2004, 12-02 Permit App: 04009282 GarageProject Number: 04009282 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/02/2004 Page 1 of 2
Project Information:
Permit Use: DETACHED 30 X 50 SHOP/GARGE
Setbacks: Front 50+ Left: 39 Right: 71 Rear: 8
Site Information:
Plat Key: 000129 Name: BACONS ADD TO GREENACRES
............
Contact: POTTER, MICHAEL
Address: 807 N LONG RD
C - S - Z: GREENACRES, WA 99016-9552
Phone: (509) 939-3333
Group Name:
Project Name:
District: Nort
Parcel Number: 55182.3151
SiteAddress: 807 N LONG RD
Location:: GRE
Zoning: UR -3.5
Water District:
Block:
Urban Residential 3.5
Lot:
Owner: Name: POTTER, MICHAEL
Address: 807 N LONG RD
GREENACRES, WA 99016-9552
Hold: ❑
Area: 49,700 Sq Ft Width: 142 Depth: 160 Right Of Way (ft): 0
Nbr of Bldgs: 3 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Released By:
Plan Review
Originally Released: 11/16/2004 By: HKAUER
Released By:
ENG PLANS ON FILE
Septic System Review
Permits:
Originally Released:
12/02/2004 By: ddompier
Operator: DMD Printed By: DMD
Print Date: 12/02/2004
Project Number: 04009282 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/02/2004 Page 2 of 2
Building Permit
Contractor: MY FAMILY CONTRACTOR Firm: MY FAMILY CONTRACTOR
Address: 8525 N FREYA ST Phone: (509) 467-0106
SPOKANE WA 99207
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation So Ft Valuation
GARAGE U-1 VB 1,500 $28,500.00 1,500 $28,500.00
Item Description
RESIDENTIAL PERMIT FEE
STATE SURCHARGE
Totals: 1,500 $28,500.00 1,500 $28,500.00
Units Unit Desc
1 SELECT
1 SELECT
Permit Total Fees:
Fee Amount
$431.65
$4.50
$436.15
Payment Summa ..........
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $436.15 $436.15 $0.00 $45�
$436.15 $436.15 $0.00 $436.15
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: DMD Printed By: DMD Print Date: 12/02/2004
14/0d/ ZUk14 .1.Z:113 OU7iL4.1.0101
DEC 02 2004 1636 FR
'• Project Number: 04009282 Inv: I
TU -5441
Application
THIS IS NOT A PER$IT
Penalties will be assessed for commencing Work without a permit
7.W.J.,c+J
Date: 12/02/2004 Page 1 of 2
Project itiffirmatiall- NaA.....k.mokoziktmtuergaraframonvepAtew.wimmkotavvrezzT- .6s4=x,zaikimi.wm.kompf....mwxlm=ictd,t,::,u,:.‘wt.m*Awrort.buww,..n
Permit Use: DETACFEED 30 X 50 SHOP/GA.RGE Contict; POTTER, MICITAEL
Address; 807 N LONG RD
C - S Z; GREENACRES, WA 99016-9552
Setbacks: Front 50+ Left 39 Right: 71 Rear; 8 Phone: (509) 939-3333
Group Nitrite:
Project Nan=
SliklafffingliaM
Plat Key: 000129 Name: BACONS ADD TO GREENACRES
District: Nort
..:A.T.N.SAWA,?netk*MttettraPM.,11,S,YilToxigt*P1MOft4041405,VSZI:::=7,„Ts:MptindvarfaksAMAttlAtiZW:,;:=0:2VAMIIAWMAMWP,M=Lcx.MACiAtIkW1
Parcel Nu.mber 55182.3151 Block: Lot
SiteAddress: 807 N LONG RD Owner: Name: POTTER, M10EIAEL
Address: 87 N LONG RD
Location:: GRE G ENACRES, WA 9'9016-9552
Zoning: UR -3.5 Urban Residential 3.5
Water District
Hold: 0
Area: 49,700 Sq Ft Width: 142 Depth: 160 1 Might Of Way (ft): 0
Nbr of' Bldgs: 3 Nbr of Dwellings: 1
la.Review inkrtnatiow
Riew
Site Plan Review
Pian Review
Origirtally Released: 11/16/2004 By: RKAUER
ENG PLANS ON FILE
Originally Released: 12/02/2004 By: ddompier
"2'4 tj—ifS;
013crator: DM
DEC 03 2004 12:14
Printed By: DMD Print Date: 12/02/2004
509324156? PAGE.01
aSiMane
s# Valley
PERMIT APPLICATION WORK SHEET
SPOKANE VALLEY COMMUNITY DEVELOPMENT
BUILDING DIVISION
11707 East Sprague Ave Ste 106
Spokane Valley, WA 99206.
Phone: (509)688-0036 Fax: (509)688-0037
REQUIRED SITE INFORMATION -
STREET ADDRESS: () 7 HI . A On /%f
ASSESSOR'S TAX PARCEL NUMBER(S): 4/5 /5-34 /9z.2
LEGAL DISCRIPTION: S } / 3 Z y - 03 / of Z
PERMIT DESCRIPTION: G-Levz )49e J S'!e„ p
EBUILDENG PERMIT
RELOCATION
D CHANGE IN USE • a GRADING
SIGN -TENANTItiER
IJ MANUFACTURED HOME
OWNER / APPLICANT INFORMATION
OWNER: ' / / `.4 /4C 4 `- .P.)•1 -1 -ex
PHONE: J3 - 3.33 3 FAX:
(E(DDRESS: It), V, 7 /one"
CITY,STATE, ZIP
CONTRACTOR: P1 y C
rom//y dNS
PHONE: C/CO% —O/O CO FAX: ql(e % -12-5-
ADDRESS: 8-5-Z S". `f/, Jj2P y$ 5;00. t mkt
/ /J CI.Y,.STATE, ZIP
WA ST CONTRACTOR LICENSE # 14 y Fj4 Piet / 0 2 Lk 1)
0
APPLICANT:
PHONE: FAX:
ADDRESS:
CITY, STATE, ZIP
ARCHITECT:
PHONE:
ADDRESS'
FAX:
CITY, STATE, ZIP
CONTACT:
PERMIT/BUILDING INFORMATION
COST OF PROJECT: //y, nZZ 13g
BUILDING HEIGHT TO PEAK:
BUILDING DIMENSIONS: 301X 5-0
NUMBER OF STORIES:
NUMBER of BEDROOMS: 0
FLANKING SETBACK: 391
FRONT SETBACK: 7 0
REAR SETBACK:
S'
LEFT SETBACK: N (R
RIGHT SETBACK: % /
30% SLOPES ON PROPERTY: 0
OCCUPANCY GROUP:
CONSTRUCTION TYPE: PO /e -
STRUCTURES
e_
STRUCTURES ON PROPERTY: Z -
CRITICAL AREAS: AT IPS
CURRENT PROPERTY SIZE: Z Z/ 72- v Sit,
CURRENT PROPERTY USE:a e$ ;
CURRENT SEPTIC USE: yGS
CURRENT WELL USE: /(//ii/
IMPERVIOUS SURFACE AREA:
MAIN FLOOR SQ FT: / 5-0
2N0 FLOOR SQ FT:
UNFIN BASEMENT: -69--
FINISHED BASEMENT: -0 -
GARAGE:
HOVERED DECK:
DECK:
•
-7c--
7 '
) ,
This site plan is billing submitted for the purpose of
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dimenslons, curb lines, structures and easements
have been identified. Also Indic d are wetlands,
bodies of water. steep, alo r crit'cal areas.
Signed.'
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