432.11 $0.00 $432.11
Mechanical Permit $40.00 $40.00 $0.00 $40.00
Plumbing Permit $42.00 $42.00 $0.00 $42.00
$514.11 $514.11 $0.00 $514.11
Notes:
, I PROJECT APPLICATION
itik
ill I SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
_ 1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675
SPox C MY
Project Description: il"e:3C 1C-ti*-k. Ci \. Cifivt & S EIMO n6 L. tst/iu(r
reii
TYPE OF APPLICATION ��42i4G . l'�JTc7 AI1.R�GISTa�
1 Building Permit 11 Change in Use O Grading O Manufactured Home Permit
O Relocation O Sign O Tenant (New/Change) O Other
SPECIFIC SITE INFORMATION
Street Address: /5-& 0 - J j q ti 4vE , vEAfi M,,,E-/ ,,,.,iq . y.037
Assessor's Tax Parcel Number(s):
Legal 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
El Indicate who should be contacted regarding this project
A Owner: (, � '-� �- Phone: 8tp/- / 7p ❑Applicant: Phone:
/Cop Cuff- / . G/-�� AZ- Fax: Fax:
Mailing Address: Mailing Address:
/ -6,;2_c7 c. / Ai ,
City,State,Zip City,State,Zip
!/E' 4,0/96-0- L'tiq: 7703 7
in 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 flfl,oo sq.ft. Unfinished basement sq.ft.
Dimensions Total habitable space 2"a floor sq.ft. Finished basement sq.ft.
Occupancy group Construction type Garage sq.ft. 700 Deck sq.ft.
Cost of project Heat source(electric,gas,etc.)
,4,0ip2 OX -Z5--00, 60
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 Compliance?
Firm Name Phone Plans Examiner Phone
A
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,identib,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 No /2 es ,
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 A 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 0 Yes "No
0 Maybe 0 Don't know 13 Yes No
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property?
property? 0 Yes elE.No
If yes,identify on site plan 0 Yes 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?
( /To) 0 Yes let.No 0 Yes 'No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control r a? Is public sewer available to'the site? O Yes o
3 Yes No
Is the property inside the ASA? 4Yes O No Is public water available to the site? (Yes D'No
Yes O No
Is the property inside the PSSA? Yes El No Is the property located within 1000 feet of a Natural Re urce
Area? O Yes No
•
Date Recfived: Staff Repre tative:
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. :,,t.ke plan is being submitted for the purpose of
bf''"1) obtaining a building permit and is a true and correct
/ii R f�� representation of the proposal.Ail known property
0 P'V / lines/dimensions,curb lines, structures and easement:
5.) have been identified.Also indicated are wetlands,
bodies of rr,steep slopes or other critical areas.
Signed: �` "-e '!
,_4(:). Date: 7//? OO___
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