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1994, 04-11 Permit App: 94002994 Addition c, PROJECT NUMBER= 94002994 APPLICATION DATE= 04/11/94 PAGE= 01 v. ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 14203 E 22ND CT PARCEL#= 45262 . 1910 ADDRESS= VERADALE WA 99037 PERMIT USE= RESIDENCE ADDITION — FAMILY/DINING ROOM PLAT#= 000668 PLAT NAME= EARLY DAWN 1ST ADD BLOCK= 8 LOT= 10 ZONE= UR-3.5 DIST#= F AREA= F/A= F WIDTH= DEPTH= R/W= 50 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= MCOMB, JODI PHONE= STREET= 14203 E 22ND CT ADDRESS= VERADALE WA 99037 CONTACT NAME= RIGHTWAY CONSTRUCTION PHONE NUMBER= 509 927 8576 BUILDING SETBACKS: FRONT= EXIS LEFT= 22 RIGHT= 31 REAR= 50+ ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING REVIEW COORDINATOR — R BURRIS AhrLCA COMMENTS: �-� 1+- -- / BUILDING PLAN REVIEW REQUIRED 3 • T��-S COMMENTS: 14-1( .. + BUILDING SETBACK REVIEW REQUIRED OKCR ili/ COMMENTS: I --5c/ .� HEALTHDIST INCREASE IN LOT COVERAGE iiitr- !/f I `T COMMENTS: / w ******************************* BUILDING ' RMIT * ** '**** ********************* LS r 1 CONTRACTO UNKNOWN , � ' 411) STREE = UNKNOWN ADDRES = UNKNOWN_ UNKNOWN NEW= REMODEL= ADDITION= X CHANGE OF USE= DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 12 STORIES= 1 BLDG W X D = 18 X 24 SQ FT= 432 SPRINKLER= N REQ PARKING= #HANDICAP= CRITICAL MAT= N PROJECT NUMBER= 94002994 APPLICATION DATE= 04/11/94 PAGE= 02 DESCRIPTION GROUP TYPE SQ FT VALUATION RES ADD R-3 VN 432 18144 .00 ITEM DESCRIPTION QUANTITY FEE AMOUNT RESIDENTIAL VALUATION Y 198.00 STATE SURCHARGE Y 4 .50 RESIDENTIAL SURCHARGE Y 35 . 64 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 238 .14 .00 238 . 14 238. 14 . 00 238 . 14 PROCESSED BY: BURRIS, ROBIN PRINTED BY: BURRIS, ROBIN ******************************** THANK YOU ************************************ APR-18-'94 MON 05:18 ID:TUMWATER LOCATION. TEL NO:206 239 5461 ##011 P01 _. 1 COMMpaf Labbor&Industries ,,�,,t REGISTRATION VERIFICATION ��//��o scl I�Registration Section ) 44— ,/ —Pf /yam( t�` iL� 44450 �. y • Ww)93P5226 Olympia WA 985044450 SCAN 269.3226 • FAX(206)956-5228 o Prom ~ Olympia Headquarters NMI. ....rr....Cr" �1Mt MHSAtvLe 11 + Contractor: Your Certificate of Registration wit be sent from the Olympia office and should be received within 2 to 3 weeks. Please keep this record until you receive your Certificate of Registration. ?Hann yo P623.036-000 ro jirttstion verification 4-93 APPLICATION WORKSHEET qçLcPcf L Generallnformation� � I V Parcel number as-262 /9/0 v �Job address E / � (/ C_ , 1 Phone hone 1 0if44 �J ' ['Wailing addrlc�'u / 2 2? G7— State �-J JvI� CO �l/ � CSV �j �7 ,)/ LCiiv �/'�"JR n � � - -- � f State / l G- (/lam / Site Information 11 LegalDexnpltoo — V r 2-5-14(4 4 ce 0 ' -Property sae Water Distract Zore:::: Number of: Dwellings Buildings neInspector Roadwtdth' �1 Project Information ��' p-Alttii-‘r �OM Penna Usenh /� �l r7-� - New Addition Remodel Change of use 1 ( �0 Til acfc ( f I©'r" Building Information X Dwelling units Occupant load Building height rStones Building dimensions Total square footage Req'd parking Handicap parking Sprinkler system Cntical MaterialX / X Z Li Square footage breakdown Heaths.and insulation information R-values Sfam floor cUncovered/covered deck •eat source • .ovegra•ewa Second floor her MINNI • Finished basement t . nor a,on gra.e Unlinished basement aoor u-va ue "in.ow Milli -Garage ota win.ow area '0 o oor area Contractor Information Build contractor Plumbing contractor 1� hr- in: c dn�c r �t°�� License n ber Phone License number Phone 2 2 at in, •.rens ' ••ailing address / �jr h C,�q, Ci `z�" 2 I /S Seo/� City,state,zip {{eating contractor Other/Lender License number Phone License number Phone Mailing address Mailing address City,state,zip City,state,zip PROJECT CONTACT PHONE it Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 . 1 -----0. - w ------w-----w,r,...... A . . 1 i 1 1 0 • - . - .... .-.-.--• .. .:,"• ; .... . .••,......•'' 0 AJ, r• --. 1 . /i / , \, 2.s _L- 7_3_6 _ _ . . . _ _ i • , , 0 _ .... _ . _,.. e . ''' 631C1 y . FLANKING: .. _,..„....._ / NI , - \ ........... . • 4 A_ .40„,,,,_.. ....—.40t . i \... -....._ \ 27 1--------7--- , -0_ / -....\ „.. , , ....... , zi i • _ g N Al.. ":"'--- e-H , I / \ V.) % 1 1. S. tP %... HO tiS 6 \ \ V . ‘,,c.: • :I r...**.molipmeeftwarA40... . 1 \ I \ \ _ '1.1*". .41: Lid .4 AZ Nk. 1 1 ?. i.. i til ri 1 ......................... "'-""--"*""•"........... . i •/.. I / / q 7, 7? ' II • • • /of - - -s.1' .„.......--loi • ,....„....... ..---- ,.,. . .,-- ..... fl fl fe" ., , ,,, . , ,.. .,... k AIWN /sr /9zto I-fro it) \\* // • t 10 -i-- /() 4....„--,4 ... . . c 1 . • . . 1 ... '