2006, 03-16 Permit Application: 904 GarageF
ane
Valley
Community Development
Permit Center
MAR 1 s 2006
o [IL El 1M
ue Ave, g
11707 E S ra Suite
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
www.spokanevalley.org
Residential Construction
Permit Application
PERMIT NUMBER:
PERMIT FEE:
New Construction
Addition/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS / Z 5 . ,zjdAtv)S
, 36-1
ASSESSORS PARCEL NO:
Lek ill
L,L / r B &/
LEGAL DESCRIPTION:
Building Owner: 2EE %%%//i1 SA
DIMENSIONS:
Name:
Name:
Address: ^� ) Z ACJimil ; p�k
2 SQ. FTG:
PS..
City: s-pi_3 6: }'rI_ `iA,1 I % State: W �
�+
Zip' f e7 3 �
Phone:,5_09 _ 9; g— o l e Fax:
City:
Contact Person
Name: LEE m E - /ll S I
Phone( )S-0 a 22. - -10 /se+
Describe the scope of work in detail:
Contractor: Utl >r\ pJ •
DIMENSIONS:
# OF STORIES:
Name:
MAIN FLOOR TO SQ.
FTG:
2 SQ. FTG:
Address:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: l "', -
City:
State:
Zip:
Phone:
Fax:
HEAT SOURCE:
,: ;,Y I
Contractor Lic No:
Exp Date:
City Business Lic. No:
Cost of Project: $ Mc) COO
(.0C) X 3 Z .10..rel-c
* * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2 SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG: l "', -
GARAGE SQ. FTG:
% 97-0
DECK/COV. PATIO SQ. FTG:
, •
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
ti 1v
CONSTRUCTION TYPE:
�,f' "9 /1/E
HEAT SOURCE:
,: ;,Y I
SEWER OR SEPTIC?
�E �J.-1
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the
dwelling is /will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 8/25/2005
❑ Check
Date
❑ Mastercard ❑ VISA
Expires: VIN #:
Proj e,ct Number: 06000904 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/17/2006 Page 1 of 2
Project Information:
Permit Use: 60 x 32 GARAGE Contact: MELLISH, LEE
Address: 2012 S ADAMS RD
C - S - Z: SPOKANE, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 922 -5443
Group Name:
Site Information: Project Name:
Plat Key: 999999 Name: Range
District: F
Parcel Number: 45262.3515 Block:
SiteAddress: 2012 S ADAMS RD
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: .00 Acres
Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot:
Owner: Name: MELLISH, LEE RECEIVED
Address: 2012 S ADAMS RD
SPOKANE, WA 99206 ,A;%71. 1 7 2C5
SPOKANE VALLEY
CEP ARYUEVELOPMENT
Hold: El :,OMMUNtYY
Depth: 55 Right Of Way (ft): 0
Review
Building Plan Review
Released By: '3/2-1/8
Driveway /Approach
Released By:
Landuse /Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Released By:
Originally Released: 3/17/2006 By: amblake
Operator: AMB Printed By: AMB Print Date: 3/17/2006
Proj ect Number: 06000904 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/17/2006 Page 2 of 2
Contractor: OWNER
Contractor: OWNER
Notes:
Building Permit •
Firm: OWNER
Phone: (000) 000 -0000
Plumbing Permit
Firm: OWNER
Phone: (000) 000 -0000
Payment Summary
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 construed 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: AMB Printed By: AMB Print Date: 3/17/2006
Project Number: 06000904 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/23/2006 Page 1 of 2
Project Information:
Permit Use: 60 x 32 GARAGE
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: 999999 Name: Range
Contact: MELLISH, LEE
Address: 2012 S ADAMS RD
C - S - Z: SPOKANE, WA 99206
Phone: (509) 922 -5443
Group Name:
Project Name:
District:
F
Parcel Number: 45262.3515 Block:
SiteAddress: 2012 S ADAMS RD
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: .00 Acres Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Lot:
Owner: Name: MELLISH, LEE
Address: 2012 S ADAMS RD
SPOKANE, WA 99206
Hold: ❑
Depth: 55 Right Of Way (ft): 0
Review
Building Plan Review
ease.
Driveway /Approach
Originally Released: 3/23/2006 By: TMELBOU
Release
Originally Released: 3/21/2006 By: AMBlake
Landuse /Zoning/HE Conditions
elease
Sewer Review
Originally Released: 3/21/2006 By: Mharnois
leas
in file
Operator: AMB
Originally Released: 3/17/2006 By: amblake
Printed By: AMB Print Date: 3/23/2006
Proj e+ct Number: 06000904 Inv: 1
Permits:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 3/23/2006 Page 2 of 2
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000 -0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U -1 VB 1,920 $36,480.00 1,920 $36,480.00
Totals: 1,920 $36,480.00 1,920 $36,480.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $512.45
WSBC SURCHARGE 1 SELECT $4.50
SF PLNS RVW < 7999 SQ FT 1 SELECT $204.98
Permit Total Fees:
Plumbing Permit
$721.93
Contractor: OWNER Firm: OWNER
Phone: (000) 000 -0000
Item Description Units Unit Desc
TOILETSBIDETS 1 NUMBER OF
SINKS 1 NUMBER OF
WATER HEATER - ELECTRIC 1 NUMBER OF
Notes:
Permit Total Fees:
Fee Amount
$6.00
$6.00
$6.00
$18.00
Payment Summary:
Permit Type
Building Permit
Plumbing Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$721.93 $721.93 $0.00 $721.93
$18.00 $18.00 $0.00 $18.00
$739.93 $739.93 $0.00 $739.93
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 construed 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: AMB Printed By: AMB Print Date: 3/23/2006