2004, 08-12 Permit App: BLD-04-08058 GarageCITY of
SCI
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VaiIey
BUILDING PERMIT APPLICATION WORKSHEET
tidy of Spokane Valley Community Development Department
• Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688 -0037
REQUIRED SITE INFORMATION
Street Address:
519 5 ()(LC- 1 ^ rJ von.
Assessor's Tax Parcel Number(s):.517112-
Legal Description:
PERMIT DESCRIPTION:
® Building Permit
11
Relocation
�I
1I
Change in Use n Grading 1 1 Manufactured Home
n Tenant Improvement n Fire Safety n Other
OWNER/APPLICANT INFORMATION
n
n
Owner: DA S e pf it,
Phone: g)4,,-1-10C.0 F x:
Address: 5/11
Gw0,r e
City State
Contractor:
Phone: Fax:
Address:
❑ Applicant:
Phone:
Address:
Fax:
Zip Code City
City
State
Zip Code
WA State Contractor License #:
State Zip Code
❑ Architect:
Phone: Fax:
Address:
City
State
Contact:
Zip Code
PERMIT /BUILDING INFORMATION
HEIGHT TO PEAK: i
MAIN FLOOR TO SQ. FTG:
DIMENSIONS:
OX3
# OF STORES:
2'`ii} FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
COST OF PROJECT: �000 O
30% SLOPES ON PROPERTY:
IMPERVIOUS SURFACE AREA:
SEWER OR ON -SITE SEPTIC
SYSTEM?
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash E2 Check ❑ Mastercard
Bankcard #:
Authorized Signature:
❑ VISA ❑ Other
Expires: VIN #:
Engineered Pole Buildings
PLANNING DEPT. APPROVED
BY
DATE: /0/z eta/
Site Plan
7.‘1-1,0w
•forth ��,
Show streets /alley
Show septic /sewer /drain(leld
Show exist tag buildings
Show proposed building
Show setbacks - front, rear, sides.
Show tot size
N(NG CRITERIA - SPOKANE
JOB I4/41E � �* R 0- "-
PHONE ~ 2 1_C (;
ADDRESS ,s1-.4-1 y 5 • !?+ = C
LEGAL OESCRIPT (ON
han 5' to property line - need f IrewaII and parapet
r 30' and closer than 5' - need waiver from neighbor
r more than 502 of rear 25'
- but mvs( be 20' from property line
.im setback from front property line
6' from residence - need flrewall
mare footage - IO" of lot area (Must be less than 3,000 50. It.)
bd:vlde lot so that building is more than IOX of residual lot area
Ian 5' to property Tine - need f trewall
'ptic/dra tnf le id
from residence - need ftrewait
;TRACKS ARE SHOWN BELOW. WILL NEED TO CHECK CODE BOOK
WHAT ZOULNG YOU'RE IN TO BE SURE, f•WUMLti BUILDING 511E
GES WITH DtfFERENT ZONING.
side yard setback
rear yard setback
onl: and side street setback - 25' from property line or 5S from
f road • rvhicttlever Is greater ..
Thin i /en is being subnlliNad for the purpose of
obteiNINg a building permit and is a true and correct
repSSNMillOn of the proposal. Ali known property
IInsWdlnsnabns, curb lines, structures and easements
have been identified. Also indicated are wetlands,
bo. • mop slopes or .. local areas.
Signed:
Date'