2011, 11-04 Permit App: 11003476 Awning•
Project Number: 11003476 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: CONSTRUCT NEW 12x18 REAR YARD AWNING Contact: DURA -SIDE
Address: 9514 E MONTGOMERY DR #27
C - S - Z: SPOKANE VALLEY WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 922-9250
Group Name:
Project Name:
Site Information:
Plat Key: CONV Name: CONVERTED CNTY DATA District: East
Date: 11/4/2011 Page 1 of 2
Parcel Number: 45021.0805 Block: Lot:
SiteAddress: 4621 N BURNS RD
Location:: CSV
Owner: Name: KEHREN, LORI & BRUCE
Address: 4621 N BURNS RD
SPOKANE VALLEY, WA 99216
Zoning: R-3 SF Res District
Water District: 001 TRENTWOOD Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Released By:
Originally Released: 11/3/2011 By: tmelbourn
Landuse/Zoning/HE Conditions
Permits:
Released By:
Originally Released: 11/1/2011 By: mpalaniuk
Operator: MBB Printed By: MBB Print Date: 11/4/2011
Project Number: 11003476 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/4/2011
Contractor: DURA -SIDE
Address: 9514 E MONTGOMERY DR #27
SPOKANE VALLEY WA 99206
Building Characteristics
Total Area
Building Height
Stories
216
11
1
Building Permit
Page 2 of 2
Firm: DURA -SIDE
Phone: (509) 922-9250
Description Grp km
PORCH OPEN R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLANS REVIEW
WSBCC SURCHARGE
Notes:
Notes
COVERED
PATIO
Totals:
This Application:
Sq Ft Valuation
0 $4,857.00
Total Project:
Su Ft Valuation
0 $4,857.00
0 $4,857.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Payment Summary:
Permit Type Fee Amount Invoice Amount
Building Permit $143.56 $143.56
$143.56 $143.56
0 $4,857.00
Fee Amount
$111.25
$27.81
$4.50
Amount Paid
$27.81
$27.81
$143.56
Amount Owing
$115.75
$115.75
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: MBB Printed By: MBB Print Date: 11/4/2011
400•IrValley
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
permitcenter@ $DokanevaIley.orq
(Staff Use Only)
PERMIT NUMBER: 1
PERMIT FEE:
RESIDENTIAL CONSTRUCTION PERMIT APPLICATION
El NEW CONSTRUCTION ❑ ADDITION/REMODEL ❑ ACCESSORY BUILDING
El DECKONi OTHER
//��//
SITE ADDRESS: `(, j i 1. BI,,A, A S
ASSESSORS PARCEL NO.: � TOZ_k.. 0SO LEGAL DESCRIPTION: LS jkk rY1r'l`l
BUILDING OWNER NAME:
NAME: \ tACe_45- "'t c: Q -\,x e -
ADDRESS:
`-/!o 2 t f. d.k res
CITY: skb 4 t Vj( STATE:
r FAX: CELL:
PHONE: (69-IG/-' 5 -86 -
CONTACT NAME:
PHONE:VDeyd! T FAX: 6v41,--;/.26 -1 c/0
CONTRACTOR NAME:D -S,` 1/ -
MAILING ADDRESS: p.0. ---e„.., 2-I b
C 50Cc_p,,J$ W4 G�2.7
CITY: �. STATE: ZIP:
PHONE: el a2- 72,6-6 AA_ 1 �7 ^ � `V CELL: '3L42 -o `G T
CONTRACTOR LICENSE No.: DURAS:DIV' EXPIRES: 0C^ /), CITY BUSINESS LICENSE NO.:(0C2 /67) 5-ci11
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE & PROPOSED USE:
CELL: Sdq-3L/ -0762 3
****YOU MUST COMPLETE THE FOLLOWING****
MARK N/A -1E -!!Ll APPLICABLE
Height to Peak: j)
/ 1
Dimensions: ig x( r r '+ No.pf Stories:
f
Total Habitable 4
Space:
Main Floor SQ FT:te) A
Upper Floor SQ FT:
ishe4 Baaement SQ
Finished�aAement SQ
FT:
Garage SQ FT: yi A
Dec Covered Pati
FT:
Impervious Su/f dace
Area: f/1 A
30% Slopes on
Property: A
,1
No. of Bedrooms: fl /Y
Construction Type: .
Heat Source: Y7/j
Sewer or Septic: SGW e.{"
TOTAL COST OF PROJECT: $ "v
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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 processed.
Effective October 28, 2007 Page 1 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
ieSignature
Date: /)--1�
Method of payment: ❑ Cash Check ❑ Visa ❑ Mastercard
Bankcard #:
EXP: VIN#:
Authorized Signature:
Effective October 28, 2007 Page 2 of 2
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Residential Construction Permit
App 10.28.07.doc
V
T
14 cu.
A
ti -
ti
n
1
PLANNING DEPT. APPROVED
BY:
DATE'. ISI X7.0//