2002, 09-19 Permit App: 02008109 Addition Project Number: 02008109 Inv: 1 A,.p jication Date: 9/19/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: GARAGE ADDITION Contact: COOK,ALLEN
Address: 14019 E 19TH AVE
C- S -Z: VERADALE,WA 99037
Setbacks: Front 26 Left: 5 Right: NA Rear: 35+ Phone: (509)924-4367
Group Name:
Site Information: Project Name:
Plat Key: 001451 Name: LEMEN AIRPARK ADD District: F
Parcel Number: 45262.0806 Block: Lot:
SiteAddress: 14019 E 19TH AVE Owner: Name: COOK,ALLEN
VERADALE,WA 99037 Address: 14019 E 19TH AVE
Location::VER VERADALE,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 125 Depth: 95 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review i
AA
Site Plan ReviewReleased By:,, 1r_ /> ! ' ® r.P%
Plan Review f
Released By: �.�IL /✓, ./=
ice. . • A .,Orlar4r1
!
Permits:
Operator: DMD Printed By: DMD Print Date: 9/19/2002
Project Number: 02008109 Inv: 1 Application Date: 9/19/2002 Page 2 of 2
THIS IS $O'T 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: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: 111
Req Parking: Handicap Parking: Critical Materials: El
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VN ADDITION 299 $3,588.00 299 $3,588.00
Totals: 299 $3,588.00 299 $3,588.00
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:
Payment Summary: .
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $111.86 $111.86 $0.00 $111.86
$111.86 $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 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 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: DMD Printed By: DMD Print Date: 9/19/2002
I dc PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675 h
SPoKAE Cotte
SPECIFIC SITE INFORMATION
Street Address: , Q 1 1 Th
Assessor's Tax Parcel Number(s): 2 -
O 'O
Legal Description: Le)T (o CL-I'- 7 iEnc,- $/P PAr2-K APO(7/e,•-• i4 eeest OI' tc ai.A"7re,.A t,v
(/"r 1/C L OF PCN 1S FG, a I speki,,s, , w .
Project Description: CA/Z H L( A ion 7/ui✓
Building Permit In Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
WaterDistrict/Purveyor. Sewer District/Purveyor Road width Setbacks
Front Rear.
School District Fere District. Zoning
Lek: Right:
OWNER/APPLICANT INFORMATION
Indicate who should be contacted ntarding this project
Owner Phone: 1 -2-4- G 7 ❑ Applicant: Phone:
Pas:
I as:
Mailing Address: Mailing Address:
Pt-
t: 1 40/0 i3
City,State,Zip • Cite,State,Zip
Wit 99 GS J 7
Phone ❑ Architect/I{n neer Phone
❑ Contractor g^
Fax Pas
Mailing address Mailing address
City,State Zip City,State Zip
\\A State Contractor license# Contact name
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
19- � z 3 3 N/A
Dimensions / Total habitable space 2"floor sq.ft. Finished basement sq.ft.
13 X .13
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project I Teat source(electric,gas,etc.)
'S 311o�
Manufactured Home Si•
Width: length_ What is the square footage of the sign I low high is the sign?
4( . fffa''ce?
L—_
Year: Make: #of siTnls Area of existing signs
i
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 O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? �l'es O No
NX hat is the current property size?
Ifyes,ideate on site plan (square feet or acres) /(/ (j 75
1s any part of the property within 250 feet of a shoreline? What is the current use of this propert)?
Ifyes,identO,on sitepIan O Yes o /7—F5!O '-
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes C
0 Don't know 0 Yes 17‹
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
Ifyes,identifj,on site plan � / Ifyes,identify on the site plan 0 Yes Z1
0 Maybe O Don't know 0 Yes IiYNo
Arc there any wetlands,streams or ponds within 200 feet( .the property? Is there evidence of fill or excavation on the property?
Ifyes,identify on site plan O Yeso 0 Yes Eto
Are there slopes greater than 30°?on the property?(30�ft riffs in 100 ft) .Are critical or hazardous materials used or stored on site?
( /0/0 0 Yes IH'No 0 Yes CI- ;
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes O No
DYes DNo
Is the property inside the ASA? 0 Yes O No Is public water available to the site? D Yes O No
D Yes O No
Is the property inside the PSSA? 0 Yes D No Is the property located within 1000 feet of a Natural Resource Area?
D Yes D No
Date Recess ed: Mall-Representative:
METHOD OF PAYMENT
e.. . '.€CAVI. SU67'0T:1J
VISA
❑ c.vSI I 0 cl iNcK ❑ 0 0 :-
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATI?: I?XPIRI?S_ TOTAL FEE
BAN kCARD NUMBI'IR. MINIMUM PERMIT FEE IS$35.00 PLEASE
MAKE Cl a CKS P:1TABLE TO SPOKANE
\U17IORI'/.ICD SI( NATURI?: COLyTAvP1IILMITcENrER
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I g rep resen:ai on of the proposal,All known property
.B 8 G linesidimenslans,curb I nes. structures and easements
C\ , have been identified. Also r.d cated are wc,lands,
bodies of water,sleep sic ercrii
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