2010, 05-04 Permit App: 10001219 Pole Bldg AdditionProject Number: 70001219 Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/4/2010 Page 1 of 2
Project Information:
Permit Use: 10 X 22 LEAN-TO ADDITION TO EXISTING POLE
Contact: FISHER, JOHN D
BUILDING Address: 1616 N CAVALIER CT
C - S - Z: GREENACRES, WA 99016
Setbacks: Front Left: Right: Rear: Phone: (509) 928-4702
Group Name:
Site Information: Project Name:
Plat Key: 001983 Name: PEPLINSKI ADD
District: East
Parcel Number: 45011.0501 Block: 2
SiteAddress: 4724 N LARCH RD
Location:: CSV
Lot: 1
Owner: Name: FISHER, JOHN D
Address: 1616 N CAVALIER CT
GREENACRES, WA 99016
Zoning: R-3 SF Res District
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 16,778 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By: -
Originally Released:
Landuse/Zoning/HE Conditions
Permits:
5/4/2010 By: TMELBOU
Released By:
Originally Released: 4/30/2010 By: mpalaniuk
Operator: JD Printed By: jmm
Print Date: 5/4/2010
Project Number: 10001219 Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/4/2010 Page 2 of 2
Contractor: OWNER
Group: U-1 Type: VB
Total Area 220
Building Height 14
Stories 1
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
This Application: Total Project:
Description Grp Tvpe Notes Sq Ft Valuation Sq Ft Valuation
POLE BDLG U-1 VB LEAN-TO 220 $4,180.00 220 $4,180.00
ADDITION
Item Description
RESIDENTIAL PERMIT FEE
ACCESSORY PLANS REVIEW
WSBCC SURCHARGE
Totals: 220 $4,180.00 220 $4,180.00
Units Unit Desc Fee Amount
1 SELECT $111.25
1 SELECT $27.81
1 SELECT $4.50
Permit Total Fees: $143.56
Notes ,
Payment Summary' ,.
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $143.56 $143.56 $27.81 $115.75
$143.56 $14356
$27.81 $115.75
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 he construed to he 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: jmm
Print Date: 5/4/2010
Spokane
#Valley°
Community Development
Residential Construction n New Construction n Accessory Bldg
Permit Application Addition/Remodel ❑ Deck
in Other:
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
PERMIT NUMBER: 10 — 1 `01
PERMIT FEE:
161
SITE ADDRESS:
c b 5f/oAL-ie l -IIPy
wet 95 ziG
ASSESSORS PARCEL NO: LEGAL DESCRIPTION:
- - - ";.y',.: ., y=:: ;'."`'�t:.,_;:#_s rg =;:?%==:E
Building Owne"r` ... ex ?;=;= `a F r
c
Conk ictoi:,4�` *'}: �. ;Y• *.:17,7r4 n' i : ' =' .�;'';.'��'-:y+_g {-'?�.�c�
_'.157'=}=`e_za_ ._ .s.: _,-_._, L. - st.-_3,.cF t:.. •
-'
Name: \/I i
�IQ � f� "I -a, St�P 1L
Name: /"\L� h Q
It //
Address: p j LoZ L/ LAlt-CI-1 '.l
Address:
City:-701(-046---e-✓AlkcyState (A..)Zip:�92f6
City: State: Zip:
Phone: 5c x6,6,_ 6 c( z G Fax:
Phone: Fax:
DECK/COV.`PATIO SQ. FTG:
Contractor Lic No: Exp Date:
... + . .".I: 3:. to • - .. -..' ...:� .. ` °aim =`'
Conta'c\f,P.er'stiti,.:
CONSTRUCTION TYPE:
City Business Lic. No:
�_
Name 1� to r 't ��nPi
Phone: c -KG K- Cc( Z
Describe the scope of work in detail:
Cost of Project: $ ZO v0
Proposed Use:
,tCev. 1-_ r9-- (
**************The following MUST be complete: (write N/A if not applicable)**********************
,OrREAK:
HEIGHT Til
DIMMION :
'2_Z
# OF STORIES:
TOTAL HABITABLE SPACE:
MAIN FLOOR TO SQ.
FTG:Zc.�
2"u FLOOR SQ. FTG:
0
UNFIN BASEMENT SQ. FTG:
n)
IMPERVIOUS SURFACE
AREA: CD
FINISHED BASEMENT
SQ. FTG:
GA9AGE SQ. FIG:
d h01>np m
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 permissio�n t (epresent the property owner in this transaction. 4) All construction is to be done
in full compliance with the City of Spo ne-V31 yyvelopment Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5)' 'his City.ef"Spokane Valley
local laws, codes or order' a 6 I-nsror additional info on may be required to be submi d, and subsequently approved before
this application c" •-6 processe
ermit is not a permit or approval for any violation of federal, state or
SIG
Method of Payme
sh ❑ Check ❑ Mastercard
ankc'ard #:
Authorized Signature:
REVISED 2J15/07
Expires:
DATE: I/ 7-c / ft)
❑ VISA
VIN#:
RECEIVED BY
CITY OF SPOKANE VALLEY
APR 2 ;s 2010,
PERM
BY:
Spokane
Walley®
For City Use Only
PLUS- Project Ntimber; 10 12 I q
Project Addiess
L1-7Vit N: LAQC\ E2J
11703 E Sprague Ave Suite B-3 4. Spbkane./alley WA 99206: , , -
509.688.0036 • Fax: 509.688.0037 ♦ pernitcenter@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•revicw.-If.for
any reason we cannot meet this.date, we will contact you with a reviseditarget-datei:• ='- '
t t.
ia
Your application review TARGET DATE is
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 -
i Submit complete, accurate plans and documents. • '•
Timid]; a Smoother Project Application -Review.-
Erna tune ma", berequired ./ur re -submittals as project application reviewers nock ommu/tiple app1ic-ations?aucl it
inav be several dans before they can look di your new or revised, rn/ornration..
i Designate a specific contact person to communicate with.the City. . , ,
While the person designated as the cipp/icanl's contact. perrun.uddr t/te Citi can he changed;wie indii,idiicr/ with the
• expertise'fiw dealing with redien'er c0nmrents 510/1/d be the hest choice for die entire /'eviety process. '
Call stall regarding. the status ofyour, project only after, the target date shown at the topcif the page. ,
A/thouglr.v0/l sh0uld'he cam:ticicd un or hi' the targe/ date, please feellt.ge to contact us r_'f.vou haven't heard,/rom tis -
hi pour target date. Staff may caiilacl you before the,iargc1 date 'if the imtial:reiieiv''i.' complete. By Iblloiving 1lri
procedure, you will save lime'and allow the rerie%t ers-to complete the work` inoke.e.wedilioirslt'::...
Steps in the Permit Process
1. Counter Contplete.:Your 'application has' been accepted .as',counter•comptete..;This.•means all•of.the required'
documents, as''indlcated on -your Pre -Application Checklist have been submitted ,or? have _been,',appioved='.for deferred
submittal. This does not prevent technical shill from requesting additional information'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 ,ssould:prevent technical staff 1rom•completing the technical re iew once it is started` When'.
this step is contplcic;your application will be routed to the appropriate staff. and• remain s in their revie queue until it. •
comes up to r review. . t ::, -
3. Technical Compliance. Once an application is' Administratively complete, itis routed to.technical staff for compliance
review. Depending on the type of project, technical st iff 'niay .include; multiple reviewers.: -You should be contacted, by .
phone, fax, email, or mail. by your,T•
ARGET DKr E. once the initial technicalcompliance review. isicomplete.' "-
d. Permit Issuance. 'When the technical compliance review of the application is -complete, including any': subsequent re-'
submittals, each reviewer will approi'e their section of the application and route it to the 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 tees and pre -construction meetings (if required) will be provided by •
the Permit Specialist at thattime.
WHITE -APPLICANT PINK - BUILDING FILE
REV 9/07
•
rat,
RECEIVED
CSV PERMIT CENTER
AP? 0IL
Project #
Name
'Submittal #
PLANNING DEPT. APPROVED
BY' "
DATE: L)
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