2002, 04-15 Permit App: 02002584 Addition Project Number: 02002584 Inv: 1 Application Date: 4/15/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: BEDROOM ADDITION AND DECK Contact: VEIUM CONSTRUCTION LLC
Address: 223 N EASTERN
C - S -Z: SPOKANE,WA 99212
Setbacks: Front NA Left: 45 Right: NA Rear: 65 Phone: (509)534-1998
Group Name:
Site Information: Project Name:
Plat Key: 005230 Name: MIDILOME 7TH ADD District: F
Parcel Number: 45331.4308 Block: Lot:
SiteAddress: 11905 E 40TH AVE Owner: Name: WATERS,BRAD
SPOKANE,WA 99206 Address: 11905 E 40TH AVE
Location:: SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 112 Depth: 144 Right Of Way(ft): 50
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review4
Released Baa
•
Plan Reviewer �''��'
Release+ By: L
Permits: ..
Operator: DMD Printed By: DMD Print Date: 4/15/2002
Project Number: 0200258-I Inv: I Application Date: 4/15/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: VEIUM CONSTRUCTION LLC Firm: VEIUM CONSTRUCTION LLC
Address: 223 N EASTERN Phone: (509) 534-1998
SPOKANE,WA 99212
Building Characteristics
Const Category: Addition Group: R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: 14 Stories: 1
Bldg W x D: 13 x 8 Building Sq Ft: 104 Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RES ADD R-3 VN 104 $6,448.00 104 $6,448.00
Totals: 104 $6,448.00 104 $6,448.00
Item Description Units Unit Dcsc Fee Amount
RESIDENTIAL VALUATION 1 Y OR BLANK $125.50
STATE SURCHARGE 1 Y OR BLANK $4.50
RESIDENTIAL SURCHARGE 1 Y OR BLANK $27.61
Permit Total Fees: $157.61
Notes:
208 REQUIRED/SEE PLAT FILE FOR SITE PLAN &OTHER INFO
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $157.61 $157.61 $0.00 $157.61
$157.61 $157.61 $0.00 $157.61
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: DMD Printed By: DMD Print Date: 4/15/2002
X . ,
I I PROJECT APPLICATION WORK SHEET
rr SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
1P�� SPOKANE,WA 99260
s� 509-477-3675 0 F) --• 75---sq
icAECOINFY
SPECIFIC SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s):
/71533/ 3b ,
Legal Description:
Project Description: Awn-64 t.pf...e_..1/.
C/Building Permit O Change in Use 0 Grading O Manufactured Home Permit
O Relocation O Sign O Tenant(New/Change) O Other
Department Use Only
Water District/Purveyor Sewer District/Purveyor Road width ,Setbacks
- Front.- Rear
School Distnct Fire District: - Zoning -
.. Right
OWNER/APPLICANT INFORMATION
El l ndiraie nbo sham/dim.onla<-led rrpardin,Mir project
❑ 0r nor. Phone: ❑ Applicant Phone C3'//q i"8-1p/
Mailing_\Jot, ./A I zi1> I- (4---1L l.lin Of3-017--
CV.--/ Fas: 5 l0 /9' /
f / MailingAddress:t.it,-S ate,/ip /vrl-`T
City,State,Zip (.....{...A4,
4t
❑ Contractor Phone ) Phone
3 L>/ q' ❑Architect/ , gmeer
4,�,2 Oi pax 5.-'-'1 (9 /lr.
Mailing adores. dFax
Pae
4. ` 2,Z--
Z 3 ---,4-c--. t----)g
�� Mailing address
Cu,Sparc tip GJ LJ G� � \ Cin,State Zip
\\A State Contract" eeiP5 Contact name:
Z=4601/
_46 ) P
PROJECT INFORMATION
Building Information
Building height to peak #of stones e-/� Main floor sq.ft. Unfinished basement sq.ft.
iv._ is. Y Z / Zoe Eoci
I)imcns„ms Total habitable space 2"t floor sq.ft. Finished basement sq ft.
onst
Occu anec groupCut at ty
f' rype�i �� Garage s .ft- Deck sq ft
Cost of pro],ct !feat source(electric,gas,etc)
Manufactured Home ' Sign
Width. Length: What is the square footage of the sign i-tow high is the sign?
face?
Year: Make: #of signs Area 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 Phone
0 Concrete 0 Welding 0 Bolting O Reinforcement Address
ADDITIONAL SITE INFORMATION
Arc there structures on the property? 0 Yes O No What is the current property size?
Ifye.r,idents'on site plan (square feet or acres)
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
Ifyes,ident0,on site plan O Yes 0 No
Is your property in a designated wildlife habitat arca? Will the site be served by a septic system?0 Ycs 0 No
0 Don't know 0 Yes 0 No
Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property?
fjes,identz'on site plan If yer.itlentii5,on the site plan O )'es 0 No
0 Maybe O Don't know O Yes 0 No
Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property?
Ifyes,identf on We plan 0 Yes O No 0 Yes O No
Are there slopes greater than 3007a on the property?(30 ft rise in 100 ft) ,\re critical or hazardous materials used or stored on site?
( °"a)
0 Yes O No 0 Yes 0 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area? Is public sewer available to the site? O Yes 0 No
O Yes O No
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
OYcs NaO
Is the property inside the PSSA? 0 Nes 0 No Is the property located within 1000 feet of a Natural Resource Arca?
0 Yes O No
Date Received: Staff Reprc>cntatne:
METHOD OF PAYMENT
VN lICVtE( SURTO"1'.U.
❑ CASH ❑ c:I ll_c:K ❑ Wane ❑ ❑ _<.
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: l:SPIRT::
TOTAL FEE
B:\NKC.\RD NUMBI R:
MINIMUM PERMIT FEE/S$35.00PLEASE
\SE
_ .MAKE Cf IECKS PAYABLEE7-U dt'OL-5\L
AUTHORIZED I TORI%I{I)SIGN_\l URI.: COUNTY PER\IITCPNO R
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1-1-1. • ROAD WIDTH: 50
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This ste palan is being submitted for thep rpose of
obtaining building permit and is a true :nd correct
��
representation of the proposal II kno , property
liiensions curb!fines.str cture. and easements
6xLS have been , wed. Also indica ed . ,
,- bodie , :.ar•+ wetland.,
f , •ep slopes or ah: r• cal ar_a•
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Vinipson Engineers, Inc.
`� CIVIL ENGINEERS !fc LAND SURVEYORS
®�I�oUVII� ���-- �O� Q o L�O�� NNE. _99212ARGONE ROAD
Itll1 J` SPOKANE. WA 99"L72_.PH 926-73x .
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