2002, 05-16 Permit App: 02003788 Shop Project Number: 02003788 Inv: 1 Application Date: 5/16/02 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SHOP(24 X 24 X 10) Contact: ALFORD,FRANK&CRYSTAL
Address: 14408 E 16TH AVE
C- S-Z: VERADALE,WA 99037
Setbacks: Front Left: Right: 21 Rear: 15 Phone: (509)928-8681
Group Name:
Site Information: Project Name:
Plat Key: 001451 Name: LEMEN AIRPARK ADD District: F
Parcel Number: 45262.0205 Block: Lot:
SiteAddress: 14408 E 16TH AVE Owner: Name: ALFORD,FRANK&CRYSTAL
VERADALE,WA 99037 Address: 14408 E 16TH AVE
Location::VER VERADALE,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 21,003 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
- oSite Plan Review Release
Plan Review , Release "
?"‘
Landuse/Zoning Released By. ��� 6 v
a �t-Lac-i1z.. . , iu �_
r
Permits:
Operator: JAS Printed By: JAS Print Date: 5/16/02
Project Number: 02003788 Inv: 1 Application Date: 5/16/02 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-1 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: 14 Stories: 1
Bldg W x D: 24 x 24 Building Sq Ft: 576 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
STORAGE U-1 VN 576 $6,912.00 576 $6,912.00
Totals: 576 $6,912.00 576 $6,912.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $125.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $27.61
Permit Total Fees: $157.61
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $157.61 $157.61 $0.00 $157.61
$157.61 $157.61 $0.00 $157.61
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: JAS Printed By: JAS Print Date: 5/16/02
LI PROJECT APPLICATION WORK SHEET
ilk SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
AA SPOKANE,WA 99260
AI 509-477-3675
SPOMNE COUNTY
SPECIFIC SITE INFORMATION
Street Address: r y.I£/Q g 6 /b /'l v - e,v q _ e_ (.04- 99a3-7
Assessor's Tax Parcel Number(s): ;` / t 0,71O5 b5 V �CL�
`75a (P
Legal Description:
-BUProject Description: ' o2 4 k 2,4/ X I0 --i C ') LA L Ct
XBuilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ,IXOther ,j/y� I14 • EcGeffri'�
--I-0Ifiv 0(G4 U "kt ri Se 4_6,k_..5
Deparhiient 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
f�0pdiicaatewho should be contacted regarding this project
Chcner: Phone- q? —U I ❑Applicant: Phone
1 i p
s k r fra.4/l1< at fp{ ()[ Fax: �/LQ Gt� wi O 0 , l I as:
Ma g Address: Mailing Address:
I44D IF C (6 " 4
Cite,State,tip City,State,Zip
U,e-Vcd l )4 ?9 o 3-7
Phone
El Contractor _ Phone c),-7(p....t 1 � � ❑ Architect/Enbnneer
NiD 1 - ✓l Gde S+ 3 uki dAyv,p S U51,.I.ax Fax
Mailing address Mailing address
0 13 1 do3 fesziP� ggoa6
(:it,,S ate tip City,State Zip
P(A/Ltet v 6 qct 0 0 G
V\:A State Contractor license,4 Contact name:
NENZT H gS 00j(, CS
PROJECT INFORMATION
Building Information
Building height to peak #of stories [i1/� Main floor sq.ft. Unfinished basement sq.ft.
r
IL- ic>' A�� t � '►�►t�' <�� 7707 �i4
Dimension1 I Total liabi able space 2"a floor sq.ft. Finished base etit sq.ft.
P4 ( x3(1- X(t0 f- b`vlit— W A
Occupancy group Const coIon type
VC, Garage sq.ft.
N) / Deck sy.ft.
/\1/p
Cost of project ( I kat source(electric,gas,etc.)
50>0 \
raj
Manufactured Home 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 '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
O Concrete O Welding O Bolting O Reinforcement Address
� ADDITIONAL SITE INFORMATION
d'
Are there structures on the property? . ! Yes O No What is the current property size?
�
Ifyes,idente'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?
Ifyes,identify on site plan 0 Yes *No 1\ Dl��
Is your property in a designated wildlife habitat area?, Will the site be served by a septic system?O Yes _ No
O Don't know 0 Yes No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,ident,i on site plan "[yes,identib,on the site plan 0 Yes (WNo
0 Maybe 0 Don't know 0 Yes "' 'Jo
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Ifyes,identi_b,on site plan 0 Yes O<I\Io 0 Yes 'No
Are there slopes greater than 30°%on the property?(30t rise in 100 ft) Are critical or hazardous materials used or stored on site?
( /°A) O Yes cNo O Yes No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Arca? Is public sewer available to the site? O Yes 0 No
0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
OYes 0N
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
0 Yes 0 No
Date Received: Staff Representativ e:
METHOD OF PAYMENT
MEM=VISA SUB'I'OI \].
❑ CAS]] ❑ C1lEcK ❑ 0 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
FXPIRI?S: TOTAL FEE
B;\NKC:\RD NUNIBI'R: MINIMUM PERMIT FEE IS$35.A9PLE\SE
MAKE CIIECKS PAYABLE'co SPOKANE
:AU"TI IORIZUD Sl(;N:1TURI',: COUNTY PERMIT CENTER
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