2001, 08-10 Permit App 01006679 Replace Posts, Joists on DeckProject Number: 01006679
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: 1
Date: 8/10/2001 Page 1 of 2
Project Information: . . . .
Permit Use: REPLACE POSTS AND FLOOR JOISTS OF Contact: ANDERSEN, PETER & AMBER
EXISTING DECK Address: 16823 E BROADWAY AVE
C - S - Z: VERADALE, WA 99037-8511
Setbacks: Front EXI Left: EX Right: EX Rear: EX Phone: (509) 922-4716
Group Name:
Project Name:
Site Information: . .
Plat Key: 002755 Name: VERA District: F
Parcel Number: 45131.0203 Block: Lot:
SiteAddress: 16823 E BROADWAY AVE Owner: Name: ANDERSEN, PETER & AMBER
VERADALE, WA USA 99037 Address: 16823 E BROADWAY AVE
Location:: VER VERADALE, WA 99037-8511
Zoning: UR-3.5
Water District:
Area: 40,300 Sq Ft
Nbr of Bldgs: 2
Urban Residential 3.5
Hold:
Width: 130 Depth: 310 Right Of Way (ft): 40
Nbr of Dwellings: 1
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
Review
Site Plan Review
Released
Plan Review
•-ReIdaSed
Project Number: 01006679 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Date: 8/10/2001 Page 2 of 2
Contractor: OWNER Firm: OWNER
Address: 0
000000,00 000000
Phone: (000) 000-0000
Building Characteristics
Const Category: Remodel Group: R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: 0
Req Parking: Handicap Parking: Critical Materials: 0
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
DECK R-3 VN REPLACE 0 $1,500.00 0 $1,500.00
PORTION
OF DECK
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 0 $1,500.00 0 $1,500.00
Units Unit Desc
1 Y OR BLANK
1 Y OR BLANK
1 Y OR BLANK
Permit Total Fees:
PaymentSummary:;.;.............................................................................
Operator: DMD Printed By: DMD
Permit Type
Building Permit
Notes:
Print Date:
Fee Amount
$49.50
$4.50
$10.89
$64.89
8/10/2001
Fee Amount Invoice Amount Amount Paid Amount Owing
$64.89
$64.89
$64.89
$64.89
$0.00 $64.89
$0.00
$64.89
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: 1 I_823 E. m `, i Q t I G���
5
Assessor's Tax Parcel Number(s): ` + if -) V b Y SU1 q
Legal Description:
itAttaled
Project Description: rep
przm
I Building Permit
❑ Change in Use
O Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
❑ Tenant (New/Change)
❑ Other
Department Use Only
Water District/Purveyor. -
.
Sewer District/Purveyor
-
Road width _
Setbacks
front Rcar:
Left Right
School District
Fire District:
Zoning
OWNER/APPLICANT INFORMATION
lndicuie ttbo should be coniaied re arciin"eci
NJ Owner.}/y 4VeAty Phone: q2Z"-� Co
/ �' „ r ` Fax:
�ifJ
ID Applicant:
Phone:
Fax:
Mailing Address: J�'j�'n
l a23 E , bars Ave.
Alailing Address:
City, State, Zip
Uue 1 v- Clat -
City, State, Zip
0 Contractor Phone
Fax
❑ Architect/Engineer
Phone
Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
WA State Contractor license #
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
Total habitable space
2ni1 Floor sq.. ft.
Finished basement sq. ft.
Occupancy group
Construction hype
Garage sq. ft.
Deck sq. ft.
Cost ofproject
, �,/�_
$1oc-K/0
I-Icat source (electric, gas, etc.)
Manufactured Home
Sign
o
Width:
Length:
What is the square footage of the sign
face? ...------------
now high is the sign?
Year:
Make,-^'"-
# of signs
Area of existing signs
Relocation
Fire Safety
--
Previous address
Paint booth
Fire Spnnl.ler -
Tent
Fire Alarm
Fireworks display
Proposed use
Values'
(
Special Inspections
Required?
Non Residential Energy Code Compliance?
Finn Name
Phone
PlansExaminer
Phone
inspectors:
Address
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? eiYes O No
1f yes, !dentin, on site plat
What is the current property size?
(square feet or acres) 1, 29��f<7
Is any part of the property within 250 feet of a shorelin ?
If yes, identify on site plan O Yes C o
\Xthat is the current use of tins property? �/` _�p
GI ! -� anti ; thate (���i ly /
Is your property 3n a designated wildlife habits[ area. �
o Don't know O Yes- No
\XSII the si be served by a septic system? O Yes �No
Is any part of the property within a 100 sr flood plain?
gyres, identif on site plan
0 Maybe C1on'r know 0 Yes 0 No
,Are or will there be wells located on the property?
Ines, idelt, on the .rite plan O Yes IYN0
Are there any wetlands, streams or ponds within 200 feet of the property?
If yes, identify on site plan 0 Ycs C3AC
Is there evidence of fill or excavation on the property?
0 Yes U' No
Are there slopes greater than 30% on the property? (30 ft rise 100 ft)
�1�
( _- %) 0 Ycs Ct' No
r
;Are critical or hazardous materials used or stored on site
O Ycs No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
0 Yes
0 No
Is public sewer available to the site? 0 Yes 0 No
Is the property inside the ASA?
0 Yes
O Yes
0 No
O No
Is public water available to the site? 0 Yes 0 No
Is the property inside the PSSA?
0 Yes
0 No
Is the property located within 1000 feet of a Natural Resource Area?
O Yes O No
Dale Received.
Sraff Represenmdcc
METHOD OF PAYMENT
❑ CASH ❑ CIIISCK ❑
IISVER
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
h:NPIRI?S:
BANKC:ARD NLINBIfIt:
AUII IORIZI±p SIGN: CPU It I
SUBIOT.A1.
TOTAL FEE
MINIMUM PERMIT FEE IS $35.00 PL EASE
MAKE C IECS PAYABLE TO SPOKANE
COUNTY EERY in caNctot
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