2005, 08-18 Permit App: 05002924 GarageProject Number: 05002924 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: DETACHED GARAGE
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:
Area: 14,800 Sq Ft
Block:
Urban Residential 3.5
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: 08/09/2005 By: TMELBOU
Operator: CJJ Printed By: CJJ Print Date: 08/18/2005
Project Number: 05002924 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 08/18/2005 Page 2 of 2
Contractor: OWNER
Description Grp Type Notes
GARAGE U-1 VB
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Notes:
Payment Summary:
Permit Type
Building Permit
Building Permit
Firm: OWNER
Phone: (000) 000-0000
This Application: Total Project:
Sq Ft Valuation Sq Ft Valuation
1,080 $20,520.00 1,080 $20,520.00
Totals: 1,080 $20,520.00 1,080 $20,520.00
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Permit Total Fees:
Fee Amount
$335.25
$4.50
$134.10
$473.85
Fee Amount Invoice Amount Amount Paid Amount Owing
$473.85 $473.85
$473.85 $473.85
$0.00 $473.85
$0.00 $473.85
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-
�+ —I BUILDING PERMIT APPLICATION WORKSHEET
13 City of Spokane Valley Community Development Department
g3:0>ateallg"
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
t = �� �''1 Phone: 509 688-0036; Fax 509 688-0037
,� Street Address:
REQUIRED SITIOFORMATION
V 5p, O
Assessor's Tax Parcel Number(s):
Legal Description:
'PERMIT DESCRIPTION: SQp
Er -Building Permit
Relocation
❑ Change in Use ❑ Grading ❑ Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
1
OWNER/APPLICANT INFORMATION
❑ Owner. ice/ /1021 /7_4./ 0 Applicant: / /-
Phone: 5cy-7'j-.�c,/SFax: Phone: ax:
Address: /9 3-3/9 <// Address:
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City State Zp Code City State Zip Code
❑ Contractor:
Phone: Fax:
Address:
0 Architect:
Phone: Fax:
Address:
City State Zp Code City State Zip Code
• WA State Contractor License #:
Contact:
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIG'IT TO PEAK: i
�'
DIMENSIONS: ,
3o'y 36
# OF STORIES:
/
MAIN FLOOR TO SQ. FTG:
214" FLOOR SQ. FTG:
UNFIN BASEMENT SQ. FTG:
FINISHED BASEMENT SQ. FTG:
GARAGE SQ. FTG:
/U ZO 0 t
DECK/COV. PATIO SQ. FTG:
OCCUPANCY GROUP:
CONSTRUCTION TYPE:
HEAT SOURCE:
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT:
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
SYSTEM?
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Street Address:
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�col • ` i INFORMATION
ID 3241567 P.04/07
BWILDINGI.PERMIT APPLICATION WORKSHEET
Clty� of•Spokan 411ey Community Development Department
''L.))
Building Division
M Itt 11707E Sprague Avenue, Suite 106
Spokane Valley, WA 99206
: (509) 688-0036; Fax: (509) 688-0037
Assessor's Tax Parcel Number(s):
Legal Description:
PERMIT DESCRIPTION:
4.4 l� ;ea va1k
Building PermitChange in Use (� Grading Manufactured Home
❑ Relocation DI Tenant Improvement ❑ Fire Safety g Other
OWNER/APPLICANT INFORMATION
Owner, D Applicant: /i
Phone: g67 ;ayiax: Phone: Fax.
Address: d -T 46 Address:
State Zip Cods City Sins
0 Contractor.
Phone: Fax:
Address:
City
Zip Code -
0 Architect:
Phone: Fax:
Address:
staff Zip Cede Clgr
6t2te Zip Cede
• WA State Contractor License #: Contact:
Spokane Valley Bus. Llscense #: Contact:
EIG
TO PEAK:
rerFLOOR TO SQ. FTG:
�o: tiAl itYrAda
PERMIT/BUILDING INFORMATION
GLr
FINIS ED BASEMENT •SQ. FTG:
OCCUPANCY GROUP:
#OF EDROoms:
C
DIMENSIONS:
r
FLOOR Q. FTG:
ST OF PROJECT:
i 0, o
GARAGE SQ. FTO:
CONSTRUCTION TYPE:
TOTAL HABITABLE SPACE:
30% SILOoPESeON PROPERTY:
# OF STORIES:
UNFI BASEMENT SQ. FTG:
DECK/COV. PATIO SQ. FTG:
HEAT SOURCE:
IMP RVIOUS SURFACE AREA
AUG 17 2005 14:02
SEWER OR ON-SITE SEPTIC
SYSTEM?
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5093241567
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