2005, 03-18 Permit App: 05000820 GarageProject Number: 05000820 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/18/2005 Page 1 of 2
Project Information:
raw
Permit Use: 16 X 36 GARAGE
Setbacks: Front EXI Left: EX Right: 25 Rear: 20
Site Information:
Plat Key: 001146 Name: HATHERLYS SUB
Parcel Number: 45334.0335 Block:
SiteAddress: 4218 S HATHERLY CIR
Location:: CSV
Zoning: UR -7
Water District:
Contact: OLSON, ROGER M
Address: PO BOX 142014
C - S - Z: SPOKANE, WA 99214
Phone: (509) 924-2848
Group Name:
Project Name:
District: Sout
Urban Residential -7
Area: .00 Acres
Lot:
Owner: Name: OLSON, ROGER M
Address: PO BOX 142014
SPOKANE, WA 99214
Hold: ❑
Width: 100 Depth: 130 Right Of Way (ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Released By:
Operator: K_C Printed By: K_C Print Date: 03/18/2005
Project Number: 05000820 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 03/18/2005 Page 2 of 2
Contractor: OWNER
Group: U-1 Type: VB
Total Area 576
Building Height 10
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 576 $10,944.00 576 $10,944.00
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLAN REVIEW
STATE SURCHARGE
Contractor: OWNER
Item Description
FLOOD PLAIN PERMIT
Notes:
Payment Summary:
Permit Type
Building Permit
Flood Plain
Totals: 576 $10,944.00 576 $10,944.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Flood Plain
Fee Amount
$195.25
$48.81
$4.50
$248.56
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
Permit Total Fees:
Fee Amount
$50.00
$50.00
Fee Amount Invoice Amount Amount Paid Amount Owing
$248.56 $248.56
$50.00 $50.00
$0.00
$0.00
$248.56
$50.00
$298.56 $298.56 $0.00 $298.56
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: 03/18/2005
Sii6kane
"alley
D�
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokan alley Community Development Department
(' [_ kV s Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
: (509) 688-0036; Fax: (509) 688-0037
( N
REQUIRED SITE INFORMATION
Street Address:
ij 3 Assessor's Tax Parcel Number(s): ./or z /94/i% 0 t 4'o r//
Nitr/!v144y G 41/4:10-'
Legal Description: %c r 2. //x4 1 Ofric1/36.=)0'PERMIT DESCRIPTION: /6-X X �L� jc.
Building Permit
Relocation
❑ Change in Use ❑ Grading n Manufactured Home
n Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner: Re
Phone: 6/2,. ' y : Fax:
L'' Address: Yj-1/2x, It/ ZO
w ,4
i%wL-/1.3"/City
C� Z /
State Zip Code
❑ Contractor:
Phone:
Address:
Fax:
❑ Applicant:
Phone:
Address:
Fax:
City
State Zip Code
❑ Architect:
Phone: Fax:
Address:
City State Zip Code City State Zip Code
WA State Contractor License #:
Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: rx
DIMENSIONS: / ✓ C
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
•..2N°FLOOR SQ. FTG:E,�(
.UNFIN BASEMENT SQ. FTG:
,
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG: 7‘
(G,
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COS- OF PROJECT:
-ICC&
30% SLOPES ON PROPERTY:
EWEpR ON-SITE SEPTIC
M?
emN
Qn�
s
031911 311H WNW OZ 110'.9/6 I NVNI Sell ION NOW
3903 01103A3NOH d0 UIIOS'!1000 000M 0110s NINA 0
39 11VNS 3311309311 OW 3998Y9 N33M139 98N111
(9N11133/8001f'3(111/33N30193!0 08909 AS Zit 0
`�- tf0 (3A09V 3094 31991199/4) arms dA9.X. 3dAi.91'4 O
` `�octs :30Is 39V!!V9 3H1 NO NOL13Atil�
1 3AusIs3(1311L8110N 3140 803 03A0t1ddy 9198:1311191(L
3AVH 11VHS aevwO 31VA1ltd QNY ONI113M0
N33M139 SONIN3dO QNV NOI1331011d
3
4
N
z
a. 111 V
] I- 0
iJfet lit
tZ*e. **4% c‘‹ te
L 2 "') •fit ' .,,y
ceo til
Z5
Vi'''ii --z
N>Ztv
0
)
\r,4
kk)
of
the P�ip�tiect
ed toc � sod �d
elog solOOts is % tOs O pc toes
tao is bog Pec oao(tP°�� cies sod ateWOO
cite Pa and -0 the Poes, stc aloes t oesse�
•Wo�o9tat�oo c��b Oso ko oto
�e esl a meoe!late%, se so s%opes O
�ha�e beo` v�ate�
bod�gs
S‘goed
Oates:
L
ADDAESS /
ZONE LLL' '7
ROAD WIOTH_
COMM
FRONTENTS (K LANKING 11..11
REVIEWED :..t