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2001, 07-23 Permit App 01006006 2 Bedrooms Over GarageSite Information: ............................................................ Project Number: 01006006 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: ..................................................................................... Date: 7/23/2001 Page 1 of 2 Permit Use: ADD 2 BEDROOMS OVER GARAGE Contact: COLUMNAR CONSTRUCTION Address: 1217 E BEDIVERE DR C - S - Z: SPOKANE, WA 99218 Setbacks: Front 38 Left: 10 Right: 10 Rear: EX Phone: (509) 466-5452 Group Name: Project Name: Plat Key: 000000 Name: UNKNOWN District: F Parcel Number: 45255.0216 Block: Lot: SiteAddress: 15810 E CAMERON CT VERADALE, WA USA 99037 Location:: VER Zoning: UR 3.5 Urban Residential 3.5 Water District: Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Owner: Name: LARKIN, MELINDA & JOHN Address: 15810 E CAMERON CT VERADALE, WA 99037-9001 Hold: ❑ Department Review BUILDING Site Plan Review Hold Reasons: Permit Conditions: BUILDING Hold Reasons: Permit Conditions: BUILDING Special Reviews ................................................. C.—Hold Reasons: • Clfl '41 I �� f J 1 C C Permit Conditions: Permits: Project Number: 01006006 Inv: I Contactor: UNKNOWN Firm: UNKNOWN Address: UNKNOWN Phone: (000) 000-0000 UNKNOWN, WA UNKNOWN Building Characteristics Conk ategory: Remodel Group: R-3 Type: VN Nbr Of Dwellings__ _ _ 1 Occupant-L6ad: 0 Building Height: Stories: x Building Sq Ft: 286 Sprinklers: ❑ 0 Handicap Parking: 0 Critical Materials: ❑ This Application: Total Project: Su Ft Valuation Su Ft Valuation 286 $17,732.00 286 $17,732.00 Applicaticn THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Date: 7/23/2001 Page 2 of 2 Bldg W x D: Req Parking: Description Grp Type Notes 2ND FLOOR R-3 VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Payment Summary: Operator: RMB Permit Type Building Permit Notes:.;:.::.;;:.; Totals: 286 $17,732.00 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Printed By: RMB Permit Total Fees: Print Date: 286 $17,732.00 Fee Amount $263.00 $4.50 $57.86 $325.36 7/23/2001 Fee Amount Invoice Amount Amount Paid Amount Owing $325.36 $325.36 $325.36 $325.36 $0.00 $325.36 $0.00 $325.36 (hi SPOW1gCOUKTY 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: /591 0 6-, civil/taw iM w cr: Assessor's Tax Parcel Number(s): 4 5 t 011 Legal Description: lb T I L ( (L kl ()am° -7-rSTA r -i MCOQb :44 U f1Lt/aAr_ I? Z OF CATS ?kw 34. t o S KA►-Ir ot-T 0-J4 Project Description: 2 ci aer)&A_ f - S"c ; A pp N ()V(k 4,141 ;'r. [ding Perrnit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other Department Use Only Water District/Purveyor. - Sewer District/Purveyor Road width Setbacks Front - Rear: Left: Right School District. Fire District: Zoning /- OWNER/APPLICANT INFORMATION El Indicate mho should be Ionia led re, ardinR Ibir j rojea ❑ Owner. ,,n� Phone:5b?— 7 1.,,, 1 39 S %SA•AUA.11'!'+ .i ll..ilij tAitie,w1 Fax: I ❑ Applicant Phone: Fax Mailing Address: 1 5i D , CIbmr a xi (1.. [\failing Address: City, State, Zip \J r OA 14 AL C ti..)1\, 9 90 .3 Cin, State, Zip ❑ Contractor Phone sO9' Y6, 6,— f /. .L— C°OL.VM r.l I rot�4 �j �u SoQ - 99v �! �iT7 l $' 0 0triU /4 Fax ElArchitect/Engineer Phone Fax Mailing address t 2-+i L Z3 ,K4 E_ be_ VoKitidei Lad . ?9 02I8 Mailing address City, State ZipCin•, C b K � PJ 1L t. t) 14. 99i7/ 8 Stare Zip WA: Mhte Contractor ense # Contact name: PROJECT INFORMATION Building Information Building height to peak # of stories 7_ Main floor sq. ft. Unfinished basement sq. ft. Dimensions ' Total habita c space qe 2" floors ft. 10 Finished basement sq. ft. Occupancy group Construction type CON1)tati 4AL.IAV Ati Garage sq. ft. 41841 Deck sq. ft. Cost of pro ect l leat source (electric, gas, etc.) Manufactured Home Sign Width: Length: What is the square footage of the sign face? How high is the sign? Year: Make: # of signs Area of existing signs Relocation Fire Safety Previous address Paint booth Fire Sprinldcr Fire Alarm Tent Fireworks display Proposed use Value Special Inspections Required? Non -Residential Energy Code Compliance? Firm Name Phone Plans I3snminer Phone Inspectors: Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? 0 Yes O No Ifyes, identify on site plan What is the current property size? (square feet or acres) Is any part of the property within 250 feet of a shoreline? If yes, identify on siteplan 0 Yes 2'f'o What is the current use of this property? f� 0,Wko-petY1.-- Is your property in a designated wildlife habitat area? ❑ Don't know 0 Yes 17T1140 Will the site be served by a septic system? 0 Yes 0 No Is any part of the property withhs a 100 yr flood plain? Ifyes, Identify on site plan n Maybe 0 Don't know 0 Yes CrNo Are or will there be wells located on the property? Ifyes, !dentin, an Ibe site plan 0 Yes 0 No Are there any wetlands, strevuns or ponds within 200 feet of the property? If yes, identify on site plan O Yes 0-No Is there evidence of fill or excavation on the property? 0 Yes O No Are there slopes greater than 30° o on the property? (30 ft rise hA 100 ft) ( /%n) C>a^tes 0 No Are critical or hazardous materials used or stored on site�t / 0 Yes U'No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? O Yes ONo Is public sewer available to the site? 0 Yes 0 No Is the property inside the ASA? 0 Yes 0 Yes O 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? OYes ONo Dam Received: Staff Remotesmotive: METHOD OF PAYMENT ❑ CAM 1 ❑ CIIIiCK ❑ FAXED PERMITS WILL ONLY RE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD Dr\TIU P:XPI ItItS: S:ANKC.VRI) NUR1S1T A DTI 101t1 XED SIGNTIER S: SUSTOT.Al, TOTAL FEE MINIMUM PERMIT FEEIS £35.00PLI,.SL M UQi CI IFCKS PA1 ABLE 1(1 SPOK ANE COUNT1 PGILat1I CEN IAR MASONS SUPPLY COMPANY Construction and Industrial Materials OREGON • WASHINGTON MASCO Portland, OR Woodinville, WA (503) 234-4321 (425) 487-6161 (800) 537-3407 (800) 537-6216 Airport (PDX) Central, OR Eugene, OR Hillsboro, OR Longview, WA Salem, OR Seattle, WA Tacoma, WA Tualatin, OR Vancouver, WA Vancouver Form Yard (503) 254-8818 (541) 548-5910 (541) 744-6696 (503) 533-0107 (360) 636-2446 (503) 585-5504 (206) 767-4645 (253) 581-6161 (503) 612-6575 (360) 576-0069 (360) 737-7969 ABRASIVE BLADES ACCESS DOORS ADMIXTURES ALUMINUM BEAMS ANCHOR SLOT ANCHORING SYSTEMS BONDING AGENTS BRACKETS BRICK SAWS BRUSHES CAM LOCK CAULKING CEMENT COATINGS COLORS FOR CONCRETE & MORTAR COLUMN FORMS COMPRESSION SEAL CONCRETE AGGREGATE CONCRETE FORMS CONCRETE BUCKETS CONCRETE SAWS COPPER FLASHING CURING BLANKETS CURING COMPOUNDS DECK COATINGS DIAMOND BLADES EPDXY RESINS . ...... .. .. L�2�1n1 gia/t'T IDCPANDED EXPANDING OLYS1g site plan is being submitted for the purpos EXPANSION JOINIoDtaining a building permit and is a true and correct FIRESTOP SEAL FLASHING mRpresentation of the proposal All known property FLOORS -ies/dimensio FLOOR HARDENEFurb lines, struct es and easements.. FORMLINER have J4ee d. Also indica re wetlands, FORMWORK ACC SSORI GEOTEXTILEFABRmodies of wp 'slope as. GLOVESGRNDEGRIOUT RS Signed: -. GROUT PUMPS HOSES Date: INSULATION BOARD IRON WORKER TOOLS JAHN FORM BRACKETS K-WEB LEVELS LIME MASONRY CONTROL JOINT MASONRY INSULATION MASONRY TIES MASONRY TOOLS MASONRY WATERPROOFING METAL LATH MIXERS MORTAR NICKEL SLAG PVC FLASHING PAPER PATCHING MATERIALS PLACING EQUIPMENT PLASTIC ACCESSORIES PLASTIC SAFETY FENCING POWER TROWELS PRECAST ACCESSORIES PREMIX PRODUCTS PROTECTION BOARD PUMPS REBAR ACCESSORIES REBAR SPLICING EQUIPMENT REINFORCING MESH RENTALS REPAIR ANCHORS RESIN BONDED ANCHORS RETARDERS SAFETY SUPPLIES SANDBLASTING ABRASIVES SCREEDS SEALANTS SHE BOLTS SHORING SILICA SAND SILT FENCE SOFF•CUT SAWS SONOTUBE SPRAYERS STAKES STAYFORM STRIPITE TAPER TIES TES TILT UP TOOLS TOPPINGS UNDERLAYMENT WATERSTOP WHEELBARROWS VAPOR BARRIERS VIBRATORS VISQUEEN -10 ADDRESS IS8'ID Ni01pA) ir— ROAD WIDTH e. FRONT _ FLANKING COMMENTS REVIEWED BY-= OU -r I u D:IMASTERSLART\GRAPHPAD.PMS