2005, 08-03 Permit App: 05002726 GarageProject Number: 05002726 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/3/2005 Page 1 of 2
Project Information:
Permit Use: 720 SQ FT DETACHED GARAGE
Setbacks: Front
Site Information:
Left: Right: Rear:
Contact: REAGAN, MICHELLE
Address: 11524 E FAIRVIEW AVE
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 928-7930
Group Name:
Project Name:
MENINX
Plat Key: 001641 Name: MIRABEAU RANCH ADD
District: Nort
Parcel Number: 45091.0506 Block:
SiteAddress: 11524 E FAIRVIEW AVE
Location:: CSV
Zoning: AGSUB
Water District:
Lot:
Owner: Name: REAGAN, MICHELLE
Address: 11524 E FAIRVIEW AVE
SPOKANE VALLEY, WA 99206
Hold: ❑
Area: .00 Acres Width: 90 Depth: 140 Right Of Way (ft): 50
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Relea
Plan Review
Permits:
Originally Released:
8/3/2005 By: ddompier
Released
Originally Released: 8/3/2005 By: ddompier
Operator: DMD Printed By: DMD
Print Date: 8/3/2005
Project Number: 05002726 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/3/2005 Page 2 of 2
Contractor: OWNER
Group: U-1 Type: VB
Total Area 720
Building Height 16
Stories 1
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 720 $13,680.00 720 $13,680.00
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
Notes:
Payment Summary:
Permit Type
Building Permit
Totals: 720 $13,680.00 720 $13,680.00
Units Unit Desc
1 SELECT
1 SELECT
Fee Amount
$241.75
$241.75
Permit Total Fees:
Invoice Amount
$241.75
$241.75
Fee Amount
$237.25
$4.50
Amount Paid
$0.00
$241.75
Amount Owing
$241.75
$0.00 $241.75
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: DMD Printed By: DMD
Print Date: 8/3/2005
eor
Sp�kane
ley
BUILDING PERMIT APPLICATION WORKSHEET
it it kan !iey Community Development Department
I I ' �A f '1 1 Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
onnnLOow
• (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: I,59q .1cAtit'
(95
Assessor's Tax Parcel Number(s):
Legal Description: L� �\
PERMIT DESCRIPTION: U11i;cboC1 Vic( '1'171brn(k ,s -J.,
Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
citY-
L010'1'
Owner: i(1idirellr* VeaCicul
Phone: 5C)
Address: 115E tZ
06,-\\51v
Citi' \ State Zp Code
❑ Contractor:
Phone: Fax:
Address:
City
❑ Applicant:
Phone: Fax:
Address:
City
n Architect:
Phone: Fax:
State Zip Code
Address:
State Zip Code City State Zip Code
• WA State Contractor License #: Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: r
DIMENS S:
ONKS0XID
# OF STORIES:
1
MAIN FLOOR TO SQ."`T
FTG:
214° S(. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG: -0(D
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONTRUCTION TYPE:
p�u- IaitiVkk 0 oi
HEAT SOURCE:
# OF BEDROOMS:
TO AL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJE T;
,�
l lQ
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM? *' -
MANUFACTURED HOME
Width:
Length: Year Pit Set:
Manufacturer:
RELOCATION
Previous Address:
Proposed Use:
Fire Sprinkler. # of Heads: Fire Alarm:
Tent:
Valuation: Above/Underground Storage Tank Size:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner.
Address:
Phone:
Fax:
City State
Inspector. Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
Inspector(s):
Fax:
0 WELDING
DISCLAIMER
The perrnitee 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.
Dwnership off resulting
1development rights granted by any issued permit inure to thee property owner.
Print Name 1 1 � C l 1�. vl�� MSignature i?�
` L 06Fri
'Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
Cash 0 Check
3ankcard #:
0.uthorized Signature:
0 Mastercard
❑ VISA ❑ Other
Expires: VIN#:
A
U\