2005, 09-27 Permit App: 05003193 Carport to GarageProject Number: 05003193 Inv: 1
r.
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/27/2005 Page 1 of 2
Project Information:
Permit Use: CONVERT CARPORT TO GARAGE Contact: OSCARSON, EDWARD
Address: 2722 N GARY LAURI CRT
C - S - Z: SPOKANE VALLEY, WA 99206
Setbacks: Front 16 Left: 20 Right: 25 Rear: Phone: (509) 327-7831
Group Name:
Site Information:Project Name:
Plat Key: 000000 Name: unknown District: H
Parcel Number: 45091.2703 Block:
SiteAddress: 2722 N GARY LAURI CT
Location:: CSV
Zoning: UR -7
Water District.
Urban Residential -7
Lot:
Owner: Name: OSCARSON, EDWARD
Address: 2722 N GARY LAURI CRT
SPOKANE VALLEY, WA 99206
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: _
Review
Site Plan Review
Released By: - -
Plan Review
Originally Released: 08/31/2005 By: CBATES
Released By:
Originally Released: 09/26/2005 By: TMELBOU
Permits: „
Operator: CJJ Printed By: CJJ
Print Date: 09/27/2005
Project Number: 05003193 Inv: 1
Application
Date: 09/27/2005 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 Type Notes Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 450 $8,550.00 450 $8,550.00
Totals: 450 $8,550.00 450 $8,550.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $167.25
ACCESSORY PLAN REVIEW 1 SELECT $41.81
STATE SURCHARGE 1 SELECT $4.50
Permit Total Fees: $213.56
Notes•
Payment Summary: ..
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $213.56 5213.56 $0.00 $213.56
$213.56 $213.56
$0.00 $213.56
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: CJJ Printed By: CJJ
Print Date: 09/27/2005
1
S!N�kitne
Valley
RE
n
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
E C V EI �1\ 11707 E. Sprague Avenue, Suite 106
I I Spokane Valley, WA 99206
AUG 0 2055 PNade: (509) 688-0036; Fax: (509) 688-0037
III!
ATION
Street Address: 2722/744 4. �j,�r7 1.410/ ther
Assessor's Tax Parcel Number(s): 1670V • 2-74,5
Legal Description: (S*121,6 <CPa L 3 A5 4 / /o66t
PERMIT DESCRIPTION: VuCIv,noeC3{Q::)c-f \r -\o - .se.
V
Y4 Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
Ca Owner: / i, r.=- 4.
Phon . 1317- 7.' ax: ,,A
Addre s: i . ,�
lope Si
igyr
c [[ i3"te 'bp Code
❑ Contractor: 0% a y O
Phone: Fax:
Address:
City
State Zip Code
Applicant: I+ t t 0J01/4 cin Q
Phone: Si °i - 1 B3 Fax:
Address:
City
State
s Architec : l/ G
Phone X 27-7d& Fax: cSan t
Zip Code
Address:
1
State Zip Code
WA State Contractor License #: Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
DIMENSIONS:
# OF STO�ESne
MAIN FLOOR TO SQ. FTG:
2" " FLOOR SQ. FTG:
UNFII4ASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ�. FIG ..
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONS✓tRUUCTIONN TYPE:
HEAT S2a
40
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
C ST F P O ECT:
M�� l/�l`/h
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?
MANUFACTURED -HOME
Width:
Manufacturer:
Length: Year: Pit Set:
1
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: Phone: Fax:
Address:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State,
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
Inspector(s):
❑ REINFORCEMENT
Phone:
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 inure to the propert p; ner.
Print Name j"6t #IT c%'• Signature
C� Ad. Ct-le
Method of Payment: (Faxed permit applications will only be accepted with major ankcard)
❑ Cash ❑ Check ❑ Mastercard
❑ VISA
El
Other
Bankcard #: Expires: VIN#:
Authorized Signature: