2005, 07-20 Permit App: 05002457 PorchProject Number: 05002457 Inv: I Application Date: 07/20/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: 15 X 12 COVERED PORCH Contact: MIKE HURRY
Address: 34292 HWY 41
C - S - Z: OLDTOWN, ID 83822
Setbacks: Front EXI Left: 15+ Right: EX Rear: EX Phone: (208) 660-5344
Group Name:
Site Information: Project Name:
Plat Key: Name: VALLEY MEADOWS SUB District: Nort
Parcel Number: 45162.2203 Block: Lot:
SiteAddress: 11204 E DEAN AVE Owner: Name: DIONNE LIVING TRUST, THEOD
Address: 916 N WOODWARD RD
Location:: CSV SPOKANE VALLEY, WA 99206
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 2,915 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
- I Site Plan Review Released By:
Plan
Permits:
Operator: K_C Printed By: K_C Print Date: 07/20/2005
w
Project Number: 05002457 Inv: I Application Date: 07/20/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: ALL SEASON CONSTRUCTION Firm: ALL SEASON CONSTRUCTION
Address: 34292 HWY 41 Phone: (208) 437-3837
OLD TOWN, ID 83822
Building Characteristics
Group: U-1 Type: VB
Total Area 180
Building Height 14
Stories 1
Description Grp Type Notes
COV DECK R-3 VB
Item Description
RESIDENTIAL PERMIT FEE
STATESURCHARGE
RESIDENTIAL PLAN REVIEW
Notes
Payment Summa
Total Project:
Sq Ft Valuation
180 $2,700.00
180 $2,700.00
Fee Amount
$83.25
$4.50
$33.30
Permit Total Fees: $121.05
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $121.05 $121.05 $0.00 $121.05
$121.05 $121.05 $0.00 $121.05
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: 07/20/2005
This Application:
Sg Ft
Valuation
180
$2,700.00
Totals:
180
$2,700.00
Units
Unit Desc
1
SELECT
I
SELECT
1
SELECT
Total Project:
Sq Ft Valuation
180 $2,700.00
180 $2,700.00
Fee Amount
$83.25
$4.50
$33.30
Permit Total Fees: $121.05
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $121.05 $121.05 $0.00 $121.05
$121.05 $121.05 $0.00 $121.05
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: 07/20/2005
BUILDING PERMIT APPLICATION WORKSHEE
City of Spokana Va L'ey Community Development Depaiment
Sp&anw Building Division
11707 E. Sprague Avenue, Suite 106
Valley Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: 1/1 e %
Assessor's Tax Parcel Number(s): `�Z 2-2o3
Legal Description:
PERMIT DESCRIPTION:
Building Permit
❑ Relocation
❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
I OWNER/APPLICANT INFORMATION
❑ Owner.-_rO_�u l�ivtUl.��
Phone: G /6 Fax: _
Address: r
gt 2r
State Zp ode
❑ Contractor:
PhoneLO rFax: la1P
Address:, S S�
city Statee
/;� � /2—
❑ Applicant: m //Q -7 .
Phone: ", Fax:
Address: jh
❑0
city State Zip Code
Architect:
Phone: _
Address:
City
WA State Contractor License # �5{'<<C�oA)a Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMITIBUILDING INFORMATION
State
Fax:
Zip Code
HEIGHT TO PEAK
DIMENSIONS:
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2 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:
SEWER OR ON-SITE SEPTIC
SYSTEM?
Width:
Manufacturer:
Previous Address:
Proposed Use: _
Length:
MANUFACTURED HOME �
Year
RELOCATION
FIRE SAFETY
Fire Sprinkler. # of Heads: Fire Alarm:
Tent: Fireworks Display: Blasting:
Valuation: Above/Underground Storage Tank Size:
Pit Set:
Paint Booth:
Date(fime:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner: Phone: Fax:
Address:
city State Zip
Inspector. Phone: Fax:
Address:
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 property owner.
Print Name Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VI N#:
Authorized Signature:
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