2005, 04-15 Permit App: 05001200 GarageProject Number: 05001200 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/15/2005 Page 1 of 2
Project Information:
Permit Use: 22 X 24 DETACHED GARAGE Contact: HOBBS, SANDRA
Address: 18820 E JACKSON DR
C - S - Z: SPOKANE VALLEY, WA 99027
Setbacks: Front 50+ Left: 5 Right: 100 Rear: 5+ Phone: (509) 623-4915
Group Name:
Site Information: Project Name:
Plat Key: 000146 Name: BARKER ROAD MOBILE HOMES ADD District: East
Parcel Number: 55082.0916
Block: Lot:
SiteAddress: 18820 E JACKSON DR
Location:: CSV
Zoning: UR -7
Water District:
Area: .00 Acres
Urban Residential -7
Owner: Name: HOBBS, SANDRA
Address: 18820 E JACKSON DR
SPOKANE VALLEY, WA 99027
Hold: ❑
Width: 70 Depth: 160 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Septic System Review
Released By:
Released By
Released By:
Permits:
Operator: K_C Printed By: K_C
Print Date: 04/15/2005
04/15/2005 10:11 5093241567
APR 15 2005 11:01 FR
Project Number: 05001200 Inv: 1
SRHD EHS PAGE 01/01
TO 3241567 P.0Ci03
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/15/2005 Page 1 of 2
Profed Informarj
Permit Use: 22 X 24 DETACHED GARAGE Contact: HOBBS, SANDRA
Address: 18820 E JACKSON DR
C - S - Z: SPOKANE VALLEY, WA 99021
Setbacks: Front 50+ Left: 5 Right: 100 bar: 5+ Phone: (609) 623-4915
Group Name:
Site infnimnttal�: Project Name:zyr�y„r.+w er..x�.u. �:.v„rta (:unearzarrepstatr ^ z..cartztaccram+rs::argrx:10
Plat Key: 000146 Name: BARKER ROAD MOBILE HOMES AJD District: East
>.s .+=.�7Pr„svnmat :.v ssL:a:,-;,s; cr.:na Viz: arr,snma::G2::.;:r>T'rasv,r.:rasu:: �'c-xtIsst
Parcel Number 55032.0916 Block: Lot:
SiteAddress: 18820 E JACKSON OR
Loc:ation:: CSV
Owner: Name_. HIOBBS, SANDRA
Address: j 78820 E JACKSON DR
SPOKANE VALLEY, WA 99027
Zoning HJR -7 Urban Residential -7
Water District: 'Hold: ❑
Ana: .00 Acres Width 70 Depth: 160 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information •rz.Hanynu;.-.,,r,.n,,,sburx„=,nr..,x'r;
:m::a^e:y�rc�'csrs:cxwc:w:vz:ee,nL:'�.T:T.-:a,:s•.*
Iflff
Site Plan Review
Plan Review
Septic Syatom Review rigtBy: .! .
/ G
a
EMU& aratmmura•,+.ar+n.,-,.:.wzi torn==v3.•-w1,/trIeter'Ll t: TMWmsr ttnlse.;:,9ans_-7-Vsr l'Ir4nerrrr t=..
Operator. K_C Printed By: KS Print Date 04/15/2005
RPR 15 2005 11:19 5093241567 PRGE.01
Project Number: 05001200 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/15/2005 Page 2 of 2
Contractor: OWNER
Group: U-1 Type: VB
Total Area 528
Building Height 0
Stories 1
Building Permit
Finn: 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 528 $10,032.00 528 $10,032.00
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLAN REVIEW
STATE SURCHARGE
Notes:..
Payment Summary' ,
Permit Type
Building Permit
Totals: 528 $10,032.00 528 $10,032.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$195.25
$48.81
$4.50
Permit Total Fees: $248.56
Fee Amount Invoice Amount Amount Paid Amount Owing
$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: 04/15/2005
(IIP(M 1'
Spokane
do,Valley
BUILD
ELV ffEe
APR 0 6 2005
UMOOkr
G PERMIT APPLICATION WORKSHEET
ley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
StreetsAddress:' /2 2 a 0
Assessor s Taz Parcel Number(s):
Jab 1.5-i0 Dr 're
Legal Description:
•PERMILDESCRIP-TION:
Building Permit
❑ Relocation
,2 Se akeba,ehp, 6:a Pee _SCS
Change in Use Grading
Tenant Improvement [1 Fire Safety
Manufactured Home
Other
OWNER/APPLICANT INFORMATION
•O.wner.. Sun1,-4ra /9- tiah s
Phone: 6x3.4915 Fax:
Address: /, Fag TQeks'on/ A t'/ ✓e-
-S"�o J( a A)2- t4//e t)A- 9 40 a 7
Ci State Zip Code
7 Contractor:
Phone: Fax:
Address:
City
State
WA State Contractor License #:
Zip Code
n
_Applieant'5lca/c4ez ,4 A/cJs
Phone: b?3-yy/5 Fax -
Add ress.
axAddress. sa ine.
City
Architect:
Phone:
Address:
State Zip Code
Fax:
City
Contact:
State Zip Code
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK
.DIMENSIONS!
as X t.2!
# OF STORIES.
MAIN FLOOR TO SQ FTG
2"" FLOOR SQ. FTG
UNFIN BASEMENT SQ. FTG
FINISHED BASEMENT SQ. FTG'
GARAGE SQ. FTG .
DECK/GOV PATIO SQ FTG-
OCCUPANCY GROUP
CONSTRUCTION TYPE: -:
HEAT SOURCE:
# OF BEDROOMS.
TOTAL HABITABLE SPACE
i IMPERVIOUS SURFACE AREA
.COST.OF_-P_ROJECill?
1 `p00, 0 d
30% SLOPES ON PROPERTY. .ft
:SEWER:OR,ON-SIT =SEPTIC,•
SYSTEM?
MANUFACTURED HOME
Width:
Manufacturer
Length: , Year: . Pit Set:
RELOCATION
Previous Address:
Proposed Use:
1
FIRE SAFETY
Fire Sprinkler # of Heads: Fire Alarm: Paint Booth:
Tent: Fireworks Display: Blasting: Date/Time:
Valuation.
Above/Underground Storage Tank Size:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax•
Address:
Zip
City
State
Zip
r
SPECIAL INSPECTIONS
BOLTING fI CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
Inspector(s):
Fax:
n 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./leih
Print Name
ca Aid ft t1 Alo6%s
Signature��y
Method of Payment: (Faxed permit applications will only be accepted with major bankcard).
(i Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
ADDRESS
ZROAD WIDTH
FR wSat ENT FLANKING
COMM
REVIEWED BY
4