192005, 02-18 Permit App: 05000525 Pole BldgProject Number: 05000525 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 02/18/2005 Page 1 of 2
Project Information:
_, Mri. Maw
Permit Use: 24 X 36 POLE BUILDING
Setbacks: Front 115 Left: 15 Right: 71 Rear: 15
Site Information:
Plat Key: Name: PINKERTON PARK ADD
Contact: COLLICOTT, MAUREEN
15 N GREENACRES RD
GREENACRES, WA 99016-7720
(509) 939-3170
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
MatinetngaRMAMM-
aNSFALEMEMESMESIONSIMM
District: East
Parcel Number: 55184.3303
Block:
SiteAddress: 15 N GREENACRES RD
Location:: GRE
Zoning: B-2
Water District:
Area: 30,475 Sq Ft
Community Business
Width: 0
Lot:
Owner: Name: COLLICOTT, MAUREEN
Address: 15 N GREENACRES RD
GREENACRES, WA 99016-7720
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information
Review
Site Plan Review
Plan Review
Septic System Review
Permits:
Released By:
Fi4(20,c6A-
Icfqr—
Operator: K_C Printed By: K_C Print Date: 02/18/2005
Project Number: 05000525 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 02/18/2005 Page 2 of 2
Contractor: OWNER
Group: U-1 Type: VB
Total Area 864
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 864 $16,416.00 864 $16,416.00
Totals: 864 $16,416.00 864 $16,416.00
Item Description Units Unit Desc Fee Amount
RESIDENTIAL PERMIT FEE 1 SELECT $279.25
ACCESSORY PLAN REVIEW 1 SELECT $69.81
STATE SURCHARGE 1 SELECT $4.50
Permit Total Fees: $353.56
Payment Summary: EMZEMEME.-
-.WEVIVESOIWZRWORMEMMSMSEVXMAIMEIMMIRMITMOSMEaft
Permit Type
Building Permit
Fee Amount Invoice Amount
$353.56 $353.56
Amount Paid
$0.00
Amount Owing
$353.56
$353.56 $353.56 $0.00 $353.56
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: 02/18/2005
*Ohne
BUILDING PERMIT APPLICATION WORKSHEET
City 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: ,4i, ) S 6 feemaccesA 12J
Assessor's Tax Parcel Number(s): 55/ ' L/, 3 O 3
Legal Description: 2__n_ n ke(+o{\ "PK T( LL 3 ' N I's- cf 4 Sy/ t�5
PERMIT DESCRIPTION: —Pa) to ik
Building Permit
H Relocation
p Change in Use ❑ Grading
E Manufactured Home
n Tenant Improvement ❑ Fire Safety n Other
OWNER/APPLICANT INFORMATION
n
Owner: 6e,k_u{'Q,2,(\ U\,GiA* 6f4 171
Phone3ag939 -31 0 Fax: So9 9z t-oy Z�
Address: /�.l S cks.,
Contractor:
State Zip Code
Se_l u.A.Qcs)
Q(
Phone: Say .F3?„3/76 Fax:
Address:
City
State
WA State Contractor License #:
Zip Code
n
Applicant: KpIrip A -g
Phone: socr.crW- iCZSZ Fax:3 9.9
Address:).15L�I�Qnac.lt�
o _� A)
C1 State
Architect:
Phone:
940
Zip Code
Address:
Fax:
City
Contact:
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
1.
DIMENSIONS: ,
Zy x at."
# OF STORIES: ,
MAIN FLOOR TO SQ. FTG:
% cg
2' FLOOR SQ. FTG:
Iv/�
UNFIN BASEMENT SQ. FTG:
N/A -
FINISHED BASEMENT SQ. FTG:
N/A
GARAGE SQ. FTG: .
NAH
CONSTRUCTION TYPE:
mole
DECK/COV. PATIO SQ. FTG:
NM
HEAT SOURCE.
rV/a
OCCUPANQY GROUP:
.
# OF BEDRO/OM:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
ti `,�nP�2�,°�
30% SLOPES ON PROPERTY:
—
SEWER OR ON-SITE SEPTIC
SYSTEM? ..;04-;c____.
L
MANUFACTURED HOME
Width:
Length:
Year:
Manufacturer:
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
Inspector: Phone: Fax:
Address:
State
Zip
City
State
Zip
SPECIAL INSPECTIONS
BOLTING ❑ CONCRETE
Firm Name:
E REINFORCEMENT
Phone:
I nspector(s):
Fax:
n 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 the property owner
Print Name
l4Lae,eft ebil; Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
f Cash ❑ Check
Bankcard #:
Authorized Signature:
❑ Mastercard
❑ VISA ❑ Other
Expires: VIN#:
//GUUD ID.J0 JUZOL4IJOI
FEB le 2005 15:04 FR
J,11.1.1
Project Number: 0000525 Inv: 1 Application
THIS IS NOT ATER:MIT
Penalties will be assessed for commencing work without a permit
Rroitalsfermation:
........am.E.......emovemegags.w....mmisiosamemac OS SIMIRVIEMPION
Permit Use: 24 X 36 POLE BUILDING Contact: COLLICOTT, MAUREEN
Address: 15 N GREENACRES RD
C - -Z: GREENACRES, WA 99016-T70
Setbacks: Front 115 Left: 15 Right. 71 Reer: 15 Phone: (509) 939-3170
Group /am:
Project Name:
TO 3241567
Date: 02/18/2005 Page 1 of 2
Site Informatiorgs. acmaimm, VIICIEMPUMMEMOMMINIIii
Plat Key: Name: PINKERTON PARK ADD
Parcel Number. 55184.3303 Block:
SiteAddress: 15 N GREENACRES RD Owner Name: 'COLLICOTT, MAUREEN
Address: 15 N GREENACRES RD
Location:: GRE 'GREENACRES, WA 99016-7720
Lot:
armuwouwwwww
District: Ease
• • •
Zoning: B-2
Water District:
Community Business
gold: 0
Are; 30,475 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of)31dgs: 2 Nbr of'Dwellings: 1
ReviewmommeargsfaMblegltrellOMMIIM
Review
Site Plan Review
Plan Review
mesasuanittlailMIIIICAVII ZWAIINCemarce
Septic System Review
eszpsits: =mom,
Operator K_C: Printed 13y: KC
FEB 18 2005 16:02
Print Date: 02/18/2005
509324156? PAGE.01
IViaf4k -or
IIS )
PLANNING DEPT. APPROVED
BY: 1717/
DATE:
4',
y 3 G
4 4;
Propos
cr‘syvte -
Acoy\54. Otktaist
ZONE
ROAD WIDTH
COMMENTSFRONT-Lb....± FLANKING
REVIEWED SY
•tf
'
This alto plan is being subnitned ler Ole purpose ot
Obtaining a buildngprom* and is s Wu* sold correct
representation cv the propoSe. lancleat property
linesIdimensioni , curb lineS. StPUOIllarrmailld easements
have been ideptified, wellestee are wetlands,
bodies ot Wale , stee if 1 areas.
Signed:
Date:
L4 5-
GKEenkute
4r
C v
LLto