2005, 08-18 Permit App: 05002922 AdditionProject Number: 05002922 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/18/2005 Page 1 of 2
Project Information:
Permit Use: ADDITION TO RESIDENCE
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: ORCHARD ACRE TRACTS
Contact: JOHNSON, KIRK A
Address: 3319 N LILY RD
C - S - Z: SPOKANE VALLEY, WA 99212
Phone: (509) 863-2418
Group Name:
Project Name:
District: Nort
Parcel Number: 35014.0147
SiteAddress: 3319 N LILY RD
Location:: CSV
Zoning: UR -3.5
Water District:
Block:
Urban Residential 3.5
Area: 14,800 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: JOHNSON, KIRK A
Address: 3319 N LILY RD
SPOKANE VALLEY, WA 99212
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Site Plan Review
Released By:
GIVEN TO PLANNING 8/15/05
Plan Review
Permits:
Originally Released: 08/15/2005 By: KKENDAL
Released By:
Originally Released: 08/10/2005 By: TMELBOU
Operator: CJJ Printed By: CJJ Print Date: 08/18/2005
Project Number: 05002922 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/18/2005 Page 2 of 2
Building Permit
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
RES ADD R-3 VB 600 $44,808.00 600 $44,808.00
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Notes:
Payment Summary:
Permit Type
Building Permit
Totals: 600 $44,808.00 600 $44,808.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Fee Amount
$593.25
$4.50
$237.30
$835.05
Fee Amount Invoice Amount Amount Paid Amount Owing
$835.05 $835.05
$0.00 $835.05
$835.05 $835.05
$0.00 $835.05
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: CJJ Printed By: CJJ Print Date: 08/18/2005
/21 GL
BUILDING PERMIT APPLICATION WORKSHEET
Scff
S .0 City of Spokane- Valley Community Development Department
„) 4 Building Division
Vi11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
PhDfl : (509) 688-0036; Fax: (509) 688-0037
Dalley \n''
REG..I b BITE INFORMATION
Street Address: 33 / /4_,/yi 5 d (le,81
Assessor's Tax Parcel Number(s):
Legal Description:
�
PERMIT DESCRIPTION: /f ��
Building Permit ❑ Change in Use ❑ Grading n Manufactured Home
O Relocation ❑ Tenant Improvement ❑ Fire Safety ❑ Other
I OWNER/APPLICANT INFORMATION
O Owner. if ,ti /w17) 0 Applicant: /yip / t iRS6v/
Phone: gic7 --cgtFax: Phone: Fax:
Address: if -?3/y Gly Address:
Ce, I lel t)j /�-
ity State
Zip Code City State Zip Code
❑ Contractor: 0 Architect:
Phone: Fax: Phone: Fax:
Address:
Address:
City State Zip Code City State Zip Code
• WA State Contractor License #: Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
k• d
HEIG TO PEAK: /
p `- Lf
DIMENSIONS:
•D -v / > 20 /
# OF STORIES:
/
MAIN FLOOR TO SQ. FTG: ',Az:
60Dalct 4e.,,i /l Yf /oh(
2741j FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
/ rr cut/
TOTAL HABITABLE SPACE:
IMP RVI US SURFACE AREA:
PST OF PROCT:
a. 000 °.--
30% SLOPES ON PROPERTY:
"ion e
SEWER OR ON-SITE SEPTIC ` ,
SYSTEM?3c7f/e 4O't) At --/S
/v1 Stir e
1100/(
UU/iI/LWO 1L.JL
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TO 324156? P.02/0?
-
��1.-4t 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
SPane
40,Valle
Street Address: f5�
REQVIRED SIdillIFORMATION
Xrotyt,Seo ���`,�c,✓,�
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION:
Bulld[ng Permit
Relocation
1
❑ Change In Use 0 Grad'
al Tenant Improvement 0 Fire Sa
ATIrSeer
ty
❑ Manufactured H, me
Other
OWNER/APPLICANT INFORMATION
0 Owner. /6d /1.6/1/75o4
Phone: 5aF-7'3-� (thrFax:
Address: /1 33/1 Cii
Y
State
Zip Code
0 Applicant:
Phone:
Address:
❑ Contractor. 0
Phone:
Address:
Fax:
aty
Clty
Architect:
Phone: Fax:
Address:
State
Zip Code
Slate Lp Code Gty
Stag
• WA State Contractor License #: Contact:
Spokane Valley Bus. Liscense #: Contact:
Zip Code
HEIO
i
a vis F
TO PEAK
FLOOR TO SQ. FTG:
PERMIT/BUILDING INFORMATION
2
FINISHED BASEMENT SQ. FTG:
OCC PANCY GROUP;
# OF BEI ODMS:
COST OF PROJECT;
i
DI MANSIONS: • 1
2 FLOOR SQ. FTG:
¢rte
# OF STORIES:
UNFIN BASEMENT SQ. FTG:
G•1- OESQ. FTG:
/e Fe) —
CONSTRUCTION TYPE:
DECK/COV. PATIO SQ. FTG:
of4
LHEAT SbU CE:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
30%SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?
AUG 17 2005 14:03
5093241567 PAGE.01
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