2002, 10-22 Permit App: 02009329 Garage AdditionProject Number: 02009329
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/22/02 Page 1 of 2
Project Information:
Permit Use: 12 X 24 GARAGE ADDITION
Setbacks: Front 50+ Left: NA Right: 35 Rear: 50+
Site Information:
Plat Key: 002748 Name: VERA
Parcel Number: 45261.1632
Block:
SiteAddress: 14827 E 24TH AVE
VERADALE, WA 99037
Location:: VER
Zoning: UR -3.5
Water District:
Area: 0 Sq Ft
Nbr of Bldgs: 1
Review Information:
Review
Plan Review
Permits:
Operator: CKF
Urban Residential 3.5
Contact: R D PETTY CONSTRUCTION
Address: 20111 E TRENT
C - S - Z: OTIS ORCHARDS WA 99027
Phone: (509) 924-0773
Group Name:
Project Name:
District:
Lot:
Owner: Name: RENNAKER, TRACI
Address: 14827 E 24TH AVE
VERADALE, WA 99037
Hold: ❑
Width: 132 Depth: 317 Right Of Way (ft): 60
Nbr of Dwellings: 1
Printed By: JEF
Released By: J 0 i 7-2 -CZ
Print Date:
10/22/02
Project Number: 02009329 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/22/02
Contractor: R D PETTY CONSTRUCTION
Address: 20111 E TRENT AVE
OTIS ORCHARDS, WA 99027
Building Characteristics
Building Permit
Firm: R D PETTY CONSTRUCTION
Phone: (509) 924-0773
Const Category: Addition Group:
Nbr Of Dwellings: Occupant Load:
Bldg W x D: x Building Sq Ft:
Req Parking: Handicap Parking:
Description
GARAGE
Grp Type Notes
U-1 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Notes:
Payment Summary:
Permit Type
Building Permit
Totals:
Units
1
.1
1
Type:
Building Height: Stories:
Sprinklers: ❑
Critical Materials:
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
288 $3,456.00 288 $3,456.00
288 $3,456.00 288 $3,456.00
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
. Permit Total Fees:
Fee Amount
$88.00
$4.50
$19.36
$111.86
Fee Amount Invoice Amount Amount Paid Amount Owing
$111.86
$111.86
$111.86 $111.86
$0.00 $111.86
$0.00 $111.86
Page 2 of 2
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: CKF Printed By: JEF Print Date: 10/22/02
SPoi CouNcrY
Street Address:
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
//g-.2,j2/t4
Assessor's Tax Parcel Number(s): 1/5-0-267 , !cap ,.
Legal Description:
Project Description:
j
7)
-0-Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tcnant (New/Change)
❑ Other
Department Use Only
Water District/Purveyor:
Sewer Distnct/Purvecor
Road width
Setbacks
Front Rear:
Left Right
School District
Fre District:
Zoning
OWNER/APPLICANT INFORMATION
ted regarding this prgect
❑ Owner. Phone:
r
7/ A C / ?J- /0/v114` Fax:
Building height t�
G ��
(ea1; # of stones
❑ Applicant:
Phone:
Fax:
Mailing Address: /
/ ft,2 7 E 0 ��%Z
Total habitable space
2"d floor sq. ft.
Mailing Address:
Occupancy group
City, State, Zip
��O
Garage sq. ft. Q�
'� D
_
Cost of project
City, State, Zip
Contractees
l
/�- b / j2
l Phone
l ,1 1 tax
G�') l -_,) %
C/,,7
' S
?C
CI
Phone
I.ax
Mailing address
0/7/
y/-4-J—di
Mailing address
�State
City, �Zip
C% // - L/,',
�`
�/,"_ d/d)
9
• ! 9 -2
City, State Zip
WA State Contractor license #
/
Contact name:
INFORMATION
Building Information
Building height t�
G ��
(ea1; # of stones
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions r i
/2X a
Total habitable space
2"d floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction
r'L_J�
Garage sq. ft. Q�
'� D
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc.)
Manufactured Home
Sign
Width:
Length:
What is the square footage of the sign
face?
I low high is the sign?
Year:
Make:
# of signs
Arca of existing signs
Fireworks display
Are critical or hazardous materials used or stored on site?
O Ycs O No
Address
Proposed use
Relocation
Fire Safety
Firm Name
What is the current use of this property?
Previous address
Will the site be served by a septic system? O Yes O No
Paint booth
Fire Sprinkler
Tent
Eire Alarm
Fireworks display
Are critical or hazardous materials used or stored on site?
O Ycs O No
Address
Proposed use
Value
Special Inspections Required? '
Non -Residential Energy Code Compliance?
Firm Name
What is the current use of this property?
Phone
Will the site be served by a septic system? O Yes O No
Plans Examiner
Phone
Inspectors:
Is there evidence of 611 or excavation on the property?
O Yes O No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(/ %) O Yes O No
Are critical or hazardous materials used or stored on site?
O Ycs O No
Address
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? O Yes O No
Ifyes, identify on site plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
Ifyes, identift on site plan O Ycs O No
What is the current use of this property?
Is your property in a designated wildlife habitat area?
O Don't know 0 Yes O No
Will the site be served by a septic system? O Yes O No
Is any part of the property within a 100 yr flood plain?
Ifyes identift on site plan
O Maybe O Don't know O Yes O No
Are or will there be wells located on the property?
I_ fyes, identify on the site plan O Yes O No
Arc there any wetlands, streams or ponds within 200 feet of the property?
Ifyes, identift on site plan O Yes O No
Is there evidence of 611 or excavation on the property?
O Yes O No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(/ %) O Yes O No
Are critical or hazardous materials used or stored on site?
O Ycs O No
DEPARTMENT USE ONLY
Is he property in a designated Stormwater Control Area?
O Yes O No
Is public sewer available to the site? 0 Yes O No
Is the property inside the ASA? Cl Yes O No
0 Yes `' 0 No
Is public water available to the site? C7 Yes O No
Is the property inside the FSSA? O Yes 0 No
Is the property located: within 1000 feet of a Natural Resource Area?
0 Yes 0 No
Date Received:
Staff Representative
METHOD OF PAYMENT
VI
0 CASH 0 CHECK 0 0
0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE:
EXPIRES:
BANKCARD NUMBER:
\UTI IORI'ZED SIGNATURE:
SUB'T'OTAL
TOTAL FEE
MINIMUM PERMIT IS $35.00 PI. E. ASE
MAKE CHECKS PAN ABLE TO SPOKANE
COUNTY PERMIT CENTER
132.00
SITE ALAN
1"=20-0
is Pomo submitted forth=_purpose of
Th,; z' s^ 1, .,id.ng Derma and is a true and correct
rep ese Lproposal All known propertymems
lines/
imenon of the D D ase
lines�d�m'nsmns, curb lines structures and o
have been identified Ats'' dicated ar
�� ►�nl..
bodies. wa r,st—•so�fo��((JJ�►�� �,.
Signed-. • - %/ter.
Dat° 'i
U�
ADDRESS)LL
ZONE(.. •CS-
ROAD WIDTH
FRONT'•:e8'
COMMENT
REVIEWEDl'S'
SETBACK
ENVELOPE