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2002, 09-24 Permit App: 02008299 AdditionProject Number: 02008299 Inv: 1 Application Date: 9/24/2002 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RESIDENCE ADDITION - BEDROOMS & DECK Setbacks: Front 54 Left: 13 Right: NA Rear: 200 Site Information: ........................................... .......................................... Plat Key: 002748 Name: VERA 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: F 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 Urban Residential 3.5 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 Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Site Plan Review Plan Review Permits: Released By. Operator: DMD Printed By: DMD Print Date: 9/24/2002 Project Number: 02008299 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/24/2002 Page 2 of 3 Contractor: R D PETTY CONSTRUCTION Address: 20111 E TRENT AVE OTIS ORCHARDS, WA 99027 Building Characteristics Const Category: Addition Nbr Of Dwellings: Bldg W x D: Req Parking: Description Building Permit Firm: R D PETTY CONSTRUCTION Phone: (509) 924-0773 Group: Occupant Load: x Building Sq Ft: Handicap Parking: RES ADD R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Type: Building Height: Stories: Sprinklers: El Critical Materials: ❑ This Application: Total Project: Su Ft Valuation Su Ft Valuation 1,047 $69,102.00 1,047 $69,102.00 Totals: 1,307 $71,137.80 1,307 $71,137.80 Contractor: R D PETTY CONSTRUCTION Address: 20111 E TRENT AVE OTIS ORCHARDS, WA 99027 Item Description DUCT SYS [EMS VENTILATING FANS MINIMUM FEE ADJUSTMENT Contractor: R D PETTY CONSTRUCTION Address: 20111 E TRENT AVE OTIS ORCHARDS, WA 99027 Item Description TOILETS/BIDETS SINKS TUBS MINIMUM FEE ADJUSTMENT Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Fee Amount $717.50 $4.50 $157.85 Permit Total Fees: $879.85 Mechanical Permit Firm: R D PETTY CONSTRUJCTION Phone: (509) 924-0773 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 Select Fee Amount $10.00 $10.00 $15.00 Permit Total Fees: $35.00 Plumbing Permit Units 1 1 1 1 Operator: DMD Printed By: DMD Firm: R D PETTY CONSTRUCTION Phone: (509) 924-0773 Unit Desc NUMBER OF NUMBER OF NUMBER OF Select Permit Total Fees: Print Date: Fee Amount $6.00 $6.00 $6.00 $17.00 $35.00 9/24/2002 Project Number: 02008299 Notes: Inv: 1 Application Date: 9/24/2002 Page 3 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary::.::< Permit Type Building Permit Mechanical Permit Plumbing Permit Fee Amount Invoice Amount $879.85 $879.85 $35.00 $35.00 $35.00 $35.00 Amount Paid $0.00 $0.00 $0.00 Amount Owing $879.85 $35.00 $35.00 $949.85 $949.85 $0.00 $949.85 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 he 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: DMD Printed By: DMD Print Date: 9/24/2002 SPOT COUNTY PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: t Assessor's Tax Parcel Number(s): ` YS / -32,_ Legal Description: Project Description: /9- ! (1 t�"L Ewilding Permit ❑ Change in Usc In Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other Department Use Only Water District/Purveyor. - Sewer District/Purveyor - Road width Setbacks Front Rear:. Left Right: School Dtstnct:' Fire Distract Zoning OWNER/APPLICANT INFORMATION 0 India& who Should be Loularled treardino lhu project ❑ Owner: 7-1/PC/ Phone 7? 2,ei ,e,/:,, Fax: Fax 21 4r ❑ 1 licant- \ ' Phone 0,2 l/472 r (.- /,_ .., Fax: ..2 `4" >, Mailing Address ,' t;)7 _ -De' Y Total habitable space Mailing :Address _ 6/// % .ti.'G�` Cin-, finished basement sq. ft. State,, Zi 570 � a�. Garage sq. ft. 9c ; (:,n', State, Zip er%/ - C a -fl s �Zo42 e 'fid I teat source (electric, gas, etc.) '1 L ❑ Cohtractor Phone I:ax ❑ Architect/ I ntrineer Q Phone / ?/ a ee // /L i ,:ax �� Mailing address Mailing address 3.7%.? © C/ /0 t d i 5t CoGac % City, State Zip Cite, State Zip C',..--, t:o p eV ,r !I'Y� 10/1-- , WA State Contractor license # Contac name: / ? /� ( 4,-- xf `> L/ /74,--e(/' PROTECT INFORMATION Building Information Building height to peak # of stories Main floor sq. ft. �� Unfinished basement sq. ft. Dimension Total habitable space 2nd floor sq. finished basement sq. ft. Occupancy group Construction type Garage sq. ft. Deck sq. ft. Cost of project 7( Le>r) I teat source (electric, gas, etc.) '1 L Manufactured Home 1. Sign Width: Length: What is the square footage of the sign face How high is the sign? Year: Make: # of signs Arca of existing signs Fireworks display Are critical or hazardous materials used or stored on site?? �—'' Nos^e,ya-1.00 O Yes O` Address Proposed use Relocation Fire Safety Firm Name What is the current c of this property? /&� Previous address Will the site be served by a septic system? 0 Yes alCrii Paint booth Fire Sprinldcr Tent Fire Alarm Fireworks display Are critical or hazardous materials used or stored on site?? �—'' Nos^e,ya-1.00 O Yes O` Address Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Firm Name What is the current c of this property? /&� Phone Will the site be served by a septic system? 0 Yes alCrii Plans Examiner Phone Inspectors: Is there evidence of fill or excavation on the property? O Yes Are there slopes greater than 30°% on the property? (30, �f,t �ri.ft) ( / 9/) O Yes LeN) Are critical or hazardous materials used or stored on site?? �—'' Nos^e,ya-1.00 O Yes O` Address Inspector Phone O Concrete O Welding El Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION :ire there structures on the property? I cs O No Ifyes, ideut on site plan What is the current property size? (square fcct or acres) / � r1C' f?r? :5: - Is any part of the property within 250 feet of a shorrelinnc?? Ifyes, identifi, on site plan O Yes B'No What is the current c of this property? /&� Is your property in a designated wildlife habitat arca? ,� O Don't know O Ycs Iallo Will the site be served by a septic system? 0 Yes alCrii Is any part of the property, within a 100 yr flood plain? I_fyes, identi/, on site plan �'''` O Maybe O Don't know O Ycs D'No .'\ re or will there be wells located on the property? '' _ Ifyes, ident' on the site plan O Yes IS No Are there any wetlands, streams or ponds within 200 feet,p.the property? Des, identify on site plan O Ycs ©-1`lo Is there evidence of fill or excavation on the property? O Yes Are there slopes greater than 30°% on the property? (30, �f,t �ri.ft) ( / 9/) O Yes LeN) Are critical or hazardous materials used or stored on site?? �—'' Nos^e,ya-1.00 O Yes O` DEPARTMENT USE ONLY Is the property in a designated Stormwatcr Control Area? , OYes ONS Is public sewer available to the site? 0 Yes O No Is the property inside the ASA? O Yes D No O Yes O No Is public water available to the site? O Yes O No Is the property inside the PSSA? O Yes O No Is the property located within 1000 feet of a Natural Resource Area? O Yes O No Date Received: Staff Representative METHOD OF PAYMENT VISA ❑ CASH ❑ (1IFCK ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD D V11?: B;\NKCARD NUNIBI;R: EX PIANS: AU'1'I TORI %F1) SI( N:ATURI;: SUBTOT:Al, TOTAL FEE MINIMUM PERMIT FEE IS,f35.00PLEASE MAKE CHECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER 5I LA\ 1" = 20 - •and correct repT•cr;:,,on acli kr,0',x);1', property Imesci171-..,T;r,5•10o5, curh ptnIct_p:o5 SEjned•. -•2 ADDRESS ZONEL4 ROAD WIDT13,"--0 FRONT COMMENT S REVIEWED