2002, 09-18 Permit App: 02008046 Basement1
Project Number: 02008046 Inv: l A—D11C� L* Date: 9/18/2002 Page 1 of 3
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Parcel Number: 45263.5501 Block: Lot:
SiteAddress: 14304 E 25TH LN Owner: Name: MCGILLIVRAE, JEFFREY J
VERADALE, WA USA 99037 Address: 14304 E 25TH LN
Location:: VER VERADALE, WA 99037
Zoning: UR -7 Urban Residential -7
Water District:
Area: 4,984 Sq Ft Width: 56
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review tew Inf ormation: :.
Revi
Plan
Permits:
Hold: ❑
Depth: 89 Right Of Way (ft): 30
Operator: DMD
Printed By: DMD Print Date: 9/18/2002
r1m
Project Number: 02008046 Inv: l A pp1.&t. Date: 9/18/2002
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: Remodel Group: Type:
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: El
Req Parking: Handicap Parking: Critical Materials: ❑
Description Grp Type Notes
BASEMENT R R-3 VN
Item Description
RESIDENTIAL VALUATION
STATESURCHARGE
RESIDENTIAL SURCHARGE
Contractor: OWNER
Contractor: OWNER
Item Description
TOILETSBIDETS
SINKS
TUBS
MINIMUM FEE ADJUSTMENT
Plumbing Permit —
Firm: OWNER
Phone:
Total Project:
S(l Ft Valuation
1,060 $4,759.40
1,060 $4,759.40
Fee Amount
$100.50
$4.50
$22.11
$127.11
Units
This Application:
Fee Amount
Sg Ft Valuation
NUMBER OF
1,060 $4,759.40
Totals:
1,060 $4,759.40
Units
Unit Desc
1
Y OR BLANK
1
Y OR BLANK
1
Y OR BLANK
Permit Total Fees:
Permit Total Fees:
Mechanical Permit
Firm: OWNER
Phone:
Plumbing Permit —
Firm: OWNER
Phone:
Total Project:
S(l Ft Valuation
1,060 $4,759.40
1,060 $4,759.40
Fee Amount
$100.50
$4.50
$22.11
$127.11
Units
Unit Desc
Fee Amount
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
1
NUMBER OF
$6.00
1
Select
$17.00
Permit Total Fees:
$35.00
Operator: DMD Printed By: DMD Print Date: 9/18/2002
Page 2 of 3
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I I PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
"No SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE IINFORMATI O
Street Address: AJ L—
Assessors Tax Parcel Number(s): !�
Legal Description:
Project Description: i U r ,5� 14-5-E-412
❑ Building 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
S, A,.tc k,
Dimensions
AJ6
Mailing Address:
I r nt Rear
School District
I nr I )i,trice
Zoning
rl Contractor
Cost of project
d� Q
Phone
fax
I " It R,gl, t:
OWNER/APPLICANT INFORMATION
171 Indi vt, whn M-14 he reoardino Chir nrnieel
❑ (Tuner.
R �i
T e
V• t / V
Phone:( T,n� 9a%���'��
f lJw�" 1/
L� I as:
❑ Applicant: Phone:
has:
Mailing Address:
Dimensions
AJ6
Mailing Address:
ty, State, Zip
a
V
G& A
03
City, State, Zip
rl Contractor
Cost of project
d� Q
Phone
fax
❑ Architect/Engineer Phone
Fax
Mailing address
Mailing address
Cin, Statc Zip
City, State Zip
WA State Contractor
license #
t -intact name:
PROTECT INFORMATION
Building Information
Building height to peak
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
Total habitable space
2nd floor sq. ft.
finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
d� Q
I feat source (electric, gas, etc.)
Manufactured Home Isign
Width:
Length:
What is the square footage of the si_�n
face?
Flow high is the sign?
Year:
Make:
#+f signs
Area of existing signs
Is your property in a designated wildlife habitat area?
Will the site be served by a septic system? ❑ Yes ❑ No
❑ Don't know ❑ Yes ❑ No
Relocation
Fire Safety
Previous address
lire Sprinkler Tent
Paint booth _ Fire Alarm Fireworks display _
Proposed use
Inspector Phone
Special Inspections Required?
I'imi Name Phone
Non -Residential Energy Code Compliance?
Plans Examiner Phone
Inspectors:
Address
Is any part of the property within 250 feet of a shoreline?
Inspector Phone
❑ Concrete ❑ Welding ❑ Bolting ❑ Reinforcement
Address
ADDITIONAL SITE INFORMATION
,Are there structures on the property? O Yes ❑ No
What is the current property sizee
I es, identift on site plan
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
%Vhat is the current use of this property?
Ifyes, identifi of site plan ❑ Yes ❑ No
❑ No
Is your property in a designated wildlife habitat area?
Will the site be served by a septic system? ❑ Yes ❑ No
❑ Don't know ❑ Yes ❑ No
Is any part of the property within a 100 yr flood plain?
Are or will there be wells located on the property?
71yes, idem.# on site plan
I, Eyes, identi or the site plan ❑ Yes ❑ No
❑ Maybe ❑ Don't know ❑ Yes ❑ No
❑ Yes ❑ No
Are there any wetlands, streams or ponds within 200 feet of the property?
Is there evidence of fill or excavation on the property?
I es, identify on site plan ❑ Yes ❑ No
❑ Yes ❑ No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
\re critical or hazardous materials used or stored on site?
1
❑ Yes ❑ No
❑ Yes ❑ No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
Is public sewer available to the site? ❑ Yes ❑ No
❑ Yes
❑ No
Is the property inside the ASA? ❑ Yes
❑ No
Is public water available to the site? ❑ Yes ❑ No
❑ Yes
❑ No
Is the property inside the PSSA? ❑ Yes
❑ No
Is the property located within 1000 feet of a Natural Resource Area?
❑ Yes ❑ No
Date Received: Staff Representative:
METHOD OF PAYMENT
VISA
❑ (:ASH ❑ CHECK ❑ ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DA'1'I?: FXPIRFS:
BANKCARD NUMBER:
AU'11 IORIZED SIGNATURE:
SUBTOTAL
TOTAL FEE
MINIMUM PERMITFEEIS $.K AMPLE ASF
\19Kf. CI 117CKS PAYAB113 TO SPOKANE
r-UGNZY PER\II"t CENTER