2003, 06-24 Permit App: BD03-427 MHCity of
SPOKANE VALLEY
Phone
FAX
Inspection
PERMIT #
BUILDING PERMIT APPLICATION
688-0036
688-0037
688-0054
Box 1 OWNER /isa ,// c'4'cr JOB LOCATION ,2C?
OWNER'S ADDRESS Z97 t• /fc// CITY --C.; &%a##t ST. cif PHONE fo q- 9znaO 3
�N
DESCRIBE JOB /%r/d ,4fr V y -*2%%-%Vii,..77 z -
THIS PROPERTY IS OWNED BY: SINGLE/ RIE A PARTNERSHIP CORP.
BOX 2 CONTRACTOR'S NAME /*//.6-/ • / Gra+ G PHONE
-c-e6 235/x306 2—
CONTRACTOR'S ADDRESS/5Y0'> Si/�e'r<� CITY
CONTRACTOR'S REG.# EXPIRATION DATE
(CARD MUST BE PRESENTED AND COPIED OR VERIFIED)
BOX 3 CONTACT PERSON OF PROJECTT -i l CG,Shi " PHONE fZ� -Joe' Sr
ADDRESS%S-�/o en �;!<�-cce CITY —1-7a'`C*^-C jt ZIP 5 7
BOX 4 SEWER AVAILABILITY . Pa' c WATER AVAILABILITY c/-/Af Gsiiy/
BOX 5 ESTIMATED PROJECT COST $ EXISTING BLDG. VALUATION $ ••••4„ 6d0
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
CENSUS NUMBER LOT NUMBER
BOX 7 BUILDING SQUARE FOOTAGE (Existing / proposed)
3RD FLOOR/ft/1i / OTHER /
BASEMENT UNFINISHED /%// / DECK ,4/ff / GARAGE 41// `
CARPORT ,Mt / TOTAL / HEIGHT TO PEAK OF BUILDING /7` FT.
1ST FLOOR l/SUS 2ND FLOOR/r71-/
BASEMENT FINISHED /
BOX 8 9) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS
( ) COMMERCIAL / INDUSTRIAL
( ) TENANT IMPROVEMENT
( ) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY .94 Z5' SQ. FT.
IMPERVIOUS SURFACE SQ. FT.
BOX 9 PLUMBING FIXTURES (Including rough -ins)
MECHANICAL APPLIANCES
PLEASE USE THE ATTACHED PLUMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS,
LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL.
BOX 10 Water Service meter.size (if known) Also see BOX 4
BOX 11 Septic Tank - Not generally allowed in the City of Spokane Valley. For special circumstances contact
Your sewer purveyor and the Health District (See BOX 4)
BOX 12 Street use may require a " Street Use Permit" for sewer, water, sidewalks, curb cuts. Contact the Public
Works Department.
I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
ABOVE PREMISES TO PERFORM THE WORK FOR WHICH THE APPLICATION IS MADE.
OWNER/AGENT
DATEil (OVER)
s-vappbp 4-16-03
I hereby authorize the City of Spokane Valley to charge the fee'for this permit to my credit card:
Visa Mastercard Expiration Date
Print the name of the Holder Signature
DO NOT PLACE ANY BUILDING UNDER POWER LINES OR OVER INCOMING GAS LINES.
OFFICE USE ONLY- PLEASE DO NOT WRITE BELOW THIS LINE
ZONE SETBACKS: FRONT SIDE REAR /1-12 HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL DISAPPROVAL DATE
REMARKS
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DISAPPROVAL DATE
REMARKS
PUBLIC WORKS DEPARTMENT APPROVAL DISAPPROVAL DATE
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ALT/ADD NEW MULTIFAMILY NO. UNITS
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORIES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NUMBER
PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECH. FEE
TOTAL FEES WSBCC SURCHARGE ENERGY SURCHARGE
OTHER CHARGES AMOUNT DUE
BUILDING DEPARTMENT APPROVAL BY
ASSIGNED ADDRESS
Received
DATE
07/18/2003 12:55 5093241567
11707E. SPRAGUE, S"LE 106
alley SPOKANE VALLEY., WA 99206 .
(309)688-0036 FAX (509)688-0037
SITEINFORMATION
SRHD EHS
PAGE 01/01
TO 3241567 P.01/03
PROJECT TRANSMITTAL:
TRANSMITTAL DATE:
• PERAIIT INFORMATION
Site Address: Pp3 • Re l 1
Parcel Number: S571 g• ® 9:2:2
Subdivision: App (c. Ua l to
L2
Block:
Zoning:
B% t
Lot:
Water Dist:
Owner: � . L;Sa 1 WI,(1
Address: 3.07 s- a e e I
Building Inspector:
YerSt Number:boa -Mr) Issue Daatte:
Permit Use PI G1CP, yy_c� 1 � �Po�
Applianut: ROG! ( Cerro -
is -4040 Srfae
oker "032
Phone:
kA. .
T.../.1_
Contact:
Contr4ctor:
Phone: tc 3
063
- Front: Left:itjA Right/6 Rear:
APPROVALS
PLANNING:
ENGINEERS: re,a state.) 044hte"IN
%CJ
DEALT$;
sewadssmem dee
hedroorns, or
-d far.; rrif.n iT1 ren i1i •�
4aR,�3e nor ra••v
CILVIrnivi-nicro OWEn i•rlit were .
SEWER.
iti�Ba6na nn ACPINfl r., _
T� '71$'03
JUL 15 2003 12:56
509324156? PRGE.01
NOMI
rrr OF "�
pokane 11707 E. SPRAGUE, STE 106
ValleySPOKANE VALLEY, WA 99206
(509)688-0036 FAX (509)688-0037
SITE INFORMATION
PROJECT TRANSMIl'LAL:
TRANSMITTAL DA1E:
PERMIT INFORMATION
Site Address: )63 a. IJe I I
aroWck.c wQ •
Parcel Number: , 5712. 0 92.2
Subdivision: App (e, UCL (t2
L2
Block:
Zoning:
Lot:
Water Dist:
Owner: &LestLtsci wI(I
Address: 2_03 S- 2>e,(1
Building Inspector: K eU t ✓'
nBUILDINGS:
51.4.4.4�/ u ru�i Ani
PLANNING:i
ditegi 1 -
Permit Number: 60o3 . -L)21 Issue Date:
Permit Use: Pietc Q Ims vt+ 0`,
q
Applicant: RObi ( -P(o^- `
E Srlac
t
sic1 037
Phone:
Contact:
�m 5fie'n,
Phone:
,2,c-5005
Contractor:
Setbacks — F'ront:25-Left:g/A Right /i) Rear:
APPROVALS
/5 -p
ENGINEERS: ria 5.2' 5 £2 fl2A rLt
HEALTH:^
jam— � Y iu
SEWER.
DIST:
11707 E. SPRAGUE, STE 106
they SPOKANE VALLEY, WA 99206
(509)688-0036 FAX (509)688-0037
SITE INFORMATION
PROJECT TRANSMI11 AL:
TRANSMITTAL DA 1E:
PERMIT INFORMATION
Site Address: 0263 . a I
DJ
Parcel Number: S579'2. 67.22
Subdivision: Opp (e, Va 1L.2
Lot: �.
I�
Water Dist:
Block:
Zoning:
Owner: GLLest btsa 4 W LEI
Address: 2-03 S- e CI
Building Inspector: K eu 1 y1
Permit Number: 60o3 -421 Issue Date:
2-e _(�G flew
Permit use: Plot p VVve 0`,
Applicant: RoGi (-e ecarl 1
fS' C(p E S.j",Iu e
S k 1 037
Contact:
m
Contractor:
Phone:
Phone:
Setbacks - Front:2sLeft:,J//A Right/5 Rear:
APPROVALS
ENGINEERS: Fia e '5 OpretThc
HEALTH:
SEWER;
DIST: •
7727/&3
METRO ENGINEERING, ING
ChatE ret-ringawdPmpeabkaacerarnSewazs
hate 16, 2003
pp.ka.e Degiaissil Beide District
1101 W. College, Room 402
*AMC, WA 99201
Sent Via Fax. if 324-1567
4TTENTS N: Terry Cie/ben
Rr: Sewage Dbpoeal Spathe kr 203 S. Bt1I
Metra Eu ima'a Project Ms: as-0tis
SRBD Application No.: 03-5322
(dear Mr. Chaim era:
This letter is, by advise you that Matin F.ngiareerirety Inc. has bean retained by All Terrain
gaeevales to'perfarm the design and prepare the piens for a leach bed system for the
dbove teferemled residential property This residcotisl property is located it 203 S. Bell.
ti't Spokane County and owned by Ms.Gucst.
We pafermed a site visit on lune 11, 2003, and viewed the location of the tastbole. A
preliminary site plan and engineering calculations were prepared to verify that a system can
be reentered std provided Sr this sits. Tbere is adequate era for the C004112Ctift of the
faabties
We request the building permit for this property be released matinee aeon final design
of the leach bed system.
flnse cell if you have airy questions. Thank you for the review of thtis ioom.
Sincerely,'
d T. Lynch
cc: Omen Fla ..
S 324 .SRenwgr 8t ,Spam,, Washimpar 99202 P*: 50424-9371 Twr: 5096244151
JUN 1? 2003 11:28 5092993680 PRGE.02
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