2005, 07-21 Permit App: 05002476 ShedProject Number: 05002476 Inv: 1
Application
THIS IS NOT A PERMIT
Date: 07/21/2005 Page 1 of 2
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 12 X 24 SHED Contact: ADAMS, JOSEPH & THAO
Address: 10103 E HOLMAN RD
C - S - Z: SPOKANE VALLEY, WA 99206
Setbacks: Front EXI Left: 100 Right: 10 Rear: 100 Phone: (509) 991-3367
Group Name:
Site Information: Project Name:
, r
Plat Key: 001295 Name: ILLER ADD District: Sout
Parcel Number: 44051.0903 Block:
SiteAddress: 10103 E HOLMAN RD
Location:: CSV
Zoning: UR -1
Water District:
Area: .00 Acres
Urban Residential -1
Width: 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Lot:
Owner: Name: ADAMS, JOSEPH & THAO
Address: 10103 E HOLMAN RD
SPOKANE VALLEY, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Site Plan Review
Plan Review
Released By:
- NQ.Qw 0. 1146 1-QA 4
A
Released By:
CW1 Septic System Review
Permits:
Released By:
Operator: K_C Printed By: K_C
Print Date: 07/21/2005
07/21/2005 09:58 5093241567
JUL 21 2005 10:31 FR
Project Number: 0560.2476 inv. 1
SRHD EHS
,Apps'i':;atiOI, .
PAGE 02/02
TO 3241567 P.O; !l'
Date: 07/21/2005
i';EUS LAG NOT A PlE lyirf
Penalties wild be atstq;sed for cam rue evtei11gtWOVli without a permit
Permit Use: 112 ?c 24 sum
Setbacks: Front 1TX:1 Left: 1P0 Rigbt: :11,1 P -ear: 100
Site Mformtitfon;.. ,;:::;,:r r-- --,:,^••• ... ..
Nat Key: 001295 Name; .f ,L1ER:iC41i District: Slut
Parcel Number: 41051.0903 Blink; Lot:
SiceAddress: 10103 E t1OLMA.N li;t3 OMn ICC hnn: UtA MS, JOSEPH & THAO
Addttss: 1M03 IF: HOLMAN RD
1101CANt VALLEY, WA 99206
Page
Contact: 4JMMS, JOSEPH Sc 'MAO
/,ddrea.t: 10193 E HOLMAN RD
C - 5 - Z: SPOKANE VALLEY, WA 9!;2t 6
P}uvu: (509) 991-3367
Catnip Nang:
Prc iec+ N2me.:
Location:: CSV
loviag: 1111-1
Water Dist ict
UrbanP;idl4tIi 1-1
field: 0
Area: .00 Acrce . Width: 0 1 Fetta: f 1 Right Of Way (ft): 0
Nbr of 131c ge: 2 Nbc of Da I:1lings: 1
,1 cP ,_ v i_n_PirMatirras .. _
..... ,.,,....,.., • cam:.- � :'s
liel�iew_ Ir
She Ma Review dease
Plan N.evlew
Septic System. 1te view
Cr➢rtYtS: i.:^2ra�. .-:..... _.,.. •a: a.r';.; �c.:: ar.: �'c�::rrrx...:,+.•'..o:�• . ., ..
F:iralui Ev`
r.P,ele:,eLF.y:
Operator: 1{C: Ptinted 1ta 0:_C
JUL 21 2005 11:09
4S1421414„_.:
r SF.IP f20 -Ai
rPi
07/21/2005
5093241567 PRGE.02
1.1
Project Number: 05002476 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/21/2005 Page 2 of 2
Contractor: OWNER
Group: U-1 Type: VB
Total Area 288
Building Height 0
Stories
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
This Application: Total Project:
Description Grp Tvpe Notes . Sq Ft Valuation Sq Ft Valuation
GARAGE U-1 VB 288 $5,472.00 288 55,472.00
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
Totals: 288 55,472.00 288 $5,472.00
Units Unit Desc Fee Amount
1 SELECT $125.25
1 SELECT $4.50
Permit Total Fees: 5129.75
Notes:
Payment Summary: a
Permit Type
Building Permit
Fee Amount
' $129.75
Invoice Amount Amount Paid Amount Owing
$129.75 $0.00 $129.75
$129.75 $129.75
$0.00 $129.75
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 ofl,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: 07/21/2005
Sfi�lthfle
..FValleydoo
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: 10103 E 0-obin&.✓n 1-Zo
Assessor's Tax Parcel Number(s):
Legal Description:
-/cPERMIT DESCRIPTION: J G/��-- ` - r 2-4
%6 Building Permit ❑ Change in Use 0 Grading
c3PektLiAk, \ lcodo
❑ Manufactured Home
❑ Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
�- q91-/37/
❑ Owner. 30 I() Ur I h6 t) ❑ Applicant
Phone:QQ/-s (37 Fax: Phone: Fax:
Address: j• o = a I r, ---/A v . of - Address:
Oklt.,.e._ I I kms. 2-040
City Stale Zip Code City
0 Contractor:
Phone:
Address:
Fax:
City
State
WA State Contractor License #:
State Zip Code
❑ Architect:
Phone: Fax:
Address:
Zip Code City
Contact:
State •Zip Code
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
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?
MANUFACTURED HOME
Width:
Manufacturer:
Length: Year: Pit Set:
RELOCATION
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm:
Tent:
Valuation: Above/Underground Storage Tank Size:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
Fax:
❑ WELDING
Inspector(s):
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 nota permit or approval for any violation of federal, state or local laws, codes or ordinances.
Ownership of resulting��development�-rights granted by any issued permitrm�itinurenu�1ttoo the property owner.
Print Name t- P O- () / /(/`��S Signature '� �"‘Th
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash 121 Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
07/21/2005 09:58 5093241567
SRHD EHS
PAGE 01/02
JUL 21 2005 11:09
5093241567
PRGE.01
44051.0805
10106
4 P/
ROOMS
ZONE
ROAD
FRONT cart.ANNING__441
COONAEMS
REVIEWED ((11titi�1..,
44061.0811
i(X)24
/48.5'-
0103
5 p
(.3-0520 y1 n t`v,q S
Homan__
44051.1 208
14
.1209
10108
10116
44061.0806
441.;
10202
This elle
o NMip elan is � submitted for th purpose of
building permit and is a true nd correct
proposal. All kno property
dors. curb linesstrictures an easements
bodies identified. Also wed are wetlands.
steep to of other critical areas.
sigrad' I
SISTRIIIIIII
44061_:'1
10115
10205
44061.x..
10122
44051.1202