2008, 09-11 Permit App: 08003259 Pole Building'08/15/2008 14:20 5096880037
• Pe.rnnt Center
Site 11707 E Sprague Ave, Suite 106
C�p'�� �p�7 Spokane Valley, WA 99206
Va`-'J (509)688-0036 FAX: (509)688-0037
Community Development vvww•spokanevalley.orw
SV -PERMIT CENTERFR
PAGE 01/02
PERMIT NUMBER: fr.?2,57
PERMIT FEE:
Residential Construction 0 New Construction
Permit Application
Lf Accessory Bldg
n ddition/.Remodel Deck
r ✓l Other:
SITE ADDRESS /19/2 E S/ao,nc/ GC/G
ASSESSORS PARCEL NO: S1V/73.25//
LEGAL DESCRIPTION:JO7' ,45 '6/d 4 ,Z4Z eaj /0m t ,
A.-rid. m�
)irne:,ac:.. . „ re 5..t =
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Gbga9td':c :`�.•-.:
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Name:,Z/ON; i 57.97/...<16
Name'
/ti/v-AZk S/eaclueei 1n> c
Address: 7560 /7/401. 29/
City: >�OLIj State:y/,9 Ztpp902
Phone: Y�-�3.2 Fax: 2676 )S//O
Address: /r9/2 s/do/Y/L, 2e%
City: 7 ,1/9 State: ja Zip1 /%/(o
S�o Ya��c
Phone. 95/ 109/ Fax:
GA E SO. TG:
220 S . i 14
c°Ffazgtfr ii °S92oAJ Exp Date:3 // /o
. C`0iiat.L rson : _. 2 .: F w- es .:_
# OF BEDI:OMS:
�N
City Business Lie. No:
n
SEWJER OR SEPTIC?
4//4
Name: Hoses n&4tieV
Phone: 95V-3-4-32.
Describe the scope of work in detail:
Cost of Project: $/9 .227
**************The following MUST be complete: (write N/A If not applicable)***
******************
HEIGHT TO PEAK: ,
/V
DIMENSIONS:
'WO
# OF STORIES:
ode
UNFIN BASEMENT SQ. FTG:
/✓f9
TOTAL HABITABLE SPACE,
MAIN FLOOR 0 SQ.
FTG:
20 S. c
2Nu FLOOR SQ. FTG:
4✓1_
IMP RVIOUS SURFACE
@
AREA:
WA
BASEMENT
SQ. FTG: ,✓//%
GA E SO. TG:
220 S . i 14
DECK/ OV. PATIO SQ. FTG:
/1//A
30% SLOPES ON
PROPERTY: !✓7H
# OF BEDI:OMS:
�N
CO TION TYPE:
A/c u//di,6
HEAT SOURCE:
WA
SEWJER OR SEPTIC?
4//4
The pemmitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the
dwelling ishvill 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:
❑ Cash 0 Check
Bankcard #:
Authorized Signature:
REVISED 825/2005
0 Mastercard
❑ VISA
Expires: VIN#:
Date J-/f-ol
RECEIVED BY
CITY OF SPOKANE VALLEY
MG 2 0 2008
BY:
Project Number: 08003259
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/11/2008 Page 1 of 2
Project Information:
Permit Use: 24 X 30 POLE BLDG
Setbacks: Front Left:
Site Information:
Right: Rear:
Contact: MID-NITE STRUCTURES INC
Address: 7560 HWY 291
C - S - Z: FORD, WA 99026
Phone: (509) 954-5532
Group Name:
Project Name:
Plat Key: Name: LABERRY MOBILE PARK ADD District: East
Parcel Number: 55173.2511
Block:
SiteAddress: 18912 E BLOOM CIR
Location:: CSV
Zoning: MF -1
Water District: 134
Area: 13,200 Sq
Nbr of Bldgs: 0
Lot:
Owner: Name: STALLING, LLOYD V & JONI M
Address: 17209 E 4TH AVE
SPOKANE VALLEY, WA 99016
MF MDR District
CONSOLIDATED ID #19
Ft Width: 0
Nbr of Dwellings: 0
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review Information: ,
Review
Building Plan Review
Released By:
Driveway/Approach
Originally Released: 8/25/2008 By: tmelbourn
Released By:
Originally Released:
Septic Sys Review
9/10/2008 By: TMELBOU
Released By:
Originally Released: 8/21/2008 By: LHALSEY
Landuse/Zoning/HE Conditions
Released By:
Total square footage of all detached accessory structures shall not exceed 10% of lot size
Originally Released: 9/10/2008 By: MBASINGE
Operator: JD
Printed By: JD
Print Date:
9/11/2008
Project Number: 08003259 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/11/2008 Page 2 of 2
Permits: ,
Building Permit
Contractor: MID-NITE STRUCTURES INC Firm: MID-NITE STRUCTURES INC
Address: 7560 HWY 291 Phone: (509) 954-5532
FORD WA 99026
Building Characteristics
Building Height 14
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
POLE BDLG U-1 VB 720 $13,680.00 720 $13,680.00
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLANS REVIEW
WSBC SURCHARGE
Notes:
Payment Summary:
Permit Type
Building Permit
Totals: 720 $13,680.00 720 $13,680.00
Units Unit Desc Fee Amount
1 SELECT $237.25
1 SELECT $59.31
1 SELECT $4.50
Permit Total Fees: 5301.06
Fee Amount Invoice Amount Amount Paid Amount Owing
$301.06 $301.06 $0.00 $301.06
$301.06 $301.06
$0.00 5301.06
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: 9/11/2008
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