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2007, 11-07 Permit App: 07004431 Pole Building#. Community Development Residential Construction Permit Application Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokanevalley.org PERMIT NUMBER: *VA PERMIT FEE: n New Construction ❑ Addition/Remodel n Other: Accessory Bldg ❑ Deck SITE ADDRESS: E 1331C siSIoscot J .t1%Q ld.l 11- q q 21 to ASSESSORS PARCEL NO: • LEGAL DESCRIPTION: Building Owner:44 Contractor: 5- Name: nAno Ic.. E Lvnut U,1/ll(aje. Name: ‘meson Can antr0.swn5 P 0 130K l (e r) V CitY:vi�t a c'ed Lake State: ��l Ztp.?quiz Address:Address: E 1'x:315 3lnscc, City: SPC)k0.Nk �, � State: Zip:�21(o Phone:�1-©�' r"1'1S- i� �I Fax: Phone:5 01 -Z444-2(,3(D ,Fax: )th Zgq.- 2S -f l FINISHED BASEMENT SQ. FTG: Contractor Lic No:Et rrlSC 14�iCJrmxp Date:.? / t o I.Z oo ci CQ,� / Contact Person 30% SLOPES ON PROPERTY: City Business Lic. No: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC? Name:. t}• S`ketl, S3/4-1unccfl Phone: SO°i- q99 - ', 525 Describe the scope of work in detail: Cost of Project: $ 10,6(J0 '3c)t4(ln jnle bruldu Proposed Use: de CtxC,&g A va ✓aqe **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT i SPEAK: DIMECSIONtitxS:I D # OF STORIES: TOTAL HABITABLE ITABLE SPACE: 55 MAIN FLOOR TO SQ. FTG: 2a' FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE AREA: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: —I 20 o (L DECK/COV. PATIO SQ. FTG: 30% SLOPES ON PROPERTY: # OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC? 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 ordina ces. 6) Plans or additional information may be required to be submitted, and subsequently approved before this application can be pr�' sed. SIGNATURE: Method of Payment: 0 Cash Bankcard #: Authorized Signature: REVISED 1/15/07 0 Check ❑ Mastercard Expires: DATE: 1/' S— 01 RECEIVED BY !CITY OF SPOKANF "ALLEY NOV 0 5 2007 PERMIT CENTER ❑ VISA VIN#: Project Number: 07004431 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 11/7/2007 Page 1 of 2 Project Information: Permit Use: 30 X 24 POLE BLDG Setbacks: Front Left: Right: Rear: Site Information: Contact: STIMSON CONTRACTING Address: PO BOX 1687 C - S - Z: MEDICAL LAKE, WA 99022 Phone: (509) 244-2636 Group Name: Project Name: Plat Key: 001844 Name: OPPORTUNITY TERRACE, 03RD ADD District: Sout Parcel Number: 45271.2715 Block: SiteAddress: 13315 E BLOSSEY AVE Location:: CSV Lot: Owner: Name: WALLACE, MARK A/HODGSON, Address: 13315 E BLOSSEY AVE SPOKANE VALLEY, WA 99216 Zoning: SFR Water District: Hold: ❑ Area: 14,349 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: - Review Building Plan Review Released By: Originally Released: 11/6/2007 By: tmelbourn Landuse/Zoning/H E Conditions Permits • Released By: - Originally Released: 11/6/2007 By: mbasinger Operator: JD Printed By: JD Print Date: 11/7/2007 Project Number: 07004431 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 11/7/2007 Contractor: STIMSON CONTRACTING Address: PO BOX 1687 MEDICAL LAKE, WA 99022 Building Characteristics Building Height 15 Building Permit Page 2 of 2 Firm: STIMSON CONTRACTING Phone: (509) 299-6040 Description Grp Type Notes POLE BDLG U -I VB Item Description RESIDENTIAL PERMIT FEE ACCESSORY PLANS REVIEW WSBC SURCHARGE Notes: This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 720 $13,680.00 720 $13,680.00 Totals: 720 Units Unit Desc I SELECT 1 SELECT 1 SELECT $13,680.00 720 $13,680.00 Fee Amount $237.25 $59.31 $4.50 Permit Total Fees: $301.06 Payment Summary: , .. Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $301.06 $301.06 $0.00 $301.06 $301.06 $301.06 $0.00 $301.06 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: JD Printed By: JD Print Date: 11/7/2007 Spokan' ems' jValley� Community Development Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 ' (509)688-0036 FAX: (509)688-0037 w ww.spokanevalley.oru MINIMUM RESIDENTIAL SITE PLAN REQUIREMENTS • Site Address or parcel number • Abutting Street Names • Actual Property Configuration • Property Dimensions, Property Lines and Property Corners • Property Square Footage o www.spokanecounty.org/assessor/ • Actual Structural Footprint for proposed and existing structures with dimensions and square footage also identified • Proposed and existing building setbacks • Distances (in feet) between existing and proposed primary and accessory structures • Location of existing or proposed driveways • Location of septic tank and drain field • 2 Sets of the site plan • 8'/2 x 11 sheet of paper • Indicate North Arrow • All bordering Utility and Access easements **********SAMPLE SITE PLAN ON BACK**************** 100' • SAMPLE SITE PLAN 4- 7'-* 5' Proposed Accessory Structure 20' 53 20' • 24' 30' 15' 5' Septic Tank & . Drain Field Locations (If Applicable) 15' 19' ► 1 I 30' Residence Proposed/Existing i 1234 E. Main St. 48' 1 Prorosed Addition 15' 1 8' 4 80' ► Main St. Customer Name f )/A I a CZ Date 1331c E glossc *ace,* uJS 15214, BUILDING LAYOUT I/o` 12 0 rl s' propoted Ftc,ceSS°.y Skr y_c 30' T S PLANNIfie BY?, iU DEPT. APPROVED a DATE. rent 13 31 s oS 5-c $t 1.(o.r.03- doss c s7L l —RECEIVED -Br' CITY OF SPOKANEVA; ; Et K I 0 5 2007 PERMIT CENTER BY: