2005, 05-10 Permit App: 05001492 ShopProject Number: 05001492 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/10/2005 Page 1 of 2
Project Information:
Permit Use: 32 X 40 SHOP
Setbacks: Front 75+ Left: 9 Right: 70+ Rear: 15
Site Information:
Plat Key: 000765 Name: FAIRACRES REPLAT #2
Contact: POLLOCK, DENNIS D
Address: 11222 E FAIRVIEW AVE
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 994-4452
Group Name:
Project Name: ROW
District: Nort
Parcel Number: 45092.1201 Block:
SiteAddress: 11222 E FAIRVIEW AVE
Location:: CSV
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: .00 Acres
Width: 19
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Lot:
Owner: Name: POLLOCK, DENNIS D
Address: 11222 E FAIRVIEW AVE
SPOKANE VALLEY, WA 99206
Hold: ❑
Depth: 1 Right Of Way (ft): 60
Review
Site Plan Review
Released By:
Plan Review
Permits:
Contractor: OWNER
Item Description
APPROACH INSPECTION
CONST IN ROW - APPROACH
Approach
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
Fee Amount
$25.00
$25.00
Permit Total Fees: $50.00
Operator: K_C Printed By: K_C Print Date: 05/10/2005
Project Number: 05001492 Inv: 1
Application
Date: 05/10/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Group: U-1 Type: VB
Total Area 1280
Building Height 18
Stories 1
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 1,280 $24,320.00 1,280 $24,320.00
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLAN REVIEW
STATE SURCHARGE
Notes:
Totals: 1,280 $24,320.00 1,280 $24,320.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$391.25
$97.81
$4.50
Permit Total Fees: $493.56
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Approach $50.00 $50.00 $0.00 $50.00
Building Permit $493.56 $493.56 $0.00 $493.56
$543.56 $543.56 $0.00 $543.56
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: 05/10/2005
Spokane
Vai1e
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokaa Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
%phone: (509) 688-0036; Fax: (509) 688-0037
D[v
iJ {_4 l i (i �.
REQUIRED SITE INFORMATION
Street Address: fi,22,E 6
Assessor's Tax Parcel Number(s):
s
It) LA -
Legal Description:
PERMIT DESCRIPTION: cS� p 3 Z -</6
DBuilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
1
OWNER/APPLICANT INFORMATION
Owner: - o1'Ns t2 /4c1 Applicant: ca- ,ii
Phone: 7jy514/52. Fax: Phone: Fax:
Address: j/z.� ir-4/«7.4; Address:
City ✓ State Zip Code City State Zip Code
3i_c 4v„c•-% 0 Architect:
Fax: Phone: Fax:
Address:
Contractor:
Phone:
Address:
City State Zip Code City State
• WA State Contractor License #: Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
Zip Code
HEIGHT TO PEAK:DIMENSIONS:
/e
3) X ya
2"" FLOOR SQ. FTG:
# OF STORIES:
/
UNFIN BASEMENT SQ. FTG:
MAIN FLOOR TO SQ. FTG:
/,Zae,
FINISHED BASEMENT SQ. FTG:
--c—
c__-.OCCUPANCY
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCYGROUP:
CONSTRUCTIO TYPE:
-514 kb,,
HEAT SOURCE:
(--44s
# OF BEDROOMS:
-c) -
TOTAL HABITA LE SPACE:
/Z4 -e
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR N -SITE SEPTIC
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year: Pit Set:
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:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
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 inur q the property owner.
Print Name
k
Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check 0 Mastercard
Bankcard #:
Authorized Signature:
0 VISA
Expires:
VIN#:
0 Other
Call 24 hours before inspection required
Phone 509.688-0195 Fax 509.688-0037
DEPARTMENT OF. PUBLIC WORKS
Anticipated start date 5-- /Z -C Permit #
ROW CONSTRUCTION PERMIT
Location of property //ZZt Ui ec<=>
�^ (Addr�ys/ Marcel r�if available)
Applicant Name J y /1,/ /S i / ''g "(_ Fax
Address
//22L &-
Contractor's Name
Address
177 %i Pc�
&C L -
Phone
Phone
Contractor's Reg.# Expires
PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity)
Sewer Connection
El Curb & Gutter
111 Cable/Conduit/Pole
El Water Installation/Repair
Pavement Cut
csDriveway
Gas Installation/Repair
ElSidewalk Repair/Construction
El Other
Dimensions
Bond/insurance certification must be on file with the City. Bond #,
Permittee Signature
4�1J 7 er g Approved Date
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date
Name of Holder
Signature
Fees Paid$
Date
!nit
(Application) (Inspection)
In addition to the permit application fee of $16.00 (utility) or $25.00 (construction), inspection on
each permit will be billed to the permittee at a rate of $50.00 per hour with a $25.00 (1/2 hour)
minimum. Permittee signature constitutes an agreement to these terms and provisions.
Work completed satisfactorily (Signed) Date
Permit not valid until One -Call Notification Ticket # entered here
PERMIT MUST BE KEPT ON SITE
Excerpts from Spokane Valley Standards (3.24, and details A8 and A -8a):
• Every driveway approach must provide access to an off road parking area located
on private property. The driveway shall be of sufficient length so a vehicle in the
driveway does not project into the road right of way, sidewalk, or pathway.
• Public or private driveways in industrial, commercial, multiple family, church or
any like use shall be constructed to allow vehicles to exit without backing onto a
public road.
• Driveway approaches shall be constructed to avoid interference with existing
drainage inlets, culverts, road lighting standards, utility poles, traffic regulating
devices, fire hydrants or other public utilities. The applicant shall bear the cost of
relocating any such public facility.
• Driveway approach grades within the right of way shall not exceed 8% in urban
area, or 2% in rural areas. Driveway grades shall not exceed 10% within ten feet of
a city right of way.
See Standards for a more complete listing of requirements.
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Thi, site plan i$ being ng sup
mitted representation Wilding permit and for the purpose of
repres ntatio n., proposal. Aft k and correct
beenhaw ments
N�d. urb Aho structures and property
`�9r►ed: `� indicated arer wetlands.
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Iva* PLANS MUST BE KEPT
ON THE JOB SITE
1
PROVIDE DIAGRAMS AND 1110
ENGINEERING LAYOUTS FOR
ROOF TRUSSES, BEAMS AND FLOOR SYSTEMS PRIOR TO FRAMING)
;) 74-
INSPECTIONS
1 12_ Ataqa ejeaRce,
-1-etA ss -es
htvcr Les
OA/DATION WALLS - 3000 *
BS. GARAGES, CARPoRrs
& PORCHES -35oo psi
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