2005, 07-22 Permit App: 05002519 GarageProject Number: 05002519 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/22/2005 Page 1 of 2
Project Information:
Permit Use: 26 X 30 DETACHED GARAGE
Setbacks: Front EXI Left: 5 Right: 25+ Rear: 5
Site Information:
Plat Key: 001288 Name: HUTCHINSONS ADD District: Nort
Contact: NORDBY, WAYNE
Address: 916 N BESSIE RD
C - S - Z: SPOKANE VALLEY, WA 99212
Phone: (509) 926-2612
Group Name:
Project Name:
Parcel Number: 45181.1514 Block: Lot:
SiteAddress: 916 N BESSIE RD • Owner: Name: NORDBY, WAYNE
Address: 916 N BESSIE RD
Location:: CSV SPOKANE VALLEY, WA 99212
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Hold: ❑
Area: .00 Acres Width: 75 Depth: 120 Right Of Way (ft): 40
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By: (4(
Plan Review
Permits:
Released By:
A ti
Operator: K_C Printed By: K_C
Print Date: 07/22/2005
Project Number: 05002519 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/22/2005 Page 2 of 2
Contractor: OWNER
Group: U-1 Type: VB
Total Area 780
Building Height 14
Stories 1
Building Permit
Finn: OWNER
Phone: (000) 000-0000
Building Characteristics
This Application: Total Project:
Description Grp Tvpe Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 780 $14,820.00 780 $14,820.00
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLAN REVIEW
STATE SURCHARGE
Totals: 780 $14,820.00 780 $14,820.00
Units Unit Desc
1 SELECT
I SELECT
1 SELECT
Notes: -
Payment Summary -
Perm it
funntary-Permit Type
Building Permit
Fee Amount
$251.25
$62.81
$4.50
Permit Total Fees: $318.56
Fee Amount Invoice Amount Amount Paid Amount Owing
$318.56 $318.56 $0.00 $318.56
$318.56 $318.56
$0.00 $318.56
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: K_C Printed By: K_C
Print Date: 07/22/2005
ie
Valley
BUILDING PERMIT APPLICATION WORKSHEET
City 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: 1 >I b / 1[o,r fk £€ s .S / 2
Rot
Assessor's Tax Parcel Number(s):
Legal Description:
.2(0 /lc 30 ga,,ci.7.o-
❑ Change in Use ❑ Grading
❑ Tenant Improvement ❑ Fire Safety
PERMIT DESCRIPTION:
Ff' iilding Permit
❑ Relocation
❑ Manufactured Home
❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner. kayrt
/ller J L y
Phone: VG. .Z(o/Fax:
Address: 9/4 Ar 8essi c
Sfot Uaffey
State
City
❑ Contractor:
Phone:
Address:
Self
Fax:
❑ Applicant:
Phone: Fax:
Address:
Zip Code City
City
State
State Zip Code -
❑ Architect:
Phone: Fax:
Address:
Zip Code City
State Zip Code
• WA State Contractor License #: Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: 2 /if /
DIMENSIONS: a 6,I v 3D
/�
/
OF STORIES:
MAIN FLOOR TO SQ. FTG:
2"" FLOOR SQ. FTG:
/Vo N. t
UNFIN�/BASEMENT SQ. FTG:
Nen 4—
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG: 7 p
5
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
}}reu.n L
u
HEAT SOURCE: /it
i1 t
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?
7S
5'
3
Gat.blo_ End
1 14 Deer 1
New 076 X30/
Gar' ci-ltsnatmintion.
__CoomenHarre
fitinentoey
3,0° /Jdor
Q6
of rX'1 x/01 Framed LJoOot Wa/IS
Trusses) Comp. RAO;
Vynt S[d.n9— 1;ke Hokse
ax ,a" Trc(sse5 (P; i- i )
ig
HOU e
1
Lot S; i e 75 X 1201
gi., 1
416 M Bessie
st RL
This site plan is being submitted for the purpose of
obtaining a beetling permit and 1 I MIM and correct
representatlan 01 the preposef. Al known property
ies/dimen$iOS, dtaMMMMa. NiJabdaa and easements
have bean fa Indicated are wetlands,
Sanies of
tIMt1�a�.j�aMym+ew.
Sao: 7!ao2/ ��///,'�ll�Y'/
Date: