2006, 12-20 Permit App: 06004903 Pole BuildingPermit Center
Si�kane 11707 E Sprague Ave, Suite 106
tt`` Valle Spokane, Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallev.ora.com
Residential Construction
Permit Application
PERMIT NUMBER: 961
3 PERMIT FEE:
o New Construction
o Addition/Remodel
o Other:
Accessory Bldg
o Deck
SITE ADDRESS /RL, 99/<lE
ASSESSORS PARCEL NO:`7 J 9 7� e ! 1,7 3 LEGAL DESCRIPTION:
Building owner
Name: 1)10._S7 rt"L. i/Sttf/d//.±1s
Name:
14C1i%24._ 7494 /?)�
Address:
_L_J
/ 8 ( SAz /czk yo
City:c
.f*
FINISHED BASEMENT
SQ. FTG:
t%L4e pp: `,9,2/4p
Phone:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
Fax:
:Contact Person
Name: (,.]A ()t,
Phone:
.Contractor :::.....:
Name: 1)10._S7 rt"L. i/Sttf/d//.±1s
Address:..___53.../4' ,.TP nJS ��Jl
City: �pp� 1.2)4 Zip: 9_26___S—
Phone: 77) - gSfR(.4, Fax:
Lic No:,473. Date: /`j —6)7
City Business Lic No: �D O / yZ, a„ V
Describe the scope of work in d tail: ,, / Cost of Project:
O`e ,64,e/v
$//
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO ,PEAK:
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2ND FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
1 Zo _
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
DISCLAIMER
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 - ' • e process:
Signature
Date
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check 0 Mastercard 0 VISA
Bankcard #: Expires: VIN#:
/2— /8-
0
8--
❑ Other
Authorized Signature:
REVISED 8/25/2005
Project Number: 06004903 Inv: 1
Application
THIS IS NOT A PERMIT
Date: 12/20/2006
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 40x30x12 POLE BUILDING Contact: NBC STEEL BUILDING
Address: 5329 N STEVENS
C - S - Z: SPOKANE, WA. 99205
Setbacks: Front Left: Right: Rear: Phone: (509) 710-8586
Group Name:
Project Name:
Site Information:
Page 1 of 2
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Plat Key: 002752 Name: VERA District: Sout
Parcel Number: 45271.1143 Block:
SiteAddress: 1815 S BLAKE RD
Location:: CSV
Lot:
Owner: Name: PARENT, DANIEL
Address: 1815 S BLAKE RD
SPOKANE, WA 99216
Zoning: UR 3.5
Water District: Hold: El
Area: -,1\<.00 Acres Width: 143 Depth: 232 Right Of Way (ft): 50
Nbr of Bldgs: 3 Nbr of Dwellings: 1
Review Information: • 'gf,; VW_ ,t',..:,;(404haftWISACti, N!„Pr„rt' ' nkftete
Review
Building Plan Review
Landuse/Zoning/HE Conditions
Released Bi --1)111
Permits:
(Lackt 0[67
Operator: JD Printed By: jmm Print Date: 12/20/2006
Project Number: 06004903 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/20/2006 Page 2 of 2
Building Permit
Contractor: NBC STEEL BUILDINGS Firm: NBC STEEL BUILDINGS
Address: 5329 N STEVENS Phone: (509) 710-8586
SPOKANE, WA 99205
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
POLE BDLG U-1 VB 1,200 $22,800.00 1,200 $22,800.00
Totals: 1,200 $22,800.00 1,200 $22,800.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $363.25
ACCESSORY PLANS REVIEW 1 SELECT $90.81
WSBC SURCHARGE 1 SELECT $4.50
Notes:
Payment Summary:
Permit Type
Building Permit
Permit Total Fees: $458.56
v4.41:'a 14 rxk% :Ca - <'', " .. ...? , �. ; ' ; a": 7::t:.". 7"9 1, 74"".� : ,.,�.aa:'" , ".
Fee Amount Invoice Amount Amount Paid Amount Owing
$458.56 $458.56 $0.00 $458.56
$458.56 $458.56 $0.00 $458.56
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: JD Printed By: jmm Print Date: 12/20/2006