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2005, 08-24 Permit App: 05003019 Patio Roof
Project Number: 05003019 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: GABEL ROOF OVER EXISTING PATIO Contact: RENEE HARRIS Address: 16423 E EASTLAND CT C - S - Z: SPOKANE VALLEY, WA 99216 Setbacks: Front Left: Right: Rear: Phone: (509) 921-7670 Group Name: Site Information: Project Name: Plat Key: 005426 Name: CHINOOK NO 2 ADD Date: 08/24/2005 Page 1 of 2 Parcel Number: 46364.0610 Block: SiteAddress: 16423 E EASTLAND CT Location:: CSV Zoning: UNKN Unknown Water District: Lot: District: East Owner: Name: WHEELOCK, TROY Address: 16423 E EASTLAND CT SPOKANE WA 99216 Hold: [I Area: ,187.00 Acres Width: 80 Depth: 138 Right Of Way (ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Plan Review Released By: Permits: Building Permit Contractor: ALEXEY FLORIANOVICH Firm: Phone: SPOKANE, WA (509) 768-0273 This Application: Total Project: Description gLpr Type Notes Su Ft Valuation Si Ft Valuation RES ADD R-3 VB ADDITION 0 $3,150.00 0 $3,150.00 TO DECK Item Description RESIDENTIAL PERMIT FEE STATE SURCHARGE RESIDENTIAL PLAN REVIEW Totals: 0 $3,150.00 0 $3,150.00 Units Unit Desc Fee Amount I SELECT $97.25 1 SELECT $4.50 1 SELECT $38.90 Permit Total Fees: $140.65 Operator: CJJ Printed By: CJJ Print Date: 08/24/2005 Project Number: 05003019 Inv: 1 Application Date: 08/24/2005 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: MAXIMUM OF 30 RESIDENCES UNTIL WATER SYSTEM COMPLETE PER FIRE DISTRICT 1 - JEF 11/18/94 Payment Summary: Permit Type Building Permit Fee Amount Invoice Amount $140.65 $140.65 $140.65 $140.65 Amount Paid Amount Owing $0.00 $140.65 $0.00 $140.65 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: CJJ Printed By: CJJ Print Date: 08/24/2005 BUILDING PERMIT APPLICATION WORKSHEET dity of Spokane Valley Community Development Department fl -i c ��\ Building Division ' '`TA's 11707 E. Sera ue Avenue Suite 106 alleyg Spokane Dalley, WA 99206 ( one: (509) 688-0036; Fax: (509) 688-•0037 UIRED SITE IIRMATION Street Address: /(4//--d 3 Assessor's Tax Parcel Number(s): Legal Description: n PERMIT DESCRIPTION: GA d, quo-` aU �XiS�iNq P� -io (w/ xbpo<f.Y 1] Building Permit (1 Relocation ❑ Change in Use ❑ Grading ❑ Manufactured Home ❑ Tenant Improvement ❑ Fire Safety ❑ Other OWNER/APPLICANT INFORMATION ❑ Owner. f / i E.. AJ/ t, ' ❑ Applicant: L 41., i s . Phone: Fax: Phone: 9',2i 7�70 Fax: Address: a // 0 - 454 Address: /L 4i-2 £. e -1.0,6D cf smkAVccsca 9 City State Zp Code S pAgoL VA WA 99a i(c Ci Zip Code ❑ Contractor: (Okt,4ni6Vr_e{} ❑ Architect: • Phone: 7fi13 0473 JFax: Phone: Fax: Address: Address: City State Zp Code t)/ WA State Contractor License #: Q- JI ScC 160 �— Contact: Spokane Valley Bus. Liscense #: Contact: City State Zip Code l.EA- P/akknidv1cN PERMIT/BUILDING INFORMATION HEIGHT TO PEAK: DIM71C9NzS;z,z 6 y 4,1 # OF STORIES: MAIN FLOOR TO SQ. FTG: 2"" FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: FINISHED BASEMENT SQ. FTG: GARAGE SQ. FTG: DECK/COV. PATiO SQ. FTG: OCCUPANCY GROUP: CONSTRUCTION TYPE: HEAT SOURCE: # OF BEDROOMS: TOTAL HABITABLE SPACE: iMPERRVIOUS SURFACE AREA: COST OF PROJECT: 5/56 -OO 30% SLOPES ON PROPERTY: SE---i--FR OR ON-SITE SEPTIC SYSTEM? ANUFACTURED HOME JVidth: Length: Year Pit Set: Manufacturer: Previous Address: Proposed Use: FIRE SAFETY =ire Sprinkler. # of Heads: Fire Alarm: rent: Jaluation: Above/Underground Storage Tank Size: Paint Booth: Fireworks Display: Blasting: Date/Time: WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE Plans Examiner kddress: Phone: Fax: City State Zip nspector. Phone: Fax: 5,ddress: City State Zip SPECIAL INSPECTIONS BOLTING 0 CONCRETE 0 REINFORCEMENT WELDING =irm Name: Phone: Fax: nspector(s): )1SCLAIMER he permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a !welling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the >roperty owner. 3) The signatory is the property owner or has permission to represent the property owner in this ransaction. 4) NI construction is to be done in full compliance with the City of Spokane Valley Development Code. Zeferenced 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. )wnership of resulting development rights granted by any issued permit in re to the property owner. 'rint Name'...NiLrE, HI\ 4 -<LS Signature 471, 4ethod of Payment: (Faxed permit applications will only be accepted with major bankcard) j Cash ryl Check 0 Mastercard 0 VISA 0 Other Iankcard #: Expires: VIN#: uthorized Signature: !- boy E w ikd©c' (o ier) `3S - a' tQkice.147, //q r(iS (11€-A040 fhb- qU thCIY'%F {0 buy d f 4-rwi �f ©r #J rver9// q f I i/2-3 E. Eg4/q nd , s P� tAii4 r 43 - fr1clwdL r 1( /47 9 w 4© Q Kies back