2005, 05-06 Permit App: 05001488 Pole BuildingSpokane
.0,00Ualley
•
BUILDING PERMIT APPLICATION WORKSHEET
E c rte
MAY 0 6 2005
NJ 11 L Ra
Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
one: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: /J L /14jj' ,"7/� Siet
Assessor's Tax Parcel Number(s):
Legal Description: 9 n
PERMIT DESCRIPTION: if/P 'i riA2y j4/y2,-/
XBuilding Permit ❑ Change in Use ❑ Grading 0 Manufactured Home
❑ Relocation ❑ Tenant Improvement 0 Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
SC Owner: 4l -!///fit
Phone: 9-27j643 Fax:
Address: 1r
Applicant:
Phone: Fax:
Address:
ty State Zip Code City State Zip Code
❑ Contractor:
Phone:
Address:
Fax:
City
State
WA State Contractor License #:
❑ Architect:
Phone: Fax:
Address:
Zip Code City
Contact:
State Zip Code
Spokane Valley Bus. Liscense #: Contact
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:' '
DIMENSIONS: ��'��
f2
# OF STORIES:
MAIN FLOOR TO SQ. FG:
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG: �C.;GARAGE
SQ. FTG: --7
✓
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TY
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJEC�J m D
%
30%SLOPES ON PROPERTY:
.
SEWER OR ON -SITS)
SYSTEM?
MANUFACTURED HOME
Width:
Manufacturer:
Length:
Year: •
Pit Set:
RELOCATION
Vol . ,l t: ..•
Previous Address:
Proposed Use:
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 State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
Inspector(s):
Fax:
❑ WELDING
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 develop nt rights granted by any issued permit inure to the property owner.
ii
Print Name (.97-7 Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #:
Expires: VIN#:
Authorized Signature:
05/11/2005 08:42 5093241567
MAY 10 2005 12:33 FR
. Project Number: 05001488 Inv: 1
SRHD EHS
Application
TIIIS IS NOT A PE
Penalties will be assessed for commencing work without a permit
_ _ 1 ^J'd.."^^..'.;;'1?Na0911h11 U:riY.L:•l_'� `'-'=rdf T�.Y.-..'22:T:1�'i:ii'fc��M1:::';..� :��:i.:
Permit Use: 24 X 24 POLE BUILDING Codtaot: POPE, GARY
Addiess: 13504 E BROAD LN
C - S - Z: SPOKANE VALLEY, WA 99216
Setbacks: Front 46 Left; 35 Right 5 Rear: 50+ Phone: (509) 924.2663
Group Name:
Site Information: tto�-a,+xsr x.•s a:-maiw Project
natmr'-�msmains:.v.i : :.::r--Dibht sa.::e. ren 1 �r:rnzZt:,ta
rr..tauaas:aea,>zrmmtaorert•s— � _ 'd: Non
Plat Key: 005425 Name: SP -0881.93
PAGE 01/01
TO 3241567 P.02'02
Date: 05/09/2005 Page 1 of 2
pro%t Information: r_ ,.,, jn
Parcel Number: 46344.1307 Block: Lot
SitoAdttress: 13504 E BROAD 124
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Wog District 999 UNKNOWN Sold: ❑
Area; 1,455.00 Acres Wldtb: 96 Depth: 211 i Right Of Way (ft): 45
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Reirev1nformatiOn: ttaasacunysirn'ata'.tNc'.ara2lcs*.2ir:7.271a1ac:at:,.s:::^^06ttu,^..::wr:au':,w::c„nintr,g sari.=:=Jr.,=
Owner: Name: POPE, GARY
Address: 9504 E BROAD 124
pPOKANE VALLEY, WA 99216
Sitean Review
Pin Review
1
ltelease4 By;
Septic System Review
Perntffi j int mmmcmt I.CA7' ava� ww'tactxs a s assaar :._
Operator; KS Printed By: KS
MAY 11 2005 09:51
Print Date 05/09/2005
** TOTAL FAGE. 02 **
5093241567 PAGE.01
Project Number: 05001488 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/09/2005 Page 1 of 2
Project Information:
Permit Use: 24 X 24 POLE BUILDING
Setbacks: Front 46 Left: 35 Right: 5 Rear: 50+
Site Information:
Plat Key: 005425 Name: SP -0881-93
Contact: POPE, GARY
Address: 13504 E BROAD LN
C - S - Z: SPOKANE VALLEY, WA 99216
Phone: (509) 924-2663
Group Name:
Project Name:
District: Nort
Parcel Number: 46344.1307 Block:
SiteAddress: 13504 E BROAD LN
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District: 999 UNKNOWN
Area: 1,455.00 Acres Width: 96
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Lot:
Owner: Name: POPE, GARY
Address: 13504 E BROAD LN
SPOKANE VALLEY, WA 99216
Hold: ❑
Depth: 211 Right Of Way (ft): 45
Review
Site Plan Review
‘11" 7�S 0,1A -k e 0 A : m /J
Released By:
Plan Review
Septic System Review
Permits:
Released By:,
Operator: K_C Printed By: K_C
Print Date: 05/09/2005
Project Number: 05001488 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/09/2005 Page 2 of 2
Contractor: OWNER
Group: U-1 Type: VB
Total Area 576
Building Height 14
Stories 1
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 576 $10,944.00 576 $10,944.00
Totals: 576 $10,944.00 576 $10,944.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $195.25
STATE SURCHARGE 1 SELECT $4.50
Permit Total Fees: $199.75
Notes:
WATER PLAN REQ AND WATER SYSTEM TO BE OPERATIONAL. COUNTY PARKS
DEPARTMENT MITIGATION AGREEMENT REQUIRED. DRAINAGE PLANS REQUIRED.
PRIVATE ROADS IMPROVED TO COUNTY STANDARDS/OUNTY FIRE CODE. ONE FIRE
HYDRANT REQUIRED AT MAYHEW AND PRIVATE ROAD.
Payment Summary:
Pennit Type
Building Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$199.75 $199.75 $0.00 $199.75
$199.75 $199.75
$0.00 $199.75
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: K_C Printed By: K_C Print Date: 05/09/2005
Thts site
obtaining a�bulfoMi� submitted for (he purpose of
^0 perm* and is a true and correct
man of lbe MsMI& All known
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bbd Ohs ed. �rno Masted are wetlands.
or other critical areas.
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20' wide Ingress/Egress
�8 Utility Easement
411.39
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N89°53'52"E
4 3 148.39
co
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_ WELLESLEY AVENUE
-- N89°53'52"E -- 2660.31 field --
2660.7 map
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ound 600 Nail
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37.07
77.60
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Easement
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Found 3/4' Pip
EVERGREEN
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Rps
1. Tack & Tag in Power Pole. N50°E , 38.77
2. Tack & Tag in Power Pole. 350°W. 37.20
3. Tack & Tag in Power Pole. N35°W, 74.54
AUDITOR'S CERTIFICATE
Fled for record this -''f day of > (, r (,-"
atILM in Book of Short Rats on Page 1 r ri
request of �%l+w cvI.. P. C.'\ ' f b
EQUIPMENT & PROCEDURE
A Nikon OTM -1 Total Station, and a
field Traverse were used for this
Survey.
LEGEND
o = Set 1/2' rebar cap No. 8642/9967 or as
• = Found #706 Cap or as noted
= Subdivision Boundary
COUNTY ENGINEER
EXAMINED AND APPROVED
THIS2SaDAY OFScc, 1, 1996
r --e
SPOKANE COUNTY ENGINEER
00000000000000000000000000001
COUNTY HEALTH OFFICER
EXAMINED AND APPROVED
THIS :.' DAY OF":, ;'!; '1996
Y 11zi
ADDRESS: Nt 4a\/(t2W
ZONE u2 3. !
ROAD WIDTH: 145
FRS: 5_ElANKING
COMMENTS.
REVIEWED By a
/7/
iz,