2005, 03-23 Permit App: 05000890 GarageProject Number: 05000890 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/23/2005 Page 1 of 2
Project Information:
Permit Use: ATTACHED GARAGE
Contact: FLEES, JERRY
Address: 8013 E FAIRVIEW AVE
C - S - Z: SPOKANE VALLEY, WA 99212-2138
Setbacks: Front EXI Left: 5 Right: EX Rear: 40+ Phone: (509) 924-3566
Group Name:
Site Information: Project Name:
Plat Key: 000000 Name: unknown
District: Nort
Parcel Number: 45072.3002
Block:
Lot:
SiteAddress: 8013 E FAIRVIEW AVE Owner: Name: FLEES, JERRY
Address: 8013 E FAIRVIEW AVE
SPOKANE VALLEY, WA 99212-213
Location:: CSV
Zoning: UR -7 Urban Residential -7
Water District.
Hold: ❑
Area: ,464.00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information: „--•
Review
Site Plan Review
Released By: "
Plan Review
Released 13v:
Septic System Review
Released By.-�
Permits: A.
Operator: K_C Printed By: K_C
Print Date: 03/23/2005
Project Number: 05000890 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/23/2005 Page 2 of 2
Contractor: OWNER
Group: U -I Type: VB
Total Arca 604
Building Height 11
Stories 1
Description
GARAGE
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
Grp Type Notes
U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLAN REVIEW
STATE SURCHARGE
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation •
604 $11,476.00 604 $11,476.00
Totals: 604 $11,476.00 604 $11,476.00
Units Unit Desc Fee Amount
1 SELECT 5209.25
1 SELECT $52.31
1 SELECT 54.50
Permit Total Fees: $266.06
Payment Sutnntarj•
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $266.06 $266.06 $0.00 5266.06
$266.06 $266.06 $0.00 5266.06
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: K_C Printed By: K_C Print Date: 03/23/2005
C1o1�4c�
?EA/3-6 4
n'%o-/3 7 S'
crlstx t
Spokane
#`alley
BUILDING PERMIT APPLICATION WORKSHEET
E ccf nfrita fyalley Community Development Department
v L� Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
: (509) 688-0036; Fax: (509) 688-0037
MAR 1 7 2005
MOLDOK
REQUIRED SITE INFORMATION
Street=Address:
So /3 6, iretirv,:et>
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION: Do,!/ /X I2?� ,9-- 4 qc. 1eJ (CUr. �.0 ,
n Change in Use n Grading n Manufactured Home
n Tenant Improvement Fire Safety Other
Building:P_ermit
Relocation
OWNER/APPLICANT INFORMATION
n
Owner: &erc{iGC (A) , FitCS
Phone: 5',0`j -.354Fax: 92� l -,?S'4
Address: ..64,/3 F r4iry%?w
ty
❑ Contractor:
Phone:
Address:
S ate ip Code
Fax:
City
State
WA State Contractor License #:
Zip Code
Applicant. �r� fct Gut Heti
Phone: 9a`/ -3s2 G Fax: 9aY�flt
Address g6,3
Colt wft- 99z/z
City State Zip Code
in Architect:
Phone: Fax:
Address:
City
Contact:
State
Zip Code
PERMIT/BUILDING INFORMATION
r
HEIGHT=Tp p ASK:
1/ /
DIMENsJO>la ,
JO �Xa9z
# OF STORIES.
MAIN FLOOR TO SQ. FTG:- •
2"" FLOOR SQ. FTG. _
UNFIN BASEMENT SQ. FTG.
FINISHED BASEMENT SQ. FTG'
GARAGE SQ. FTG.
DECK/COV. PATIO SQ. FTG.
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE.
IMPERVIOUS SURFACE AREA:
Js
COST" F'PROJECT'
� g O O b
30% SLOPES ON PROPERTY:
SEWER'OR=ONSITttg�'SEPTIC
SYSTEM? Se In tic -
MANUFACTURED HOME
Width:
Length: .'i ijYear ' . t'-- Pit Set:
Manufacturer: II ;I
RELOCATION
iri
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:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING fl CONCRETE
Firm Name:
❑ REINFORCEMENT ❑ WELDING
Phone:
Inspector(s):
Fax:
cDISCL-AIMER.a
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 inure to the property ower.
erint,Name,
C�) F e„SignatureriA„al
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
fl Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
r.
03/23/2005 16:30 5093241567
MAR 23 2005 15:16 FR
Project Number: 05000890 Inv: 1
SRHD EHS PAGE 01
P. Oc /to3
TO 3241567
i
Application'
THIS IS NOT A PERMIT
(Penalties will be assessed for commencing work without a permit
Date: 021123/2005
Protect Infortllgtion:
Permit Use: ATTACHED GARAGE
Setbacks: Front EX1 Left: 5 Right EX Rear: 40+
Site/flier/no/1M
Plat Key:
Page 1 of 2
g1071swaoswZEIM
Contact: FLEES, JERRY
Address: 8013 E FAIRVIEW AVE
0- S - Z: SPOKANE VALLEY, WA 99712-2138
Phone: (509) 9243566
Group Name:
Project Name:
es wonewanat
000000 Name: unknown District: Mort
--
Parcel Number: 45072.3002 Block: Lot:
SiteA.ddresa: 8013 E FAIRVIEW AVE Owner. Name: FLEES, JERRY
AddresS: 8013 E FAIRVIEW AVE
SPOKANE VALLEY WA 99212.21.3
Location:: CSV
Zoning: UR -7
Water District:
Ansa: ,464.00 Acres
Nbr of Bldgs: 0
Urban Residential -7
Width; 0
Nbr of Dwellings: 1
Hold: 0
:Depth: 0 Right Of Way (f:): 0
Review Informiatiotr: waeg.=====4e •ee.mwA.,.,.� � mcnweee; o==ereer„ama
Rao
Site Plan Review
Plan Review
Septic System Review
craximaarcuntatseri
Operator: ICC Printed Ey: K_C
MAR 23 2005 16:38
Print Date:
arsora:102.1emat_ _•MT1Int••,,
03/23/2005
5093241567 PAGE.01
- P•24%/kJ
c,70 Yz, ai
4,144
F
4_
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This site plan is hei•
obtaining a buildu:
representation of ni
Ilnos/dimensions, coir
have been identified.
bottles of water. steep slopes
S
e,,3 E.
Fr
ADV.
REviIoer
asursi
This site pion is being submitted for the purpose of
obtaining a building permit and is a true and correct
representalon of the proposal. All known property
lines/dimensions, curb eines. structures and easements
have been identified. Also indicated are wetlands,
bodies of r, steep slopes of • y r critical areas.
Signed.
Date:
8'
bttA'
fpo
A41r14
i � Q
q ''ihrefeed fat the purpose of
r, 1 is a true and correct
LNII known property
�.�
S and webments
-A weMands,
-aI areas.
Signed:
Date:
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