2009, 11-12 Permit App: 09003573 Pole BuildingPerm---..er.y:-'
O�Ile 11707 E Sprague`Ave,' Suittee 106
iSpolsane Valley, VA. 99206
40000 p3'• (509)688,-0036'509)688-0037
�ceLi a; vFa
4fl
wcvw. sppkane 7 lire
Community Developm le'nt_.c��.: is 2
Residential C
V.
Permit Applic
IPERMIT NUMBER: -3E13
PERMIT FEE:
on- New Construction
Addition/Remodel
❑ Other:
❑ Accessory Bldg
n Deck
SITE ADDRESS: /1/4c S 46/4
ASSESSORS PARCEL NO: gre;e2 H. 2.0 7/ LEGAL DESCRIPTION:
Building Owner:
Name: 811Mv �I t - t.44
Address: y C R 5� f/re_
C� ` SP24MH e 04.11€ /� state: U» zi g91.2 /6
Phone:, y7 90?C / Fax ,
Contractor:
Name:761a 4 CouiTBt 13uADBgS Zile.
Address: g9 /8 E9if refer �i1E4/uE
cit37, WeLCW.I fear sCa' te:,yt/A, Zip: f%2/: •
-Phone s9 5.3c- *6 Fac -St% S31 2832
Contact Person
Name: G4e: 5u% /ElT
Phone: Co? 535 76i6 ExT 2(
Describe the scope. of work in,detail:
Contractor Lic No:T0itijozri3G6 Exp -Date: 06/30/05
City Business Lic. No: 641 05?? Gas;
Cost Project: $ . //f$3
Pa 5 f F e2 H)C 2y/ %0 =- b rr
Proposed Use: 6-e,.v4Q t
**************The following MUST be complete: (write N/A=il not applicable)*******.***************
OF STORIE :
UNFIN.BASEMENT SQ. FTG:
DECK/COV. PATIO FT
HEAT SOURCE: SCI
HEIGHT TO PEAK: I DIMENSIONS:'
l _iotr
MAIN FLOOR TO SQ. 2Nu FLOORAQ. FTG:"'
•`LX21.iX/0—�
FTG:
FINISHED BASE ENT
SQ. FTG: M%
# OF BEDROO $/
GARAGE' Q. FTG:
X? (o
CONSTRUCTION TYPE:
Po sr FRAME
TOTAL HABI�TTABLE SPACE:
N' QI
-IMPERVIOUS
SURFACE
AREA Gj .
SQ. 30% SLOPES ON�
PROPERTY: /4
/U�
SEWER OR SEPTIC?,.
The permitee verifies, acknowledges and agrees by their signature that 1) If this pehnit is for constriction 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 karie Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center.This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinan :. •) Plans or additional information may be required to be submitted, and subsequently approved before
this.application can. be dro - .-d.
DATE: // 3 —0 I
SIGNATURE:
Method ofPaymer/t
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
0 Check
❑ Mastercard 0 VISA
Expires: VIN#:
Project Number: 09003573 Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/12/2009 Page 1 of 2
Project Information:
Permit Use: 24 X 24 POLE BLDG
Contact: TOWN & COUNTRY
Address: 5918 E TRENT AVE
C - S - Z: SPOKANE VALLEY, WA 99212
Setbacks: Front Left: Right: Rear: Phone: (509) 535-9016
Group Name:
Site Information: Project Name:
Plat Key: 002753 Name: VERA
District: Sout
Parcel Number: 45224.2571 Block:
SiteAddress: 1415 S BLAKE RD
Location:: CSV
Zoning: R-3 SF Res District
Water District: 010 VERA
Lot:
Owner: Name: CLARK, BILLY
Address: 1415 S BLAKE RD
SPOKANE VALLEY , WA 99216
Hold: ❑
Area: 1,000.00 Acres Width: 117 Depth: 300 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Building Plan Review
Released By:
Originally Released: 11/3/2009 By: tmelbourn
Landuse/Zoning/HE Conditions
Released By:
Originally Released: 11/12/2009 By: CJJANSSE
Permits•
Operator: jmm Printed By: jmm
Print Date: 11/12/2009
Project Number: 09003573 Inv: 1
Application
TRIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/12/2009 Page 2 of 2
Building Permit
Contractor: TOWN & COUNTRY BLDG Firm: TOWN & COUNTRY BLDG CONT
Address: 3908 W DAKIN LN Phone: (509) 448-8483
CHENEY, WA 99004
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
POLE BDLG U-1 VB 24 X 24 576 $10,944.00 576 $10,944.00
POLE BLDG
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLANS REVIEW
WSBCC SURCHARGE
Totals: 576 $10,944.00 576 $10,944.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$195.25
$48.81
$4.50
Permit Total Fees: $248.56
Notes:
Issued Home Profession Permit 10/4/2007 - Lisa D. Clark, "L.C. Distributors" (mjp)
ADMINSTRATIVE EXCEPTION (ADE -09-07) APPROVED FOR LOTS 1-4 BLOCK 1 AND LOTS
1-4 BLOCK 2 OF MAMER PLACE.MINIMUM FRONTAGE OF 60 FEET IS ALLOWED -MH
Payment Summary:
Permit Type
Building Permit
Fee Amount Invoice Amount
$248.56 $248.56
$248.56 $248.56
Amount Paid
$48.41
Amount Owing
$200.15
$48.41 $200.15
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: jmm Printed By: jmm
Print Date: 11/12/2009
RECEIVED 11/10/2009 11:51 5096880037
SV PERMIT CENTERFR
NOV-10-2009 12:43 FROM:TOWN & COUNTRY 15095342830 TO:6880037 P.2'2
I 1
! i
s Alexi
K9& W., .S..
ik.35_111,_257.1
•
-•.-___—
1
•
•