2005, 05-12 Permit App: 05001570 AdditionProject Number: 05001570 Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/12/2005 Page 1 of 2
Project Information: ,
Permit Use: 8 X 16 WORKOUT ROOM ADDITION
Setbacks: Front N/A Left: N/ Right: 5+ Rear: 20+
Site Information:
Contact: CREEKSIDE CONSTRUCTION
• Address: 707 N NAPA
C - S - Z: SPOKANE, WA 99202
Phone: (509) 891-0620
Group Name:
Project Name:
Plat Key: 005492 Name: LEISURE COURT PUD District: East
Parcel Number: 45153.5502
SiteAddress: 207 N HOUK LN
Location:: CSV
Zoning: UR -7
Water District:
Block: 1 Lot: 2
Urban Residential -7
Area: 1,552.00 Acres Width: 56
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Owner: Name: OLSON, AARON
Address: 207 N HOUK LN
SPOKANE VALLEY, WA 99216
Hold: ❑
Depth: 80 Right Of Way (ft): 0
Review Information: ,.,.
Review
Site Plan Review
Plan Review
Released By:
IA Z
Permits:
Operator: K_C Printed By: K_C
Print Date: 05/12/2005
Project Number: 05001570
Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/12/2005 Page 2 of 2
Building Permit
Contractor: CREEKSIDE CONSTRUCTION Firm: CREEKSIDE CONSTRUCTION
Address: 8907 E MAIN AVE Phone: (509) 891-0620
SPOKANE, WA 99212
Building Characteristics
Group: R-3 Type: VB
Total Area 128
Building Height 13
Stories 1
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RES ADD R-3 VB 128 $9,559.04 128 $9,559.04
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Notes: r,
Totals: 128 $9,559.04 128 $9,559.04
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$181.25
$4.50
$72.50
Permit Total Fees: $258.25
OK TO ISSUE SEWER PERMITS PER BILLY 9/5/95 CKF
Pahntent Sunman,:
Permit Type
Building Permit
Fee Amount Invoice Amount
$258.25
$258.25
Amount Paid
80.00
Amount Owing
$258.25
$258.25 8258.25 $0.00 $258.25
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: 05/12/2005
Spo°`kwe
.000Ualley
D
BUILDING PERMIT APPLICATION WORKSHEET
[EiOcogeock#nq y Community Development Department
[s Building Division
11707 E. Sprague Avenue, Suite 106
MAY 1 0 2005 Spokane Valley, WA 99206
Pti : (509) 688-0036; Fax: (509) 688-0037
UU11[LD[11M U�
REQUIRED SITE INFORMATION
Street Address: 7,0 N
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION: t-e�
gBuilding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home
Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
❑ Owner. PAli) ti
Phone: ciZ5- 3 Fax:
Applicant: Co,nA-r-lac1z
Phone: Fax:
Address: -Z6.1 /4+oi, v- Address:
1,44.14± V.ALgty I -4A . 71 7_
City State Zip Code
City
State Zip Code
❑ Contractor: c-C--6L'---ozN(e_- c -49i51- , ❑ Architect:
Phone: c69i-ZSe-t) Fax: MI- dtPLO Phone: Fax:
Address: 1c.,-1 Ai w A. Address:
\ Qvl ,.,E
LA . °1ci2
��
City State Zip Code City State Zip Code
• WA State Contractor License #: CQtK °tsi Contact: A(Ar 141:5t -v i ES
Spokane Valley Bus. Liscense #: ODZ-`W7 2.73 it Contact:
PERMIT/BUILDING INFORMATION
1
HEIGHT TO PEAK:,� : *-
DIMENSIONS: i
x +
# OF STORIES: l
MAIN FLOOR TO SQ. FTG:
2ND FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
N/A
FINISHED BASEMENT SQ. FTG:
AV /A
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
Fg.4ki-- ,
HEAT SOURCE:
Cc c'zii.Zik.
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
7' /%/ovp , ;,v
30% SLOPES ON PROPERTY:
/1/ --
SEWER OR ON-SITE SEPTIC
SYSTEM? .c t»-
MANUFACTURED HOME
Width:
Length:
Manufacturer:
C
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:
Inspector(s):
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 A In fitL,r.-r-6-4
Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
Q gAF PR -0P. Li
s'
PLANNING DEPT. APPROVED
BY.
DATE: 5/OA('
per i Ufa its fru fl
��`�`a n fl
DE -LI -tic
15 VV Ps°
This site plan Is being submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
Tines/dimensions, eaebNnNstfeettifeiland-
have been identified. Also indicated are wetlands,
bodies of amp sllOP $ Of other critical areas.
Signed*
Dale: S"/ 04)