2005, 01-27 Permit App: 05000240 GarageProject Number: 05000240 Inv: I
1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 01/27/2005 Page 1 of 2
Project Information:
Permit Use: 22 X 28 ATTACHED GARAGE
Setbacks: Front 10 Left: 7 Right: N/ Rear: EX
Site Information:
Plat Key
Contact: RICHARD MASON
Address: 15918 E CAMERON CT
C - S - Z: VERADALE, WA, 99037
Phone: (509) 953-3923
Group Name:
Project Name:
Name: MISSION MEADOWS MHP MFG HOME PK 123 UNITS District: East
Parcel Number: 55083.9601 Block:
Lot: 61
SitcAddress: 1610 N GRADY LN Owner: Name: ROBINSON, ROLAND & CHERYL
Address: 13920 E 28TH AVE
Location:: CSV SPOKANE VALLEY, WA 99037
Zoning: UR -7 Urban Residential -7
Water District
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 35
Nbr of Bldgs. 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released BT 0 Il i
1)1'.6flaiLn.,94
Plan Review
Released BV: P/
ifra 141 z'‘
Permits: ..
Operator K_C Printed By: K_C Print Date: 01/27/2005
Project Number: 05000240 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 01/27/2005
Contractor
Address:
Building Permit
Page 2 of 2
UNKNOWN Firm: UNKNOWN
UNKNOWN Phone: (000) 000-0000
UNKNOWN, WA UNKNOWN
Building Characteristics
Group: U-1
Total Area
Building Height
Stories
Type: VB
616
14
1
Description Grp Type Notes
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLAN REVIEW
STATE SURCHARGE '
Notes:
Payment Sunmtarv: . .
Permit Type
Building Permit
This Application: Total Project:
So Ft Valuation Sq Ft Valuation
616 $11,704.00 616 511,704.00
Totals: 616 $11,704.00 616 511.704.00
Units Unit Desc
SELECT
SELECT
SELECT
Permit Total Fees:
Fee Amount Invoice Amount
5266.06 $266.06
$266.06 $266.06
Fee Amount
$209.25
$52.31
$4.50
$266.06
Amount Paid Amount Owing
$0.00 $266.06
$0.00 $266.06
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 he true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will he
complied with. Subsequent issuance of a permit shall not he 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: 01/27/2005
(unix- °' "" 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
BUILDING PERMIT APPLICATION WORKSHEET
IJ1J J l ti 1 '
Dalley aSP "p p03
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REQUIRED SITE INFORMATION
Street Address:
/&/0 liohP
Assessor's Tax Parcel Number(s). 550 Sae %ll0/
Legal Description:
ZvT &/ T ,%i 5 5%s9
PERMIT DESCRIPTION:
Building Permit
❑ Relocation
Change in Use ❑ Grading
Tenant Improvement ❑ Fire Safety Other
lac
Manufactured Home
OWNER/APPLICANT INFORMATION
Owner
Phone:
Address:rep3620 F,ze / P
City /es p //u// Stat W4 /fD37
Zip Code
Contractor: ahkfr y,y, 41 A2 742,
Phone: Fax:
Address:
City
State Zip Code
WA State Contractor License #:
❑ Applica
Phon
Addres
frePservy
W-77,81'•
c4
Soo , U/
t&c ` he D
JAN Ldb LUU3
Fax: 27,7_,C/`
/Oft lo37
State Zip Code
Fax:
0 pp pp pp ppCity
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK. i
DIMENSIONS
# OF STORIES /
MAIN FLOOR TO SQ FTG:
2"" FLOOR SQ FTG:
UNFIN BASEMENT SQ FTG:
FINISHED BASEMENT SQ. FTG.
GARAGE SQ. FTG: (me
V
DECK/COV. PATIO SQ. FTG
OCCUPANCY GROUP:
CONSTRUCTION TYPE.
HEAT SOURCE.
# OF BEDROOMS'
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT
/- GAJ
30% SLOPES ON PROPERTY
�rEWE`R�
R ON SITE SEPTIC
ss M?
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
II
BOLTING
Firm Name:
CONCRETE ❑ REINFORCEMENT
LJ WELDING
•l ,: " t
Phone: Fax:
Inspector(s): LI
DISCLAIMER -- i -t_
The permitee verifies, acknowledges,andlagreesi byttheirsgnature 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 prop- y owner.
Print Name Volo i,f ��1{�13� Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check
Bankcard #:
Authorized Signature:
❑ Mastercard
VISA ❑ Other
Expires: VIN#:
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This site plan'is being bmitt for the u se o1
oov obtaining a building per it ants a tru rrect
wM+•n l�r �l All kn�perty
lines/dimensions, curb lines, structures and easements
have been identified. Also indicated are wetlands.
ipAbodies of water, ep sl. her critical areas.
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