2002, 11-15 Permit App: 02010256 Addition s �
Project Number: 02010256 Inv: 1 Application Date: 11/15/2002 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: RES ADD-2ND FLOOR MASTER Contact: VERADALE BUILDERS INC
BEDROOM/BATHROOM OVER EXISTING Address: PO BOX 841
GARAGE C - S -Z: VERADALE WA 99037
Setbacks: Front Left: 12 Right: Rear: Phone: (509) 921-1847
Group Name:
Site Information: Project Name:
Plat Key: 000668 Name: EARLY DAWN 1ST ADD District: F
Parcel Number: 45262.2010 Block: Lot:
SiteAddress: 14315 E 24TH AVE Owner: Name: PRITCHARD,SUSAN &JAMES
VERADALE,WA 99037 Address: 14315 E 24TH AVE
Location::VER VERADALE,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review Released By:
Originally Released: 11/15/2002 By: jshatto
Plan Review Released By:
Originally Released: 11/15/2002 By: jshatto
Permits: .
Operator: JAS Printed By: JAS Print Date: 11/15/2002
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1 �
Project Number: 02010256 Inv: 1 Application Date: 11/15/2002 Page 2 of 3
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: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: LI
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VN 667 $44,022.00 667 $44,022.00
Totals: 667 $44,022.00 667 $44,022.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $532.00
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $117.04
Permit Total Fees: $653.54
Mechanical Permit
Contractor: OWNER Firm: OWNER
Phone:
Item Description Units Unit Desc Fee Amount
VENTILATING FANS 1 NUMBER OF $10.00
MINIMUM FEE ADJUSTMENT 1 Select $25.00
Permit Total Fees: $35.00
Plumbing Permit
Contractor: OWNER Firm: OWNER
Phone:
Item Description Units Unit Desc Fee Amount
TOILETSBIDETS 1 NUMBER OF $6.00
SINKS 2 NUMBER OF $12.00
SHOWERS 1 NUMBER OF $6.00
TUBS 1 NUMBER OF $6.00
MINIMUM FEE ADJUSTMENT 1 Select $5.00
Permit Total Fees: $35.00
Operator: JAS Printed By: JAS Print Date: 11/15/2002
S t
Project Number: 02010256 Inv: I Application Date: 11/15/2002 Page 3 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $653.54 $653.54 $0.00 $653.54
Mechanical Permit $35.00 $35.00 $0.00 $35.00
Plumbing Permit $35.00 $35.00 $0.00 $35.00
$723.54 $723.54 $0.00 $723.54
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both exami :' i e 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: JAS Printed By: JAS Print Date: 11/15/2002
i
idci PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING& CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE,WA 99260
509-477-3675
SoxSpomiv CouNrY
_ SPECIFIC SITE INFORMATION
Street Address: / � 7 Is
E 2_ .]-I tie \—v-c J u c c 4-(C / v,
Assessor's Tax Parcel Number(s): Q ems'• i O
Legal Description:
o 1- 10 :i:y.1 o plc 9 L40 b mow. v./ 1=,,,t5 cid
(f?n c_a vt_d Y — 11 0\ -- \-i___ o P t 1-s P‘A c l- -7 Z
Project Description: C
Building Permit 0 Change in Use CI Grading 0 Manufactured Home Permit
CI Relocation 0 Sign El Tenant (New/Change) O Other
Department Use Only
Water Distnct/Purveyor Sewer District/Purveyor Road width Setbacks
Front Rear
School District: Fire Distnct: Zoning
Left: Right:
OWNER/APPLICANT INFORMATION
A-,, El Inrlidt'whoaho,bould Is ,Yorl ltvl r s/uc Ihir projrrl
A-,,,--.-ncr Phone a� } Zq )) a a ..Applicant: Phone:
I'Yt.--,1 "--\\\A,A-A Fax:
Mailing Address: Mailing Address:
(]tr,Stats,tip Cite,State,tip
0 t VL .((-- W A- 7 T
G,ntractor , 1. �honc (;�2 1 b 4') s Phone
/��pp n ( C ❑ Archticct Min�ncer
VCA —�"'4'L `✓t) I\,6tL , lax I 35
Situ, s;address � Mailing address
,i) LcNIS v x �`F
City,State tip City,State tip
0tit(4-4b.Ir , (-A-J A- 1' 'd3 )
VA A State Contractor license 8 Contact name:
PROJECT INFORMATION
Building Information
Building height to peak #of stturics Main floors 1.tt. Unlinishcd bast:mint sq. It.
2
I)imrnsiuns Total habitablespacc '°d floor Finishcd bast milli sq. tt.
23 ?< �� �� �
Occupancy gr,op Construction typic Garaps sq. tt. Deck cg. It.
u,,,,,,project I!cat source tclectric,gas,ctrl
Manufactured Home Sign
Width: Length: What is 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 ('hone
Inspectors: Address
1 nspec for Phone
O Concrete O Welding O Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Are there structures on the propert? O No What is the current property size?
I fyes,ideirt f'on site plan (square feet or acres) �3
Is any part of the property within 250 feet of a shore e? \\-'hat is the current use of this property?
I(yes.identify on ritep/mr 0 Yes No
Is your property m a designated wildlife habitat area? Will the site be served by a septic system?O Yes _ -'1`(-
o Don't know 0 Yes No
Is any part of the property within a 100 yr flood plains Are or will there be wells located on the property?
I(yec,identifjr on site plan I_(yes,identf,on the site plan O Yes No
O Maybe 0 Don't know 0 Yes 'o
Are there any wetlands,streams or ponds within 200 eet of the property? Is there evidence of fill or excavation on the property?
Ifyet,identify on sitep/mi 0 Yes No O Yes
Are there slopes greater than 30°'0 on the property?(30 ft ,e in 100 ft) Are critical or hazardous materials used or stored on site? •
o Yes No O Yes , No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes O No
OYes 0 N
Is the property inside the ASA? O Yes D No Is public water available to the site? O Yes O No
OYes 0 N
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area?
O Yes 0 No
Date Recon ed: Staff Representative:
METHOD OF PAYMENT
lJCOVE . SUBTOTAL
VISA
❑ c.vsII ❑ c1 l:ch ❑ ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
TOTAL FEE
B.ANktARD NtIMBJ'R: _ MINIMUM PERMIT FEE ISS35.00PLEASE
St 1kts Ct tECtSS P l)4131]=TO SPOKANE
\U7 l lOR1/,L1)SIGN.A 1 l'Rli: COUNTS PERMIT CENTER
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This Ft,'3 nIP '. heing,s;brnitted for fhrouroose of
obttifn.,1:;a tlf;Hci
repreerat,on of the proposal, Ail known property.
t 6
iinesid,mension,. cur. ; f?= 7itruotures arld e;2sernents
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havo bL' •1 qifrr.' ,,o, ' ,-.: ,:ated z:-e wf7''an7i,s,
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bodies of ',:e , s,icc ,/,op,s Dr otier r.ticai areas.
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c0MME\--D 73''
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Lot plan
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