2001, 08-29 Permit App: 01007351 Addition, Reroof Project Number: 01007351 Inv: 1 Application Date: 8/29/01 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: GARAGE&SHOP ADDITION&REROOF TO Contact: SENTRY REMODELING
EXISTING HOME/GARAGE Address: 15807 E 17TH
C-S-Z: VERADALE,WA 99037
Setbacks:Front Left: 15 Right: Rear: Phone: (509)228-9464
Group Name:
Project Name:
Site Information
Plat Key: 003716 Name: RIDGEMONT ESTATES NO.4-1ST ADD District: F
Parcel Number: 45252.0702 Block: 4 Lot: 2
SiteAddress: 15726 E 23RD AVE Owner:Name: CLARK,JIM
VERADALE,WA USA 99037 Address: 15726 E 23RD AVE
Location::VER VERADALE WA 99037
Zoning: UNKN Unknown
Water District: Hold: ❑
Area: 0 Sq Ft Width: 115 Depth: 125 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Department Review
BUILDING Site Plan ReviewReleased'g -�� Irl w , — "
Hold Reasons:
Permit Conditions:
BUILDING Plan Review Released
Hold Reasons:
Perms Conditions:
Approach/Drainage Released By: l 4 „•! ' !AO
'0 ..
.r CH old Reasons:
Permit Conditions:
Permits: .. ,:47 ... a fi � y _ . , A e. S- .:
1
1 l PROJECT APPLICATION WORK SHEET
Il, kSPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675
SoxSPOKANT,E COMA.
SPEC SITE INFORMATION
Street Address: /1,5,0(0
1,5, / 03 7 /(- 14.1.O-1,a_
/(- 1'�„1„ ,qa` 7� .- 9'9 17
Assessor's Tax Parcel Number(s): l� CfG� i(/�T
Legal Description:
z6y *zJ „5/6,-e / ` 4,,,KdL,,,y4.2_zi,/,-/ezt-, -_,p l
-7,' 026-2_ .. )7, .2.___
Project Description: /1- ZZ (-72(1,_ a.../ed /,X 2 �� i�
,uilding Permit ❑ Change in Use ❑ Grading /� ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other
Department Use Only
Water District/Purveyor. Sewer District/Purveyor Road width Setbacks
Front Rear.
School District Fire District: Zoning
Left: Right
OWNER/APPLICANT INFORMATION
0 Indi,ute botbsuld be eon faded trprtrdiq ibis pr je t
��, i Phone yyL ❑ Applicant Phone:
aixi,
hay: Pas:
NIailin1 rens: a w>'/ Mailing Address:/�77,e 7Z- �/�
City,State,/tp Circ,State,/ipt.,..,
Phone /, Phone
utor, j'7 9/f�- ❑ Architect,lingtneer
��1'��l/I,/ :ax /G� /iC.F� Fas
Mailing address 1 Mailing address
/ °%' 7 /7
Ciro,State%ip a4
> Cin,State Zip
\\A State Contractor license# Contact name:
. ifiTI�/e// / Pc.
PROJECT INFORMATION
Building Information
Building height to peak #of stories Main floor sci.ft. Untinishe b c �
Dy.ft.
Dimensions Total habitable space 2i t floor sc.ft. Finished base et set.ft.
/G <ZO /lo).<Zz-/ / A
Occupant gro Construction tv c Garage.y ft. 3,z,72Deck s'l ft.
Cost of prolec I Ieat source(el(ctri ,gas,etc.)
1
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?
Diem Name Phone Plans Examiner Phone
Inspectors: Address
Inspector Phone
D Concrete 0 Welding 0 Bolting D Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? Yes D No What is the current property size?
Ifyes,ident f on site plan (square feet or acres) //5- /
Is any part of the property within 250 feet of a shor ne? What is the c r ent use of this property?
If yes,identify on site plan D Yesvo {.0--
Is your property in a designated wildlife habitat area? �1�� Will the site be served by a septic system?0 Yes o
0 Don't know 0 Yes "moo
Is any part of the property within a 100 yr flood pL n? Are or will there be wells located on the property?
I[yes,identi,on site plan Ifyes,ident ft on the site plan D Yes No
D Maybe 0 Don't know D Yes 6
Are there any wetlands,streams or ponds within et of the property? Is there evidence of fill or excavation on the property? j
If yes,ident��on site plan 0 Yes 2o 0 Yes o
Are there slopes greater than 30%on the property?(30 Esefise in 100 ft) Are critical or hazardous materials used or stored on site.
( /%) 0 Yes do o Yes 'o
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes D No
D Yes D No
Is the property inside the ASA? 0 Yes D No Is public water available to the site? D Yes D No
DYes 0 N
Is the property inside the PSSA? D Yes 1 No Is the property located within 1000 feet of a Natural Resource Area?
DYes 0 N
Date Received: Staff Representative:
METHOD OF PAYMENT
,"!COV 50111 YI':Al.
VISA
❑ c:vslI ❑ cilOCK ❑ ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D:A'I'I:: l?kplRI S' TOTAL FEE
B.ANKC_ARD NUMBI'.R: MINIMUM PERMIT FEE IS$35.00PLE vsE
\I:\KE CI IECKS PAY\BLE TO SPOKANE
AU ll IORIZI1)SIGN:1TURF: coUN-Pi PERMITCENIER
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This site plan is being submitted for thepu ose f
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obtaining a building permit and is a true ancPlcorreoct
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representation of the proposal.All known property
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134/,.:2_7. 6,,,,,,..0009-cis.,,.04„,vizovvoit47, ab...- /y4i,:.64,44v , , itill)
lines/dimensions,curb lines,structures and easements
bhoadvieesbeoefnldentified !so indicated are wetlands,
water sr. slopes. , he4 'tical
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Signed:
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ADDRESS
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