2006, 10-26 Permit App: 06004303 Pole Bldgc oKa e
4..00\ Taney
Community Development
Permit Center
11707 E Sprague Ave, Suite 106 I
Spokane Valley, WA 99206 I
(509)688 -0036 FAX: (509)688- l
037
www.spokanevalley.org
Residential Construction
Permit Application
ECE
OCT 24006
L
11 ID) 11I*
New Construction ,\Accessory Bldg
Addition/Remodel Deck
Other:
r
PERMIT NUMBER: J
PERMIT FEE:
(51
SITE ADDRESS
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION:
Building Owner:
DIMENSI S:
# OF STORIES:
TOTAL HABITABLE SPACE:
Name:
2 "" FLO SQ. FTG:
�--- -•
UNFIN BASEMENT SQ. FTG:
.�....
IMPERVIOUS SURFACE
AREA: ,...----- '
Address:
gr0
E ft`\ }(•,;
DECK/COV. PATIOS FTG:
City:
\) \ �
State: e b Zip: `'.
►/� �
) /,(
Phone:
...3:13
Fax:
Contact Perso
Name:
Describe the scope of
pcz a
irk in d tail:
Contractor:
DIMENSI S:
# OF STORIES:
TOTAL HABITABLE SPACE:
Name: 0(f
2 "" FLO SQ. FTG:
�--- -•
UNFIN BASEMENT SQ. FTG:
.�....
IMPERVIOUS SURFACE
AREA: ,...----- '
Address:
FINISHED BASEMENT _
SQ. FTG: ""��
GARAGE SQ. FTG:
% ""
fa) cc)
DECK/COV. PATIOS FTG:
City:
# OF BEDROOMS:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
Cost of Projec : $
* * * * * * **
• (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
HEIGHT TO PEAK:
DIMENSI S:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2 "" FLO SQ. FTG:
�--- -•
UNFIN BASEMENT SQ. FTG:
.�....
IMPERVIOUS SURFACE
AREA: ,...----- '
r_..
FINISHED BASEMENT _
SQ. FTG: ""��
GARAGE SQ. FTG:
% ""
fa) cc)
DECK/COV. PATIOS FTG:
30% SLOPES ON
PROPERT,` .
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER 6 " SEPTI• b
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
❑ Mastercard
Expires:
Date
❑ VISA
VIN #:
Project Number: 06004303 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/26/2006 Page 1 of 2
Project Information:
Permit Use: 30X40 POLE BUILDING
Setbacks: Front Left: Right: Rear:
Site Information:
Plat Key: Name: CORBIN ADD TO GREENACRES
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
RIGBY, MAT
18420 E ALKI AVE
GREENACRES, WA 99016
(509) 000-0000
District: G
Parcel Number: 55184.0905
SiteAddress: 18420 E ALKI AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Block: 7
Urban Residential 3.5
Area: 26,105 Sq Ft Width:
Nbr of Bldgs: 0 Nbr of Dwellings:
Review Information:
Review
Flood Plain
Lot: 1
Owner: Name:
Address:
RIGBY, MAT
18420 E ALKI AVE
GREENACRES, WA 99016
Hold: ❑
0 Depth: 0 Right Of Way (ft): 0
0
Released By:
Building Plan Review
Originally Released: 10/26/2006 By: amblake
Released By
Driveway /Approach
' Released By:
Septic Sys Review
1�1 aculc�
Released By:
Landuse /Zoning/HE Conditions
Operator: AMB
Printed By: AMB
1
Released By►.'.
Print Date:
10/26/2006
Project Number: 06004303 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/30/2006
Landuse /Zoning/HE Conditions
Released By:
Originally Released:
10/27/2006 By: kkendall
Page 2 of 2
Permits:
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000 -0000
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Sci Ft Valuation
POLE BDLG U -1 VB
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLANS REVIEW
WSBC SURCHARGE
Notes:
1,200
Totals: 1,200
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
$22,800.00
1,200
$22,800.00 1,200
Permit Total Fees:
Fee Amount
$363.25
$90.81
$4.50
$22,800.00
$22,800.00
$458.56
omega M... „i:=aO =r,-
All driveway approaches to be constructed per Spokane County Standards as adopted by the City of
Spokane Valley.
Minimum of 7.5' from each property line, 5' from crosswalks or intersection curb and minimum of 15'
of separation between any two approaches.
Flat portion of a residential approach to be minimum of 16' wide, maximum of 30' wide and combined
approach width not to exceed 50% of total frontage.
Payment Summary:
Permit Type
Building Permit
Fee Amount Invoice Amount
$458.56 $458.56
Amount Paid
$0.00
Amount Owing
$458.56
$458.56 $458.56 $0.00 $458.56
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: 10/30/2006
OCT 26 2006 14:50 FR
. Project Nix d ,er: 06004303 Inv: 1
TO 3241567
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
P.01/03
Date: 10/26/2006 Page 1 of 2
Project In (nrmation:
Permit Use : 30X40 POLE BUILDING
Setbacks Front
Site Info!' ation:
Plai K e r: Name: CORBIN ADD TO GREENACRES
Purc e: Number: 55184.0905 Block: 7 Lot: 1
iteAddress: 18420 E ALKI AVE Owner: Name: RIGBY, MAT
Address: 18420 E ALICE AVE
GREENACRES, WA 99016
Left: Right: Rear:
Contact: RIGBY, MAT
Address: 18420 E ALIU AVE
C - S - Z: GREENACRES, WA 99016
Phone: (509) 000 -0000
Group Name:
Project Name:
Location:: CSV
District: G
Zoning: UR -3.5 Urban Residential 3.5
Watcr District: Hold: ❑
Depth: 0 Right Of Way (ft): 0
Area: 26,105 Sq Ft
Nbr of Bldgs: 0
Review In `c rmation:
Width: 0
Nbr of Dwellings: 0
Re` if :w
F In, ul Plain
Rel?
Originally Released: 10/26/2006 By: amblake
B ui :ding Plan Review
D ri' 1e way /Approach
Released
Sap 1: Sys Review
Lan d Ise/Zoning/HE Conditions
Released: By
Op,:rz tor: AMi3 Printed By: AMB Print Date: 10!26/2006
10/27/2006 07:55 5093241567
OCT 26 2006 14:50 FR
Project Isku ni yes: 06004303 Inv: 1
SRHD EHS
PAGE 01
TO 3241567 P.01/03
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/26/2006 Page 1 of 2
prpUtct .!n , ,rm gfion: Contact: RIGBY, MAT
Permit L�� : 30X40 POLE BUILDING Address: 18420 E ALiU AVE
C - S - Z: GREENACRIS, WA 99016
Setbacks font Left: Right:
Rear: Phone: (509) 000 -0000
Group Nana:
Project Name:
itel'n ��r�
Plat
Name: CORBIN ADD TO GREENACRES
District: G
pmc ei Number: 55184.0905 Block: 7 Lot: 1
5. iteAddress: 18420 E ALKI AVE Owner: Name: RIGBY, MAT
Address: 1$420 E ALKI AVE
GREENACRFS, WA 99016
Location:: CSV
Zoning: UR 3.5 Urban Residential 3.5
Water District; Hold: ❑
Area: 26,105 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review 411,1 rmation:
BID LIZ
Flo.ul PI'in
pf1' 1,d" '•
Bu►(ding Plan Review
Dri
S•�p
Lan
°p+ut AMB
Originally Released: 10/26/2006 By: amblake
.�Beiaud��F�,'aL.J��=-`.,�- --i ':f:;1�3� i�y���jt.��u��,'+t;.,
Release B
OCT 27 2006 09:17
Printed By AMB
Print Date: 10/26/2006
5093241567 PAGE.01
PC- —
.z_)(Do ))c;
C7re(Gtar-eS ) k)ct_ G190 its),
PLAN
BY
DATE: )0
D
Spokane
jUalley
October 27, 2006
Mat Rigby
18420 E Alki
Greenacres, WA 99016
RE: Pole Building Application
Dear Mat:
11707 E. Sprague Ave. • Suite 106 • Spokane Valley, WA 99206
(509) 921 -1000 • Fax (509) 921 -1008 • cityhall @spokanevalley.org
I received a note from the health department indicating that they do not have a record of a
septic system on your property. Attached you will find the application that the health
department is requesting that you complete.
If you have questions regarding this application, please contact the health department.
If you have questions regarding the building permit process, please don't hesitate to
contact me at 5688 -0234.
Anita Blake
Residential Permit Specialist
City of Spokane Valley
509/688 -0234
10/27/2006 07:55
5093241567
SRHD EHS PAGE e1
SPOKANE REGIONAL HEALTH DISTRICT
Environmental Health Division
1101 W College, Rm 402, Spokane WA 99201 (509) 324 -1560
SEWAGE SYSTEM VERIFICATION FORM
Since our office does not have information on file showing the location and size of your system, please provide the
following information in order for us to review your proposal.
Project address:
Property owner: Address:
Phone:
Existing property use: ( ) residential ( ) multi - family
If a business, name and nature;
If a business, approximate metered water consumption: gallons per
Type of wastewater fixtures connected to sewage system(s):
toilet; showers /tub sinks laundry
car wash sprinkler system hot tub /spa swimming pool
dishwasher
Year structure built: Year sewage system installed:
Number of bedrooms:
Has existing sewage system(s) been reconstructed or repaired? ( ) Yes ( ) No
If yes, when: Reason:
Location and size of the system: Please make or submit a drawing showing location, dimensions, and measurements of your lot,
structure, sevk age system(s), water wells, waterline, driveways, direction "north ", etc. IDENTIFY WHAT IS DRAWN.
I certify that this information is true to the best of my knowledge.
Signature of the property owner date
01/99
OCT 27 2006 09:18 5093241567 PAGE.02