2009, 09-25 Permit App: 09003068 Loft Addition to Pole BldgProject Number: 09003068 Inv: 1
Application
Date: 9/25/2009 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 10 X 36 LOFT ADDITION TO POLE BLDG Contact: SHAFFER, SETH C/UPCHURCH, HILA
Address: 4723 N LARCH RD
C - S - Z: SPOKANE VALLEY, WA 99216-1538
Setbacks: Front Left: Right: Rear: Phone: (509) 869-9528
Group Name:
Site Information: Project Name:
Plat Key: 001984 Name: PEPLINSKIS OIST ADD District: East
Parcel Number: 45011.0401 Block:
SiteAddress: 4723 N LARCH RD
Location:: CSV
Lot:
Owner: Name: SHAFFER, SETH C/UPCHURCH, H
Address: 4723 N LARCH RD
SPOKANE VALLEY, WA 99216-153
Zoning: UR -3.5 Urban Residential 3.5
Water District: 001 TRENTWOOD Hold: ❑
Area: 16,806 Sq Ft Width: 120 Depth: 140 Right Of Way (11): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Building Plan Review
Released By:
Originally Released: 9/24/2009 By: tmelbourn
Permits: r •
Contractor: OWNER
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Sy Ft Valuation Sq Ft Valuation
UTIL MISC U-1 VB 369 $13,918.68 369 $13,918.68
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLANS REVIEW
WSBCC SURCHARGE
Totals: 369 $13,918.68 369 $13,918.68
Units Unit Desc Fee Amount
1 SELECT $237.25
1 SELECT $59.31
1 SELECT $4.50
Operator: JD Printed By: JD
Permit Total Fees: $301.06
Print Date: 9/25/2009
Project Number: 09003068 Inv: /
Application
Date: 9/25/2009 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: .
Payment Summary:..
Permit Type
Building Permit
Fee Amount invoice Amount Amount Paid Amount Owing
$301.06 $301.06 $59.31 $241.75
$301.06 $301.06
$59.31 $241.75
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: JD Printed By: JD
Print Date: 9/25/2009
Valley
Community Development
Residential Construction
Permit Application
Pemnt Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
PERMIT NUMBER: -Z aect
PERMIT FEE:
n New Construction
Addition/Remodel
Other:
Accessory Bidg
Deck
SITE ADDRESS: 4/723 4V' Za/rit �d .
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
_
p �'1'.i -_ �.
;t3wldrn O{{ ner:' -i:�'' . i• _ ♦;i. E-�.' -y ��
f"N!�
-..
Fc ii :tE t.'+y ...� Y•_ 21i•t. ':i�r:i r'Y5._. t -'t' -Y F T't.y
'Contractor • Cyt t a, , 1' '.ttif•, i _ P_
"t L¢.^.��E._Cou +C...-ti.'_:ry
Name: Seti 5 k 41,—
Name: S[%„mac
Address: L' 723 N Lo �i I
Address:
City: Sp) �sir.2. OQ,liQy State: idif.Zip: P?�/&
City: State: Zip:
Phone: 36Q-Q5o2F Fax:
Phone: Fax:
DECK/COV. PATIO SQ. FTG:
Contractor Lic No: Exp Date:
?Contact'Person'"_': ,;_.:._.;;, ..
City Business Lic. No:
SEWER OR SEPTIC?
Name:. ,1kSL<rc)C4i--
Phone: 3-6 ,7 -? S.8 `fir 5' 0687 art
Describe the scope of work in detail:
Cost of Project: $ *to" 00�
SG{ft'vrq a- Jos+ %n Shop l7oor f gar/di:4j cc (O1/{36 Y L04L i'K `PaacCeleIt-d-o'i'Slop
Proposed
Use: S+nrcLOe—
**************The followine MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
DIMENSIONS: /••, <,x ,
LvF/
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:
2"u FLOOR SQ. FTG:
) 4' W kap r.at`�
UNFIN BASEMENT SQ. FTG:
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMENT
SQ. FTG:
GARAGE SQ. FTG:
/Dial Skog /ZOO -5Q F1-.
DECK/COV. PATIO SQ. FTG:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
CONSTRUCTION TYPE:
HEAT SOURCE:
SEWER OR SEPTIC?
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. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be processed.
SIGNATURE:av//
Method of Payment:
❑ Cash ❑ Check ❑ Mastercard
Bankcard #: Expires:
Authorized Signature:
REVISED 2215/07
DATE: `t/3109
❑ VISA
VIN#:
RECEIVED
CSV PERMIT CENTER
SEP 2 3 200r9/
Project # �l Dtt
Name Vis
Submittal #_1
Spokane
4/Valley
For City Use Only. /
PLUS Project Number (>CI (YY C'A`C
Project Address " •
Ki I r, 1\
11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206
509.688.0036 • Fax: 509.688.0037 • permitcenter@spokanevalley.org
As part of our on-going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date. .
Your application review TARGET DATE is I
The TARGET DATE is the date we estimate your project application will ;have had its initial technical'
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
i Submit complete, accurate plans and documents.
Evrra time may be required for: re-subn»//als as project application reviewers win* on multiple -applications and -it
may be several days before they can look at voter new or revised infornmlion
^. Designate a specific contact person to communicate with the City.- .
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments world be the best choice for the entire review process.
Call staff regarding the status of your•project only after the target date shown at the to of the page. . .
Although you should be contacted on or by the target date, please feel free to contact us if you haven 712eard from us
by your target date. Staff may contact you before the target date ilthe initial review is -complete. By _following, this
procedure. you will save time and allow the reviewers to complete the wo-k.more expeditiously. -.
Steps in the Permit Process
I. Counter Complete. Your application has been accepted 'as counter complete., This means all of the required
documents, as indicated on your Pre -Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from'requesting additional,infonnation as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is ,reviewable and free
from substantive flaws that,would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in,their review queue until it
comes up for review.
•
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone, fax, email, or mail by your TARGET DATE once.the initial' technical compliance review is complete:
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsegtient re -
submittals, each reviewer will approve their section of the application and route it tathe Permit Center: When all sections
of the application are received, a Permit Specialist will process the application and contact the person'specified on your
application for permit pick-up. Information regarding fees and pre -construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE -APPLICANT PINK - BUILDING FILE
REV 9/07