2002, 03-28 Permit App: 02001992 Deck Project Number: 02001992 Inv: 1 Applivatipn Date: 3/28/02 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DECK ADDITION Contact: SUMMERS,RICHARD
Address: 16610 E 23RD
C-S-Z: VERADALE,WA 99037
Setbacks:Front Left: Right: 10 Rear: Phone: (509)927-3404
Group Name:
Site Information: Project Name:
Plat Key: 003865 Name: RIDGEMONT ESTATES NO.3 District: F
Parcel Number: 45251.0606 Block: 1 Lot: 6
SiteAddress: 16610 E 23RD AVE Owner:Name: SUMMERS,RICHARD
VERADALE,WA USA 99037 Address: 16610 E 23RD
Location::VER VERADALE,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 110 Depth: 193 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released By:
Originally Released: 3/28/02 By: jshatto
Plan Review Released By:
Originally Released: 3/28/02 By: jshatto
Permits:
Operator: JAS Printed By: JAS Print Date: 3/28/02
Project Number: 02001992 Inv: 1 Application Date: 3/28/02 Page 2 of 2
i {
THIS IS NOT 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:R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: 320 Sprinklers: El
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
DECK R-3 VN 314 $2,311.04 314 $2,311.04
Totals: 314 $2,311.04 314 $2,311.04
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $75.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $16.61
Permit Total Fees: $96.61
Notes:
OK TO ISSUE SEWER PERMITS PER BILLY 5/17/95 CKF
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $96.61 $96.61 $0.00 $96.61
$96.61 $96.61 $0.00 $96.61
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: 3/28/02
3 1
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
__= SPOKANE,WA 99260
509-477-3675
SPOKANE COUNTY
SPECIFIC SITE INFORMATION
Street Address:
!torn l O E— 220 t ( �t2 A O A c e Ut1+0 9%)3�
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description:
0 Building Permit 0 Change in Use O Grading O Manufactured Home Permit
0 Relocation 0 Sign O Tenant(New/Change) O 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
Indicate who should he contacted regarding this project
® Owner: Phone: Croy 12:4-3 Q 0 Applicant: Phone:
r-1-2-‘6.‘+ ,.,o SJANon1,45 I.as: Iax:
Mailing Address: Mailing Address:
‘otato G. 232-0 �� -".
Cite,State,Zip City,State,"Lip
V�L2/AO Aw 9S 3`.3-
0 Contractor I Phone 0 Architect/L:ngineer Phone
Ias Ias
Mailing address Mailing address
on,State Zip Cih°,State lip
V\,A State Contractor license Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stones Main floor sq.ft. Unfinished basement sq.ft.
Dimensions Total habitable space 2°dI floor sq.ft. Finished basement sq.ft.
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project I teat source(electric,gas,etc.)
Manufactured Home Sign
Width: Length: 1 t What i the square footage of the sign I-low high is the sign?
face?
Year: Make: #of signs Arca 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 l'hone
❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? ( es ❑ No What is the current property size?
Ifyes,identj'on site plan (square feet or acres) f a QC 2r
Is any part of the property within 250 feet of a shoreline? What i-s�the current use of this property?
If yes,identify on site plan in , h
Yes l+ 'o t�S( vt-r7 t 0p
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?❑ Yes I"No
❑Don't know ❑ Yes 1317\io
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
I_f yes,identifyon site plan Ifyes,identify on the site plan ❑ Yes 7rN o
❑Maybe ❑Don't know ❑ Yes L71\io
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Ifyes,identify on site plan ❑ Yes 2r-No ❑ 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?
( %) ❑ Yes LiYNo ❑ Yes 51.-"g`o
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? ❑ Yes 0 No
❑ Yes 0 N
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
❑ Yes ❑ No
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
❑ Yes 0 N
Date Received: Staff Representative:
METHOD OF PAYMENT
COVE'_ SUBTOTAL
VISA
0 C.\SII ❑ cI lI CK ❑ 0 0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
EXPIRES:
TOTAL FEE
BANK-CARD NUNIBIR: MINIMUM PERMIT FEE IS$35.00PLEASF
9I\KE CHECKS P.AY ABLE'Io SPOKANE
ALA]IORIZFD SIGN Xl'URF: COUNTY PERMIT CENTER
3(
(B
3(
2(
3
3 ( N N
2
4(D
PLANT LIST
SYM BOTAMM UW COMM NAME Sm
A
Rhododendron spp
Nova Zembla. English Roseun Rhododendron
t
B
Abies balsamea nano
Dwarf Balsam FV
2 ' x 2 '
C
Hosto Froncess Williams
3(
(B
3(
2(
3
3 ( N N
2
4(D
PLANT LIST
SYM BOTAMM UW COMM NAME Sm
A
Rhododendron spp
Nova Zembla. English Roseun Rhododendron
5 ' x 5 '
B
Abies balsamea nano
Dwarf Balsam FV
2 ' x 2 '
C
Hosto Froncess Williams
Francess Williams Hosto ( white edgged)
2 ' x 3 '
' '
D
Lamhm mocukitun ( white nancy)
White Nancy Dead Nettle ( white flowers)
6 x 2
E
F
Acer pahnatun atropurp . eum ( bloodgood)
Rhododendron spp I azalea)
Bloodgood red �apaiese maple
Rosy Tights Azalea Homestead azalea (pk blm)
15 ' x 12 '
5 ' x 4 '
G
Rhododendron inpeditun
Impedrtun Rhododendron ( lavender)
2 ' x 3 '
' '
H
Hosto sieboldona elegens
Hosta ( large )
2 x 3
Ippi,xrss
J
muga Pu liio
Berberis thunbergo Crimson Pygmy
Pum'ko or Slomound dwarf mugo pine
Crimson Pygmy Barberry ( rd foliage)
2 ' x 4 '
2 ' x 4 '
K
_Thymes serpylun
Mother of Thyme or wild thyme
5 ' x 3 '
L
Phfax subulato
Pink Moss phlox
3 ' x 3 '
M
N
Juriperus horizontals blue chip
Ju,hrerus blue
Jumper
Witclv1uer8
Blue�rmql_
I' x 5 '
' 4 '
scopulorum wiclvta
x
0
Cornus florida nbra
Pink FDogwood
R ' x 7P
Prows laurocerasus Otto kryken
OttoLuyken au el
4 ' x 5 '
0
pphysocarpus opdfolws aureus
Golden rvnebark ( golden leaves)
5 ' x 5 '
' '
R
Armena ma7tma
Sea Thrift
8 x 2
S
Chrmaecyparis pisifero flifero nano
Ddwarf Thread leaf cypress
3 ' x 4 '
T
Hosto sun and substance
Sum and Substance Hosto
2 ' x 3 '
U
Geranium sang mean
Cranesbill ( pink blm)
18' x 2 '
V
Stochys byyzzantina
Silver Carpet Iambs ear
varies
W
Aretostaphylos uvo-u•si
Kinnikinnick
grdcvr
X
Pinus flex is
Luber Pine
25 '
Y
Picea ptmgens lobosa
Globe Blue Sprauce
4 ' x 6 '
' '
Z
Potentda Pink beauty
Pink Beaty Potentnla
3 x 3
A A
Helictotrichon sempervirens
Blue Oat Grass
2 ' x 3 '.
' '
B B
Prunus cerasifero Newport
Newport flowering Plum
17 x 10
C C
Malas sppp
Lbergl
Sprmg Snow flowering Crabapple
18 ' x 12 '
D D
Berberis atropurpurea
Red Japanese Barberry
5 ' x 5 .
E E
Rosa spp
John Cabot Climbing rose. or Blaze cliabing
varies
F F
Spiraea bumclda lmemound
Linemound Spirea
3 ' x 3 '
G G
Lavandla angustifolia
Lavender
2' x 2'
H H
Calamogrostns X acutiflorio Karl Foersters
Karl Foersters Feather Reed Grass
7 ' x 3 '
II
Euonymus elato compacta
Dwarf Burning Bush
5 ' x 5 '
J J
Dicentro formoso
Western Bleedmg Heartgrdcvr
' '
K K
Hemerocals spp
Stela de Oro dayMy ( yelow bkn)
2 x 2
L L
M M
Rosa sppFarcy
abies
Fay or Carefree Wonder shrub rose
5 ' x 5 ' .
'
Picea ridformis
Buds nest spruce
3 x 4
N N
cornus abo elegantiss'ma
Varieegqated dogwood
6 ' x 6 '
0 0
Viburnum trlobum compactum
Dwarf American Cranberry Bush
6 ' x 6 '
P P
Pius sylvestris
Scotch Pine
25 x 5 '
0 0
Coreopsis verticilato moonbeam
Moonbeam Coreopsis
2 ' x 2 '
R R
S
Mahoria repens
P��yyrrvus
Creeping Oregon Grape
2 ' x 45 '
' '
S
caleryoma chanticleer
Chanticleer Ornamental Pear
25 x 10
' '
T T
Rudbeckia folggido goldsturm
Goldstum black eyed susan
2 x 2
U U
Betula papyrifera
dwarf weeping birch (small grafted)
6 ' x 6 '
Nati
Con
ore
KEY
40 DECIDUOUS TREE
DECIDUOUS SHRUB
CONIFER ( NEEDLED )
Q DECIDUOUS SHRUB
O GROUNDCOVER OR PERENNIAL
•Mr •
*W - 23M.
Verc&6. WA 99037.'
D
,, 29