2007, 07-27 Permit App: 07002932 Patio RoofProject Number: 07002932 _ inv. I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 7/27/2007 Page 1 of 2
Permit Use: BUILT PATIO ROOF NEXT TO MANUFACTURD
HOME
Setbacks: Front Left: Right: Rear:
Site Information:
Plat Key: 002379 Name: SIESTA MOBILE PARK 01ST ADD
Contact: EBY, DONALD L
Address: 1225 S DISHMAN RD
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 747-3200
Group Name:
Project Name:
District: Sout
Parcel Number: 45203.0803
Block:
SiteAddress: 1225 S DISHMAN RD
Location:: CSV
Lot:
Owner: Name: EBY, DONALD L
Address: 1225 S DISIIMAN RD
SPOKANE VALLEY, WA 99206
Zoning: UR -7 Urban Residential -7
Water District: 101 SPO CO WATER DIST#3B Hold: ❑
Area: 6,750 Sq Ft Width: 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released
Landuse/Zoning/HE Conditions
;ReleasedcBy:__
Permits:
Operator: jmm Printed By: jmm Print Date: 7/27/2007
Project Number: 0700293, ; An!: I
Application
Date: 7/27/2007 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000,
This Application: Total Project:
Description Grp fl Notes Se Ft Valuation Sq Ft Valuation
DECK OPEN R-3 VB DECK 0 $500.00 0 $500.00
COVER
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLANS REVIEW
WSBC SURCHARGE
Notes:
Totals: 0 $500.00 0 $500.00
Units Unit Desc Fee Amount
1 SELECT $69.25
1 SELECT $17.31
1 SELECT $4.50
Permit Total Fees: $91.06
Payment Summary.
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $91.06 $91.06 $0.00 $91.06
$91.06 $91.06 $0.00 $91.06
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: jmm Printed By: jmm
Print Date: 7/27/2007
Permit Center
11703 E Sprague Ave, Snite B-3
Sprrnokane 7 iSpokarr Valley, WA 9 ff�\�)6 IF((� V E
coos Valley (509)688-0036 FAX: �Q9,)688-0037
www.spokanevallev.oiffd 11
Community Development
Residential Construction,
Permit Application
JUL 2 7
❑ New Coos ruction
[��Af�ldrYio'ilvmodel
❑ Other:
D
PERMIT NUMBER: 7_232
PERMIT FEE:
Accessory Bldg
Deck Roc) f'
SITE ADDRESS: h•W S_ "r14 ini f gini / (
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
lL
;C6utact,Perst iiTnt:
Name:
Phone:
.CDescnbe_the scope of work in detail:
'Contractor t 7
"DIMES SIO S? J / sr
7 -
# OF STORIES:
Name:
MAIN FLOOR TO SQ.
FTG:
2"J/FLOOR
FLOOR
Address:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
City:
State:
Zip:
Phone:
Fax:
CONSTRUCTION TYPE:
Contractor Lic No:
. Exp Date:
City Business Lic. No:
ECtistof Proj tt: $
.4-0 0 Goy
P opo d Use:
A � ,„(200 F /-"1.] TR
'A"/ i 0 ,goo
**************The followine MUST be complete: (write N/A if not applicable)**********************
:HEIeallitTictREAIS."%v t JJ
7/
"DIMES SIO S? J / sr
7 -
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2"J/FLOOR
FLOOR
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGEfSQ. FTG1
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
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, and subsequently approved before
this application can be processe
ISIGNATURE:_h
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
0 Check
❑ Mastercard
Expires:
❑ VISA
VIN#:
,27- 0 7
Sib'lane'
Project
Transmittal
City of Spokane Valley
Community Development
Department , -
11703 E. Sprague Ave, Suite B3
Spokane Valley, WA 99206
Phone: 509.688.0036
New project
Precious pre -app meeting ❑
Plan revisions ❑
Transmittal Date:
Friday, July 27, 2007
Site Address: 1225 S DISHMAN RD Project Number: 07002932
Parcel Number: 45203.0803
Zoning: UR -7 Water District: SPO CO WATER DIST#3B
Fire District: FD 01
Applicant: EBY, DONALD L
1225 S DISHMAN RD
SPOKANE VALLEY, WA 99206
(509) 747-3200
e-mail: e-mail:
Occupant:
Owner: EBY, DONALD L
1225 S DISHMAN RD
SPOKANE VALLEY, WA 99206
Contact: EBY, DONALD L
1225 S DISHMAN RD
SPOKANE VALLEY, WA 99206
(509) 747-3200
e-mail:
Contractor: OWNER
( ) - 0
e-mail:
Ah / Engineer:
dic
e-mail:
Project BUILT PATIO ROOF NEXT TO MANUFACTURD HOME
Description:
Building
Landuse
Engineer
Utilities
Health
Fire Dist
Assessor
CONSTRUCTION
DRAWIN
SITE PIAN
C
a
REV SIGN OF
F
Please send all plan review and project comments via e-mail to the
highlighted individuals.