2005, 04-13 Permit App: 05001177 Pole BldgProject Number: 05001177 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/13/2005 Page 1 of 2
Project Information:
Permit Use: 24 X 36 POLE BUILDING
Contact: EXCALIBUR STEEL STRUCTURES INC
Address: PO BOX 14991
C - S - Z: SPOKANE, WA 99214-0991
Setbacks: Front N/A Left: EX Right: 5 Rear: 5 Phone: (509) 921-1300
Group Name:
Site Information: Project Name:
Plat Key: 001984 Name: PEPLINSKIS OIST ADD District: East
Parcel Number: 45011.0409 Block:
SiteAddress: 4507 N LARCH RD -
Location:: CSV
Zoning: SFR
Water District:
Lot:
Owner: Name: RIFE, ROGER
Address: 4507 N LARCH RD
SPOKANE VALLEY, WA 99216
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By:
Permits •
Operator: K_C Printed By: K_C
Print Date: 04/13/2005
Project Number: 05001177 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/13/2005 Page 2 of 2
Building Permit
Contractor: EXCALIBUR STEEL Firm: EXCALIBUR STEEL STRUCTURE
Address: PO BOX 14991 Phone: (509) 921-1300
SPOKANE, WA 99214-0991
Building Characteristics
Group: U-1 Type: VB
Total Area 864
Building Height 14
Stories 1
This Application: Total Project:
Description Grp Type Notes Sci Ft Valuation Sci Ft Valuation
GARAGE U -I VB 864 $16,416.00 864 $16,416.00
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
Notes •
Totals: 864 $16,416.00 864 $16,416.00
Units Unit Desc
1 SELECT
I SELECT
Permit Total Fees:
Fee Amount
$279.25
$4.50
$283.75
Payment Summary:
Permit Type
Building Permit
Fee Amount Invoice Amount
Amount Paid
Amount Owing
$283.75 $283.75 $0.00 $283.75
$283.75 $283.75
$0.00 $283.75
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: K_C Printed By: K_C Print Date: 04/13/2005
Spokane
40,Ua11ey
BUILDING PERMIT APPLICATION WORKSHEET
City of Spokane Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
REQUIRED SITE INFORMATION
Street Address: q5-07 /J .
Assessor's Tax Parcel Number(s):
Legal Description: n
PERMIT DESCRIPTION: PO IQ Q w, 1 dC+ m
.•1
Building Permit
❑ Relocation
❑ Change in Use ❑ Grading
❑ Tenant Improvement 0 Fire Safety 0 Other
❑ Manufactured Home
OWNER/APPLICANT INFORMATION
Owner: O(ar R
Phone: /`R- 5$`/ Fax:
Address: 4'5-6-7 A). La -4 -c -/--
a ka-44..#2
LG..rcL.
akce WA 9%21(0
Ci State Zip Code
Applicant:
Phone:
Address:
City
State Zip Code
V Contractor: Ex&Sbar 4e(S e< . • 0 Architect:
Phone: 1Z/ -130o Fax: qv -6.1/8^ Phone: Fax:
Address: Po, Box /v/1/ Address:
Spokes -4..-e W A 51 1Z-01
City State Zip Code City
WA State Contractor License #: E*34LSS cones Contact:
State Zip Code
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK: iii t
DIMENSIONS:
ayx3� X (U
# OF STORIES: I
MAIN FLOOR TO SQ. FTG:
tee(' Ir
2"" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
S
OTR U
CONSCTIIO���
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?
ADS"
;;Tdi%waFti,1/4NIUNG
FRONT
coMMENnIS:
REVIEW,E'
Na plan is beiny submitted for the purpose of
4 bullceno permit and is a true and cloned,
of !the proposal Ail kw., imiporty
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