2005, 08-29 Permit App: 05003144 AdditionProject Number: 05003144 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
Setbacks: Front 37 Left: 15 Right: 22 Rear:
Site Information:
Plat Key: Name: SUMMERFIELD EAST 06TH ADD District: East
Parcel Number: 46355.4806 Block: 27 Lot: 6
SiteAddress: 14704 E CROWN AVE Owner: Name: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE
Location:: CSV SPOKANE, WA 99217
Contact: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE
C - S - Z: SPOKANE, WA 99217
Phone: (509) 487-9792
Group Name:
Project Name:
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 10,024 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Hold: ❑
Depth: 0 Right Of Way (ft): 45
Review Information: "P4:4714,1T`.:e-;; .e,H.; fi:.. F rF. f, r:.•9acs111r;7 r;uaiaawao rrir+:err ,.h,,. ..
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: 05003144 Inv: 1
Applibat on
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/29/2005
Contractor: HARLEY C DOUGLASS INC
Address: 8510 N CRESTLINE #A
SPOKANE, WA 99217
Description Grp Type Notes
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Building Permit
Page 2 of 2
Firm: HARLEY C DOUGLASS INC
Phone: (509) 487-9792
This Application:
Sq Ft Valuation
252 $4,788.00
Totals: 252 $4,788.00
Units Unit Desc
1
1
1
SELECT
SELECT
SELECT
Permit Total Fees:
Total Project:
Sq Ft Valuation
252 $4,788.00
252 $4,788.00
Fee Amount
$111.25
$4.50
$44.50
$160.25
Notes: ;, ,6 ,., A, ,W,:Cl,o•n.4,,: .r. FL02r:4l312SWI lf�LT2TtiiAPF12
Payment Summary: :, ..,M11.56KWAMIld"INzt cr,E .+Tr.Icer.,11,44*.MILarwaRwtancrraw.'•r41,xas;,i,., .. „ tt,%246032111.41511111
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $160.25 $160.25 $0.00 $160.25
$160.25 $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
Spokane
.000Valley Spokane Valley, WA 99206
`-.7 (509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.org.com
Permit Center
11707 E Sprague Ave, Suite 106
OS 31 4-
/60.2
Residential Construction
Permit Application
o New Construction
o Addition/Remodel
❑ Other:
o Accessory Bldg
o Deck
SITE ADDRESS (y no\f C; l.' L 0 vh
ASSESSORS PARCEL NO: i 6 3 5543'06 LEGAL DESCRIPTION: 6) L Li (40 "- mC ' Ti e ?
s 7 6 >V /0a014.n111),
1
1-_ 1 Al...�w�. . ,.,?i 'E'y ti, l`,�S_.%Fr,.s�'..Z
Name: Harle . C. Dou •lass Inc.
Address: 8510 N. Crestline Ste A
City: S •okane, WA Zip: 99217
Phone: 487-9792 Fax: 487-1580
Describe the scope of work in detail:
TrGet4se* 94".s --C24.
pn 1-o'e°-" o�
---",---- 3`"as''" ,r* t- PCF `.
IIMO ... AT. �' '3' i� ..i; i+' keitZ �h€�,.
Name: Harle C. Douglass Inc.
Address: 8510 N. Crestline Ste A
Ci : Spokane, WA Zi.: 99217
Phone: 487-9792 Fax: 487-1580
LicNo:HARLECD 110 (2 ... Date: 12/31/05
City Business Lic No: L0312372
Cost of Project:
Se bp' to -782, A'.
i3 b
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMENSIONS:
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2"" 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:
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be fproc sed.
Signature
Date
$—.0 —o5
Method of Payment: (Fazed permit applications will only be accepted with major bankcard)
❑ Cash 'Check 0 Mastercard 0 VISA
Bankcard #: Expires: VIN#:
0 Other
Authorized Signature:
REVISED S/2512005
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SLABS, GARAGES, CARPORTS
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