2004, 07-27 Permit: BLD-04-07177 Detached ShopSpokane
�,,�►'� Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
ACCESSORY BUILDING PERMIT
1611 S AIRPARK DR
VERADALE WA 99037 -9408
24 X 40 DETACHED SHOP W/12 X 40 ENCLOSED LEAN -TO
OWNER CONTRACTOR
OBENCHAIN, DANIEL & MARIE
Permit #: BLD -04 -07177
Applied:
Issued:
Expires:
.tea
Lot: Blk: Parcel No: 45262.0203 Zoning:
OBENCHAIN, DANIEL & MARIE Phone:
1611 S AIRPARK DR
VERADALE, WA 99037 -9408
Phone:
Lic No:
07/27/2004
07/27/2004
01/23/2005
General Information:
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
CURRENT PROPERTY USE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
27360
18
36 X 40
1
100+
8
8
68+
u -1
5 -b
1
110 X 140
UR 3.5
no
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits /Receipts:
Total Due:
421.55
4.50
426.05
426.05
0.00
E2Q€A--a
Disclaimer:
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.
Ownership of resulting development rights granted by any issued
h ()bench°to
ermit inure to the ; roperty •wner.
Print Name ig a ure
Staff Initials
THIS IS NOT A RECEIPT
727- q
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509 -q 7- q06
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206
Phone: (509)688 -0036 Fax: (509)688 -0037
REQUIRED SITE INFORMATION
1
STREET ADDRESS: /t 1/ 5. Ar, v/ Dr. A
ASSESSOR'S TAX PARCEL NUMBER(S): -75-2 f'Cj 2 02.03
_LEGAL DISCRIPTION: l ',1fr1 /Ifr P /k L3 8]
PERMIT DESCRIPTION: 56N -6 /ode bk4.
RI BUILDING PERIYIIT D CHANGE TN USE a.GRADING
SIGN O TENANT
i RELOCATION
0 MANUFACTURED HOME
D OTHER
r
OWNER / APPLICANT INFORMATION
OWNER: D5i n ObEnC hiCi n
PHONE:96? -9ZZ- �Z795 FAX:
ADDRESS: / /// S. /7Ir/g0 -4- D# .
® CONTRACTOR: ® ARCHITECT:
PHONE: FAX: PHONE:
ADDRESS: ADDRESS:
CITY, STATE, ZIP
I lfevl�14 37
CITY,S>fATE, ZIP
APPLICANT:
PHONE:
ADDRESS:
CITY, STATE, ZIP
FAX:
FAX:
WA ST CONTRACTOR LICENSE #
CITY, STATE, ZIP
CONTACT:
PERMIT /BUILDING INFORMATION
COST OF PROJECT:
BUILDING HEIGHT TO PEAK:
BUILDING DIMENSIONS: 36(X/0 r
NUMBER OF STORIES:
NUMBER of BEDROOMS:
FLANKING SETBACK:
FRONT SETBACK:
REAR SETBACK:
LEFT SETBACK:
30% SLOPES ON PROPERTY: MAIN FLOOR SQ FT: /,
OCCUPANCY GROUP: 2ND FLOOR SQ FT: ,itO
CONSTRUCTION TYPE: /do Ie UNFIN BASEMENT: ,0/4
STRUCTURES ON PROPERTY: FINISHED BASEMENT: AS'
CRITICAL AREAS: GARAGE: Al/Ad
CURRENT PROPERTY SIZE: COVERED DECK: N
CURRENT PROPERTY USE: DECK: �l :
CURRENT SEPTIC USE:
CURRENT WELL USE:
RIGHT SETBACK: IMPERVIOUS SURFACE AREA:
BUILDING STAFF USE ONLY
MANUFACTURED HOME SIGN
WIDTH:
YEAR:
MANUFACTURER:
LENGTH:
PIT SET:
SQ FT OF SIGN:
# OF SIGNS:
TYPE OF SIGN:
HEIGHT OF SIGN:
AREA OF EXIST SIGN:
RELOCATION
FIRE SAFETY
PREVIOUS ADDRESS:
PROPOSED USE:
FIRE SPRINKLER:
PAINT BOOTH:
FIREWORKS DISPLAY:
BLASTING:
FIRE ALARM:
TENT:
DATE /TIME:
WA STATE NON - RESIDENTIAL ENERGY CODE 1
PLANS EXAMINER:
PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
INSPECTOR: PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
SPECIAL INSPECTIONS.
BOLTING ®CONCRETE ® REINFORCEMENT
FIRM NAME:
INSPECTOR(S):
PHONE:
® WELDING
FAX:
IS PUBLIC SEWER AVAILABLE: ® YES NO
IS PUBLIC WATER AVAILABLE: 0 YES 0 NO
IF YES: COUNTY 0 CITY
IF YES, WHICH WATER DIST /IRR:
IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: 0 YES 0 NO
IS THE PROPERTY LOCATED WITHIN ASA: ® YES 0 NO
f DA TE
METHOD OF PAYMENT:
CASH CHECK
PSSA: 0 YES 0 NO
VISA
BANKCARD #; EXPIRES: V /N#
AUTHOR /ZED SIGNATURE.
*FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD
t 1