2005, 08-29 Permit App: 05003145 AdditionProject Number: 05003145 Inv: 1
Application ,
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/29/2005 Page 1 of 2
Project Information:
Permit Use: ADDITION TO GARAGE Contact: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE
C - S - Z: SPOKANE, WA 99217
Setbacks: Front Left: Right: Rear: Phone: (509) 487-9792
Group Name:
Project Name:
Site Information:
Plat Key: Name: SUMMERFIELD EAST 06TH ADD District: East
Parcel Number: 46355.4907
Block: 28 Lot: 7
SiteAddress: 14701 E CROWN AVE
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 10,049 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Urban Residential 3.5
Review Information:
Owner: Name: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE
SPOKANE, WA 99217
Hold: ❑
Depth: 0 Right Of Way (ft): 45
Review
Site Plan Review
Released By:
Plan Review
Permits:
Originally Released: 08/29/2005 By: cjjanssen
Released By:
Originally Released: 08/29/2005 By: TMELBOU
Operator: CJJ Printed By: CJJ Print Date: 08/29/2005
Project Number: 05003145 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/29/2005 Page 2 of 2
Building Permit
Contractor: HARLEY C DOUGLASS INC Firm: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A Phone: (509) 487-9792
SPOKANE, WA 99217
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 252 $4,788.00 252 $4,788.00
Totals: 252 $4,788.00 252 $4,788.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $111.25
STATE SURCHARGE 1 SELECT $4.50
RESIDENTIAL PLAN REVIEW 1 SELECT $44.50
Permit Total Fees: $160.25
Notes: �j, gj: : ll'°:'. ;: <:.•: ,r'4 $Gla° THS+;:�d�W pi %lYia1� C?�FAWF.IitF+�pM':J"A'i'd s✓e` 1 SIF'BiVi 3i�1�$�f4NiM°i.•ehl7f
PavmentSummarv: :•r..:
Permit Type
Building Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$160.25 $160.25
$160.25
$160.25
$0.00 $160.25
$0.00 $160.25
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: 08/29/2005
Permitter /
*Mime • 11707 prague Ave, Suite 106
.Valley
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www,spokanevalley.oru.com
Residential Construction
Permit Application
)
o New Construction
o Addition/Remodel
o Other:
SITE ADDRESS 14-)01 c0 .
o Accessory Bldg
o Deck
ASSESSORS PARCEL NO: (SS, 4°) 0 3- LEGAL DESCRIPTION: 1.4.) 61 k. tt IL/
rff
444 •,ite4.,-,214-
. _
Name: Harley C. Douglass Inc.
Address: 8510 N. Crestline Ste A
City: Spokane, WA Zip: 99217
Phone: 487-9792 Fax: 487-1580
Name: Harley C. Douglass Inc.
;114,
z-'
Phone: 487-9792
Describe the scope of work in detail:
,,, Liz .,-,,,,,., ,,, ,-1. - - - , ; ,,w
' i'64 .0.$114 kr ,,,71:':% 1. '!.i.`u.,, ia :
Name: Harley C. Douglass Inc.
Address: 8510 N. Crestline Ste A
City: Spokane, WA Zip: 99217
Phone: 487-9792 Fax: 487-1580
Lie No:HA RLECD 110 Pip. Date: 12/31/05
City Business Lie No: L0312372
Cost of Project:
Tet C0.1 j J-1-) 5-002( 4-0 7 ia 42eK
A rl "Pas(;" 6 f Ac"
**************The following MUST be complete: (write NIA ifnot annlicabIe**********************
HEIGHT TO PEAK:
DIMENSIONS: .
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2NU FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
.11/1••••• IL .I•••.•••
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) 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. 6) Plans or additional information may be required to be submitted, arid subsequently approved before
this application can be proc ssed.
Signature
Dater
2,9 -al
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
•
0 Cash 0 Check 0 Mastercard 0 VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/25/2005
0 Other
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