2003, 12-09 Permit App: BLD-03-03231 CarportSpokane
��Ualley
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
Job Address• 901 N BATES RD
SPOKANE WA 99206-4901
Description: 10 X 22 CARPORT
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
PITTENGER, VICKI
HARTY FENCE & DECK CO
6626 S TOMAKER LN
SPOKANE VALLEY, WA 99212
HARTY FENCE & DECK CO
6626 S TOMAKER LN
SPOKANE VALLEY WA 99212
Application #: BLD -03-03231
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45161.0831 Zoning:
Phone: (509) 218-3364
Phone:
Lic No:
(509) 218-3364
HARTYFD031JM
12/09/2003
06/06/2004
General Information:
VALUATION
REROOF
DIMENSIONS
# OF STORIES
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
3300
N
10 X 22
1
30
N/A
10
N/A
u-1
wood
1
no
no
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
38.90
97.25
4.50
140.65
0.00
140.65
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
initials / Date
Building
Planning
THIS IS NOTA RECEIPT
soonliorne‘....
„,"Valley
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:
9o/ .tA
ASSESSOR'S TAX PARCEL NUMBER(S):
LEGAL DISCRIPTION:
PERMIT DESCRIPTION:
BUThDING PERMIT •
LOCATION
['CHANGE IN USE 0 GRADING 0 MANUFACTURED HOME
® SIGN E TENANT Q OTHER
OWNER / APPLICANT INFORMATION
® OWNER:
L / -Ie r P 7r v7 4 ,
PHONE:'3 `i' - ¥/ Sii6 FAX:
® APPLICANT:
ADDRESS: for '
eP
CITY,STATE, ZIP
® CONTRACTOR: ie•
PHONE: -j ' 3 3 4 FAX:
ADDRESS: / Oerl - !-e"'7rrle-' 1
CITY, STA ZIP
WA ST CONTRACTOR LICENSE !#/744Pee-p 3 CONTACT:
PHONE:'ZjEE— 5 3 !i cV FAX:
"
ADDRESS: zees S • C� /‘44 -
CITY, STA ZIP ZIZ�
ARCHITECT:
PHONE:
ADDRESS:
FAX:
CITY, STATE, ZIP
PERMIT/BUILDING INFORMATION
COST OF PROJECT(/' 7d - f
BUILDING HEIGHT TO PEAK:
/0 #C ,
BUILDING DIMENSIONS:
NUMBER OF STORIES:
NUMBER of BEDROOMS:
FLANKING SETBACK:
FRONT SETBACK:
REAR SETBACK:
LEFT SETBACK:
30% SLOPES ON PROPERTY:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
STRUCTURES ON PROPERTY:
CRITICAL AREAS:
MAIN FLOOR SQ FT:
2ND FLOOR SQ FT:
UNF1N BASEMENT:
FINISHED BASEMENT:
GARAGE:
CURRENT PROPERTY SIZE: COVERED DECK:
la
CURRENT PROPERTY USE: �it-
DECK
CURRENT SEPTIC USE:
CURRENT WELL USE:
RIGHT SETBACK: IMPERVIOUS SURFACE AREA:
MANUFACTURED HOME
SIGN
WIDTH: LENGTH:
YEAR: PIT SET:
MANUFACTURER:
SQ FT OF SIGN: HEIGHT OF SIGN:
# OF SIGNS: AREA OF EXIST SIGN:
TYPE OF SIGN:
RELOCATION FIRE SAFETY
PREVIOUS ADDRESS:
PROPOSED USE:
FIRE SPRINKLER: FIREALARM:
•'
PAINT BOOTH: TENT:
FIREWORKS DISPLAY:
BLASTING: DATE/TIME:
WA STATE NON-RESIDENTIAL ENERGY CODE
PLANS EXAMINER: PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
INSPECTOR: PHONE: FAX:
ADDRESS: ., . - ` - ; '
CITY, STATE, ZIP
SPECIAL,INSPECTIONS •-•\
❑ BOLTING
FIRM NAME:
INSPECTOR(S):
• c
❑CONCRETE
® REINFORCEMENT
PHONE:
WELDING
FAX:
•
BUILDING STAFF USE ONLY
1
IS PUBLIC SEWER AVAILABLE:
IS PUBLIC WATER AVAILABLE:
® YES ®NO
0
• YES NO
IF YES: ® COUNTY
® CITY
IF YES, WHICH WATER DIST/IRR:'
IS PROPERTY LOCATED WITHIN DESIGNATED STORMWATER CONTROL AREA: ❑ YES ❑ NO
IS THE PROPERTY LOCATED WITHIN ASA: • ❑NYES1 ❑ NO PSSA: 0 YES 0 NO
DATE:
METHOD OFPAYMENT:
1
STAFF:
0
CASH CHECK
❑
BANKCARD #; EXPIRES: VIN 4'
AUTHOR/ZED SIGNATURE'
*FAXED PERMIT APPLICATIONS WILL ONLY BE ACCEPTED WITH MAJOR BANKCARD
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