2005, 03-01 Permit App: 05000594 StorageProject Number: 05000594 Inv: I
Application
THIS 1S NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/01/2005 Page 1 of 2
Project Information:
Permit Use: 24 X 36 DRY STORAGE BUILDING Contact: VIGESAA, KURT J & MANDEE K
Address: 1420 S BETTMAN
C - S - Z: SPOKANE, WA 99212
Setbacks: Front N/A Left: 7 Right: 47 Rear: 14 Phone: (509) 533-5676
Group Name:
Site Information: Project Name:
Plat Key: Name: BETTMAN'S ADD
District: Sout
Parcel Number: 35243.1048
Block: 10 Lot: 17
SiteAddress: 1420 S BETTMAN RD
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 4,500 Sq Ft
Nbr of Bldgs: 1
Urban Residential 3.5
Width: 50
Nbr of Dwellings: 0
Owner: Name: VIGESAA, KURT J & MANDEE K
Address: 1420 S BETTMAN
SPOKANE, WA 99212
Hold: ❑
Depth: 90 Right Of Way (ft): 0
Review Information: -
Review
Site Plan Review
ISOM
r
tallik. 47:
',--
Released By.
Plan Review
-Released By:
Permits .
Operator: K_C Printed By: K_C Print Date: 03/01/2005
BUILDING PERMIT APPLICATION WORKSHEET
Spokane City of Spokane Valley Community Development Department
E C E IId Building Division
11707 E. Sprague Avenue, Suite 106
Vall:�� Spokane Valley, WA 99206
FEB 2005 ,Phone: (509) 688-0036; Fax: (509) 688-0037
SI'f FORMATION
Street Address.
120 t QP#MAn Cnntanp fA/A 9%2/2
r
Assessor's Tax Parcel Number(s): �s f8r¢f� / 7'52 1/3, /p `/8 )
Legal Description: BP{fMa n 4d,-//i.'n„ S90 FILn F /n f -r / 7- 2/
PERMIT DESCRIPTION: Sino /3Prnli / 7nlp/A tApn/J
K_
J' Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Owner: /Coorf \/inPsAA
Phone -c33-5:67.4 Fax:
Address: / fao S /T A#MAn
nkanp tA/A 992/2
City / State Zip Code
❑ Contractor: n//A
Phone: / Fax:
Address:
City
State Zip Code
(�C Applicant: -5- Min p
Phone:
Address:
Fax:
City
❑ Architect: A/7A
State
Zip Code
Phone: / Fax:
Address:
City
State Zip Code
WA State Contractor License #: Contact:
PERMIT/BUILDING INFORMATION
HELGH.T_T2P_EAK:_._ /5 i ._ _... _.._
_DIMENSIONS:.= 2. y /,x...36 / _.__.-_#
OF_STORIES:.. ___..1_-„ _.,-.
MAIN FLOOR TO SQ. FTG: A/A4
2"" FLOOR SQ. FTG: A
UNFIN BASEMENT SQ. FTG: //A
FINISHED BASEMENT SQ. FTitG:
1/4
GARAGE SQ. FTG: o /
.DECKICOV. PATIO SQ. FTG: Avis,
OCCUPANCY GROUP: /1///1CONSTRUCTION
TYPE: W o 0�
HEAT SOURCE: N/4
# OF BEDROOMS: N/A
TOTAL HABITABLE SPACE: N1/4
IMPERVIOUS SURFACE AREA:
A
COST OF PROJECT: f
5000 00
30% SLOPES ON PROPERTY: M/
//4
SEWER OR ON -SIT ' /�
SYSTEM?
MANUFACTURED HOME
Width: Length: • Year: .Pit Set:
Manufacturer: `'
RELOCATION
Previous Address:
Proposed Use:
l
FIRE SAFETY
Fire Sprinkler:
Tent:
Valuation: Above/Underground Storage Tank Size:
# of Heads: Fire Alarm: Paint Booth:
Fireworks Display: Blasting: Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
❑ REINFORCEMENT
Firm Name: Phone:
Inspector(s):
Fax:
❑ WELDING
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.
Ownershi oresulting development rights 9 -ranted by anY issued -permit inure to the property owner.
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
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