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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: . . 11111W/1111f ...,...-, .., .- ^"-..:,". BUILDING Plan Review . 4;-. : '• ,,,,,,,„ -.„,'T k-;,,,," Hold Reasons: ' -- r'''' .')t. ' • -. '. 1:• . ;-- ' ' - Permit Conditions: "- "''-' e I • • . : ' . . HEALTI3DIS'IRICT Septic System Review. . .,, ::.....-:' . . _ -. ,'''''••'•• - ,._ . . Hold Reascms: • .....•._.. _ Permit Conditiong"-Wiffir-4pPa-faleff am. =1%4 i" • , .... .. . .,..,... Piiillr ; :- ....-. ?I'')- •;-,.. : . , • -. . .. . • . l . ... . . • • 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: --- L^ t /5-0' / . /5 DP . 5--x;Lk. J 6/9,eA f ii Aif-Al�e ?Q6,' ®Ai TO 2fir h �NLICkG-E" /0'X17 ' Div TO ee,iP'O/n , X)0,0 /0° `)19/ coix&R O 417-/o 1 e. --15 ( , y'll E/C/L-A3(5-E re0/()T fOk cfl v .4x' 6 ,... • , "A .2x6Lr vjzit- / LJv/A & ARS 2:5( 4" X T. (AA L-c__ /N A 'AGS A' -/A-) .-- ) TR e.,1 USE'S oN ALL ADD oN5 r 6'L"i 1--/96L . 6ge'n't TO S u pPO/ y -/-4 .,..„--5 -,s-- Acv 8Arf/ cl 09 -- 3 //,/ uLATio1v IN f,3 1G 90-vott:t cess I /N 1A/AALL,S opfg*,, A, 4, v F - 3o A, /A) F 0C>/Q < ysti,,ti O O .o 7, IN/if f--,E Q 01712,0 s /9rN//u6- 0i, _- ..4 /6 �. 30°1 s ffi/o7 VUsEpnc 8<6 e ` � P T ,‘„, \ gATNAp.&: ` 60 , , N / � / m,;.7* SW' A 4i ! . :,,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//? 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