2005, 09-14 Permit Application: 05003137 Detached GarageProject Number: 05003137 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/14/2005 Page 1 of 2
Project Information:
Permit Use: DETACHED GARAGE
Setbacks: Front 160 Left: 5 Right: 12 Rear: 117
Site Information:
Plat Key:
Name: OPPORTUNITY TR # 01 -354
Contact: CHUBENKO, NIKOLAY
Address: 26820 E SANSON AVE
C - S - Z: NEWMAN LAKE, WA 99025
Phone: (509) 226 -5349
Group Name:
Project Name:
Parcel Number: 45153.1922 Block:
SiteAddress: 12718 E ALKI AVE
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District: 011 MODERN
Lot:
District: Nort
Owner: Name: CHUBENKO, NIKOLAY
Address: 26820 E SANSON AVE
NEWMAN LAKE, WA 99025
Hold: ❑
Area: .00 Acres Width: 65 Depth: 325 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: ,
Review
Site Plan Review
CARPORT MUST BE REMOVED FROM STRUCTURE TO MEET ACCESSORY STRUCTURE SIZE
REQUIREMENTS.
Plan Review
Originally Released: 09/14/2005 By: CBATES
Released By:
Sewer Review
Permits:
Originally Released: 09/12/2005 By: TMELBOU
Released By:
Originally Released: 09/14/2005 By: cjjanssen
Operator: CJJ Printed By: CJJ Print Date: 09/14/2005
Project Number: 05003137 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/14/2005
Contractor: OWNER
Description Grp Type Notes
GARAGE U -1 VB
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLAN REVIEW
STATE SURCHARGE
Building Permit
Firm: OWNER
Phone: (000) 000 -0000
This Application:
Su Ft Valuation
2,000 $38,000.00
Totals: 2,000 $38,000.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Total Project:
So Ft Valuation
2,000 $38,000.00
2,000 $38,000.00
Fee Amount
$522.55
$130.64
$4.50
$657.69
Page 2 of 2
Notes:
Payment Summary:
Permit Type
Building Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$657.69 $657.69 $0.00 $657.69
$657.69 $657.69 $0.00 $657.69
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: CJJ Printed By: CJJ
Print Date: 09/14/2005
1„poka e�
alley
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Depa tmeni
Building Division,
11707 E. Sprague Avenue, Suite 105
Spokane Valley, WA 99206
Phone: (509) 688 - 0036; Fax: (509) 688- -0037
REQUIRED SITE INFORMATION
Street Address: /Z n'O /42 Xi'
4 to f
Assessor's Tax Parcel Number(s): 4 /53 / c) Z%
Legal Description:
PERMIT DESCRIPTION: C2,-7c�‘v\c� �ocxoQ
• Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
(� _Owner. ,4 ft y ❑ Applicant:
Phone: 7.7Z—/23 Fax: Phone: Fax:
Address: /2 7Z 0 AL& 7+, I/ f Address:
ave-/9/ VR y A/4 fr5v2
City State Zip Code City State Zp Code
❑ Contractor:
Phone: Fax:
Address:
❑ Architect:
Phone: Fax:
Address:
City State Zp Code City State Zip Code
• WA State Contractor License #:
Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT /BUILDING INFORMATION
HEIGHT TO PEAK vfi_o_ca_4_
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2"" FLOOR SQ. FTG:
UNF1N BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG!3� -k
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON -SITE SEPTIC
SYSTEM? .5rWs'IZ
83%'
MANUFACTURED HOME
Vidth: Length: - .Year Pit Set:
/lanufacturer.
RELOCATION
'revious Address:
'roposed Use:
FIRE SAFETY
'ire Sprinkler. # of Heads: Fire Alarm:
-ent: Fireworks Display: Blasting:
'aluation: Above/Underground Storage Tank Size:
Paint Booth:
Date/Time:
WASHINGTON STATE NON - RESIDENTIAL ENERGY CODE
'lens Examiner.
ddress:
Phone:
Fax:
City
ispector. Phone:
ddress:
State
Fax:
Zip
City
State
Zip
SPECIAL INSPECTIONS
] BOLTING n CONCRETE
irm Name:
❑ REINFORCEMENT
Phone:
ispector(s):
Fax:
❑ WELDING
ISCLAIMER
he permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a
welling, the dwelling is /will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the
roperty owner. 3) The signatory is the property owner or has permission to represent the property owner in this
ansaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code.
eferenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of Spokane Valley
ermit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances.
wnership of resulting development rights granted by any issued permit inure to the properly owner.
rint Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
] Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
ankcard #: Expires: VIN #:
uthorized Signature: