2007, 04-27 Permit App: 07001509 Patio EnclosureProject Number: 07001509 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/27/2007 Page 1 of 2
Project Information:
XE"h., :1"..7" :5'••Y7 «". '' , e ,«.c:,x^=':',.'n"s. 'a d°"•:' .:.n,a;;f '+w,.vKvr :res.dr,74K:` I ..-.,g,...+_'
Permit Use: ENCLOSING PATIO/ NEW FOOTING & SLAB Contact: PACIFIC NORTHWEST CONSTRUCTIO
Address: 4121 N GLENN RD
C - S - Z: SPOKANE, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 921-1601
Group Name:
Site Information: Project Name:
;Wr4 . a...srs°Cid"[ii. id'.°7a„ .h'�r �,.a,•. grv;et w:. +: L"K'.ti+^ir :.CPrv-CM`&T!:5".1, tWnovo:F ::.:.,r nC'.0°4.4"`_kfrar
Plat Key: 005709 Name: CHINOOK NO 3 ADD District: East
Parcel Number: 46364.0904
Block: Lot:
SiteAddress: 16412 E BROAD AVE
Location:: CSV
Zoning: UR -3.5
Urban Residential 3.5
Owner: Name: WISOWATY, PHILLIP & WANDA
Address: 16412 E BROAD AVE
SPOKANE, WA 99216-3531
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 11,062 Sq Ft Width: 86 Depth: 127 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information•".'�'.., g; ; . �W ..,..,. .•.."n: �:F;�.:N- .� .. W .._, _ .
Review
Building Plan Review
Released By: ! y/f
Landuse/Zoning/HE Conditions
Permits:
Released By:
Operator: JD Printed By: JD Print Date: 4/27/2007
Project Number: 07001509 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/27/2007 Page 1 of 2
Project Information:
Permit Use: ENCLOSING PATIO/ NEW FOOTING & SLAB
Setbacks: Front
Site Information:
Contact: PACIFIC NORTHWEST CONSTRUCTIO
Address: 4121 N GLENN RD
C - S - Z: SPOKANE, WA 99206
Left: Right: Rear: Phone: (509) 921-1601
Group Name:
Project Name:
Plat Key: 005709 Name: CHINOOK NO 3 ADD
District: East
Parcel Number: 46364.0904 Block:
SiteAddress: 16412 E BROAD AVE
Location:: CSV
Lot:
Owner: Name: WISOWATY, PHILLIP & WANDA
Address: 16412 E BROAD AVE
SPOKANE, WA 99216-3531
Zoning: UR -3.5 Urban Residential 3.5
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 11,062 Sq Ft Width: 86 Depth: 127 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Building Plan Review
Released By:
Landuse/Zoning/HE Conditions
Permits:
Operator: JD Printed By: JD Print Date: 4/27/2007
Project Number: 07001509 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/4/2007
Contractor: PACIFIC NORTHWEST
Address: 4121 E GLENN RD
SPOKANE, WA 99206
Description Grp Type Notes
RES ADD R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Payment Summary:
Permit Type
Building Permit
Building Permit
Firm: PACIFIC NORTHWEST CONSTRU
Phone: (509) 921-1601
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
145 $13,247.20 145 $13,247.20
Totals: 145 $13,247.20 145 $13,247.20
Units Unit Desc
1
1
1
SELECT
SELECT
SELECT
Permit Total Fees:
Fee Amount
$237.25
$4.50
$94.90
$336.65
Fee Amount Invoice Amount Amount Paid Amount Owing
$336.65 $336.65
$0.00 $336.65
$336.65 $336.65
$0.00 $336.65
Page 2 of 2
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: JD
Print Date: 5/4/2007
Permit Center
Scrrr ov 11703 E Sprague Ave, Suite B-3
pokane Sppkane Valley, WA 99206
jValley (560688-0036FAX; ,(509)64-00.37.,
wrywis,okanevalley.oh`g 1
Community Development
r APR 1 4 2007
Residential Const _action
Permit A licath nR„) r; r `b�,
PERMIT NUMBER: /�`< C{
PERMIT FEE:
New Construction Accessory Bldg
Addition/Remodel n Deck
Other:
SITE ADDRESS: \ , ck k t`oa _-
ASSESSORS PARCEL NO: I612(c1) , Cffi01-1 LEGAL DESCRIPTION:
Building Owner:
Name:(�rz,
10C;4--cC lloa 4.ceNt Cc37 t— Cons. cz±ltc9ices L1-1
Name: h\ 1\ p L i0
,*'
Address: �tk t F . CIPoccA.
pi_L,pu)-,—
City: P��61 v2. t QS 9t
Zip
Phone:(5(X-6 Cl a'i - Q.InS - Fax:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
Contact Person
Name: O\A_D flP_S c\is C=4.91- = PV ietv.
Phone: 0009 3La - b - Ce 1 i
Describe the scope of work in detail:
Contractor:
Name:(�rz,
10C;4--cC lloa 4.ceNt Cc37 t— Cons. cz±ltc9ices L1-1
Address: n
(-1 l a. l � . .-)t(= -r\v. Rei .
City: State: Zip
O \.‘c.)%, --e L ..Q? F7 L,
PhorSCA 3Lia-kfiZ /,-,FI qal - k2 �R
J
Contractor�Lic No: Exp Date.
Pqc� rVcqu4-cc y -0F2-,
City Business Lic. No:
Cost of Project: $ 1 ``l 1 S� R. k
Proposed Use:
**************The following MUST be complete: (write N/A if not applicable)**********
HEIGHT TO PEAK:
DIMENSIONS:
# OFS •RIES:
TOTAL HAaITABL 'ACE:
- - -
MAIN FLOOR TO SQ.
FTG:
2"" FLOOR SQ. FTG:
UNFI z k EMENT SQ. FTG:
IMPER't i, . •
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
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) AH 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 can be prod Dast%eC,
SIGN URE: DATE: -1- ac -l- ?.C301)
Method of Payment:
0 Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
[Check
❑ Mastercard
Expires:
❑ VISA
VIN#:
ti
S
7
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PLANNING DEPT. APPROVED
BY: -2/,e-e�
•Ve 2 7
V_E;
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06-07-07;10:18AM;
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F A X
• BLUE LINE
BLUE LINE HOME DESIGN
1325 W First Ave, Ste 204
Spokane, WA 99201
Phone (509) 455-3008
Fax (509) 455-3009
Comments:
To: IS g 1 AAS DEIN t EL5
Fax number: 1 ) !751,
From: 5 ,yp
Date: (�
7
Regarding: j t Sb 1.4447-y
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