2004, 04-21 Permit App: BLD-04-04151 Addition DeckBUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206.
Phone. (509) 688=0036; Fax. (509) 688-0037
REQUIRED SITE INFORMATION-
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Street Address: 1114 S., CENTER DRIVE
Assessor's Tax Parcel NUmber(s):
Legal Description:
PERMIT DESCRIPTION: ADDITION TO EXISTING DECK
DIMENSIONS-
VARIOUS
# OF STORIES:
E Building Permit 0 Change in Use ❑
Grading
❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement
❑
Fire Safety
n
Other
HEAT SOURCE:
# OF. BEDROOMS:
TOTAL HABITABLE SPACE,
OWNER/APPLICANT INFORMATION
COST OF PROJECT::
JEROME & MARY JO
SEWER OR ONSITE SEPTIC
SYSTEM?
❑X Owner: LEVEQUE [
Applicant: --CONTRACTOR--
Phone 92 8 -032.7 Fax:
Phone:
_ Fax:
Address;. 1114 S. CENTER DR.,
Address:
SPOKANE.VALLEY WA 99212
City State Zip Code
City
state Zip Code
❑X Contractor: DON ARNDT. . CONSTRUCTION ❑
Architect:
Phone: 4 4 8- 7 3 '6 7 Fax: 448-0583
Phone:
.Fax:
Address: 3712 S. ALDER CIRCLE
Address:
SPOKANE WA, 99223
City State Zip Code
City
State Zip Code
WA State Contractor License #: DONARC* 0.97M2 Contact:. DON ARNDT
PERMIT/BUILDING INFORMATION.
HEIGHT TO PEAK:
DIMENSIONS-
VARIOUS
# OF STORIES:
MAIN FLOOR TO SO..FTG>
2w FLOOR: SQ. FTG:`
UN:FIN .BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG-
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
260
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF. BEDROOMS:
TOTAL HABITABLE SPACE,
IMPERVIOUS SURFACE AREA:
COST OF PROJECT::
30% ..,LOPES ON PROPERTY:
SEWER OR ONSITE SEPTIC
SYSTEM?
1
MANUFACTURED HOME
Width: Length Year Pit Set:
Manufacturer'
RELOCATION
Previous Address
Proposed Use.
FIRE SAFETY
Fire Sprinkler # of Heads. Fire Alarm. Paint Booth
Tent: Fireworks Display Blasting: Date/Time:
Valuation: Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner Phone. Fax:
Address.
Inspector
Address:
City
Phone
s
State
Fax:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
Inspector(s)
Fax:
❑ WELDING
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. ".
Ownership of resulting development rights granted by any issued permit to the property owner
Print Name DON ARNDT
Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ® Check 0 Mastercard 0 VISA 0 Other
Bankcard #: Expires: VIN#:
Authorized Signature:
1114 S. CENTER DRIVE
L
4':
G It
EXISTING DECK
HOUSE
DRIVEWAY
ROgp Wap e-
��NT�b
y � yEOBy
17'
to,
This site plan is being a the ptapose of
obtaining a building fail and is a
representation of the ar�d �►
Ines/dimensions, curb fines, yM an ��
have been identified. Also ind are tents
bodies of wato_ Atthen . ,_ -- ds.
Date: