2011, 02-04 Permit App: 11000289 CarportSpokane
Va11ey°
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
oermitcenter@sookanevallev.orq
(Staff Use Only)
J,
PERMIT NUMBER:
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
0 NEW CONSTRUCTION 0 ADDITION EMODEL 0 ACCESSORY BUILDING
0 DECK OTHER cep.f yJ
SITE ADDRESS: illI 17 dot j
. / r ss jl� (�� (`(�
ASSESSORS PARCEL NO.:
SITE
r
BUILDING OWNER NAME: A 7./tl'l' fe4 i.... C/,1 p S
NAME:477L% C%n ( LTJ
ADDRESS: )1 � ' (f' l 7 /3i') C
CITY:
PHONE:
�21
FAX:
STATE:
CONTACT NAME: r (Qu2,l?r'
PHONE:
CONTRACTOR NAME:
FAX:
CELL:
CELL:
ZIP: ZC
MAILING ADDRESS: 5c ✓ L
CITY:
STATE: ZIP:.
PHONE:
FAX: CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
G?r per --
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A IF NOT APPLICABLE
Height to Peak:
Dimensions:
No. of Stories:
Total Habitable
Space:
Main Floor SQ FT:
Upper Floor SQ FT:
Unfinished Basement SQ
FT:
Finished Basement SQ
FT:
Garage SQ FT: CAAQagfeck/Covered
3' C LI r 0,t-
Patio SQ
FT:
Impervious Surface
Area:
30% Slopes on
Property:
No. of Bedrooms:
Construction Type:
Heat Source:
Sewer or Septic:
TOTAL COST OF PROJECT: $
i
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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
Date: 7 (L/% / 2
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Building_Permit= _Residential_11-11-11.doc
Project Number: 11000289 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 315 SQFT ATT CARPORT Contact: CRITES, PATRICIA C
Address: 17910 E 32ND AVE
C - S - Z: SPOKANE VALLEY, WA 99016-8746
Setbacks: Front Left: Right: Rear: Phone: (509) 924-4380
Group Name:
Site Information: Project Name:
Plat Key: 000000 Name: Range District: Nort
Date: 2/4/2011 Page 1 of 2
Parcel Number: 45172.0223 Block: 2
SiteAddress: 1417 N BOEING RD
Location:: CSV
Zoning: R-3 SF Res District
Water District: 011 MODERN
Area: 11,745 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot: 23
Owner: Name: CRITES, PATRICIA C
Address: 17910 E 32ND AVE
SPOKANE VALLEY, WA 99016-874
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released: 2/4/2011 By: TMELBOU
Landuse/Zoning/HE Conditions
Permits:
Released By:
Originally Released: 2/4/2011 By: mpalaniuk
Operator: JD Printed By: jmm Print Date: 2/4/2011
Project Number: 11000289 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/4/2011
Contractor: OWNER
Description Grp Type Notes
CARPORT OP R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBCC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Notes:
Payment Summary:
Permit Type
Building Permit
Building Permit
Page 2 of 2
Firm: OWNER
Phone: (000)
This Application:
Sq Ft Valuation
315 $4,725.00
000-0000
Total Project:
Su Ft Valuation
315 $4,725.00
Totals: 315 $4,725.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Fee Amount Invoice Amount
$160.25 $160.25
$160.25 $160.25
315 $4,725.00
Fee Amount
$111.25
$4.50
$44.50
$160.25
Amount Paid Amount Owing
$44.50 $115.75
$44.50 $115.75
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: 2/4/2011
�► = 11,7y5
PLANNING DEPT. APPROVED
BY:
DATE: z/q/zOi'