1999, 12-30 Permit App 99012217 Add Bedroom, RemodelProject Number: 99012217 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: ADD BEDROOM & REMODEL
Setbacks: Front 35 Left: NA Right: NA Rear:
Date: 12/30/19 Page 1 of 2
Contact: VIERLING, LYNN
Address: PO BOX 6399
C - S - Z VANCOUVER, WA 98668
Phone: (360) 694-5204
Site Information:
Plat Key: CONV Name: CONVERTED CNTY DATA District: E
Parcel Number: 35252.0410
SiteAddress: 1717 S DAVID ST
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR-3.5
Water District:
Urban Residential 3.5
Owner: Name: VIERLING, LYNN
Address: PO BOX 6399
VANCOUVER, WA 98668
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 10
Review Information:
Department Review
BUILDING Plan Review
Comments:
HEALTHDISTRICT Septic System Review
Comments:
Permits:
0
Project Number: 99012217 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Address: 0
000000, 00 000000
Date: 12/30/19 Page 2 of 2
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Const Category: Addition
Nbr Of Dwellings: Occupant Load:
Bldg W x D: 16 x 30 Building Sq Ft:
Req Parking: Handicap Parking:
Description Grp Type Notes
RES ADD R-3 VN
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
TUBS
Payment Summary:
Operator: JAS
Permit Type
Building Permit
Plumbing Permit
Notes:
Building Height:
480 Sprinklers: ❑
Critical Materials: ❑
This Application:
S i Ft Valuation
480 $29,760.00
Totals: 480 $29,760.00
Units
1
1
1
Unit Desc
Y OR BLANK
Y OR BLANK
Y OR BLANK
Permit Total Fees:
Plumbing Permit
Stories: 1
Total Project:
Sq Ft Valuation
480 $29,760.00
480 $29,760.00
Fee Amount
$397.00
$4.50
$ 87.34
$488.84
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
2 NUMBER OF
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Permit Total Fees:
Fee Amount
$12.00
$12.00
$6.00
$6.00
$36.00
Printed By: JAS Print Date: 12/30/1999
Fee Amount Invoice Amount Amount Paid
$488.84 $488.84 $0.00
$36.00 $36.00 $0.00
$524.84 $524.84 $0.00
Amount Owing
$488.84 /
$36.00
r24.84
5-ef CO 01.i '
A
'ADDRESS:� 1
ZONE: uc?-..
ROAD WIDTH
FRONT.... .FL.ANKING: �t G
COMMENTS:,
REVIEWED BY.
c.
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All .nown property
lines/dimensions, curb lines, structures and easement:.
have been identified. Also indicated are wetlands,
bodies of water, steep slopes tiler critical areas.
Signed.,%��-�
Date:
D—
PROTECTION AND OPENINGS
BETWEEN DWELLING AND PRIVATE
GARAGE SHALL HAVE
1) MATERIALS APPROVED FOR ONE -HOUR FIRE -
RESISTIVE CONSTRUCTION ON THE GARAGE SIDE &
2) NO OPENINGS OTHER THAN SELF -CLOSING TIGHT
FITTING DOOR OF EITHER
A)1.3t8'SOLID WOOD OR
8) ONE HAVING AN APPROVED FIRE PROTECTION
RATING OF NOT LESS THAN 20 MINUTES
Building
Planning
Engineers
jp. Health
Utilities
Other
Reviewer
Date
N