2011, 06-10 Permit App: 11001635 Pole BuildingSpokane
jValley
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
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(Staff Use Only) p `/
PERMIT NUMBER: /63 J
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
❑ NEW CONSTRUCTION
❑ DECK
❑ ADDITION/REMODEL
❑ OTHER
SITE ADDRESS: 525 S Barker Rd
❑i ACCESSORY BUILDING
ASSESSORS PARCEL NO.: 55202.0233
BUILDING OWNER NAME: Owner
LEGAL DESCRIPTION: Corbin Add Grnac S300Ej
NAME: Shaun Hoag
ADDRESS: 525 S. Barker Rd
Cm: Greenacres
STATE: WA
zip: 99016
PHONE: 509-924-9027
FAX: Same
CELL: 509-951-0637
CONTACT NAME: Owner
PHONE: 509-924-9027
FAX: Same
CELL: 509-951-0637
CONTRACTOR NAME: Owner
MAILING ADDRESS: 525 S Barker Rd
cm: Greenacres
STATE: WA
zip: 99016
PHONE: 509-924-9027
FAX: Same
CELL: 509-951-0637
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
`DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USCI & pROPOSED USE:
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Pole type storage building � (a e. Ase)o-S A -S o/0
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Pole type storage building
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak: 21,9„
Dimensions: 54tx48.x16.
No. of Stories: 1
Total Habitable
Space:
Main Floor SQ FT:
N/A
Upper Floor SQ FT:
N/A
Unfinished Basement SQ
FT: N/A
Finished Basement SQ
FT: N/A
Garage SQ FT:
a V--2592
Deck/Covered Patio SQ
Fr:
NA
Impervious Surface
Area: 2592
30% Slopes on
Property: 0
// \
No. of Bedrooms: o
Construction Type: Pok
Heat Source:
Sewer orteptic: )
TOTAL COST OF PROJECT: $ 15,250
DISCLAIMER'
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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.
Effective October 28, 2007 Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
Signature
Method of payment: ❑ Cash
Bankcard #:
Date: 6-8-2011
❑ Visa ❑ Mastercard
EXP: VIN#:
Authorized Signature:
Effective October 28, 2007 Page 2 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
Project Number: 11001635 Inv: 1
Application
THIS [S NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/10/201 I Page I of 2
Project Information;
Permit Use: 54 X 48 POLE BLDG
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: 000000 Name: Range
Contact: HOAG, SHAUN & CARRIE
Address: 525 S BARKER RD
C - S - Z: GREENACRES, WA 99016
Phone: (509) 922-8832
Group Name:
Project Name:
District: East
Parcel Number 55202.0233
SiteAddress: 525 S BARKER RD
Block: Lot:
Location:: CSV
Zoning: R-3 SF Res District
Owner: Name: HOAG, SHAUN & CARRIE
Address: 525 S BARKER RD
SPOKANE VALLEY, WA 99016
Water District. 134 CONSOLIDATED ID #19 Hold: ❑
Area: 92,610 Sy Ft Width: 150 Depth: 310 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings:
Review Information:
Review
Building Plan Review
Released By:
Originally Released:
Septic Sys Review
6/9/2011 By: tmelbourn
Released By:
Originally Released: 6/9/2011 By: LHALSEY
Landuse/Zoning/HE Conditions
Released By:
Originally Released:
Driveway/Approach
6/9/2011 By: kkendall
Released By:
NOT REQUIRED PER KAREN KENDAL
Originally Released: 6/9/2011 By: JLMain
Operator: JD
Printed By: jmm
Print Date: 6/10/2011
. ProjecfNumber: 11001635 Inv: /
Permits:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/10/2011 Page 2 of 2
Contractor: OWNER
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
POLE BDLG U -I VB 2,592 $49,248.00 2,592 $49,248.00
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLANS REVIEW
WSBCC SURCHARGE
Totals: 2,592 $49,248.00 2,592 $49,248.00
Units Unit Desc
I SELECT
I SELECT
I SELECT
Permit Total Fees:
Fee Amount
$643.75
$160.94
$4.50
$809.19
Notes: ,
Dry only.
No driveway proposed for 54x48 pole building. If new driveway is added, driveway must be paved
with asphalt or concrete.
Payment Summary.
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owins
Building Permit $809.19 $809.19 $160.94 $648.25
$809.19 $809.19
$160.94 $648.25
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 he 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: JD Printed By: jmm
Print Date: 6/10/2011
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