2003, 10-21 Permit App: BLD-03-02843 StorageSp" okane
�, . Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 12113 E BOONE AVE
SPOKANE WA 99206-6702
Description: 40 X 50 DETACHED STORAGE
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
FRIBERG, TERRY L & JERRI LYNN
ACCESSORY BUILDING
TOWN & COUNTRY BUILDERS INC
5918 E TRENT AVE
SPOKANE, WA 99212
TOWN & COUNTRY BUILDERS INC
5918 E TRENT AVE
SPOKANE WA 99212
Lot: Blk:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
Application #: BLD -03-02843
Applied:
Issued:
Expires:
Parcel No: 45161.0708
Phone: (509) 535-9016
Phone:
Lic No:
(509) 535-9016
TOWNCBI123C6
Zoning:
10/21/2003
04/18/2004
General Information:
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
COST OF PROJECT
# OF STORIES
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
FLANKING SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
CURRENT PROPERTY USE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
38000
21
40 X 50
20000.
1
45
20
38
12
NA
u-1
5-n
2
90 X 229
RESIDENCE
no
no
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
52.26
522.55
4.50
579.31
0.00
579.31
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Building
Planning
Public Works its AL ----
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Irne3
THIS IS NOT A RECEIPT
s
ne
p .000Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
12113 E BOONE AVE
SPOKANE WA 99206-6702
40 X 50 DETACHED STORAGE
FRIBERG, TERRY L & JERRI LYNN
ACCESSORY BUILDING
TOWN & COUNTRY BUILDERS INC
5918 E TRENT AVE
SPOKANE, WA 99212
TOWN & COUNTRY BUILDERS INC
5918 E TRENT AVE
SPOKANE WA 99212
Lot: Blk:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
Application #: BLD -03-02843
Applied:
Issued:
Expires:
Parcel No: 45161.0708
Phone: (509) 535-9016
Phone:
Lic No:
(509) 535-9016
TOWNCBI123C6
Zoning:
10/21/2003
04/18/2004
General Information:
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
COST OF PROJECT
# OF STORIES
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
FLANKING SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
CURRENT PROPERTY USE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
38000
21
40 X 50
20000.
1
45
20
38
12
NA
u-1
5-n
2
90 X 229
RESIDENCE
no
no
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
52.26
522.55
4.50
579.31
0.00
579.31
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Building
Planning
Hca ,—rO
Public Wow 10/A-�
THIS IS NOT A RECEIPT
P4010P.ESs
/c//3 E 800/0E
Als' 161, 0708
TIE a.a 6ce; FPIb £6
10 Loo Cow.fr/273O,LCS xoc.
cAo6 = 10
32,37 3. 00 £�f
1
6001.)6.. ALI E.
APPROVED BY /(7/2/M, 3
yr
SPOKANE VALLEY
) L .042t1JU r. Ud/14
PERMIT #
BUILDING PERMIT APPLICATION
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F ox l OWNBR—%1:1 -.'&Fad, Fi-iA :•"7.IQ6- JOB LOCATION
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OWNERSAfaDR Se/ •-•• �'/';r�..�IT`f �,-����.� PHONE
DESfi RISE JOB 4-10 X `50 ;r"F-71/21.41, I -,�5 c��� 1.4 c S"1-0 'c' v
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THIS PROPERTY IS OWNED BY: SINGLARRIE
PARTNERSHIP _CORP,.
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BOX 2 CONTRACTOR'S NAME • <J '1
CONTRACTOR'S ADDRESS
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=x� Zia PHONE 9'6/4
CONTRACTOR'S REG,# /O.1U,Jc-E a I /G. EXPIRATION DATE s --0J..1 F;:- DO / .)40 y
(CARD MUST BE PRESENTED AND COPIED OR VERIFIED)
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BOX 3 CONTACT PERSON OF PROJECT _ - t s PHONE .‘,5"3„� - `i(V p-7-1:1
ADDRESS ; `jam F` "fr- '=' r CITY 5 ) c ZIP 9 `13 j_
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BOX 4 SEWER AVAILABILITY
WATER AVAILABILITY
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BOX 5 ESTIMATED PROJECT COST $ C CC' EXISTING BLDG. VALUATION $
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BOX'S PROPERTY TAX ACCOUNT NUMBER /11.-7-/b/e. O 7( k
LEGAL DESCRIPTION e: -.)F
_ 29 `t, 7 ' DH 3 ; D
(IF NECESSARY, PLEASE SUBMIT A SEPARATE PAGE WITH THE LEGAL DESCRIPTION)
CENSUS NUMBER LOT NUMBER
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saw•_.,_._-_-==»=assasemseat=====mssassaseie
BbX 7 BUILDING SQUARE FOOTAGE (ExIstIngifirc 1ST FLOOR 2 ! 2ND FLOOR,,;,___,
3RD FLOOR 1 �.� OTHER J BASEMENT FINISHED
BASEMENT UNFINISHED 1 DECK
CARPORT 1 TOTAL /
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BOX 8 ( ) SINGLE FAMILY (A.) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS ( ) EXISTING STRUCTURE
( ) COMMERCIAL 1 INDUSTRIAL TOTAL AREA OF PROPERTY
( ) TENANT IMPROVEMENT IMPERVIOUS SURFACE
mismass__-,.,....sssaassa:e,=--=== sasssee_---=2msmmssmsauamms==-==-=assxsammemss_aaa
GARAGE /
HEIGHT TO PEAK OF BUILDING ' I
SQ. FT.
SQ. FT.
BOX 9 PLUMBING FIXTURES (Including rough•Ins) MECHANICAL APPLIANCES
PLEASE USE THE ATTACHED PLUMBING / MECHANICAL FORM FOR THE LISTING OF ALL APPLIANCES,
SYSTEMS, HEATING AND AIR UNITS, FIREPLACE INSERTS, WATER HEATERS, CONVERSION BURNERS,
LAWN SPRINKLER SYSTEMS, BACK FLOW PREVENTERS, ET AL,
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BOX 10 Water Service meter size (If known) Also see BOX 4
BOX 11 Septic Tank -- Not generally allowed In the City of Spokane Valley. For special circumstances contact
Your sewer purveyor end the Health District (See BOX 4)
BOX 12 Street use may require a ` Street Use Permit” for sewer, water, sidewalks, curb cuts. Contact the Public
Works Department,
I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE
ABOVE PREMISESI"O PERFORM TII,E WORK;FOR WHICH THE APPLICATION IS MADE.
OWNER / AGE I;,.0 2. >
DATE
(OVER)
I hereby authorize the Clty of Spokane Valley to charge the fee fur this permit to my credit
Vb• Mastercard
Print the name of the Bolder
on Date
Si stare
rd: