2005, 07-11 Permit App: 05002344 AdditionProject Number: 05002344 Inv: 7
A iplicfftion
Date: 07/11/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Infor»ration:
Permit Use: 2ND STORY FAMILY ROOM ADDITION OVER
EXISTING GARAGE
Setbacks: Front EXI Left: EX Right: EX Rear: EX
Site Information:
Contact: BACKER, RON
Address: 11710 E LENORA DR
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 922-3175
Group Name:,
Project Name:
Plat Key: 002392 Name: SKYVIEW ACRES ADD District: Sout
Parcel Number: 45284.1401 Block:
SiteAddress: 11710 E LENORA DR
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: BACKER, RON
Address: 11710 E LENORA DR.
SPOKANE VALLEY, WA 99206
Hold: ❑
Area: .00 Acres Width: 90 Depth: 150 Right Of Way (ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Plan Review
Released By:
Permits: ,1
Operator: K_C Printed By: K_C
Print Date: 07/11/2005
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Project Number: 05002344 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 07/11/2005 Page 2 of 2
Contractor: OWNER
Group: R-3 Type: VB
Total Area 480
Building Height 22
Stories 0
Building Permit
Firm: OWNER
Phone: (000) 000-0000
Building Characteristics
This Application: Total Project: ,
Description Grp Type Notes So Ft Valuation Sq Ft Valuation
2ND FLOOR R-3 VB (REDUCE 0 $31,544.83 0 $31,544.83
12% - FTGS
EXIST)
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
RESIDENTIAL PLAN REVIEW
Totals: 0 $31,544.83 0 $31,544.83
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
Fee Amount
$461.95
$4.50
$184.78
Permit Total Fees: $651.23
Notes•
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $651.23 $651.23 $0.00 5651.23
$651.23 $651.23
$0.00 $651.23
Disclaimer:
Subniittal 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: 07/11/2005
Spokane
jUalle
D
BUILDING PERMIT APPLICATION WORKSHEET
( FMK
Io 99 Valley Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
JUL U 5 2C _ Spokane Valley, WA 99206
hone: (509) 688-0036; Fax: (509) 688-0037
CUOIL Oil II
REQUIRED SITE INFORMATION
Street Address:
11710
LErJoR A
Assessor's Tax Parcel Number(s): 4 2 S , b �
Legal Description: Sty ' V 1 E] Ac Li, 814
PERMIT DESCRIPTION:
Q Building Permit
❑ Relocation
Arr4ci.le n GP.kAtsc
2'=A SPRY A pbr-rro,J
❑ Change in Use ❑ Grading 0 Manufactured Home
❑ Tenant Improvement ❑ Fire Safety ❑ Other
OWNER/APPLICANT INFORMATION
a
Owner. orrA -c' K kE2
Phone: 921 3r -7s Fax:
Address: I + 7(0 E b2
s� +,vc VA ccE y 4J 9�i zoG
City State Zip Code
Contractor: 5A /14--,
Phone: Fax:
Address:
City
State
WA State Contractor License #:
[ Applicant: 511"'
Phone:
Address:
Fax:
City
Et Architect: T/
Phone:
Address:
State Zip Code
Fax:
Zip Code City
Contact:
State Zip Code
Spokane Valley Bus. Liscense #: Contact:
PERMIT/BUILDING INFORMATION
HEIGHT TO PEAK:
G Z
DIMENSIONS: i
Z O a 2 Li
# OF STORIES:
MAIN FLOOR TO SQ. FTG:
2"" 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:
W4 -Lt, 1-47,x/ AC
# OF BEDROOMS:
TOTAL HABITABLE SPACE:
IMPERVIOUS SURFACE AREA:
COST OF PROJECT: 7SOO
30% SLOPES ON PROPERTY:
SEWER OR ON-SITE SEPTIC
�M?
MANUFACTURED HOME
Width:
Manufacturer:
Length:
Year.'
Pit Set:
RELOCATION ,
Previous Address:
Proposed Use:
FIRE SAFETY
Fire Sprinkler: # of Heads: Fire Alarm:
Tent:
Valuation: Above/Underground Storage Tank Size:
Paint Booth:
Fireworks Display: Blasting: Date/Time:
WASHINGTON STATE NON-RESIDENTIAL ENERGY CODE
Plans Examiner:
Address:
Phone:
Fax:
City State
Inspector: Phone: Fax:
Address:
Zip
City
State
Zip
SPECIAL INSPECTIONS
❑ BOLTING ❑ CONCRETE
Firm Name:
❑ REINFORCEMENT
Phone:
Inspector(s):
Fax:
❑ WELDING
DISCLAIMER
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.
Ownership of resulting development rights granted by any issued permit inure /to the property owner.
Print Name Rai ALD O. 5ACKL--12_ 'Signature
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #:
Authorized Signature:
Expires:
VIN#:
11710