2005, 09-21 Permit App: 05003470 Post Frame BldgProject Number: 05003470 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/21/2005 Page 1 of 2
Project Information:
Permit Use: 20 X 24 X 8 DETACHED POST FRAME BUILDING
Setbacks: Front 44 Left: 6 Right: 5 Rear: 32
Site Information:
Plat Key: 002950 Name: WOODLAND ADD
Contact: SPOKANE STRUCTURES
Address: 510 N MULLAN ST
C - S - Z: SPOKANE, WA 99206
Phone: (509) 927-0655
Group Name:
Project Name:
Wi
District: D
Parcel Number: 35244.0123 Block:
SiteAddress: 815 S GIRARD RD
Location:: CSV
Zoning: UR -3.5
Water District:
Area: 7,000 Sq Ft
Urban Residential 3.5
Lot:
Owner: Name: PETERSON, ANDREA R
Address: 815 S GIRARD RD
SPOKANE VALLEY, WA 99212-010
Hold: ❑
Width: 70 Depth: 100 Right Of Way (ft): 40
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information • „.
Review
Site Plan Review
Released By:
Plan Review
Originally Released: 09/21/2005 By: CJJANSSE
Released By:
N/A -ENGINEERED PLANS ON FILE
Sewer Review
Permits:
Originally Released: 09/21/2005 By: CJJANSSE
Released By:
SEWER PERMIT #03-7988
Originally Released: 09/21/2005 By: CJJANSSE
Operator: CJJ Printed By: CJJ Print Date: 09/21/2005
Project Number: 05003470 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/21/2005 Page 2 of 2
Building Permit
Contractor: SPOKANE STRUCTURES Firm: SPOKANE STRUCTURES
Address: 502 N MULLAN RD Phone: (509) 927-0655
SPOKANE, WA 99206
This Application: Total Project:
Description Grp Type Notes Su Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 480 $9,120.00 480 $9,120.00
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
Totals: 480 $9,120.00 480 $9,120.00
Units Unit Desc
1 SELECT
1 SELECT
Permit Total Fees:
Notes:
Home office not Home Profession - no permit required
Fee Amount
$181.25
$4.50
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
$185.75
Payment Summary: VeMEINN Orf 2MSOMENIMIL-M11! ZMETSEMSMV-kMVZMIEW.4;V:KMECBEN,2gig,f4UMgtdln
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $185.75 $185.75 $0.00 $185.75
$185.75 $185.75 $0.00 $185.75
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: CJJ Printed By: CJJ Print Date: 09/21/2005
Sp�kane
Ulley
IYf�_
BUILDING PERMIT APPLICATION WORKSHEET
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
Street Address: �S / 5 S. 6 rk i4-12 S? P_O4n j S64')7/7-- k.- 4
Assessor's Tax Parcel Number(s): 3,5 i/-11. d/.23
Legal Description:
PERMIT DESCRIPTION: ?os(-FR_I-11/4 bc) 1 -;Di
® Building Permit
0 Relocation
❑ Change in Use ❑ Grading 0 Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
1
OWNER/APPLICANT INFORMATION
❑ Owner. iiWD,��-�- Vc7 co
Phone: IAA,- 93s-. Fax:
Address: S G -t P . 4-p 124
City" p/` .Ave S t& A�
Zip Code
O Contractor. SQoka-nye- cvAy(.7-02,S
Phone: Fax: q) 7�
Address: `;/ (,v/ ,��1�((1vt,L,�-ti/ 2,(
pofrk2 � ��/���/ Staie�� VrfZ p Code
City
❑ Applicant: dtill 5 Z-zx-ry
Phone: Cly -v65S Fax: ? 7-tic.Z.2-
Address: S/v if) Mvl 4--w get
O -ii/ 104— 9' 92
State Zip Code
O Architect:
Phone: Fax:
Address:
City
WA State Contractor License #: S Po 1 aid Contact:
Spokane Valley Bus. Liscense #: /poi D8g '5-93
State Zip Code
ContactA
HEIGHT TO PEAK:/
/7-
DIMENSIONS:
oho e.� � 5
# OF STORIES:
f
MAIN FLOOR TO SQ. FTG:
2"D 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:
COST OF PROJECT:
30% SLOPES ON PROPERTY: C
SEINE ON-SITE -T
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:
Inspector:
Address:
Phone:
Fax:
City
Phone:
State
Fax:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING
Firm Name: Fax:
Inspector(s):
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 perm' inure to the property owner.
Print Name �o=i 2 iZ p> ‘2_ ` Signature
❑ CONCRETE
❑ REINFORCEMENT
Phone:
❑ WELDING
Method of Payment: (Faxed pen -nit applications will only be accepted with major bankcard)
❑ Cash 0 Check ❑ Mastercard 0 VISA
❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
' 'iis site pia,'
being submitted for the
`ening a building permit and is Pose of
"ntatic,n Pur
of the a true and correct
",erasions, Proposal Ail known
curb lines ; Prope ty
="n identified. Ads,, '.ciicated awetarte rvetmer
water, steep lan is
f 6, s or other critical area
Date:
/00'
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