1994, 05-11 Permit App 94004229 AdditionPROJECT NUMBER= 94004229 APPLICATION
DATE= 05/11/94 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 16711 E BROADWAY AVE PARCEL#= 45131.0223-0224
ADDRESS= VERADALE WA 99037
PERMIT USE= RESIDENCE ADDITION - BEDROOMS, ENLARGE LIVING RM
PLAT#= 002756 PLAT NAME= VERA
BLOCK= 31 LOT= ZONE= UR 3.5 DIST#=
AREA= 00000000 F/A= F WIDTH= DEPTH=
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER=
STREET=
ADDRESS=
CONTACT NAME=
BUILDING SETBAC
JONES, GARTH & JILL
16711 E BROADWAY AVE
VERADALE WA 99037
F
R/W= 40
PHONE= 509 926 6762
JILL OR GARTH JONES PHONE NUMBER= 509 926 6762
KS: FRONT= 40 LEFT= 100+ RIGHT= 24 REAR= 100+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW
COMMENTS:
REQUIR
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
.rOter2.9
5-rr-4P
c* SITS PL
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL=
1 OCCUP. LD=
18 X 20 SQ FT=
#HANDICAP=
v
PHONE=
ADDITION= X CHANGE OF USE=
BLDG HGT= 19 STORIES= 1
SPRINKLER= N
CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RES ADD R-3 VN
efik
41160.00
PROJECT NUMBER= 94004229 APPLICATION DATE= 05/11/94 PAGE= 02
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 362.50
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 65.25
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 432.25 .00 —
432.25 .00
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
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******************************** THANK YOU ************************************
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APPLICATION WORKSHEET
L General Information
(70la271 / I r c,Y7 /
Parcel number
QL,! yaaq
Owner
1,D 11lj CJ (15
iltng address
Site Information
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Phone
9G /;-1,07/
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Legal Description
41. TNA-r tom-okztovu of TRAcT /31 or I/x-QAI A-pLAT TH6R+:or �CoADEI, i/V
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1/69Luw U oc PI.-Ars, Pftc, 30, A y„ti(7 Lt- r0f1`H6 e45-1- n75fr llwe°ingsf67/- J s)r,ck
Property size Water Distract
Vg12 A y" E
ltoadWtdth
Lone .`/
Inspe.ti
Project Information
Permit Use
io
LivI N& Ro 114 Add Ise Kzo9 g�
e2)8e1 room A-?b l to
New I Addition Remodel Change of use
•
Building Information
Dwelling units ,
� 0 i�
Occupant Toad
f 448E /
,
Building height
9/
;
Stones
p/6„)�
Building dimensions
Total square tootage.I
95-6
Req'd parking
3
Handicapparking
Spnnkler system
,wo
Cnt kcal Ma tenal
Square footage breakdown
ain door�i y�
Uncovered /covered deck
Second iltioI
Other
Finished basement _
Unlintshed basement
Garage
Contractor Information
Heatin; and insulation information R—values
' eat source
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iiiiiiii
atcetmg
eowgra.ewa
oor
oor u—va ue
•'
umace e icency
ota wm.owarea •
Budding contractor
SSG c
Plumbing contractor
License number
Phone
License number
Phone
Mailing address
Mailing address
City, state, zip
City. state. zip
Heating contractor
Other / Lender
License number
Phone
License number
Phone
Mai toga ress
Mailing address
City, state, zip
City, stale, zip
PROJECT CONTACT
PI-IONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
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ADDRESS:
ZONE:
ROAD WIDTH:
FRONT I,_ FLANKING'- —
COMMENTS: qn e
REVIEWED BY'
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