2005, 02-02 Permit App: 05000314 Grading•
Project Number: 05000314 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
•
Date: 02/02/2005
Page 1 of 2
Project Information:
Permit Use: SUBDIVISION GRADING FOR SHP-13-04 (350 CU Contact: RYLEY RIDGE DEVELOPMENTS, LLC
YDS) Address: 6110 N RYLEY LN
C - S - Z: OTIS ORCHARDS„ WA 99027
Setbacks: Front Left: Right: Rear: Phone: (509) 217-1054
Group Name:
Site Information: Project Name:
Plat Key: Name: GUTHRIES VALLEY VIEW 02ND ADD District: Nort
Parcel Number: 45151.1026 Block:
SiteAddress: 1110 N BLAKE RD
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: RYLEY RIDGE DEVELOPMENTS,
Address: 6110 N RYLEY LN
OTIS ORCHARDS„ WA 99027
Hold: ❑
Qik(1,0
Area: 2.08 Acres Width: 232 Depth 390 Right Of Way (ft)- 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Review Coordinator
Plan Review
Released By�
Site Drainage Review
na-e Ply ( .
Approach Permit
Fire District Review
Operator: K_C Printed By: K_C
Released By
Released By:
tir as;
Print Date: 02/02/2005
•
Project Number: 05000314 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 02/02/2005 Page 2 of 2
Water District
Released By:
Landuse Review
Utilities (sewer)
Permits:
ntl,l :Released By: . lea
aa iA
ly
Released By:
Contractor: WILLMS CORPORATION
Address: 15407 E MISSION AVE, STE 445 Phone: (509) 891-8191
SPOKANE VALLEY WA 99037
Grading Permit
Firm: DAN WILLMS CORPORATION
This Application: Total Project:
Description ., Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GRADING NONE NONE 350 $350.00 350 $350.00
Item Description
PERMIT FEE - RESIDENTIAL
REVIEW FEE - RESIDENTIAL
Notes:
Totals: 350 $350.00 350 $350.00 -
Units Unit Desc
1 SELECT
1 SELECT
Permit Total Fees:
Fee Amount
$27.00
$20.00
Payment Summary:
Permit Type
Grading Permit
Fee Amount Invoice Amount
Amount Paid
Amount Owing
$47.00 $47.00 $0.00 $47.00
$47.00 $47.00
$0.00 $47.00
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: K_C Printed By: K_C Print Date: 02/02/2005
Spokane
.001;Valley
•
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
;Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax:. (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: \\\t)
Assessor's Tax Parcel Number(s). ke0` , \b%2p '
Legal Description: Nt✓ Yv SCC f5 T. ASN' 17 JC
u tku o-LtM.�1 d l td (`ilai N1 lack. 7 .
❑ Change in Use o
PERMIT DESCRIPTION:
n Building Permit
Relocation
>KGradirra n Manufactured Home
Tenant Improvement ❑ Fire Safety ❑ Other
cd
OWNER/APPLICANT INFORMATION
❑ Owner:�y�y �t �,ito9U SCS
Phone:217 -tA59 Fax: Eic13-q2\,
Address: 6:AUS to 0.,:k &M
&. acss ' a Ca(r)
! City State Zip Co
Li Contractor
Phone:
Address.
n
n
#.4141 e •(• re
Air•
Zip Code/ / State
Applicant: \Ls j.a CcrAe_
Phone:
,Fax:
Address: AWr -OWAIIl
City
Architect -
Phone
rchitectPhone: 3 392
State
s:!0"
1
Zip Code
AltaLA
20 3 --
WA State Contractor License #:NsTaMeret M tact:.. , H.t,0
Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK.
DIMENSIONS:
# OF. STORIES: i •.t,
MAIN FLOOR TO SQ. FTG'
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG.
FINISHED BASEMENT SQ. FTG:
GARAGE SQ FTG.
DECK/COV. PATIO SQ. FTG.
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE '
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA
COST OF PROJECT.
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE
SYSTEM?
r
L
��MANUFACTGRED HOME
Width: Length:
Manufacturer:
Year:
Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm: Paint Booth:
Tent: ,Fireworks ;Display: .. . Blasting: .Date/Time:
Valuation: -• :- - Above/Underground Storage •Tank Size: s; ` , -
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone: Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
C ity
State Zip
SPECIAL INSPECTIONS
(1
BOLTING
Firm Name:,
Inspector(s): '.`.:
• DESCLAIMER
Fl CONCRETE
•
REINFORCEMENT
Phone: j ! 'Fax:
•
C WELDING
t
.•.'tl' -
•
The permitee verifies, acknowledges and agrees by tt~etr signature that 1) If this permit is for construction of or'on a
dwelling, the dwelling;isYwili be served.by,potable water! 2-) .Ownership of this,Ctty of Spokane Valley Permit inure to the
property owner' 35 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.
Ownership of resulting development rights granted 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)
II
Cash
Bankcard #:
D Check ri Mastercard
Authorized Signature:
❑ VISA ❑ Other
Expires: V!N#:
•
Project History
PROJECT NUMBER 05000314
PERMIT USE SUBDIVISION GRADING FOR SHP-13-04 (350 CU YDS)
SITE ADDRESS 1110 N BLAKE RD
Date
02/02/2005 Event
Review comments
REC'D PLANS & APPLICATION ON 2/1/05. ROUTED ON 2/2/05. N/A
CAkIkaPQ fxCci i4 (MJ
Wednesday, February. 02, 2005 Page 1 of 1