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2003, 09-11 Permit App: BLD-03-02449 AdditionSpokane 4,00 Walley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 RESIDENTIAL ADDITION /REMODEL PERMIT Permit #: BLD -03 -02449 Job Address: 17408 E BALDWIN AVE Applied: 09/11/2003 GREENACRES WA 99016 -9373 Issued: 09/12/2003 Description: RESIDENCE ADDITION - MASTER BEDROOM AND DINING /LIVING ROOM Expires: 03/10/2004 Subdivision: Lot: Blk: Parcel No: 55073.1801 Zoning: Owner: SPHULER, CHRIS D Applicant: SPHULER, CHRIS D Phone: (509) 928 -5258 Address: 17408 E BALDWIN AVE GREENACRES, WA 99016 -9373 Contractor: OWNER Phone: Address: Lic No: General Information: Fees: VALUATION 40716 PLAN CHECK FEE 221.14 REROOF N BASIC PERMIT FEE 552.85 BUILDING HEIGHT TO PEAK 13 WSBCC SURCHARGE 4.50 DIMENSIONS 18 X 20 / 10 X 24.5 # OF STORIES 1 Total Calculated: 778.49 # OF BEDROOMS 2 Deposits /Receipts: 778.49 FRONT SETBACK 67 Total Due: 0.00 REAR SETBACK 300+ LEFT SETBACK 11 RIGHT SETBACK 66 OCCUPANCY GROUP r -3 CONSTRUCTION TYPE 5 -w STRUCTURES ON PROPERTY 3 SERVED BY SEPTIC SYSTEM no WELLS LOCATED ON PROPERTY no Conditions of SEPTIC SYSTEM DESIGNED FOR 2 BEDROOMS ONLY. Approval: 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 permit inure to tie .rope owner. l C 1 Print Name Signature Staff Initials THIS IS NOT A RECEIPT (7 I Date Spokane 0,00Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit RESIDENTIAL ADDITION /REMODEL Application #: BLD -03 -02449 Job Address: 17408 E BALDWIN AVE Applied: 09/11/2003 GREENACRES WA 99016 -9373 Issued: Description: RESIDENCE ADDITION - MASTER BEDROOM AND DINING /LIVING ROOM Expires: 03/09/2004 Subdivision: Lot: Blk: Parcel No: 55073.1801 Zoning: Owner: SPHULER, CHRIS D Applicant: SPHULER, CHRIS D Phone: (509) 928 -5258 Address: 17408 E BALDWIN AVE GREENACRES, WA 99016 -9373 Contractor: OWNER Phone: Address: Lic No: General Information: VALUATION REROOF BUILDING HEIGHT TO PEAK DIMENSIONS # OF STORIES # OF BEDROOMS FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK OCCUPANCY GROUP CONSTRUCTION TYPE STRUCTURES ON PROPERTY SERVED BY SEPTIC SYSTEM WELLS LOCATED ON PROPERTY Fees: 40716 PLAN CHECK FEE N BASIC PERMIT FEE 13 WSBCC SURCHARGE 18 X 20 / 10 X 24.5 Total Calculated: 1 Deposits /Receipts: 2 67 Total Due: 300+ 11 66 r -3 5 -w 3 no no 221.14 552.85 4.50 778.49 0.00 778.49 "ICtt 4 41I - 76,414 (-4,61,(k_ THIS IS NOT A RECEIPT is ems' jsValleY 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 STREET ADDRESS: Z L.,w u t1 -Av a ASSESSOR'S TAX PARCEL NUMBER(S): 4" 3 . /60 LEGAL DISCRIPTION: Pct-DwIN Acc, E' LT 1 8t PERMIT DESCRIPTION: 111 BUILDING PERMIT CI-RELOCATION 4 LA/1t 4 ,eat t t i i tox16 CHANGE IN USE 0 GRADING 0 MANUFACTURED HOME SIGN Q TENANT 0 OTHER OWNER / APPLICANT INFORMATION 113( ttg1t S1'+loL �� OWNER: / �� en APPLICANT: e .�1H0(.. PHONE: o9!•��9��1�py0 " 2 SB FAX: L St° 1 PHONE: - '7 ! q 2 ) -�� FAX: /� ,y ADDRESS: ) 'T40te '. Jt. S1IA At/£. ;G AeRt DRESS: I--4l* DA's �H� f�'t E6gt— 1/4-F. -eSiii; CITY,STATE, ZIP 99016, CITY, STATE, ZIP C1%4 0 ARCHITECT: FAX: PHONE: CONTRACTOR: PHONE: ADDRESS: CITY, STATE, ZIP WA ST CONTRACTOR LICENSE # FAX: ADDRESS: CITY, STATE, ZIP CONTACT: PERMIT /BUILDING INFORMATION COST OF PROJECT: ZS g 30% SLOPES ON PROPERTY: BUILDING HEIGHT TO PEAK: I , OCCUPANCY GROUP: S LE I rn ILir BUILDING DIMENSIONS: /10":10. 1044 CONSTRUCTION TYPE: "--1C-1(:- NUMBER OF STORIES: NUMBER of BEDROOMS: 2. FLANKING SETBACK: FRONT SETBACK: � � ` REAR SETBACK: . ;)4 LEFT SETBACK: 6&' STRUCTURES ON PROPERTY: 7 CRITICAL AREAS: CURRENT_ PROPERTY SIZE: 129 '0IL5' CURRENT PROPERTY USE'UV► CURRENT SEPTIC USE: CURRENT WELL USE: RIGHT SETBACK: IMPERVIOUS SURFACE AREA: MAIN FLOOR S4 FT: We/ 2ND FLOOR SQ FT: N/ UNFIN BASEMENT: f� FINISHED BASEMENT: L-4 GARAGE: DE T tc-if eb COVERED yD�ECK: P•44 n DECK : /+Eb MANUFACTURED HOME SIGN WIDTH: LENGTH: YEAR: PIT SET: MANUFACTURER: SQ FT OF SIGN: HEIGHT Or SIGN: # OF SIGNS: AREA OF EXIST SIGN: TYPE OF SIGN: RELOCATION FIRE SAFETY PREVIOUS ADDRESS: PROPOSED USE: FIRE SPRINKLER: PAINT BOOTH: FIREWORKS DISPLAY: BLASTING: FIRE ALARM: TENT: DATE /TIME: 1 WA STATE NON - RESIDENTIAL ENERGY CODE i PLANS EXAMINER: PHONE: FAX: ADDRESS:. INSPECTOR: ADDRESS: CITY, STATE, ZIP PHONE: FAX: CITY, STATE, ZIP SPECIAL INSPECTIONS ® BOLTING FIRM NAME: INSPECTOR(S): ® CONCRETE ® REINFORCEMENT PHONE: ® WELDING FAX: BUILDING STAFF USE ONLY i IS PUBLIC SEWER AVAILABLE: ® YES CI NO IS PUBLIC WATER AVAILABLE: 0 YES ® NO IF YES: ® COUNTY ® 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 PSSA: ® YES 0 NO DATE: STAFF: METHOD OF PAYMENT: 0 0 0 CASH CHECK VISA terra BANKCARD #; EXPIRES: VIN AUTHORIZED SIGNATURE' *FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD Hay Barn b■■.iM ..■■■..■..■.■. ■ ■.■.■..■ ■■■■■■■■■■.■■.■■■. ■ ■ ■■.■■■■■.■ ■ .■. ■■......■.■..■..■.■■..■..■.■■■� . 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