2004, 12-14 Permit App: 04009394 GarageProject Number: 04009394 Inv: I Application Date: 12/14/2004 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Parcel Number: 55083.9601 Block:
SiteAddress: 1702 N HODGES LN
Location:: GRE
Zoning: UR -7* Urban Residential -7*
Water District:
Area: .00 Acres Width: 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information: :>::;..
Revi
Site
Plan
Lan
Permits:
Lot: 13
Owner: Name: HOLLAR, C J
Address: PO BOX 10298
SPOKANE, WA 99209
Hold: ❑
Depth: 0 Right Of Way (ft): 35
Buse/Zoning ���(,{� eleasedBy:z
_ 4
z all
Operator: K C Printed By: K_C Print Date: 12/14/2004
Project Number: 04009394 Inv: I Application Date: 12/14/2004 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Contractor: UNKNOWN Firm: UNKNOWN
Address: UNKNOWN Phone: (000) 000-0000
UNKNOWN, WA UNKNOWN
Building Characteristics
Group: U-1 Type: VB
Total Area 528
Building Height 13
Stories 1
Dwelling Units 0
Description Gro Type Notes
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLAN REVIEW
STATESURCHARGE
Notes: :.
Pavment Summa
Total Project:
Sa Ft Valuation
528 $10,032.00
528 $10,032.00
Fee Amount
$195.25
$48.81
$4.50
Permit Total Fees: $248.56
Permit Tvue Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $248.56 $248.56 $0.00 $248.56
$248.56 $248.56 $0.00 $248.56
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: 12/14/2004
This Application:
So Ft Valuation
528 $10,032.00
Totals:
528 $10,032.00
Units
Unit Desc
1
SELECT
1
SELECT
1
SELECT
Total Project:
Sa Ft Valuation
528 $10,032.00
528 $10,032.00
Fee Amount
$195.25
$48.81
$4.50
Permit Total Fees: $248.56
Permit Tvue Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $248.56 $248.56 $0.00 $248.56
$248.56 $248.56 $0.00 $248.56
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: 12/14/2004
BUILDING PERMIT APPLICATION WORKSHEET
4cm'OFCity of Spokane Valley Community Development Department
S Building Division
S��, 11707 E. Sprague Avenue, Suite 106
w1ey �� Spokane Valley, WA 99206
00 Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: //OZ- /V-
DIMENSIONS: ZZ i7<
Assessor's Tax Parcel Number(s): SSD 83 .
2!065-
Legal Description: Z074 /3 %�iSS%d`I /
/P��✓DGyS �/�
PERMIT DESCRIPTION: 6' izT!!ti'2
GARAGE SQ. FTG:
❑ Building Permit ❑ Change in Use
❑ Grading ❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner: 6,T, ]-6 )Q y-
❑ Applicant: r �� &sa*i
Phone: 3M-!937, Fax:
Phone: 953- 3s Z Fax:
Address:
Address: ,
5Ga0x W 99 27 6!
City State/_ Zip Code
State Zip Code
F-1 Contractor: Sao e I -Id a 65,,y�
❑ Architect:
Phone: S3S--/7f Fax:
Phone: Fax:
Address:
Address:
cityr State Zip Code
City State Zip Code
WA State Contractor License #:
Contact:
PERMITBUILDING INFORMATION
HEIGHT TO PEAK: 131
DIMENSIONS: ZZ i7<
# 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: Length:
Manufacturer:
Previous Address:
Proposed Use: _
MANUFACTURED HOME I
Year:
RELOCATION
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm:
Tent: Fireworks Display: Blasting:
Valuation: Above/Underground Storage Tank Size:
Pit Set:
Paint Booth:
Datelfime:
I WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE I
Plans Examiner:
Address:
Inspector:
Address:
❑ BOLTING
Firm Name:
Inspector(s):
Phone:
City
Phone:
City
SPECIAL INSPECTIONS
❑ CONCRETE ❑ REINFORCEMENT
Phone:
Fax:
Zip
Fax:
State Zip
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 LAR(i 91gQ504 Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard
Bankcard #:
Authorized Signature:
❑ VISA ❑ Other
Expires: VIN#:
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