2004, 04-12 Permit App: BLD-04-04048 Pole BuildingSpokaneG
jvalley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
17421 E BOONE AVE
GREENACRES WA 99016-9360
32 X 60 POLE BARN
NADWORNICK, WM E
COOK'S INC
780 N CECIL RD
POST FALLS, ID 83854
COOKS INC
780 N CECIL RD
POST FALLS ID 83854
ACCESSORY BUILDING
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
Application #: BLD -04-04048
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 55182.1216
55182.1221
SUITE 104
SUITE 104
Phone: (208) 773-2563
Phone:
Lic No:
(208) 773-2563
COOKSI*150DF
Zoning:
04/12/2004
10/09/2004
General Information:
VALUATION
BUILDING HEIGHT TO PEAK
DIMENSIONS
# OF STORIES
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
OCCUPANCY GROUP
CONSTRUCTION TYPE
STRUCTURES ON PROPERTY
CURRENT PROPERTY SIZE
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
36480
19' 8"
32 X 60
1
49
26
8
9
u-1
5-n
2
147 X 135
yes
no
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
512.45
4.50
516.95
0.00
516.95
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Jnitials / Date
THIS IS NOT A RECEIPT
sii�iC
I¢ e3'
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: / pial &oc ze rate --
Assessor's Tax Parcel Number(s): S.5 /U . / /
Legal Description: d
PERMIT DESCRIPTION: 3.2x 60 h M PoJG twA
Building Permit ❑ Change in Use ❑ Grading [1 Manufactured Home
Relocation n Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
N
Owner: A:// !'kc1wa ;ok
Phone: cat- 7t 5 Fax:
Address9a6 / Mg/ E. Boon Ade
&Peen Arras un. 99o/6
X Applicant: Cooks
Phone:
Address:
Fax:
City State Zip Code City State Zip Code
Contractor: Cooks line . ❑ Architect:
Phone: 773-3 Fax: 773-SY?B Phone: Fax:
dress: 7SV Coa; / 54e /09 Address:
05i Cetas Tat 83 5591
City
State Zip Code City
WA State Contractor License #:
Contact:
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEA % Q g
DIMENSIONS: ,
go
# OF STORIX ES:
MAIN FLOOR TO SQ. FTG:
Q2L; . NS,`.
/gap ,
`.,
"'
2FLOOR SQ. FTG:
,,\,\:;'.. -
A
UNFIN BASEMENT SQ. FTG:
1"-)1'y11; 'i'. Jam•
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
Hal
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUC Nfi {
re5t FN.
HEAT SOUR/n
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROD T:
J, .3.3/.--
30% SLOPES ON PROPERTY:
SEWER OR l -SITE SEPTIC
SYSTEM?
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
r• .
FIRE SAFETY
Fire Sprinkler:
Tent:
Valuation: Above/Underground Storage Tank Size:
# of Heads: Fire Alarm:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner
Address:
Phone:
Fax:
City
Inspector: Phone:
Address:
State
Fax:
Zip
❑ BOLTING
City
SPECIAL INSPECTIONS
❑ CONCRETE
State
L' .\
Zip
❑ REINFORCEMENT `:4 ; ❑ WELDING
Firm Name: Phone: _ • Fax
Inspector(s):
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.
Ownership of resulting;development rights granted by any issued,perinit inur= . the pr.:-rty owl'
Print Name 3eNV- degjc8., L Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
t ,.rt i\
❑ Cash ❑ Check ❑ Mastercard
Bankcard #:
❑ VISA ❑ Other
Expires: VIN#
Authorized Signature:
NAME. r I'
PLOT PLAN
ADDRESS' (irRI f•Load' t U'L.
6-reelAcres LU A .
LEGAL.
ouo
PLANNING DEPT. APPROV D
BY
DATE• 1-1
PARCEL #• ss I B D• 1 D a 1
This site plan is being au
obtaining a h..ms, g Permu
rePresentadon of the pro
fines analo
have been na. curb led.
lin
Ide2 ied.,�,�1�ir1M
ibgnes of 14 ef��/"
Signed. lb �
r!
Date: 4 rz:
N
ttad for the purpose of
d
W true and correct
I. Alf nMttycoon
Urea •easement:
didat . are wetlands,
_... r critical areae.
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