2006, 06-12 Permit App: 06002215 Pole BuildingConununity Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. spokaneval lev. org
Residential Construction
Permit Application
PERMIT NUMBERS
PERMIT FEE:
❑ New Construction
❑ Addition/Remodel
❑ Other:
Accessory Bldg
Deck
SITE ADDRESS t 0014' s . &o -k -e lett, \ t�t yK�
ASSESSORS PARCEL NO: 45aa4 . a"t O t LEGAL DESCRIPTION:I nae I,, €th Acid Li_ ` )2
Building Owner:
Contractor:p
Name: grn-- ,,,,A ( m -Rbi,e
Name:
Address: Lt0T S . 61010 -61010 -Address:
TO SQ.
A
City: ,iacivof „�r/nJ( State: Zip: crag,
City: State: Zip:
Phone:5� nna 3vgoa Fax:
YT1
Phone: Fax:
FIINISHED BPS€MENT '
1
Contractor Lie No: Exp Date:
Contac,t, Person
30% SLOPES ON
PROPERTY:
City Business Lie. No:
�) 1
HEAT SOURCE:
ti IA
SEyXER OR SEPTIC?
N IA
Name- Qoi'i� ) oher4
Phone- 509 aas. FStPs
Describe the scope of work in detail:
Cost of Project: $ 0 i 500 - °- O
304 do PbketilIc%e (shop)
**************The followin MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMENSIONS:
30 x 310
# OF STORIES:
1
TOTAa,L� yy��BITABLE SPACE:
>,1I F1:
MAIN FLOOR
TO SQ.
A
2R" FLOOR SQ. FTG:
1•114
UNFIN BASEMENT
14
SQ. FTG:
IMPERVIOUS SURFACE
FIINISHED BPS€MENT '
1
GARAGE Q. FTG:
v
DECK/COV.(PATIO SQ. FTG:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
IJ IA
CONSTRUCTION TYPE:
Dole but Id.inq
HEAT SOURCE:
ti IA
SEyXER OR SEPTIC?
N IA
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
Signature
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 9252005
0 Check
Date
❑ Mastercard 0 VISA
Expires: VIN#:
Project Number: 06002215 Inv: 1 Application Date: 6/12/2006
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Page 1 of 2
Project Information:
Permit Use: 30 & 36 POLE BUILDING
Setbacks: Front
Left: Right: Rear:
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Site Information: Project Name:
ROBERTS, BRENT & CARISA
1004 S BLAKE RD
SPOKANE VALLEY , WA 99216
(509) 892-3802
Plat Key: 002945 Name: WOLFCREST ADD
District:
F
Parcel Number: 45224.2901 Block:
SiteAddress: 1004 S BLAKE RD
Location:: CSV
Zoning: SFR
Water District:
Area: .00 Acres
Width: 0
Lot:
Owner: Name: ROBERTS, BRENT & CARISA
Address: 1004 S BLAKE RD
SPOKANE VALLEY, WA 99216
Hold: ❑
Depth: 0 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Building Plan Review
Released By: - -
Driveway/Approach
Originally Released: 6/12/2006 By: TMELBOU
Released By:
Originally Released: 6/12/2006 By: amblake
Landuse/Zoning/HE Conditions
Released By: -- - -
Sewer Review
Permits:
Originally Released:
6/7/2006 By: CJJANSSE
Released By: - ..
Originally Released: 6/12/2006 By
amblake
Operator: AMB
Printed By: AMB
Print Date: 6/12/2006
Project Number: 06002215 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/12/2006 Page 2 of 2
Contractor: OWNER
Descriptionrp Type
POLE BDLG U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLANS REVIEW
WSBC SURCHARGE
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Notes Sq Ft Valuation So Ft Valuation
OWNER 0 $10,500.00 0 $10,500.00
Totals: 0 $10,500.00 0 $10,500.00
Units
1
1
1
Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Fee Amount
$195.25
$48.81
$4.50
$248.56
Notes: r..
Payment Summary: ,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $248.56 $248.56 $0.00 $248.56
$248.56 $248.56 $0.00 $248.56
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: AMB Printed By: AMB Print Date: 6/12/2006
Project Number: 06002215 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/7/2006 Page 1 of 2
Project Information:
Permit Use: 30 & 36 POLE BUILDING
Setbacks: Front
Left: Right: Rear:
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
ROBERTS, BRENT & CARISA
1004 S BLAKE RD
SPOKANE VALLEY , WA 99216
(509) 892-3802
Site Information:
Plat Key: 002945 Name: WOLFCREST ADD
District:
F
Parcel Number: 45224.2901 Block:
SiteAddress: 1004 S BLAKE RD
Location:: CSV
Zoning: SFR
Water District:
Area: .00 Acres Width
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: ,
Lot:
Owner: Name: ROBERTS, BRENT & CARISA
Address: 1004 S BLAKE RD
SPOKANE VALLEY, WA 99216
Hold: ❑
0 Depth: 0 Right Of Way (ft): 50
Review
Building Plan Review
Released By: TiGL
Driveway/Approach
Released By: - - -
Landuse/Zoning/HE Conditions
Released By: \ 9
AA
Sewer Review
Released By: •
Permits:
Building Permit
Contractor: OWNER • Firm: OWNER
Phone: (000) 000-0000
Operator: AMB Printed By: AMB
Print Date: 6/7/2006
Borrower Cerise Martin / Brent Roberts
Property Address 1004 South Blake Road
City Spokane Valley County
Lender/Client W.S.E.C.U.
PLAT MAP ADDENDUM File No. 12701Martin
Spokane
Address
State WA Zip Code 99216
P.O.Box WSECU. Olympia. WA 98507
P
9_
- DLL Avon
BY.
DATE: 1-__J_L7;-1/40_____